Clinical Medicine Insights. Case Reports最新文献_第2页

Periodontal Disease and Age-Related Maculopathy: A Case Report. 牙周病与年龄相关性黄斑病变1例报告。

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Clinical Medicine Insights. Case Reports Pub Date : 2025-04-29 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251333251

Francesco Mattia Ceruso, Stephany Gabriela Zambrano Leon, Luca Fiorillo, Gabriele Cervino, Marco Cicciù, Artak Heboyan, Francesco Pernice, Silvio Meloni, Marco Tallarico

{"title":"Periodontal Disease and Age-Related Maculopathy: A Case Report.","authors":"Francesco Mattia Ceruso, Stephany Gabriela Zambrano Leon, Luca Fiorillo, Gabriele Cervino, Marco Cicciù, Artak Heboyan, Francesco Pernice, Silvio Meloni, Marco Tallarico","doi":"10.1177/11795476251333251","DOIUrl":"https://doi.org/10.1177/11795476251333251","url":null,"abstract":"Age-related macular degeneration (AMD) is a leading cause of significant vision impairment in individuals aged 50 and older, primarily impacting central vision. This study seeks to investigate potential associations between periodontal disease and age-related maculopathy in the analyzed clinical case. A male subject of 66 years old, with age-related degenerative maculopathy and severe periodontal disease, was evaluated and treated. After an initial phase of non-surgical causal periodontal therapy, the periodontal indices were re-evaluated. In addition, the extraction of hopeless teeth replaced by dental implants was performed. A retinal topography was used to assess possible regression of the pathology, and proper anti-VEGF therapy was administered. The results showed a regression of periodontal disease and an improvement of the degenerative maculopathy. These preliminary results, even if encouraging, should be supported by larger prospective trials.","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"18 ","pages":"11795476251333251"},"PeriodicalIF":0.8,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Retropharyngeal and Cervical Hematoma: A Case Report. 自发性咽后及宫颈血肿1例报告。

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251337223

Hatim Bensouda Korachi, Safa Darouich, Said Anajar, Khalid Snoussi, Mustapha Essaadi, Amal Hajjij

{"title":"Spontaneous Retropharyngeal and Cervical Hematoma: A Case Report.","authors":"Hatim Bensouda Korachi, Safa Darouich, Said Anajar, Khalid Snoussi, Mustapha Essaadi, Amal Hajjij","doi":"10.1177/11795476251337223","DOIUrl":"https://doi.org/10.1177/11795476251337223","url":null,"abstract":"Background: Spontaneous Retropharyngeal Hematoma and cervical hematoma are rare conditions characterized by the accumulation of blood in the retropharyngeal and cervical region and poses a potential life-threatening risk. This complication can occur unexpectedly and without apparent trauma, particularly in patients on vitamin K antagonists.Case presentation: A 60-year-old man presented to the emergency with acute dysphagia, dysphonia and a right-sided neck ecchymosis. The patient had been on vitamin K antagonists for 7 years following a left intraventricular thrombus. Blood tests revealed an International Normalized Ratio of 7. The diagnosis of Spontaneous Retropharyngeal Hematoma was suspected given the absence of an identified cause and was confirmed by contrast-enhanced computed tomography. The hematoma was attributed to the patient's long-term use of vitamin K antagonists, which predisposed him to spontaneous bleeding. Treatment involved the administration of vitamin K but the patient ultimately passed as a result of respiratory arrest.Conclusion: Spontaneous Retropharyngeal Hematoma due to VKA-related incidents is a rare but significant complication to consider in patients undergoing anticoagulant therapy. Awareness among healthcare professionals is crucial to ensure early recognition and appropriate management.","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"18 ","pages":"11795476251337223"},"PeriodicalIF":0.8,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic Rib Osteomyelitis in a Young Adult Female: Diagnostic Challenges and Implications of a Rare Case in a Resource-Limited Setting. 一位年轻成年女性的慢性肋骨骨髓炎：在资源有限的情况下罕见病例的诊断挑战和意义。

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-04-14 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251333238

Bikash Pandey, Pujan Pant, Aayush Bist, Nishant Pandey

引用次数: 0

Atypical Presentation of Spontaneous Bilateral Internal Carotid Artery Dissection Leading to Stroke: A Case Report. 自发性双侧颈内动脉夹层导致脑卒中的不典型表现：1例报告。

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-04-04 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251332440

Bao Liao, Qin Yang, Dengxing Li, Chai Theam Ooi

引用次数: 0

Bilateral Renal Infarction, a Rare Consequence of Blunt Renal Artery Injury: A Case Report. 双侧肾梗死，一个罕见的后果钝性肾动脉损伤：1例报告。

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-31 eCollection Date: 2025-01-01 DOI: 10.1177/11795476241297632

Ali Tavoosian, Amirreza Shamshirgaran, Seyed Mohammad Kazem Aghamir

{"title":"Bilateral Renal Infarction, a Rare Consequence of Blunt Renal Artery Injury: A Case Report.","authors":"Ali Tavoosian, Amirreza Shamshirgaran, Seyed Mohammad Kazem Aghamir","doi":"10.1177/11795476241297632","DOIUrl":"10.1177/11795476241297632","url":null,"abstract":"Background: Renal infarction is an uncommon complication of Blunt renal artery injury (BRAI) following abdominal trauma. Diagnosis of infarction is difficult and mostly delayed due to non-specific symptoms. Early diagnosis can lead to appropriate and effective treatment, which prevents further complication.Case presentation: We report a case of 21-year-old man falling from a height of 9 m. A contrast-enhanced CT scan in the nephrogram phase showed no evidence of absorption in the right kidney and significantly decreased absorption in the left kidney. The pyelogram phase showed no secretion in the right kidney and decreased secretion in the left kidney suggesting segmental renal infarction. Subsequently, heparin infusion was initiated immediately. A follow-up contrast- enhanced abdominopelvic CT scan was performed after 1 month and showed no sign of infarction, and all laboratory tests were normal.Conclusion: Contrast-enhanced abdominopelvic CT scan helps physicians diagnose the renal infarction immediately and start appropriate treatment. Treatment can vary from aggressive surgical procedures to observation and supportive care.","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"18 ","pages":"11795476241297632"},"PeriodicalIF":0.8,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Drug-Induced Lupus in an HIV-Positive Patient Treated for Tuberculosis: A Case Report. 治疗结核的hiv阳性患者的药物性狼疮：1例报告。

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-27 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251329232

Omar Mahmud, Arshia Jahangir, Syed Muhammad Waqas, Noreen Nasir

引用次数: 0

The Pena-Shokeir Syndrome in a Twin Pregnancy: A Rare Case Report. 双胎妊娠的Pena-Shokeir综合征：一例罕见病例报告。

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251329986

Souhaila El Gazzane, Salahiddine Saghir, Mehdi Bahous, Mohamed Sellouti, Anass Ayad, Rachid Abilkassem

{"title":"The Pena-Shokeir Syndrome in a Twin Pregnancy: A Rare Case Report.","authors":"Souhaila El Gazzane, Salahiddine Saghir, Mehdi Bahous, Mohamed Sellouti, Anass Ayad, Rachid Abilkassem","doi":"10.1177/11795476251329986","DOIUrl":"10.1177/11795476251329986","url":null,"abstract":"Pena-Shokeir Syndrome (PSS) is a rare autosomal recessive disorder characterized by dysmorphic features, camptodactyly, arthrogryposis, intrauterine growth restriction, polyhydramnios, and pulmonary hypoplasia. Two types of this syndrome have been defined, differentiated by distinct clinical and genetic features. PSS is a potentially life-threatening condition, with most cases expected to be diagnosed prenatally via ultrasound. Genetic counseling is crucial to inform parents about recurrence risks and management strategies for future pregnancies. We report a case of PSS in a dichorionic diamniotic (DCDA) twin pregnancy. Despite normal prenatal ultrasounds, 1 twin was diagnosed postnatally with severe craniofacial anomalies, limb deformities, and pulmonary complications, consistent with PSS. In contrast, the second twin exhibited normal growth and development, with no anomalies identified. To the best of our knowledge, this is the third reported case of PSS in a twin pregnancy and the second involving a normal co-twin. This case aims to contribute to the existing literature by detailing the unique dysmorphic and clinical findings associated with PSS and emphasizing the diagnostic challenges in twin pregnancies.","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"18 ","pages":"11795476251329986"},"PeriodicalIF":0.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Crusted Scabies in a Malnourished Patient: A Rare Case Report. 营养不良患者的结痂性疥疮：罕见病例报告。

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-19 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251326462

Lina Al-Soufi, Aya Marashli, Mohammad Adi, Zuheir Al-Shehabi

{"title":"Crusted Scabies in a Malnourished Patient: A Rare Case Report.","authors":"Lina Al-Soufi, Aya Marashli, Mohammad Adi, Zuheir Al-Shehabi","doi":"10.1177/11795476251326462","DOIUrl":"10.1177/11795476251326462","url":null,"abstract":"Introduction: Scabies is a parasitic skin condition, with crusted scabies (CS) being a severe and highly contagious variant characterized by thickened skin lesions and a high mite count. CS is typically associated with immunocompromised individuals but can also develop in those suffering from malnutrition, as malnutrition weakens immune responses and impairs skin integrity.Case presentation: We report a case of CS in a 50-year-old malnourished male with no history of scabies or systemic disease, recently incarcerated. He presented with widespread itching, hyperkeratotic papules on the palms and soles, and secondary impetigo. The patient showed signs of malnutrition, with a BMI of 15.6 kg/m² and muscle wasting. Sarcoptes scabiei mites, eggs, and scybala were identified microscopically. The case was classified as Grade 3 CS. Treatment included two doses of ivermectin (8 mg) one week apart, 10% sulfur ointment, and benzyl benzoate soap. Follow-up was incomplete, highlighting challenges in managing socially vulnerable patients.Discussion: This case emphasizes the importance of early recognition, accurate diagnosis, and effective treatment of CS, especially in settings with poor sanitation and overcrowding. The patient's malnutrition likely contributed to the severity of the condition, as compromised immunity can facilitate mite proliferation.Conclusion: A holistic approach addressing malnutrition, sanitation, and patient education is crucial in managing CS in resource-limited settings.","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"18 ","pages":"11795476251326462"},"PeriodicalIF":0.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Exceptional Case of a Supra-tentorial Streptococcus Salivarius Brain Abscess-A Case Report. 幕上唾液链球菌性脑脓肿1例。

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251325803

Abderrahim Bourial, Wahib Lahlou, Mounir Rghioui, Sidi Mamoun Louraoui, Abdessamad El Azhari, Fadila Guessous

{"title":"An Exceptional Case of a Supra-tentorial Streptococcus Salivarius Brain Abscess-A Case Report.","authors":"Abderrahim Bourial, Wahib Lahlou, Mounir Rghioui, Sidi Mamoun Louraoui, Abdessamad El Azhari, Fadila Guessous","doi":"10.1177/11795476251325803","DOIUrl":"10.1177/11795476251325803","url":null,"abstract":"Introduction: During the COVID-19 pandemic, incidence of brain abscesses is difficult to assess. Numerous studies reported benign and severe post SARS-CoV-2 vaccine side effects, including rare cases of brain abscesses associated with COVID-19 or Anti-SARS-CoV-2 vaccines. Here in, we report what we believe to be, up to date, the fourth known case in the medical literature of a streptococcus salivarius brain abscess, the first intra parenchymatous or supra-tentorial streptococcus salivarius brain abscess and also the first that occurs following an anti-SARS-CoV-2 vaccine.Case presentation: We describe the case of a north african 63-year-old man with an unremarkable medical history except for recent anti-SARS-CoV-2 vaccinations. Following the administration of a third anti-SARS-CoV-2 booster vaccine, the patient developed neurological symptoms, including left hemiparesis, facial palsy, vertigo, and balance issues. Imaging studies revealed a right temporo-parietal lesion consistent with intracranial suppuration. Stereotaxic cerebral biopsy confirmed the presence of purulent content, indicating a brain abscess caused by multi-sensitive streptococcus salivarius.Conclusion: Sepsis-induced immunodepression appears to be a consequence of severe inflammatory state, as it dysregulates leukocytes population and results in serious infections. A plausible hypothesis is that a previous stress such as anti-SARS-CoV-2 vaccination could lead to the development of a streptococcus salivarius septicemia. In light of the available evidence and research findings, no definitive conclusion can be drawn regarding any potential link between anti-SARS-CoV-2 vaccines and the physiopathology of sepsis-induced immunodepression.","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"18 ","pages":"11795476251325803"},"PeriodicalIF":0.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Poorly Cohesive Carcinoma of Common Bile Duct: A Rare Histological Type of Cholangiocarcinoma. 胆总管低粘连癌：一种罕见的胆管癌组织学类型。

IF 0.8

Clinical Medicine Insights. Case Reports Pub Date : 2025-03-16 eCollection Date: 2025-01-01 DOI: 10.1177/11795476251324361

Derqaoui Sabrine, Hamid Mohamed, Ahmed Jahid, Kaoutar Znati, Fouad Zouaidia, Settaf Abdellatif, Bernoussi Zakiya

引用次数: 0