{"title":"Five Years Follow-Up Outcomes of Femtosecond Laser-Assisted Cataract Surgery on Patients with Preexisting Corneal Astigmatism.","authors":"Thi Minh Khanh Pham, Xuan Hiep Nguyen, Thi Thu Thuy Pham, Tran Thanh Hoang","doi":"10.2147/IMCRJ.S506198","DOIUrl":"10.2147/IMCRJ.S506198","url":null,"abstract":"<p><strong>Purpose: </strong>Evaluating the long-term clinical efficacy and safety of femtosecond laser-assisted cataract surgery for correcting corneal astigmatism.</p><p><strong>Patients and methods: </strong>In this cohort study on follow-up records from preoperative, postoperative 1 week, 1 month, 3 months, 1 year, 3 years, and 5 years, thirty-four eyes with cataract and corneal astigmatism (>0.50D) were treated with corneal arcuate incisions and femtosecond-laser assisted cataract surgery in Vietnam National Eye Hospital, from January 2017 to February 2023.</p><p><strong>Results: </strong>The rate of postoperative refraction spherical equivalent was within ± 0.50D and ± 1.0D at 3 months (in 91.2% and 100% of the eyes, respectively). The average of preoperative corneal astigmatism was 1.63 ± 0.886D, decreased to 0.53 ± 0.628D in the third month after surgery and stable to 5 years. Surgically induced astigmatism was 1.09 ± 0.413D, which indicated under-correction. However, no complications were recorded.</p><p><strong>Conclusion: </strong>The femtosecond laser-assisted cataract surgery is safe and long effective in correcting the corneal astigmatism in patients with preexisting corneal astigmatism.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"373-379"},"PeriodicalIF":0.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Urticaria-Like Hypersensitivity Reaction Following Botulinum Toxin Injection: A Case Report of Possible Interaction with β-Lactam Antibiotics.","authors":"Weifeng Feng, Heqi Liu","doi":"10.2147/IMCRJ.S510203","DOIUrl":"10.2147/IMCRJ.S510203","url":null,"abstract":"<p><p>Botulinum toxin serotype A (BTX-A) is commonly used for treating facial dynamic wrinkles. The clinical safety of BTX-A has been proven, and it has few side effects; despite this, BTX-A has the potential to cause an allergic reaction. This case raises concerns about a possible interaction between botulinum toxin serotype A (CBTX-A) and β-lactam antibiotics, contributing to the limited literature on hypersensitivity reactions. Herein, we described the case of a 35-year-old woman who was injected with Chinese botulinum toxin serotype A (CBTX-A) to treat crow's feet. The treatment was performed after the patient had taken cefprozil for an upper respiratory tract infection. Subsequently, the patient developed urticaria-like symptoms that completely resolved within 24 hours after administration of antihistamines. This case emphasises the need for careful medication history review before botulinum toxin administration, especially in patients receiving β-lactam antibiotics, as hypersensitivity reactions may occur.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"367-371"},"PeriodicalIF":0.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mustafa Mumin Adem, Abdirahman Omer Ali, Muhiadin Ismail Abdi, Jama Osman Hirsi, Ahmed Abdi Aw Egge, Mohamoud Hashi Abdi, Mohamed Abubakar Muhumed, Hassan Elmi Moumin, Hodo Abdi Abdilahi
{"title":"A Rare Case of Postpartum Cerebral Venous Thrombosis and Hemorrhagic Infarction From Somalia.","authors":"Mustafa Mumin Adem, Abdirahman Omer Ali, Muhiadin Ismail Abdi, Jama Osman Hirsi, Ahmed Abdi Aw Egge, Mohamoud Hashi Abdi, Mohamed Abubakar Muhumed, Hassan Elmi Moumin, Hodo Abdi Abdilahi","doi":"10.2147/IMCRJ.S516258","DOIUrl":"10.2147/IMCRJ.S516258","url":null,"abstract":"<p><strong>Introduction: </strong>Cerebral venous thrombosis (CVT) is a rare but serious complication that can occur during pregnancy and the postpartum period. This case report discusses a unique instance of postpartum CVT complicated by hemorrhagic infarction in a patient from Somalia.</p><p><strong>Case presentation: </strong>We report the case of a 35-year-old woman, gravida 9, para 8, who presented on the 13th postpartum day with right-sided weakness, seizures, and severe headache. Initially misdiagnosed as impending eclampsia due to the absence of hypertension and proteinuria, she underwent CT and MRI scans, revealing a significant superior sagittal sinus thrombosis with hemorrhagic infarction. The patient was treated in the ICU with increased intracranial pressure management, seizure prophylaxis, and anticoagulation therapy, resulting in substantial clinical improvement.</p><p><strong>Discussion: </strong>This case emphasizes the necessity of maintaining a high index of suspicion for CVT in postpartum women displaying neurological symptoms. Misdiagnosis can impede timely intervention, highlighting the need for access to advanced imaging and a multidisciplinary approach. Increasing awareness and training for healthcare providers are essential for timely diagnosis.</p><p><strong>Conclusion: </strong>The management of this case illustrates the importance of early recognition of CVT in the postpartum population. Enhancing diagnostic resources and treatment strategies, particularly in resource-limited settings, can significantly improve maternal health outcomes and reduce morbidity and mortality.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"355-365"},"PeriodicalIF":0.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zahraa Ali Alwayel, Mohammed Ali Alkhars, Jumana Ali Alibrahim, Rawan Adel Alawadh, Alya Saleh AlKhars, Eman Hussain Alkhalaf
{"title":"Atypical Site of BCC Reported in a Saudi Female: A Case Report.","authors":"Zahraa Ali Alwayel, Mohammed Ali Alkhars, Jumana Ali Alibrahim, Rawan Adel Alawadh, Alya Saleh AlKhars, Eman Hussain Alkhalaf","doi":"10.2147/IMCRJ.S504537","DOIUrl":"10.2147/IMCRJ.S504537","url":null,"abstract":"<p><p>BCC is the most prevalent form of skin cancer; thus, it is important to recognize that it poses a significant global health challenge. Various multifactorial risk factors can contribute to the development of BCC such as having fair skin, aging, chronic sun exposure, and tanning beds. Typically, exposed body parts are the frequent location identified for BCC. Here, we report a case of a 53-year-old Saudi female, who presented with an incidental pigmented lesion over her left axillary fold with features of suspicious of BCC.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"333-338"},"PeriodicalIF":0.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Uterine Manifestation of Sarcoidosis Diagnosed in the Setting of Fever of Unknown Origin.","authors":"Rie Utsunomiya-Nishimizu, Yuki Tsutsui, Noboru Horinouchi, Katsuhiko Yoshimura, Masakazu Nishida, Seiji Shiota, Eishi Miyazaki","doi":"10.2147/IMCRJ.S501279","DOIUrl":"10.2147/IMCRJ.S501279","url":null,"abstract":"<p><p>We report a rare case of uterine sarcoidosis. A 28-year-old woman presented with periodic fever over 38°C for the past 5 months. One year prior, splenomegaly was noted. The serum angiotensin-converting enzyme levels were elevated; however, the lungs, lymph nodes, eyes, and skin appeared normal. Fluorine-18-fluorodeoxyglucose positron emission tomography revealed accumulations in the uterine body and spleen. Magnetic resonance imaging showed multiple irregular uterine masses. Intraoperative frozen section assessment of the uterine masses suggested sarcoma; therefore, total hysterectomy was performed. However, formalin-fixed specimens of the resected organs revealed noncaseating epithelioid cell granulomas in the myometrium and fallopian tubes, indicating the final diagnosis of uterine sarcoidosis. Clinicians should recognize that sarcoidosis can affect the uterus.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"339-344"},"PeriodicalIF":0.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kevin Dominique Tjandraprawira, Dhanny Primantara Johari Santoso, Hartanto Bayuaji, Annisa Dewi Nugrahani, Dadan Susandi
{"title":"Diagnosis and Management Challenges of Spontaneous Quadruplet Pregnancy in a Resource-Limited Setting: A Case Report.","authors":"Kevin Dominique Tjandraprawira, Dhanny Primantara Johari Santoso, Hartanto Bayuaji, Annisa Dewi Nugrahani, Dadan Susandi","doi":"10.2147/IMCRJ.S491180","DOIUrl":"https://doi.org/10.2147/IMCRJ.S491180","url":null,"abstract":"<p><strong>Introduction: </strong>Higher-order pregnancy is considered as a high-risk pregnancy, followed by various maternal and foetal complications. The diagnosis and management of higher order pregnancy have abundant and complex challenges, especially in rural areas where antenatal care (ANC) is often inadequate. Late booking and low awareness of complications necessitates priority management and referral to a tertiary center for fetal medicine expertise. This is our experience managing a spontaneously conceived quadruplet pregnancy delivered prematurely in a low-resource setting.</p><p><strong>Case presentations: </strong>A 27-years-old primigravida of 7.5 months of gestation presented with preterm labor. Her membrane was intact, and she noted active fetal movements. Her history was notable due to her pregnancy being spontaneously conceived and that her antenatal consultations had mistakenly identified her pregnancy as a triplet pregnancy. At presentation, her fundal height was 49 cm, and her cervix was 5-6 cm dilated. As she was in active labor, she underwent an emergency caesarean section. Four neonates were delivered but only two were transferred to the neonatal intensive care unit due to infrastructure limitations. She made an uneventful recovery and was discharged 2 days later. However, only two of four neonates eventually survived. This quadruplet pregnancy signified the pertinent complications of multifetal pregnancy: misidentification of chorionicity; preterm delivery; and early neonatal deaths due to prematurity.</p><p><strong>Conclusion: </strong>Higher order pregnancies present their own challenges for diagnosis and treatment. Preterm delivery and its associated neonatal complications are well-known complications, and a multidisciplinary management is crucial.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"325-332"},"PeriodicalIF":0.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Case Report: A Giant Gallstone Was Found at End of the Duodenum.","authors":"Lintao Chen, Yu Zhang, Zhaoqing Du","doi":"10.2147/IMCRJ.S509006","DOIUrl":"https://doi.org/10.2147/IMCRJ.S509006","url":null,"abstract":"<p><p>Gallstone ileus (GI) occurs due to the migration of gallstones into the intestinal tract through a bilioenteric fistula. The surgical approach may vary based on the size and location of the fistula causing obstruction. We present a case of recurrent calculous cholecystitis with acute abdominal pain and vomiting, which was attributed to an uncommon giant gallstone located at the distal end of the duodenum. Our management involved performing a one-stage enterolithotomy, cholecystectomy, and fistula repair. The patient had an uneventful postoperative recovery without any complications such as duodenal leakage.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"321-323"},"PeriodicalIF":0.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Electric Heating Pad as an Adjuvant Treatment of Extensive Chromoblastomycosis in Immunocompetent Patient: A Case Report.","authors":"Risa Miliawati Nurul Hidayah, Hendra Gunawan, Nisa Fauziah, Fathia Rianty","doi":"10.2147/IMCRJ.S507453","DOIUrl":"10.2147/IMCRJ.S507453","url":null,"abstract":"<p><p>Chromoblastomycosis is a chronic fungal infection of the skin and subcutaneous tissues, caused by melanized fungi. In cases with extensive cutaneous lesions, heat therapy can be used as an adjuvant to systemic antifungal therapy. This case report aimed to demonstrate the efficacy of heat therapy using an electric heating pad as an adjuvant to itraconazole in the treatment of extensive chromoblastomycosis. A 60-year-old immunocompetent male presented with ten-year history of extensive verrucous erythematous plaques with atrophic central lesions located in the right arm. Histology and mycological examination from a direct smear and skin biopsy revealed muriform cells and pathognomonic chromoblastomycosis. Cultures grew dark-pigmented colonies, yielding <i>Fonsecaea spp</i>. A combination therapy of itraconazole 400 mg daily and topical heat therapy using an electric heating pad resulted in clinical improvement during the first month of treatment. Heat therapy can be administered as an adjuvant to systemic antifungal therapy because of its fungistatic and fungicidal effects, and its ability to enhance the patient's immune response. The selection of a suitable heat therapy device is crucial for improving the success of therapy. In this case, the patient demonstrated significant improvement in cutaneous lesions after one month of combination therapy with itraconazole and heat therapy. Electric heating pads are a good choice for topical heat therapy because of their stable temperature, availability, affordability, and ease of use. Heat therapy using electric heating pads is an effective adjuvant to systemic antifungal therapy in the treatment of extensive chromoblastomycosis.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"315-320"},"PeriodicalIF":0.7,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11899887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Management Modality of Aseptic Loosening for Acetabular Components Along With Femur Prostheses Following Primary Hip Arthroplasty: A Reports of Four Cases.","authors":"Hongxia Zhu, Lei Fu, Yu Xie, Xiao Yuan, Shengtao Chen, Lunli Xie","doi":"10.2147/IMCRJ.S506741","DOIUrl":"10.2147/IMCRJ.S506741","url":null,"abstract":"<p><strong>Purpose: </strong>Aseptic loosening (AL) of prostheses is a complex and multi-factorial consequences characterized by nonspecific hip start-up pain, impaired gait, or ambulation. The AL of acetabular components associated with femur prostheses can lead to challenges in accurate diagnosis and suitable therapy, potentially resulting in disaster consequence. This study reported revision of in four cases with AL of acetabular components associated with or without femur prostheses after underwent primary total hip arthroplasty.</p><p><strong>Case description: </strong>We present four cases with aseptic loosening of prostheses with a medical history of total hip arthroplasty who presented obvious clinical features of recurrent hip pain or \"start-up\" pain, limping gait, and worsening of walking. Basing on preoperative imaging materials, and ruling out prosthetic joint infection, the comprehensive analysis revealed migration and radiolucency line around margin of prosthesis, confirming the diagnosis of prosthetic AL. All patients accepted individual revision surgery and acquired satisfactory results basing on the month telephone follow-up duration.</p><p><strong>Conclusion: </strong>Our case report suggests long femur stem associated with wires cerclage fixation combined with or without bone graft revision for treatment of aseptic loosening of the acetabular components coupled with femur prostheses is a viable technique for achieving reliable fracture healing and satisfactory clinical results. Besides, it is the critical need for individualized approaches to therapeutic method, uniquely intended to address the complexity of this AL after THA.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"307-314"},"PeriodicalIF":0.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arterialized Venous Free Flap for Hand Defect Reconstruction Due to Ischemic Steal Syndrome.","authors":"Rani Septrina, Putie Hapsari, Irra Rubianti Widarda, Ronny Lesmana, Reno Rudiman, Rizky Abdulah, Amelia Febrina","doi":"10.2147/IMCRJ.S495524","DOIUrl":"10.2147/IMCRJ.S495524","url":null,"abstract":"<p><p>Ischemic steal syndrome (ISS) occurs in hemodialysis patients. Hence, it rarely becomes gangrene or disrupts hand function. We reported a patient with an ISS and radial atherosclerosis that presented with infected ulcer. The patient was treated with arterialized venous free flap from the contralateral forearm. Dialysis access can be used as early as 10 days after the flap. The report also describes the long-term functional follow-up after reconstruction. Although there was superficial flap necrosis, this non-physiologic flap can preserve the patient's hand function.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"301-305"},"PeriodicalIF":0.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}