International Journal of Case Reports and Images最新文献_第6页

Acute pancreatitis secondary to acute undiagnosed lupus: A case report 急性未确诊狼疮继发急性胰腺炎1例

International Journal of Case Reports and Images Pub Date : 2023-08-04 DOI: 10.5348/101405z01sa2023cr

S. Azizi, Aishvarya Jain, Jorge O Gutierrez, Fatih B Kaner, R. Khanna

{"title":"Acute pancreatitis secondary to acute undiagnosed lupus: A case report","authors":"S. Azizi, Aishvarya Jain, Jorge O Gutierrez, Fatih B Kaner, R. Khanna","doi":"10.5348/101405z01sa2023cr","DOIUrl":"https://doi.org/10.5348/101405z01sa2023cr","url":null,"abstract":"\u0000 Introduction: Pancreatitis is the acute inflammation of the pancreas associated with mortality, commonly presenting to the emergency department with significant abdominal pain, nausea and vomiting, and in severe cases, acute respiratory distress syndrome (ARDS).\u0000\u0000 Case Report: We present a rare case of pancreatitis secondary to acute systemic lupus erythematosus in a young patient with no past medical history and undiagnosed systemic lupus erythematosus (SLE). The patient had no classic exposures or ingestions of common causes of pancreatitis, and underwent an extensive workup with prolonged hospitalization until the antibody investigations revealed acute SLE.\u0000\u0000 Conclusion: This case illustrates the importance of keeping autoimmunity as a potential cause of acute pancreatitis particularly in a patient with no other classic cause of pancreatitis. Despite SLE being described as a rare and uncommon cause of pancreatitis in patients with known SLE diagnosis, this case sheds significant light on pancreatitis being a first-time presentation in a patient with no past diagnosis of SLE. Awareness of this etiology may help prevent extended hospitalizations, decrease complications, and improve mortality in respective patients with undifferentiated acute pancreatitis.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84025961","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

Transverse myelitis after immunization against SARS-CoV-2: A case report SARS-CoV-2免疫后横贯脊髓炎1例

International Journal of Case Reports and Images Pub Date : 2023-08-04 DOI: 10.5348/101404z01dp2023cr

Daniel Antunes Pereira, Luiza Eyer Leme, Shara Aline Bueno Dantas, Marco Antonio Orsini Neves, Gilberto Canedo M Jr, A. M. da Silva Catharino

{"title":"Transverse myelitis after immunization against SARS-CoV-2: A case report","authors":"Daniel Antunes Pereira, Luiza Eyer Leme, Shara Aline Bueno Dantas, Marco Antonio Orsini Neves, Gilberto Canedo M Jr, A. M. da Silva Catharino","doi":"10.5348/101404z01dp2023cr","DOIUrl":"https://doi.org/10.5348/101404z01dp2023cr","url":null,"abstract":"\u0000 Introduction: Transverse myelitis (TM) is a clinical syndrome of varied etiology, one of its causes being the immune-mediated lesion caused by the COVID-19 vaccine. It causes sensory, motor, and autonomic dysfunctions that can be bilateral, unilateral, or asymmetrical and that can change rapidly. The clinical presentation of TM is mainly represented by bilateral weakening of the lower limbs (LL), but it varies depending on the level of the spinal cord involved. Early diagnosis and treatment can benefit recovery and prevent a recurrence.\u0000\u0000 Case Report: We report the case of a 50-year-old man, an engineer by profession, who reported that in the second dose of immunization against SARS-CoV-2, he began to have a tingling sensation (dysesthesia) in the lower limbs. After four months, between the second and third doses, about five months, a new clinical picture of paresis had erupted, associated with tactile, thermal, and painful hypoesthesia.\u0000\u0000 Conclusion: Due to the significant impact of COVID-19 on health, especially about neurological impacts, disorders associated with the vaccine should always be considered when approaching patients after vaccination. Post-vaccination TM, as it has a difficult diagnosis (excluding other causes) and a variable prognosis (from total recovery without damage to complete paraplegia, respiratory failure, or upper cervical injury), establishing its diagnosis in an early diagnosis is essential for a better prognosis.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84198132","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

Idiopathic myointimal hyperplasia: An unusual cause of colonic ischemia 特发性肌内膜增生:结肠缺血的一种罕见病因

International Journal of Case Reports and Images Pub Date : 2023-07-27 DOI: 10.5348/101403z01sp2023cr

S. Phillips, Ranah Lim, Corina Camille Behrenbruch, J. Schulberg, P. Mckelvie, M. Johnston

引用次数: 0

Sensory-motor polyneuropathy due to the use of antiparasitic drugs: A case report 抗寄生虫药物引起的感觉-运动多神经病变1例报告

International Journal of Case Reports and Images Pub Date : 2023-07-25 DOI: 10.5348/101402z01mn2023cr

Marco Antonio Orsini Neves, Ilana Cwajgenberg, Daniel Antunes Pereira, Wladimir Bocca, Acary Souza Bulle de Oliveira, A. M. da Silva Catharino

{"title":"Sensory-motor polyneuropathy due to the use of antiparasitic drugs: A case report","authors":"Marco Antonio Orsini Neves, Ilana Cwajgenberg, Daniel Antunes Pereira, Wladimir Bocca, Acary Souza Bulle de Oliveira, A. M. da Silva Catharino","doi":"10.5348/101402z01mn2023cr","DOIUrl":"https://doi.org/10.5348/101402z01mn2023cr","url":null,"abstract":"Introduction: The term polyneuropathy refers to a generalized involvement of peripheral nerves, usually involving mainly the distal nerves and, more often, presenting with sensory, motor, and autonomic symptoms and clinical findings. Drug-induced peripheral neuropathy (DIPN) is a persistent condition, most often associated with anticonvulsants, chemotherapy, cardiovascular, psychotropic, and antimicrobial drugs, such as Metronidazole. In this article, we report the case of a patient who developed polyneuropathy secondary to the use of Metronidazole. Case Report: D.D.S.L., a 45-year-old female, previously healthy, presented with abdominal discomfort. Entamoeba histolytica was detected after investigation, and she started a 7-day cycle of 500 mg of Metronidazole three times a day for seven days, without clinical response. A new therapeutic approach was attempted, with three cycles of 2 grams of Secnidazole single dose and Tinidazole for four weeks. However, the patient presented dysesthesia in the distal third of the thighs, followed by allodynia in the four limbs and trunk. After new abdominal discomfort, three months after the first medication cycle, another pharmacological cycle was started. Neurological examination and electroneuromyography (ENM) examination suggested axonal sensorimotor polyneuropathy in all four limbs. Conclusion: Polyneuropathy can be caused by many factors, including some frequently prescribed drugs such as Metronidazole and other medications in the 5-nitroimidazole group. Therefore, although the relationship between these drugs and polyneuropathy is not fully elucidated, their neurotoxicity is indisputable, even in rare cases, but with significant variability in terms of the dose-dependent potential for this disease.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"111 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80703715","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

Cuboid dislocation following low-energy injury in a college athlete: A case report 大学生运动员低能量损伤后长方体脱位一例

International Journal of Case Reports and Images Pub Date : 2023-07-11 DOI: 10.5348/101400z01ru2023cr

Raja Ullah, Conner Patrick, Raja Jamal, W. B. Edmonds

引用次数: 0

A rare case of Candida parapsilosis pneumonia in an immunocompetent patient 一例免疫功能正常的假丝酵菌肺炎

International Journal of Case Reports and Images Pub Date : 2023-07-10 DOI: 10.5348/101399z01rh2023cr

Raiya Habib, Zeeshan H. Ismail, Anthony Nanajian, Matthew Calestino, C. Bray

{"title":"A rare case of Candida parapsilosis pneumonia in an immunocompetent patient","authors":"Raiya Habib, Zeeshan H. Ismail, Anthony Nanajian, Matthew Calestino, C. Bray","doi":"10.5348/101399z01rh2023cr","DOIUrl":"https://doi.org/10.5348/101399z01rh2023cr","url":null,"abstract":"\u0000 Introduction: The presence of fungus in an immunocompetent host is usually disregarded as a mere contaminant, as it can be a commensal organism of the skin, gastrointestinal, urogenital, and respiratory tract. Hence, its growth in cultures has to be interpreted within a clinical context. This case illustrates the challenges experienced when diagnosing Candida parapsilosis necrotizing pneumonia, and the importance for considering candida pneumonia as a differential diagnosis for an immunocompetent patient. After a thorough literature review, we would like to present the first case report of C. parapsilosis causing necrotizing pneumonia in an immunocompetent patient.\u0000\u0000 Case Report: We present a case involving a middle-aged smoking male who presented with respiratory and metabolic abnormalities and was found to have necrotizing pneumonia. He was managed for severe sepsis with lactic acidosis, respiratory failure, and severe acute kidney injury (AKI), which improved with broad spectrum antibiotics and fluids. These conditions improved; however, his respiratory distress did not despite a prolonged course of antibiotics. This led to a workup for other causes of necrotizing pneumonia, after which cultures revealed the growth of C. parapsilosis. He was then started on antifungals and subsequently improved.\u0000\u0000 Conclusion: Candida necrotizing pneumonia is a rare disease for an immune-competent individual; however, chronic lung damage in the setting of a smoking history may make individuals more susceptible. This case illustrates the challenges associated when dealing with such a case, and it is the team’s hope that publishing this case will add to awareness. Additionally, this can contribute to improved antibiotic stewardship and earlier diagnosis which will hopefully lead to a shorter hospital stay and improved morbidity and mortality.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89396854","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

Extramedullary plasmacytoma presenting as a rapidly growing lateral neck mass: A case report 髓外浆细胞瘤表现为快速生长的颈部外侧肿块:1例报告

International Journal of Case Reports and Images Pub Date : 2023-06-30 DOI: 10.5348/101398z01cs2023cr

Christopher G Salib, Cierra N Harpe, Stephanie Carter, Damirez Fossett, Therlinsie Fleurizard

{"title":"Extramedullary plasmacytoma presenting as a rapidly growing lateral neck mass: A case report","authors":"Christopher G Salib, Cierra N Harpe, Stephanie Carter, Damirez Fossett, Therlinsie Fleurizard","doi":"10.5348/101398z01cs2023cr","DOIUrl":"https://doi.org/10.5348/101398z01cs2023cr","url":null,"abstract":"Introduction: We detail the rare clinical presentation of an extramedullary plasmacytoma as a rapidly growing lateral neck mass. The pathology and its management are discussed. A rapidly growing extramedullary plasmacytoma infiltrating the cervical spine. Case Report: A 53-year-old male presented to our emergency room with a one-month history of worsening left-sided neck pain and an enlarging lateral neck mass. Evaluation with cervical imaging and laboratory analysis were performed. The patient underwent a soft tissue biopsy with subsequent spinal cord decompression and an occipital-cervical fusion. Pathology revealed the diagnosis of plasmacytoma. The patient was referred to oncology and radiation therapy for adjuvant treatment. Conclusion: This case represents the unusual presentation of a rapidly growing extramedullary plasmacytoma to the soft tissues of the neck with subsequent erosion of the base of the skull and upper cervical vertebral spine. It was treated effectively with posterior cervical decompression, arthrodesis, and adjuvant radiation and chemotherapy.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016021","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

Duodenal gangliocytic paraganglioma: A case report 十二指肠神经节细胞副神经节瘤1例

International Journal of Case Reports and Images Pub Date : 2023-06-29 DOI: 10.5348/101396z01hb2023cr

Eddine Bitar, Mohamad Rakka, Maureen Chbat, Rim Ibrahim, Bassam Matar, A. Karaa

{"title":"Duodenal gangliocytic paraganglioma: A case report","authors":"Eddine Bitar, Mohamad Rakka, Maureen Chbat, Rim Ibrahim, Bassam Matar, A. Karaa","doi":"10.5348/101396z01hb2023cr","DOIUrl":"https://doi.org/10.5348/101396z01hb2023cr","url":null,"abstract":"\u0000 Introduction: Duodenal gangliocytic paraganglioma (DGP) is a benign tumor that only warrants a surgical resection in the majority of cases.\u0000\u0000 Case Report: We are reporting a case of 42-year-old man who consulted for significant weight loss, fatigue, anemia, and an on–off obstructive jaundice. Imageries showed a 5 cm peri-ampullary duodenal mass. We couldn’t have a diagnosis by endoscopic ultrasound (EUS), so we did a laparoscopic transduodenal tumorectomy and removed the entire mass, which came back as gangliocytic paraganglioma on pathology and immunohistochemistry. Gangliocytic paraganglioma is a benign tumor that most commonly occurs in men and is localized in duodenum. Neuroendocrine tumor, ganglioneuroma, paraganglioma, and schwannoma are the differential diagnoses. Histologic diagnosis is difficult to make. Immunohistochemistry is indispensable for the diagnosis. Often than not, we cannot make diagnosis by a simple biopsy, because the tumor has a submucosal location and three types of cells need to be present for diagnosis: spindle cells, ganglion cells, and epithelial cells. That’s why en-bloc resection of the tumor is frequently needed for accurate diagnosis. Endoscopic resection or laparoscopy is used depending on the characteristics of the tumor. In our case, the 5 cm peri-ampullary tumor warranted a laparoscopic resection. Generally, there is no role for adjuvant therapy in duodenal gangliocytic paraganglioma (DGP). But sometimes, radiotherapy, surgery, somatostatin analog are used for treatment depending on the features of DGP. There is no consensus on follow-up management, but experts agree on the necessity of frequent follow-ups.\u0000\u0000 Conclusion: We believe it is important to include gangliocytic paraganglioma (GP) as a differential diagnosis in patients who present with duodenal masses, weight loss, and general state alteration.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81941820","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

Pott’s disease: A wake-up call for an underestimated diagnosis 波特病:一个被低估的诊断的警钟

International Journal of Case Reports and Images Pub Date : 2023-06-29 DOI: 10.5348/101397z01jf2023cr

J. Fernandes, Janie Fernandes, Leandro Mignot, Felipe Toledo, Roberto Falci, A. M. da Silva Catharino

{"title":"Pott’s disease: A wake-up call for an underestimated diagnosis","authors":"J. Fernandes, Janie Fernandes, Leandro Mignot, Felipe Toledo, Roberto Falci, A. M. da Silva Catharino","doi":"10.5348/101397z01jf2023cr","DOIUrl":"https://doi.org/10.5348/101397z01jf2023cr","url":null,"abstract":"\u0000 Introduction: Tuberculosis continues to be a major cause of death worldwide. The bacillus responsible for this condition, Mycobacterium tuberculosis, typically affects the lungs, but can also affect other regions, in which case it is called extrapulmonary tuberculosis. Osteoarticular manifestations represent the third most common form of this type of tuberculosis. The axial skeleton stands out as the most affected region; this is called tuberculous spondylodiscitis or Pott’s disease.\u0000\u0000 Case Report: A 26-year-old male patient, living in Queimados, an informal worker, reported that about one month ago he presented weight loss of 7 kg, low back pain without irradiation (intensity 10/10), and a dry cough. One week ago, he started having chills with changes in the cough pattern, which became productive. Laboratory tests and serologies were unaltered. Alcohol-Acid Resistant Bacilli (BAAR): Positive +++ in 200 observed fields. Rapid molecular test (TRM): Detectable.\u0000\u0000 Conclusion: To a great extent, the incidence of tuberculosis has been maintained by immunosuppressive diseases, such as human immunodeficiency virus (HIV). In contrast, tuberculous spondylodiscitis remains an underdiagnosed condition in most services, and its management is still under discussion.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89003541","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 osteochondroma of radial neck in a young adult 青年桡骨颈骨软骨瘤1例报告

International Journal of Case Reports and Images Pub Date : 2023-06-14 DOI: 10.5348/101395z01sg2023cr

S. V. Venkatesh Gupta, N. Raj

引用次数: 0