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Isolated dextrocardia and rheumatoid arthritis with mitral stenosis with pulmonary hypertension with atrial fibrillation: A rare association 孤立性右心室和类风湿性关节炎伴二尖瓣狭窄、肺动脉高压和心房颤动：罕见的关联
Indian Journal of Case Reports Pub Date : 2024-02-03 DOI: 10.32677/ijcr.v10i1.4353
K. C. Shashidhara, Sai Surya Chukkapalli, Amara Charitha Duggirala, Sai Sisir Madala, Preeti Prakash Prabhu
{"title":"Isolated dextrocardia and rheumatoid arthritis with mitral stenosis with pulmonary hypertension with atrial fibrillation: A rare association","authors":"K. C. Shashidhara, Sai Surya Chukkapalli, Amara Charitha Duggirala, Sai Sisir Madala, Preeti Prakash Prabhu","doi":"10.32677/ijcr.v10i1.4353","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4353","url":null,"abstract":"This case presents a rare occurrence of rheumatoid arthritis (RA) in a 50-year-old woman with concurrent mitral valvular disease and dextrocardia. Diagnosed with seropositive RA 5 years earlier, the patient exhibited fever, cough, and progressive dyspnea. Clinical examination revealed irregular tachycardia, elevated jugular venous pressure, and signs of heart failure. Laboratory results confirmed seropositive RA, anemia, and elevated inflammatory markers. Electrocardiogram and echocardiogram indicated dextrocardia, atrial fibrillation, and moderate mitral stenosis. This case highlights the unusual association of RA with valvular heart disease and the added complexity of dextrocardia. Recognizing diverse cardiac manifestations in RA is crucial, contributing to the growing evidence linking autoimmune disorders to cardiovascular complications. Further research is essential to understand the intricate relationship between RA and unique cardiac abnormalities.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139808459","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
Isolated dextrocardia and rheumatoid arthritis with mitral stenosis with pulmonary hypertension with atrial fibrillation: A rare association 孤立性右心室和类风湿性关节炎伴二尖瓣狭窄、肺动脉高压和心房颤动：罕见的关联
Indian Journal of Case Reports Pub Date : 2024-02-03 DOI: 10.32677/ijcr.v10i1.4353
K. C. Shashidhara, Sai Surya Chukkapalli, Amara Charitha Duggirala, Sai Sisir Madala, Preeti Prakash Prabhu
{"title":"Isolated dextrocardia and rheumatoid arthritis with mitral stenosis with pulmonary hypertension with atrial fibrillation: A rare association","authors":"K. C. Shashidhara, Sai Surya Chukkapalli, Amara Charitha Duggirala, Sai Sisir Madala, Preeti Prakash Prabhu","doi":"10.32677/ijcr.v10i1.4353","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4353","url":null,"abstract":"This case presents a rare occurrence of rheumatoid arthritis (RA) in a 50-year-old woman with concurrent mitral valvular disease and dextrocardia. Diagnosed with seropositive RA 5 years earlier, the patient exhibited fever, cough, and progressive dyspnea. Clinical examination revealed irregular tachycardia, elevated jugular venous pressure, and signs of heart failure. Laboratory results confirmed seropositive RA, anemia, and elevated inflammatory markers. Electrocardiogram and echocardiogram indicated dextrocardia, atrial fibrillation, and moderate mitral stenosis. This case highlights the unusual association of RA with valvular heart disease and the added complexity of dextrocardia. Recognizing diverse cardiac manifestations in RA is crucial, contributing to the growing evidence linking autoimmune disorders to cardiovascular complications. Further research is essential to understand the intricate relationship between RA and unique cardiac abnormalities.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139868324","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
Onychomycosis caused by Acremonium species: A case report 由 Acremonium 菌引起的甲癣：病例报告
Indian Journal of Case Reports Pub Date : 2024-02-03 DOI: 10.32677/ijcr.v10i1.4341
S. Jangla
{"title":"Onychomycosis caused by Acremonium species: A case report","authors":"S. Jangla","doi":"10.32677/ijcr.v10i1.4341","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4341","url":null,"abstract":"Onychomycosis is a common condition constituting fungal infection of nails. It is generally caused by dermatophytes but non-dermatophytic mold and yeast as its causative agent are on the rise. Acremonium, a non-dermatophytic mold, is commonly found in decaying vegetation, soil, and air. Identification of the causative agent is important as non-dermatophytic molds are resistant to commonly used antifungals. This is a case of an Indian woman who presented with onychomycosis of the toenail and the causative agent was documented and reported as Acremonium species.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139807885","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 immobile thyroglossal duct cyst with tongue protrusion: A case report 活动性甲状舌管囊肿伴舌尖突出：病例报告
Indian Journal of Case Reports Pub Date : 2024-02-03 DOI: 10.32677/ijcr.v10i1.4354
Umer Hamid Wani, Saiyad Shah Alam
{"title":"An immobile thyroglossal duct cyst with tongue protrusion: A case report","authors":"Umer Hamid Wani, Saiyad Shah Alam","doi":"10.32677/ijcr.v10i1.4354","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4354","url":null,"abstract":"The thyroglossal duct cyst is one of the most common lesions in the midline of the neck and is found in around 7% of the population. They often present as painless neck swellings that move in response to tongue protrusion and during deglutition. We describe a case of thyroglossal duct cyst that was atypical in that the cyst was distant from the midline, it did not move in response to tongue protrusion, and the swelling was significant that resembled a colloid goiter. A 36-year-old male presented to the surgical outpatient department with a complaint of painless swelling in the neck for the past year. A 6.5×4.5 cm2 swelling was observed in the anterolateral aspect of the right side of the neck extending to the thyroid notch. Neck ultrasound and fine needle aspiration cytology showed features suggestive of a thyroglossal duct cyst. The patient was prepared for the Sistrunk procedure for thyroglossal duct cyst excision. The patient was on regular follow-up postoperatively for 6 months, and no evidence of any recurrence was seen.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139807888","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 grand multipara woman in the modern era: A case of public health dilemma from an urban slum 现代的多产妇：来自城市贫民窟的公共卫生困境案例
Indian Journal of Case Reports Pub Date : 2024-02-03 DOI: 10.32677/ijcr.v10i1.4345
Binod Kumar Behera, Payel Roy, Susmita Dora
{"title":"A grand multipara woman in the modern era: A case of public health dilemma from an urban slum","authors":"Binod Kumar Behera, Payel Roy, Susmita Dora","doi":"10.32677/ijcr.v10i1.4345","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4345","url":null,"abstract":"With the advancement in family planning practices and shifting norms from “hum do hamare do” to “one child,” there still exist mothers who are delivering their 10th children. Such an example is a woman residing in an urban slum in the Khordha district of Odisha, India. She has never used any modern methods of contraception. Neither the health workers in that area could fulfill her unmet need for family planning. The helpless mother missed all the antenatal checkups as she did not have anyone to accompany her to the hospital. Three of her children were delivered at home and none of them were immunized to date. She has become a victim of domestic violence by her husband, who is addicted to alcohol. She has done two medical terminations of pregnancy due to non-usage of any contraception. Neither she is able to provide herself nor her children sufficient food every day, as she is not able to go to work in her post-partum period. Her alcoholic husband is not able to earn regularly and there is no other family member to support her. There is no Accredited Social Health Activist appointed for that area whom she can rely on. We need to look at what is the cause of such a scenario – Is it poverty, lack of awareness, lack of education, or our health system has failed to achieve universal health coverage.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139808308","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
Laparoscopic sigmoid colectomy for diverticulitis – stricture: A case report with review of literature 腹腔镜乙状结肠切除术治疗憩室炎 - 狭窄：病例报告及文献综述
Indian Journal of Case Reports Pub Date : 2024-02-03 DOI: 10.32677/ijcr.v10i1.4340
Ravikumar Kalyanbhai Balar, Abhijit Sharadchandra Joshi
{"title":"Laparoscopic sigmoid colectomy for diverticulitis – stricture: A case report with review of literature","authors":"Ravikumar Kalyanbhai Balar, Abhijit Sharadchandra Joshi","doi":"10.32677/ijcr.v10i1.4340","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4340","url":null,"abstract":"Diverticulosis is a common condition in the western world. It is often asymptomatic. However, its inflammation and the occurrence of its complications precipitate symptoms. Uncomplicated diverticulitis can be managed conservatively, most of the times. Complicated diverticulitis may need an endoscopic, interventional radiological, or surgical intervention. Herein, we report the case of a 53-year-old patient with complicated sigmoid diverticulitis, i.e., stricture caused by repetitive attacks of acute diverticulitis, who underwent a laparoscopic sigmoid colectomy followed by primary anastomosis.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139867702","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
The first-ever reported primary spinal infection with Aeromonas 首次报告脊柱感染了气单胞菌
Indian Journal of Case Reports Pub Date : 2024-02-01 DOI: 10.32677/ijcr.v9i9.4179
Meghena Mathew, TP Bharadwaj, P. Nambi, Ashwin Mani
{"title":"The first-ever reported primary spinal infection with Aeromonas","authors":"Meghena Mathew, TP Bharadwaj, P. Nambi, Ashwin Mani","doi":"10.32677/ijcr.v9i9.4179","DOIUrl":"https://doi.org/10.32677/ijcr.v9i9.4179","url":null,"abstract":"Back pain can be an insignificant symptom in most patients in the intensive care unit. However, a simple complaint of back pain can have a tell-tale behind it. We present the case of a 57-year-old patient who presented to us with thrombocytopenia, leukocytosis, and urinary symptoms. Investigating her back pain revealed that she had a spinal epidural abscess with a very rare organism like Aeromonas hydrophila with no risk factors for the same. She had no prior history of trauma or any spinal surgeries. Hence, this is a primary Aeromonas spinal infection with no other source of seeding from any other sites. Our understanding and review of the literature could not find us any other case reports ever reported.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139684849","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
Turning the young and healthy patient into an elderly faster: A cascade of complications related to immobility 让年轻健康的病人更快地变成老年人：与行动不便有关的一系列并发症
Indian Journal of Case Reports Pub Date : 2024-02-01 DOI: 10.32677/ijcr.v9i10.4190
Luiz Alberto Cerqueira Batista Filho, Mario Correa Netto Pacheco Junior, Alexandre Toledo Maciel, Larissa Seraphim Medeiros
{"title":"Turning the young and healthy patient into an elderly faster: A cascade of complications related to immobility","authors":"Luiz Alberto Cerqueira Batista Filho, Mario Correa Netto Pacheco Junior, Alexandre Toledo Maciel, Larissa Seraphim Medeiros","doi":"10.32677/ijcr.v9i10.4190","DOIUrl":"https://doi.org/10.32677/ijcr.v9i10.4190","url":null,"abstract":"A 42-year-old individual presented with a ruptured left patellar ligament after playing basketball. After undergoing reconstructive orthopedic surgery, he sustained a posterior shoulder dislocation while using crutches, necessitating additional surgery. This combination of orthopedic injuries rendered the patient immobile and bedridden for several months, and immobility-related complications began to develop. Immobilism is a condition that physicians typically associate with elderly and neuropathic patients; however, little is said about this pathology when young and healthy patients who have experienced acute diseases are considered. With a review of the relevant literature, this article describes a peculiar succession of immobility-related complications.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139815178","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 a type II single umbilical artery seen in the first trimester anomaly scan 妊娠头三个月异常扫描中发现 II 型单脐动脉的病例报告
Indian Journal of Case Reports Pub Date : 2024-02-01 DOI: 10.32677/ijcr.v9i9.4149
Smit Hiren Vakil, Mona Mehta
{"title":"Case report of a type II single umbilical artery seen in the first trimester anomaly scan","authors":"Smit Hiren Vakil, Mona Mehta","doi":"10.32677/ijcr.v9i9.4149","DOIUrl":"https://doi.org/10.32677/ijcr.v9i9.4149","url":null,"abstract":"Umbilical arteries normally originate from a pair of allantoic arteries. Obliteration or non-formation of any of the two umbilical arteries gives rise to a single umbilical artery (SUA). 0.5–1% of fetuses show the presence of a SUA. A rarer abnormality is when a SUA is found originating from the abdominal aorta, representing the persistent vitelline artery. Such an anomaly is termed Type II SUA. Here, we present a case of Type II SUA in a 30-year-old first trimester gravid female. Obstetric ultrasound done in the first trimester showed non-visualization of the umbilical arteries adjacent to the urinary bladder. Instead, an aberrant, large vessel was seen tracking anteriorly from the aorta towards the umbilical cord. The aorta distal to the origin of this aberrant vessel appeared hypoplastic.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139882177","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 of chronic hepatitis-C genotype 4c infection: Non-specific symptoms can become contextually relevant in clinical diagnosis 慢性丙型肝炎基因型 4c 感染病例报告：非特异性症状在临床诊断中可能与背景相关
Indian Journal of Case Reports Pub Date : 2024-02-01 DOI: 10.32677/ijcr.v9i9.4148
K. Mantha
{"title":"A case report of chronic hepatitis-C genotype 4c infection: Non-specific symptoms can become contextually relevant in clinical diagnosis","authors":"K. Mantha","doi":"10.32677/ijcr.v9i9.4148","DOIUrl":"https://doi.org/10.32677/ijcr.v9i9.4148","url":null,"abstract":"Chronic hepatitis C (CHC) infection is one of the leading causes of liver disease worldwide and its early diagnosis is often considered a challenge because of its non-symptomatic presentation until late disease progression stages. We report the case of a 52-year-old, South-Indian male with CHC genotype 4c infection. We start with the patient’s initial presentation 12 weeks before the diagnosis with seemingly non-specific symptoms of pedal edema, purpura, peripheral neuropathy, arthralgia, and recent onset of diabetes mellitus (DM). We then present the employed direct-acting antiviral (DAA) management regimen and the patient’s response over the span of 48 weeks. Correlating with observations from recent literature highlighting CHC’s extra-hepatic role in inducing cryoglobulinemic vasculitis (CV) and pancreatic dysfunction, we discuss some educational perspectives on how CV and DM-related symptoms may sometimes become contextually specific in clinically suspecting, assessing risk, and warranting CHC screening and diagnostic confirmation.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139822146","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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