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“Lumbar swelling: And up into the lungs…” A radiology case report of spinal tuberculosis "腰部肿胀并向上进入肺部......"脊柱结核放射病例报告
Indian Journal of Case Reports Pub Date : 2024-05-07 DOI: 10.32677/ijcr.v10i5.4493
Asnath Manithodika, Jyoshna Vejalla, Akhil R Nambiar, S. Deepa
{"title":"“Lumbar swelling: And up into the lungs…” A radiology case report of spinal tuberculosis","authors":"Asnath Manithodika, Jyoshna Vejalla, Akhil R Nambiar, S. Deepa","doi":"10.32677/ijcr.v10i5.4493","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4493","url":null,"abstract":"Spinal tuberculosis is one form of extra-pulmonary tuberculosis which usually has delayed presentation with spinal deformities in most cases. The para-spinal soft-tissue involvement can lead to a cold abscess which can present as swellings, mainly in the neck and lumbar regions. Here, a case of a young man is being presented, who had lumbar swelling which on computed tomography evaluation showed para-spinal collection, vertebral lytic foci, and lung parenchymal lesions suggestive of infection.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003371","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 rare case of spontaneous spinal epidural hematoma with spontaneous resolution 一例罕见的自发性脊柱硬膜外血肿，血肿自行消退
Indian Journal of Case Reports Pub Date : 2024-05-07 DOI: 10.32677/ijcr.v10i5.4496
Suman Reddy, Jerry Jacob, Roger Shannon Dsouza
{"title":"A rare case of spontaneous spinal epidural hematoma with spontaneous resolution","authors":"Suman Reddy, Jerry Jacob, Roger Shannon Dsouza","doi":"10.32677/ijcr.v10i5.4496","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4496","url":null,"abstract":"Spontaneous spinal epidural hematoma (SSEH) is an uncommon cause of acute spinal cord compression. It is a neurological emergency that requires urgent imaging and appropriate treatment to prevent permanent neurological sequelae. Here, we present the case of a 30-year-old male with no known comorbidities who presented to the emergency department with a history of sudden onset of upper backache and chest discomfort followed by bilateral lower limb weakness. On examination, the blood pressure was 220/120 mmHg, and neurological examination showed decreased tone and power of 2/5 in bilateral lower limbs. In view of the initial chest discomfort, a cardiac evaluation was done, which was normal, followed by magnetic resonance imaging of the whole spine, which showed a lesion in the anterior epidural space suggestive of hematoma, causing spinal cord compression. A final diagnosis was C6-T2 dorsal SSEH secondary to a hypertensive emergency.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004388","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
Twin reversed arterial perfusion sequence in monochorionic diamniotic pregnancy: A rare occurrence 单绒毛膜双羊膜妊娠的双胎反向动脉灌注序列：罕见病例
Indian Journal of Case Reports Pub Date : 2024-05-07 DOI: 10.32677/ijcr.v10i5.4444
Aarti Batoy, Aayush Bansal, Rajesh Badhan
{"title":"Twin reversed arterial perfusion sequence in monochorionic diamniotic pregnancy: A rare occurrence","authors":"Aarti Batoy, Aayush Bansal, Rajesh Badhan","doi":"10.32677/ijcr.v10i5.4444","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4444","url":null,"abstract":"Twin reversed arterial perfusion is a rare complication occurring in monochorionic multifetal pregnancies. This condition is characterized by a malformed fetus being perfused by a normal twin through an artery-to-artery anastomosis in the reverse direction. Herein, we report a case of a multigravida female with a twin pregnancy at 27 weeks 5 days of gestation referred in view of twin pregnancy with the intra-uterine demise of one twin. Gray scale and color Doppler imaging revealed a monochorionic diamniotic pregnancy with a viable, normal twin, and an amorphously developed acardiac twin. The patient was monitored with weekly ultrasonography, echocardiography, and Doppler ultrasound examination to ascertain the well-being of the pump twin. She delivered a normal live baby at term and an acardius acephalus fetus. The perinatal mortality of the pump twin is significantly high. Therefore, it is necessary to diagnose this entity at an early gestational age through improved imaging techniques, so that timely intervention can be planned.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004008","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
Secondary polycythemia causing renal artery thrombosis and presenting with acute abdominal pain – A case report 继发性多血症导致肾动脉血栓形成并表现为急性腹痛--病例报告
Indian Journal of Case Reports Pub Date : 2024-05-07 DOI: 10.32677/ijcr.v10i5.4478
K. Goutham, G. Ramkumar, Neha Sadhwani
{"title":"Secondary polycythemia causing renal artery thrombosis and presenting with acute abdominal pain – A case report","authors":"K. Goutham, G. Ramkumar, Neha Sadhwani","doi":"10.32677/ijcr.v10i5.4478","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4478","url":null,"abstract":"Abstract\u0000We present the case of a 52-year-old gentleman presented with acute abdominal pain. He has a personal history of 20 pack year smoking and his hematocrit was 62.8%. With subsequent investigations, a diagnosis of renal artery thrombosis due to smoker’s polycythemia was made. The patient symptomatically improved with hematocrit reduction after the phlebotomy. Renal artery thrombosis due to smoker’s polycythemia is a rare entity and needs a high index of suspicion for prompt diagnosis and treatment. This case report reviews the causes of polycythemia, it’s differentials, pathophysiology, and management.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005210","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
An anatomical variant of the posterior branch of the great auricular nerve: A case report and a short review of the literature 大耳廓神经后支的解剖变异：病例报告和文献简评
Indian Journal of Case Reports Pub Date : 2024-05-07 DOI: 10.32677/ijcr.v10i5.4488
Pierre Guarino, Francesco Chiari, Claudio Donadio Caporale, L. Presutti, Gabriele Molteni
{"title":"An anatomical variant of the posterior branch of the great auricular nerve: A case report and a short review of the literature","authors":"Pierre Guarino, Francesco Chiari, Claudio Donadio Caporale, L. Presutti, Gabriele Molteni","doi":"10.32677/ijcr.v10i5.4488","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4488","url":null,"abstract":"The great auricular nerve (GAN) is a sensory cutaneous nerve, which provides sensory innervation to the skin overlaying auricle, parotid gland, and mastoid region. The emergency of GAN is located at Erb’s point over the posterior burden of the belly of the sternocleidomastoid muscle (SCM). During its course, it normally bifurcates in a pair of, respectively, posterior and anterior, branches. The latter one then further divides into superficial and deep branches. Some different anatomical patterns of GAN branches were reported in the literature to underline the high variability of the GAN course. The aim of this case report is to underline a particular anatomical variant of a posterior branch of GAN we recently observed. It was characterized by an anomalous bifurcation involving two different groups of fibers, within the same field of innervation, which had an independent course toward the auricular lobe. To promptly face such a somewhat unexpected anomaly, besides the basic recommendation to surgeons of mastering a good knowledge of the high variability of the anatomy of GAN, a careful dissection around the SCM is believed to help the surgeon to recognize other anatomical variants of GAN course with the aim to preserve it.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003394","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
Acute liver failure resulting from coinfection with dengue and hepatitis A virus: A case report 登革热和甲型肝炎病毒双重感染导致急性肝衰竭：病例报告
Indian Journal of Case Reports Pub Date : 2024-05-07 DOI: 10.32677/ijcr.v10i5.4454
Jaya Ghosh, J. Ghosh
{"title":"Acute liver failure resulting from coinfection with dengue and hepatitis A virus: A case report","authors":"Jaya Ghosh, J. Ghosh","doi":"10.32677/ijcr.v10i5.4454","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4454","url":null,"abstract":"Acute liver failure (ALF) is an infrequent and varied condition characterized by severe impairment of liver function that occurs in individuals without any preexisting liver disease. This particular case study presents a distinctive occurrence of ALF resulting from a simultaneous infection of both hepatitis A virus (HAV) and dengue virus, accompanied by dengue hemorrhagic fever. The patient, a 26-year-old male, exhibited symptoms such as fever, nausea, vomiting, abdominal pain, and generalized body aches. Subsequently, the patient developed jaundice, hepatic encephalopathy, acute cholecystitis, and acute pancreatitis. Laboratory tests confirmed the presence of markers for both dengue and HAV, along with decreased platelet count and hemoglobin levels. However, with a treatment plan focused on conservative management, the patient’s condition gradually improved, leading to eventual discharge. This case underscores the potential for coinfection with dengue and HAV to precipitate ALF and emphasizes the significance of early diagnosis and timely intervention to achieve the best possible outcomes for the patient.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141001995","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
Urinary tract mycosis masquerading as renal papillary necrosis post-COVID: A case report COVID后伪装成肾乳头坏死的尿路霉菌病：病例报告
Indian Journal of Case Reports Pub Date : 2024-05-07 DOI: 10.32677/ijcr.v10i5.4365
Anjali Sathya, Radha Venkatramanan, C. R. Kumar, Sarah Grace Priyadarshini, Consultant Endocrinologist, Consultant Nephrologist, Consultant Urologist
{"title":"Urinary tract mycosis masquerading as renal papillary necrosis post-COVID: A case report","authors":"Anjali Sathya, Radha Venkatramanan, C. R. Kumar, Sarah Grace Priyadarshini, Consultant Endocrinologist, Consultant Nephrologist, Consultant Urologist","doi":"10.32677/ijcr.v10i5.4365","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4365","url":null,"abstract":"Urinary tract mycosis is more often seen in hospitalized patients than in community-acquired ones. Funguria is common but becomes invasive and life-threatening in immunosuppressed patients such as with diabetes mellitus, post-transplant, chronic antibiotic usage, cancer chemotherapy, and long-term steroids. In the last 2 years, the world has witnessed one of its worst pandemics with the COVID-19 infection, killing millions of people. Deaths have been due to the virus or secondary complications thereafter. Secondary fungal infections, especially those caused by mucormycosis, have been on the rise, the majority of which have been reported from India. The rhino-cerebral-pulmonary form is the most common, followed by isolated case reports of gastrointestinal, cutaneous, and musculoskeletal mucormycosis. Isolated renal and urinary tract mycosis in COVID-19 is an extremely rare association. We report a case of a middle-aged man with fairly well-controlled diabetes who received steroids for COVID-19 infection and, about 8 weeks later, presented with non-invasive mixed mycosis of the urinary tract that was managed conservatively without any surgical intervention.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003144","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
Case report of anti JMH: A high-titer, low-avidity antibody posing difficulty in immunohematological tests 抗 JMH 的病例报告：高滴度、低效价抗体给免疫血液学检测带来困难
Indian Journal of Case Reports Pub Date : 2024-05-07 DOI: 10.32677/ijcr.v10i5.4456
Hari Priya Raghvan, R. Yousuf, Nor Fadzliana Abdullah Thalith, Tang Yee Loong, RS Raja Zahratul Azma
{"title":"Case report of anti JMH: A high-titer, low-avidity antibody posing difficulty in immunohematological tests","authors":"Hari Priya Raghvan, R. Yousuf, Nor Fadzliana Abdullah Thalith, Tang Yee Loong, RS Raja Zahratul Azma","doi":"10.32677/ijcr.v10i5.4456","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4456","url":null,"abstract":"This report presents a patient with anti-John Milton Hagen (JMH) posing difficulties in the immunohematological test in the Blood Bank Unit of Universiti Kebangsaan Malaysia Medical Center. A 1-year-8-month-old boy was referred to our center to rule out acute leukemia from a private hospital. A crossmatch request was sent to the Blood Bank before the bone marrow biopsy. Our testing revealed his blood grouping as O Rh-D positive. His Direct Antiglobulin Test was positive, and his antibody screening and antibody identification showed weak pan-reactivity. However, reactions were negative with enzyme-treated cells. Red cell elution showed interestingly no reaction in the eluate, suspected to be due to drug-induced autoantibody. Further tests of antibody titration and neutralization test suggest it could be a high-titer low avidity (HTLA) antibody, most likely Anti-JMH. Although HTLA antibodies are clinically insignificant, they can cause confusion and delay in issuance of blood products. There are also cases of clinically significant HTLA antibodies. Determining the type of HTLA antibody may guide the extent of further testing required to utilize resources best and, most importantly, to assure patient safety.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004114","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
Kikuchi-Fujimoto disease: A rare case of pyrexia of unknown origin 菊池-藤本氏病：不明原因热病的罕见病例
Indian Journal of Case Reports Pub Date : 2024-05-07 DOI: 10.32677/ijcr.v10i5.4495
Vishal Sadatia, Mayank Thakker, Devang Ambaliya
{"title":"Kikuchi-Fujimoto disease: A rare case of pyrexia of unknown origin","authors":"Vishal Sadatia, Mayank Thakker, Devang Ambaliya","doi":"10.32677/ijcr.v10i5.4495","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4495","url":null,"abstract":"A young male was referred to a clinician for a complaint of fever of short duration with non-specific joint pain and treated for 1 week but after some time again presented with the same complaints with severe epigastric tenderness and vomiting. There was no past medical history before this episode. When cervical lymph node biopsy was performed gave us the diagnosis of histiocytic necrotizing lymphadenitis (Kikuchi-Fujimoto disease). A rare form of necrotizing lymphadenitis is an uncommon, benign, self-limiting disorder of obscure etiology. It affects mostly young adults of both genders. Clinically, it presents with fever and lymphadenopathy of a firm to rubbery consistency frequently involving cervical lymph nodes while weight loss, splenomegaly, and leukopenia in severely ill patients.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003671","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
Bullous pemphigoid as a paraneoplastic manifestation of metastatic adenocarcinoma of the lung 作为肺转移性腺癌副肿瘤表现的大疱性类天疱疮
Indian Journal of Case Reports Pub Date : 2024-04-04 DOI: 10.32677/ijcr.v10i4.4376
Sanjay L Adhimani, Nandakishore Baikunje, G. Hosmane, Nandu Nair
{"title":"Bullous pemphigoid as a paraneoplastic manifestation of metastatic adenocarcinoma of the lung","authors":"Sanjay L Adhimani, Nandakishore Baikunje, G. Hosmane, Nandu Nair","doi":"10.32677/ijcr.v10i4.4376","DOIUrl":"https://doi.org/10.32677/ijcr.v10i4.4376","url":null,"abstract":"A 73-year-old male smoker presented with complaints of fever and multiple clear fluid-filled lesions for 3 months. He was initially being treated for primary bullous pemphigoid but lesions recurred. On a chest X-ray, he was found to have a right hilar mass, and contrast-enhanced computed tomography of the chest revealed a right lung mass lesion with cervical, hilar, and mediastinal lymphadenopathy. A bronchoscopy was done, and bronchoalveolar lavage cytology was suggestive of lung adenocarcinoma. An excision biopsy of the left supraclavicular lymph node showed features consistent with adenocarcinoma lung. Hence, he was diagnosed with metastatic adenocarcinoma of the lung with bullous pemphigoid as a paraneoplastic manifestation. He was subsequently treated with chemotherapy, and his skin lesions resolved.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140745784","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
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