Journal of Case Reports in Medical Science最新文献

A Rare Case Report of Herpes Simplex Virus Encephalitis and Herpes Zoster Skin Lesion: Its Diagnosis and Treatment 单纯疱疹病毒脑炎和带状疱疹皮损的罕见病例报告：诊断与治疗

Journal of Case Reports in Medical Science Pub Date : 2024-07-11 DOI: 10.56557/jocrims/2024/v10i18774

Akshatha, Bharathi, Greeshma Raju, S. V. Naik, Syed Mohammed Hussaini

{"title":"A Rare Case Report of Herpes Simplex Virus Encephalitis and Herpes Zoster Skin Lesion: Its Diagnosis and Treatment","authors":"Akshatha, Bharathi, Greeshma Raju, S. V. Naik, Syed Mohammed Hussaini","doi":"10.56557/jocrims/2024/v10i18774","DOIUrl":"https://doi.org/10.56557/jocrims/2024/v10i18774","url":null,"abstract":"Herpes Simplex Virus (HSV) encephalitis and Herpes Zoster skin lesions are both caused by different strains of the herpes virus. Herpes Simplex Virus (HSV) encephalitis is caused by the Herpes Simplex Virus (HSV), typically HSV-1, while Herpes Zoster, commonly known as shingles, is caused by the Varicella-Zoster Virus (VZV), which is also a member of the herpesvirus family. This is a case report of HSVE with HZ in a 65 year’s old male patient admitted to hospital with chief complaints of erythematous fluid filled rash over abdomen since 1 week, two episodes of generalised type seizures involved all four limbs and with altered sensorium since 1 day. His past medical history revealed that he was a known case of pulmonary tuberculosis (PTB) 2 years ago and taken antitubercular therapy (ATT) for 6 months and also he had developed chickenpox in his childhood. The patient was diagnosed with herpes skin lesion and herpes simplex virus encephalitis based on his USG report and clinical, neurological symptoms respectively. His laboratory tests revealed abnormal haematology and LFT parameters, USG abdomen showed grade 1 fatty changes with hepatomegaly, echogenic sediments in urinary bladder and herpes zoster eruption in dermatomal distribution, chest X-ray showed suggestive sequalae of pulmonary Koch’s. the treatment was initiated with Acyclovir, Levetiracetam, Tramadol, etc.","PeriodicalId":127851,"journal":{"name":"Journal of Case Reports in Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141657937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rare Skin Eruption Caused by Paracetamol: A Case of Acute Generalized Exanthematous Pustulosis 对乙酰氨基酚引起的罕见皮肤疹:急性全身性发疹性脓疱病1例

Journal of Case Reports in Medical Science Pub Date : 2023-06-14 DOI: 10.56557/jocrims/2023/v9i18270

Naveen Kizhakkayil Tency, Archak Roy

{"title":"Rare Skin Eruption Caused by Paracetamol: A Case of Acute Generalized Exanthematous Pustulosis","authors":"Naveen Kizhakkayil Tency, Archak Roy","doi":"10.56557/jocrims/2023/v9i18270","DOIUrl":"https://doi.org/10.56557/jocrims/2023/v9i18270","url":null,"abstract":"Background: This case report aims to enhance clinicians' ability to identify and effectively manage rare skin eruptions, specifically focusing on Acute Generalized Exanthematous Pustulosis (AGEP) by providing valuable insights into the context of its diagnostic challenges and clinical implications. \u0000Presentation of Case: We present a case of AGEP in a 16-year-old Indian boy who developed generalized pustulosis after taking Paracetamol (Acetaminophen). The patient's diagnosis was initially delayed due to the resemblance of AGEP with other skin conditions. Furthermore, the inadvertent reintroduction of Paracetamol exacerbated the condition. \u0000Discussion: We discuss various treatment options and emphasize the importance of prompt and accurate diagnosis of AGEP by utilizing the AGEP validation. By employing this scoring system, clinicians can enhance their diagnostic accuracy and avoid unnecessary delays in treatment initiation. \u0000Conclusion: The prompt identification of AGEP using the AGEP validation score is crucial for timely management. This case report highlights the potential risks associated with common drugs like Paracetamol and emphasizes the need for vigilance in prescribing medications. Clinicians should be aware of the distinctive features of AGEP and consider it as a differential diagnosis in patients presenting with pustular skin eruptions following drug intake. Improved awareness and application of diagnostic tools can aid in better patient outcomes.","PeriodicalId":127851,"journal":{"name":"Journal of Case Reports in Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129026188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Periapical Pocket Cyst of Anterior Maxilla: A Case Report 上颌骨前尖周口袋囊肿1例

Journal of Case Reports in Medical Science Pub Date : 2023-05-11 DOI: 10.56557/jocrims/2023/v9i18237

M. Mukherjee, Moumita Pal, Vineet Nair

引用次数: 0

A Case of Warthin Tumor Highlighting the Diagnostic Dilemmas Encountered 沃辛肿瘤1例:诊断困境

Journal of Case Reports in Medical Science Pub Date : 2023-05-11 DOI: 10.56557/jocrims/2023/v9i18238

Gita Gangadharan Shrivastav, H. Aiyer, Garima Rawat

引用次数: 0

Clinical Observations of Hearing, Speech, Language and Swallowing Abilities in Locked-in Syndrome: A Case-based Study 闭锁综合征听力、言语、语言和吞咽能力的临床观察:一项基于病例的研究

Journal of Case Reports in Medical Science Pub Date : 2023-05-05 DOI: 10.56557/jocrims/2023/v9i18233

H. Kumar, D. Darshan

{"title":"Clinical Observations of Hearing, Speech, Language and Swallowing Abilities in Locked-in Syndrome: A Case-based Study","authors":"H. Kumar, D. Darshan","doi":"10.56557/jocrims/2023/v9i18233","DOIUrl":"https://doi.org/10.56557/jocrims/2023/v9i18233","url":null,"abstract":"Background: Locked-in Syndrome (LIS) is a rare neurological condition characterized by quadriplegia, mutism, and lower cranial nerve paralysis with intact eye movements and consciousness and communication through eye blink only. The irretrievable LIS condition differs from a coma, persistent vegetative state, and akinetic mutism with preserved volitional vertical eye movements and blinking involving a lack of conscious interaction with the environment. Reports and evidence on assessment and rehabilitation with LIS are scanty. Thus, this case study aims to highlight some of the challenges faced by speech-language pathologists in the assessment and management of LIS in a multidisciplinary rehabilitation center. This study also emphasizes the assessment protocol adapted to diagnose and strategies planned for intervention. \u0000Case Description: A 58 years old male followed by an ischemic brain stroke diagnosed with LIS with a tracheostomy came to the department. Detailed history noted history revealed a brainstem stroke with pons involvement and a tracheostomy with percutaneous endoscopic gastrotomy and immobile vocal folds with limited epiglottic movements with impaired swallowing ability and severe aspiration. The clinical assessment was challenging and difficult to select appropriate assessment strategies for the condition. Detailed Speech, Swallow, and Language evaluations were carried out. The detailed evaluation reported the client with anarthria with tracheostomy secondary to locked-in syndrome. \u0000Conclusion: The present case report summarizes the need and findings of various evaluation procedures in the field of communication disorders. The role of an SLP is essential and a proper diagnostic protocol need to be considered along with spectacular observation while assessing LIS.","PeriodicalId":127851,"journal":{"name":"Journal of Case Reports in Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131894711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case Study of Tricuspid Endocarditis in Post-Partum Female 产后女性三尖瓣心内膜炎1例

Journal of Case Reports in Medical Science Pub Date : 2023-04-28 DOI: 10.56557/jocrims/2023/v9i18221

Shyam Patel, R. Samar

引用次数: 0

Placental Mesenchymal Dysplasia Co-existing with High Grade Villitis of Unknown Aetiology (VUE): A Very Rare Case Report and Literature Review 胎盘间充质发育不良并发高度不明原因绒毛炎1例罕见病例报告及文献复习

Journal of Case Reports in Medical Science Pub Date : 2023-04-19 DOI: 10.56557/jocrims/2023/v9i18211

E. Aramabi, J. Rafi, N. Deole

{"title":"Placental Mesenchymal Dysplasia Co-existing with High Grade Villitis of Unknown Aetiology (VUE): A Very Rare Case Report and Literature Review","authors":"E. Aramabi, J. Rafi, N. Deole","doi":"10.56557/jocrims/2023/v9i18211","DOIUrl":"https://doi.org/10.56557/jocrims/2023/v9i18211","url":null,"abstract":"The present case study reports about Placental mesenchymal dysplasia co-existing with high grade villitis of unknown aetiology (VUE). Placental Mesenchymal Dysplasia (PMD) is a rare placental lesion characterized by unusual abnormality of the stem villi of the placenta that could be mistaken for hydatidiform mole due to the presence of both cysts and normal-appearing parenchyma. A 30-year-old G2 P1 (full-term normal delivery) seen in fetal medicine clinic at 20 weeks within view of high risk on combined screening (low PAPP-A and high HCG). An ultrasound scan showed an appropriately grown baby with an abnormal placenta consisting of multiple lacunae more than 50% of the placental mass with increased thickness. A second opinion at tertiary care hospital confirmed the presence of prominent lakes on the placenta. Growth scans also showed IUGR with increasingly abnormal Doppler scans as the pregnancy progressed. At 35 weeks, EFW was < 3rd centile with static growth and patient had Induction of labour at 35 +4 weeks with vaginal delivery of a live male neonate weighing 2325g admitted to the neonatal intensive care unit (NICU) admission due to prematurity. The baby was discharged from NICU at day 5, achieving developmental milestones at the age of 23 weeks post-delivery. On microscopic histological examination, the chorionic plate showed no significant abnormality. The villous architecture was highly abnormal, and some villi were markedly enlarged with myxoid stroma and central degeneration. There were very occasional foci of apparent trophoblastic proliferation with villous architecture abnormalities seen in the form of clusters of large, immature intermediate villi. These features were in keeping with mesenchymal dysplasia. A highly unusual finding in this context was a florid infiltrate of CD3 positive T cells consistent with high-grade villitis of unknown aetiology concluding very rare co-existence of both conditions.","PeriodicalId":127851,"journal":{"name":"Journal of Case Reports in Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125178045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case Study of Infantile Nystagmus Syndrome (Congenital) 婴儿眼球震颤综合征(先天性)1例

Journal of Case Reports in Medical Science Pub Date : 2023-04-06 DOI: 10.56557/jocrims/2023/v9i18187

Vishal Ghosh, N. K. Gupta, A. Manoj

引用次数: 0

Methods to Spot Predatory Journals: A View Point 发现掠夺性期刊的方法:一个观点

Journal of Case Reports in Medical Science Pub Date : 2023-03-20 DOI: 10.56557/jocrims/2023/v9i18166

J. Nnodim, K. E. Dunga, Uzah Glad

引用次数: 1

A Case Report of Bilateral Ptosis as a Presentation in Diabetes Mellitus with Involvment in Corona Radiata 糖尿病伴放射状区累及双侧上睑下垂1例

Journal of Case Reports in Medical Science Pub Date : 2023-03-14 DOI: 10.56557/jocrims/2023/v9i18154

A. Manoj, N. K. Gupta

引用次数: 0