International Medical Case Reports Journal最新文献_第3页

Oral Lesion Management in Juvenile SLE with Hepatosplenomegaly. 伴有肝脾肿大的青少年系统性红斑狼疮的口腔病变处理。

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International Medical Case Reports Journal Pub Date : 2024-07-23 eCollection Date: 2024-01-01 DOI: 10.2147/IMCRJ.S476377

Adrianus Surya Wira Rajasa, Wahyu Hidayat

{"title":"Oral Lesion Management in Juvenile SLE with Hepatosplenomegaly.","authors":"Adrianus Surya Wira Rajasa, Wahyu Hidayat","doi":"10.2147/IMCRJ.S476377","DOIUrl":"10.2147/IMCRJ.S476377","url":null,"abstract":"Background: Systemic Lupus Erythematosus (SLE) is an autoimmune disease with unknown etiology resulting in chronic multi-organ inflammation. Juvenile Systemic Lupus Erythematosus (JSLE) is a specific diagnosis of SLE in juvenile, characterized by oral ulceration.Purpose: This case report attempts to provide information for oral medicine specialists in managing JSLE patients with hepatosplenomegaly.Case presentation: A 17-year-old female patient was referred from the Pediatrics Department with mouth ulcers accompanied by dry lips and a tendency to bleed. The most concerning lesion was located on the left buccal mucosa, a single ulceration measuring 5x6mm. Multiple ulcerations spread over the upper and lower labial mucosa, with haemorrhagic crusts on the lips. Painful ulceration can lead to difficulties in mouth opening and impaired function in eating and drinking. Central erythema was seen on the palate. Pseudomembranous candidiasis was also seen on the patient's tongue. The hepatosplenomegaly was confirmed by CT scan, with enzyme values of SGPT (386 U/L) and SGOT (504 U/L).Case management: Administration of 0.9% NaCl was instructed to the patient to maintain oral hygiene and help moisturize lips in order to remove haemorrhagic crusts. Administration of 0.025% hyaluronic acid mouthwash and topical steroid ointment mixture for ulcerated and inflammatory conditions. Drug adjustments were made based on laboratory tests and the patient's clinical condition was improving.Conclusion: Managing oral symptoms helps reduce morbidity in JSLE patients. Topical corticosteroids are considered the first line in controlling oral inflammation. Dentists play a role in improving patients' oral hygiene with the aim of reducing the risk of other opportunistic infections.","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11284136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792480","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}

引用次数: 0

Mirror Image Dextrocardia with Severe Rheumatic Mitral Stenosis Undergone Successful Percutaneous Transvenous Commissurotomy: The First Case in East Africa. 镜像右心室伴严重风湿性二尖瓣狭窄成功经皮经静脉瓣口切开术：东非首例。

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International Medical Case Reports Journal Pub Date : 2024-07-19 eCollection Date: 2024-01-01 DOI: 10.2147/IMCRJ.S439610

Kefelegn Dejene Tadesse, Yidnekachew Asrat Birhan

引用次数: 0

Transfusion-Associated Circulatory Overload in a Healthy Patient Following a Road Traffic Accident: A Case Report. 道路交通事故后一名健康患者的输血相关循环负荷过重：病例报告。

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International Medical Case Reports Journal Pub Date : 2024-07-08 eCollection Date: 2024-01-01 DOI: 10.2147/IMCRJ.S472055

Justine N Huang, Sara Mariam Amini, Christopher Fadumiye

引用次数: 0

Optic Perineuritis Presenting with Transient Monocular Vision Loss (TMVL): Case Report. 视神经周围炎伴有短暂性单眼视力丧失（TMVL）：病例报告。

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International Medical Case Reports Journal Pub Date : 2024-07-08 eCollection Date: 2024-01-01 DOI: 10.2147/IMCRJ.S460611

Mohamed M Tawengi, Mohamad Fael, Rizeq F Hourani, Tamader Alyaarabi, Abdelaziz M Tawengi, Gamal Alfitori

{"title":"Optic Perineuritis Presenting with Transient Monocular Vision Loss (TMVL): Case Report.","authors":"Mohamed M Tawengi, Mohamad Fael, Rizeq F Hourani, Tamader Alyaarabi, Abdelaziz M Tawengi, Gamal Alfitori","doi":"10.2147/IMCRJ.S460611","DOIUrl":"10.2147/IMCRJ.S460611","url":null,"abstract":"Optic perineuritis is an inflammatory condition that presents with reduced visual acuity and painful eye movement. The presentation of optic perineuritis is similar of optic neuritis which results in delayed diagnosis and management. Up to this date, we found a single case of optic neuritis that presented with transient monocular vision loss (TMVL). No cases of optic perineuritis were associated with TMVL. Here, we report a case of a 30-year-old woman who presented with recurrent attacks of painless vision loss in her left eye, reaching up to 30 attacks per day. Ophthalmological examination was otherwise unremarkable. Lab investigations were normal. Magnetic resonance imaging was done, which showed left optic nerve sheath enhancement suggestive of left-sided focal optic perineuritis. Patient was managed with 1 mg IV methylprednisolone for 3 days. We report this case to shed light on the importance of accurate and early diagnosis of optic perineuritis presenting with TMVL. Prompt management of optic perineuritis is crucial in reducing morbidity and risk of relapse.","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11244626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616386","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}

引用次数: 0

Case Report of Severe Chlamydia psittaci Pneumonia Treated with Omadacycline. 用奥马大环素治疗严重鹦鹉热衣原体肺炎的病例报告

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International Medical Case Reports Journal Pub Date : 2024-07-04 eCollection Date: 2024-01-01 DOI: 10.2147/IMCRJ.S473469

Yan Chen, Jiahuan Tong, Jianfeng Wang

引用次数: 0

Primary Omentum Malignant Hemangiopericytoma Present with Acute Abdomen. 原发性网膜恶性血管瘤伴有急性腹部。

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International Medical Case Reports Journal Pub Date : 2024-07-03 eCollection Date: 2024-01-01 DOI: 10.2147/IMCRJ.S469084

Burkan Nasr, Sameh Khalil Gazem, Rashad Saleh Al-Gahafy, Mohammed A Al-Hawbani

{"title":"Primary Omentum Malignant Hemangiopericytoma Present with Acute Abdomen.","authors":"Burkan Nasr, Sameh Khalil Gazem, Rashad Saleh Al-Gahafy, Mohammed A Al-Hawbani","doi":"10.2147/IMCRJ.S469084","DOIUrl":"10.2147/IMCRJ.S469084","url":null,"abstract":"The greater omentum primary malignant tumors are rare, with less than 50 cases reported. Malignant hemangiopericytomas constitute only four of these cases. The common clinical manifestations of a malignant omental tumor are abdominal mass and pain. We report on a woman 38 years old who came to the hospital's emergency department with a finding consisting of intestinal obstruction (abdominal pain, constipation, abdominal distention, and vomiting), and during a clinical examination a mass was discovered in the lower half of her abdomen. She had been experiencing these symptoms for three days before her arrival. During a clinical examination, a large size, hard mobile mass was discovered in the lower half of her abdomen. The patient underwent an abdominal CT scan which indicated the presence of a sizable, soft tissue mass located within the abdominal and pelvic region, exerting pressure on the small bowel loops, with mild free ascites. Due to the patient's acute abdomen, an exploration laparotomy was performed, revealing a large mass in the omentum measuring 20×20×10 cm and weighing 3 kg. The mass, along with the omentum, was completely removed, and histopathology confirmed a malignant hemangiopericytoma.","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11227873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554751","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}

引用次数: 0

Neurosyphilis Presenting as Psychiatric Symptoms at Younger Age: A Case Report. 年轻时出现精神症状的神经梅毒：病例报告。

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International Medical Case Reports Journal Pub Date : 2024-07-02 eCollection Date: 2024-01-01 DOI: 10.2147/IMCRJ.S477459

Hong-Yan Li, Hao-Yu Wang, Yi-Fei Duan, Yu Gou, Xiao-Qin Liu, Zheng-Xiang Gao

{"title":"Neurosyphilis Presenting as Psychiatric Symptoms at Younger Age: A Case Report.","authors":"Hong-Yan Li, Hao-Yu Wang, Yi-Fei Duan, Yu Gou, Xiao-Qin Liu, Zheng-Xiang Gao","doi":"10.2147/IMCRJ.S477459","DOIUrl":"10.2147/IMCRJ.S477459","url":null,"abstract":"Neurosyphilis is a central nervous system infection caused by Treponema pallidum that imitates various neurological and mental disorders. Therefore, patients with this disease are prone to misdiagnoses. Here, we report a case of neurosyphilis with a psychotic disorder as the main manifestation. A young girl exhibited mental and behavioural abnormalities after a heartbreak, which manifested as alternating low mood, emotional irritability, and a lack of interest in social relations, followed by memory loss. The cerebrospinal fluid protein - Treponema pallidum particle agglutination test was positive, the toluidine red unheated serum test titre was 1:4, the white blood cell count was 5 × 10^6/L, the cerebrospinal fluid protein level was 0.97 g/L, and the brain CT was abnormal. After admission, the possibility of neurosyphilis was considered and the patient received intravenous penicillin G treatment. The patient's clinical symptom ms improved. This case emphasises that doctors should maintain clinical suspicion of Treponema pallidum infection in adolescent patients with mental abnormalities.","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11227323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554750","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}

引用次数: 0

Delayed Displacement of Enterprise Stent in Treating Symptomatic Intracranial Atherosclerotic Stenosis: A Case Report. 治疗症状性颅内动脉粥样硬化性狭窄的企业支架延迟移位：病例报告。

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International Medical Case Reports Journal Pub Date : 2024-07-02 eCollection Date: 2024-01-01 DOI: 10.2147/IMCRJ.S469868

Yunbo Chen

引用次数: 0

An Extremely Rare Case Report of Aphallia with Horseshoe Kidney and Ureterohydronephrosis [Letter]. 极罕见的无睾症伴马蹄肾和输尿管肾积水病例报告 [信]。

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International Medical Case Reports Journal Pub Date : 2024-07-02 eCollection Date: 2024-01-01 DOI: 10.2147/IMCRJ.S482390

Verónica Judith Picos-Cárdenas, Evelia Leal-Ugarte, Juan Pablo Meza-Espinoza

引用次数: 0

Rupture Endometriomas Presenting as Acute Abdomen Infection in Hasty and Limited Resources Setting: A Pitfall Not to Miss - A Case Report. 在仓促和资源有限的情况下，子宫内膜异位症破裂表现为急性腹腔感染：不容错过的陷阱--病例报告。

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International Medical Case Reports Journal Pub Date : 2024-07-01 eCollection Date: 2024-01-01 DOI: 10.2147/IMCRJ.S472024

Luthfi Rahman, Ruswana Anwar, Zulvayanti Zulvayanti, Kevin Dominique Tjandraprawira

{"title":"Rupture Endometriomas Presenting as Acute Abdomen Infection in Hasty and Limited Resources Setting: A Pitfall Not to Miss - A Case Report.","authors":"Luthfi Rahman, Ruswana Anwar, Zulvayanti Zulvayanti, Kevin Dominique Tjandraprawira","doi":"10.2147/IMCRJ.S472024","DOIUrl":"10.2147/IMCRJ.S472024","url":null,"abstract":"Introduction: Abdominal pain is a diagnostic problem that requires immediate care and treatment for surgeons and gynecologists. The causes of abdominal pain in women of childbearing age range from benign and temporary to potentially life threatening. Rare etiologies such as spontaneous ruptured endometrioma are often not included in the radar of diagnosis due to their rarity and non-specific signs and symptoms in the patient. This case report aimed to show a resemblance between the clinical symptoms of acute abdomen in diffuse peritonitis due to hollow viscus perforation and spontaneous ruptured endometrioma.Case description: A 42-year-old woman presented to our hospital with abdominal pain. She had a history of fever for two weeks. She came from a tropical rural area where typhoid fever is common. She was advised to undergo emergency laparotomy because of the suspicion of diffuse peritonitis due to a hollow viscus perforation due to typhoid infection. Because of acute abdominal pain, a vertical incision was made to explore her abdominal cavity, and chocolate-like fluid and ovarian cysts were found during surgery. The diagnosis was changed to diffuse peritonitis due to spontaneous rupture of the endometrioma bilaterally.Conclusion: This case suggests that the exact diagnosis and cause of abdominal pain varies. As the current gold standard for endometrioma is laparoscopy, surgeons must prepare a collaborative approach to the cause of the disease.","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554752","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}

引用次数: 0