Indian Journal of Case Reports最新文献_第4页

Primary isolated extranodal NK/T-cell lymphoma of the orbit: A case report and diagnostic dilemma 眼眶原发性孤立结节外NK/T细胞淋巴瘤：病例报告与诊断难题

Indian Journal of Case Reports Pub Date : 2024-04-04 DOI: 10.32677/ijcr.v10i4.4420

V. Bhanvadia, Ravija Kathiara

{"title":"Primary isolated extranodal NK/T-cell lymphoma of the orbit: A case report and diagnostic dilemma","authors":"V. Bhanvadia, Ravija Kathiara","doi":"10.32677/ijcr.v10i4.4420","DOIUrl":"https://doi.org/10.32677/ijcr.v10i4.4420","url":null,"abstract":"Natural killer T-cell lymphoma (NKTL) is associated with Epstein-Barr virus, a highly malignant tumor that typically arises in the nose and/or paranasal sinuses isolated orbital involvement by NKTL is extremely rare. Herein, we report a case of primary orbital NKTL in a young female patient. A 32-year-old female presented with gradually increasing painful swelling of the right eye. On examination, abaxial proptosis, inferolateral displacement of the eyeball, restricted extraocular muscle movement, and solid mass in the subconjunctival fornix and superior quadrant. The rest of the ocular and systemic examination was unremarkable. Magnetic resonance imaging with contrast of the orbit shows a lobulated mass lesion 35×30×18 mm involving the medial aspect of the right orbit extraconal and superior intraconal space extending up to the preseptal region. Informed consent and biopsy were done and sent for histopathology examination. Histopathological examination shows the spectrum of atypical lymphoid cells, indented or cleaved nuclei and pale to clear cytoplasm, few histiocytes, giant cells, and apoptotic body. To rule out lymphoma, immunohistochemistry (IHC) was advised. On IHC, tumor cells were positive for CD3, D56, CD4 focally, CD7, Ki-67–90% and negative for CD20, CD2, Tdt, PAX5, CD34, CD5, Cd8 leading to a diagnosis of extranodal NKTL of the orbit. To the best of our knowledge, around 20 cases of isolated orbital extranodal NKTL were reported in the literature review. Polymorphic lymphoid cell in a young patient often mimics the inflammatory conditions of orbit. The rarity of this tumor and inflammatory signs make it challenging to identify these tumors early.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744838","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

Pediatric extremity rhabdomyosarcoma–A diagnostic dilemma 小儿四肢横纹肌肉瘤--诊断难题

Indian Journal of Case Reports Pub Date : 2024-04-04 DOI: 10.32677/ijcr.v10i4.4467

Yogita Devi, Meena Pangarkar, Radhika Pagey

引用次数: 0

A temporoparietal infarct lesion presented as the first-episode mania in an elderly male 一名老年男性因颞顶叶梗塞病变而首次发作躁狂症

Indian Journal of Case Reports Pub Date : 2024-04-04 DOI: 10.32677/ijcr.v10i4.4304

Shrikant Srivastava, A. Sonal, Prerak Kumar

引用次数: 0

Symptomatic pleomorphic adenoma of the submandibular gland in a malepatient: A case report and review of the literature 一名男性患者的颌下腺症状性多形腺瘤：病例报告和文献综述

Indian Journal of Case Reports Pub Date : 2024-04-04 DOI: 10.32677/ijcr.v10i4.4446

Shujaat Khan, Nazir Ahmad Var, Sayadat Khan, M. Rashikh

引用次数: 0

Post-transplant CFHR5 mutation-related atypical HUS: The need for pre-transplant diagnosis 移植后CFHR5突变相关的非典型HUS：移植前诊断的必要性

Indian Journal of Case Reports Pub Date : 2024-04-04 DOI: 10.32677/ijcr.v10i4.4438

B. Mehta, Sonal Sanjiv Dalal, Udya Kotecha, Sandip Chandrakant Shah, A. Murnal

{"title":"Post-transplant CFHR5 mutation-related atypical HUS: The need for pre-transplant diagnosis","authors":"B. Mehta, Sonal Sanjiv Dalal, Udya Kotecha, Sandip Chandrakant Shah, A. Murnal","doi":"10.32677/ijcr.v10i4.4438","DOIUrl":"https://doi.org/10.32677/ijcr.v10i4.4438","url":null,"abstract":"Atypical hemolytic uremic syndrome (aHUS) is a rare form of thrombotic microangiopathy (TMA) affecting multiple organs and can be sporadic or familial. It is most commonly caused by dysregulation of the alternative complement pathway. aHUS can occur at any age with a high rate of progression to end-stage kidney disease. We describe the case of a 24-year-old man with chronic kidney disease, severe hypertension, and antineutrophilic antibody by IF positive. On biopsy, diffuse global glomerulosclerosis with TMA and IF findings of full house pattern suggestive of lupus nephritis were present. Considering a lupus nephritis case, after 2 years of hemodialysis underwent live-related renal transplant (Father Donor). Immediate post-transplant period developed severe cortical necrosis and TMA. An etiological workup was done to ascertain the cause of post-transplant TMA. After excluding common causes of antibody-mediated rejection (C4d and donor-specific alloantibody neg), calcineurin inhibitor toxicity, and infection, we detected an abnormal complement CFHR5 mutation with an autosomal dominant pattern of inheritance. Pre-transplant diagnosis could have prevented taking the kidney from the father for transplant and further prevented recurrence. Systemic lupus erythematosus and TMA both can have alternate complement pathway dysregulation leading to full house IF pattern and misdiagnosis.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"15 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140741225","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 report on psychogenic non-epileptic disorder 关于精神性非癫痫性障碍的病例报告

Indian Journal of Case Reports Pub Date : 2024-04-04 DOI: 10.32677/ijcr.v10i4.4445

M. Jagadheeshwari, S. Keshavini, K. Dhivya

{"title":"A case report on psychogenic non-epileptic disorder","authors":"M. Jagadheeshwari, S. Keshavini, K. Dhivya","doi":"10.32677/ijcr.v10i4.4445","DOIUrl":"https://doi.org/10.32677/ijcr.v10i4.4445","url":null,"abstract":"Psychogenic non-epileptic seizure (PNES) involves attacks that act as epilepsy-related seizures. PNES is more likely to affect women than men and utmost generally begins in the youth. Epileptic seizures generally last between 30 and 120 s depending on the type, while PNES occurrences generally last for two to five twinkles. Features that are common in PNES but rarer in epilepsy include smelling the tip of the lingo, seizures lasting further than two twinkles (easiest factor to distinguish), seizures having a gradational onset, a shifting course of complaint inflexibility, the eyes being closed during a seizure, and side to side head movements. Psychotherapy is the most constantly used treatment, which might include cognitive behavioral remedy or remedy to retrain the physical symptoms and allow the existent to recapture control of the attacks. There is also some substantiation supporting picky serotonin reuptake asset antidepressants. Here, we present the case of a 45-year-old female presented with the chief complaints of giddiness in the right ear for 1 week, vomiting for 2 days, and two episodes of bilateral upper and lower body jerks. Later on, she was diagnosed with PNES.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"43 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140741924","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

Bilateral dentate nuclei hyperintensity due to isoniazid toxicity 异烟肼中毒导致双侧齿状核密度过高

Indian Journal of Case Reports Pub Date : 2024-04-04 DOI: 10.32677/ijcr.v10i4.4465

Somarajan Anandan, Sajeesh S Rajendran, Jyothish P Kumar, Divine S Shajee

引用次数: 0

Beyond the norm: A case report on the unfolding spectrum of acute suppurative thyroiditis leading to abscess formation 超越常规：急性化脓性甲状腺炎导致脓肿形成的病例报告

Indian Journal of Case Reports Pub Date : 2024-04-04 DOI: 10.32677/ijcr.v10i4.4409

Keerthana Gopidalai, K. L. N. S. Srisurya, Jessica Akumarthi, Arijit Goswami, Sree Jyothsna Midathada, Chetan Priyanka Angati, Pavan Kumar Yanamadala

{"title":"Beyond the norm: A case report on the unfolding spectrum of acute suppurative thyroiditis leading to abscess formation","authors":"Keerthana Gopidalai, K. L. N. S. Srisurya, Jessica Akumarthi, Arijit Goswami, Sree Jyothsna Midathada, Chetan Priyanka Angati, Pavan Kumar Yanamadala","doi":"10.32677/ijcr.v10i4.4409","DOIUrl":"https://doi.org/10.32677/ijcr.v10i4.4409","url":null,"abstract":"The thyroid gland’s robust defenses, including a rich blood supply, lymphatic drainage, high iodine content, and physical isolation, typically render it resistant to infections. However, acute suppurative thyroiditis (AST) leading to a primary thyroid abscess is an uncommon occurrence, especially among children, accounting for only 0.1–0.7% of thyroid disorders. This case report outlines the clinical presentation of a 12-year-old male with prolonged fever, neck pain, sore throat, and swallowing difficulties. Staphylococcus aureus was identified as the causative agent. Treatment involved a combination of intravenous antibiotics and incision and drainage, resulting in a successful recovery. Despite its rarity, AST requires prompt recognition and intervention to prevent complications. This case emphasizes the significance of including AST in the differential diagnosis of neck swelling and underscores the necessity for early identification and appropriate management to ensure optimal patient outcomes.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"36 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140743160","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

Osteochondroma of the distal humerus: A rare location 肱骨远端骨软骨瘤：罕见部位

Indian Journal of Case Reports Pub Date : 2024-04-04 DOI: 10.32677/ijcr.v10i4.4455

Mahesh Bharatrao Shinde, Mihir Ramesh Patel, HK Karthik Gowda, Vijay D Turukmane, Atharva R Sharma

引用次数: 0

Steroid-responsive dual neuronal antibody-positive paraneoplastic encephalitis 类固醇反应性双神经元抗体阳性的副肿瘤性脑炎

Indian Journal of Case Reports Pub Date : 2024-03-08 DOI: 10.32677/ijcr.v10i3.4175

Nemalidinne Krishna Vani, Rajiv Anand, Varun Rehani

引用次数: 0