Journal of Medical Cases最新文献_第2页

Tuberculous Pericarditis Presenting as Cardiac Tamponade: Role of Echocardiography. 结核性心包炎表现为心脏填塞:超声心动图的作用。

Journal of Medical Cases Pub Date : 2023-08-01 DOI: 10.14740/jmc4119

Nazima Khatun, Yonatan Akivis, Beisi Ji, Harshith P Chandrakumar, Inna Bukharovich, Sabu John

{"title":"Tuberculous Pericarditis Presenting as Cardiac Tamponade: Role of Echocardiography.","authors":"Nazima Khatun, Yonatan Akivis, Beisi Ji, Harshith P Chandrakumar, Inna Bukharovich, Sabu John","doi":"10.14740/jmc4119","DOIUrl":"https://doi.org/10.14740/jmc4119","url":null,"abstract":"Tuberculous pericarditis, a rare but potentially lethal manifestation of tuberculosis, poses diagnostic and therapeutic challenges in clinical practice. Its nonspecific clinical presentation often mimics other conditions, leading to delayed or missed diagnoses. We report a 25-year-old male with no past medical history, who presented with nonspecific symptoms such as fatigue, weight loss, body aches, and dyspnea. An electrocardiogram showed low voltage QRS complex with electrical alternans, and transthoracic echocardiography (TTE) showed large pericardial effusion with tamponade physiology with right ventricular diastolic collapse, the collapse of the right atrium and the inferior vena cava was dilated with a respiratory variation of less than 50%. The diagnosis of tuberculous pericarditis was made based on clinical presentation, imaging, and laboratory findings, including a positive QuantiFERON-TB gold test and pericardial fluid analysis, despite negative cultures. This case highlights the significance of considering tuberculosis in the differential diagnosis of pericardial effusion and underscores the role of imaging and laboratory investigations in diagnosis. Management of tuberculous pericarditis involves a combination of antituberculous chemotherapy, pericardiocentesis, and corticosteroids. Despite its rarity, tuberculous pericarditis carries a high mortality rate and can present as cardiac tamponade, as illustrated in our case. This underscores the need for high clinical suspicion, especially in high-risk populations, for timely diagnosis and initiation of treatment.","PeriodicalId":16279,"journal":{"name":"Journal of Medical Cases","volume":"14 8","pages":"271-276"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/43/8d/jmc-14-271.PMC10482598.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10570297","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

Efficacy and Safety of Carbon Dioxide Laser System in the Treatment of Scalp Sebaceous Adenoma With the Use of a New Scanner Unit. 二氧化碳激光系统治疗头皮皮脂腺瘤的有效性和安全性与使用新的扫描仪单元。

Journal of Medical Cases Pub Date : 2023-07-01 DOI: 10.14740/jmc4132

Paolo Bonan, Giustino Gallo, Irene Fusco, Francesca Madeddu, Tiziano Zingoni

{"title":"Efficacy and Safety of Carbon Dioxide Laser System in the Treatment of Scalp Sebaceous Adenoma With the Use of a New Scanner Unit.","authors":"Paolo Bonan, Giustino Gallo, Irene Fusco, Francesca Madeddu, Tiziano Zingoni","doi":"10.14740/jmc4132","DOIUrl":"https://doi.org/10.14740/jmc4132","url":null,"abstract":"Sebaceous adenoma (SA) is a rare solitary tumor that preferentially affects the forehead and scalp. The objective of this case report was to determine the efficacy and safety of a 10,600-nm carbon dioxide (CO2) laser device in the treatment of large scalp SA, using a new scanning system which allows to speed up the removal of the lesion. A 65-year-old male with SA on the scalp area underwent one session with the CO2 laser system. For this procedure, a new scanner system with 7-inch or 4-inch focal handpieces were used. A local anesthesia with lidocaine was performed before laser treatment. Some possible side effects such as dyschromia, burning sensation, bleeding and mild to moderate post-treatment erythema, itching, crusting, and edema, were checked. In order to monitor the effectiveness of the treatment, clinical photos that documented the patient lesion were captured before treatment and at 1 month of follow-up. The clinical and aesthetic results observed after laser procedure were excellent, with a complete remission of patient's scalp SA lesion at 4 weeks' follow-up. Patient satisfaction was very high, and no side effects were observed. This laser system technology allows for precise, effective, and targeted action on the lesions treated while simultaneously protecting the surrounding areas, ensuring the best possible re-epithelialization.","PeriodicalId":16279,"journal":{"name":"Journal of Medical Cases","volume":"14 7","pages":"251-254"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/38/jmc-14-251.PMC10409540.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10345236","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

Mucosa-Associated Lymphoid Tissue Lymphoma of the Ascending Colon Successfully Removed With Endoscopic Submucosal Dissection. 内镜下粘膜下夹层成功切除升结肠粘膜相关淋巴组织淋巴瘤。

Journal of Medical Cases Pub Date : 2023-07-01 DOI: 10.14740/jmc4121

Grigorios Petrousis, Simone Ignatova, Maria Xintara, Spyridon Vrakas, Dimitrios Karapiperis

引用次数: 0

Late Presentation of Tricho-Rhino-Phalangeal Syndrome (TRPS1 Affected) Associated Hip Pathology. tricho - rhino - phalangal综合征(TRPS1受累)相关髋关节病理的晚期表现。

Journal of Medical Cases Pub Date : 2023-07-01 DOI: 10.14740/jmc4125

Faye Grace, Elizabeth Ashby

{"title":"Late Presentation of Tricho-Rhino-Phalangeal Syndrome (TRPS1 Affected) Associated Hip Pathology.","authors":"Faye Grace, Elizabeth Ashby","doi":"10.14740/jmc4125","DOIUrl":"https://doi.org/10.14740/jmc4125","url":null,"abstract":"Perthes disease typically presents between the ages of 4 and 9 years and is characterized by unilateral or bilateral avascular necrosis of the femoral head. Clinically it presents with pain and decreased range of motion and has a disease course of up to 5 years. We report the clinical and radiological findings of a female in early adolescence who was referred to pediatric physiotherapy and found to have Perthes-like changes of the hip, on a background of tricho-rhino-phalangeal syndrome type 1 (TRPS1). The patient's first symptoms of hip pain were reported at age 10, but there was no radiographic evidence until 2.5 years later when a diagnosis of Perthe's disease was made. This uniquely late presentation may have been due to the altered skeletal maturation seen in TRPS1, whereby skeletal age lags behind chronological age. This case highlights the importance of identifying relevant past medical history on initial assessment, and having rapid access to radiology and orthopedic support to enable timely diagnosis, as prognosis becomes poorer as age increases. Perthes-like changes should be considered as a differential diagnosis in patients presenting with non-traumatic hip pain, regardless of age of onset.","PeriodicalId":16279,"journal":{"name":"Journal of Medical Cases","volume":"14 7","pages":"244-250"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fb/b7/jmc-14-244.PMC10409537.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10345239","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

Extreme Hypernatremia due to Dehydration. 脱水引起的极度高钠血症。

Journal of Medical Cases Pub Date : 2023-07-01 DOI: 10.14740/jmc4124

Sravani Kamatam, Ayesha Waqar, Tulika Chatterjee

引用次数: 0

Disseminated Histoplasmosis in a Patient With Acquired Immunodeficiency Syndrome in a Non-Endemic Region (California). 在非流行地区获得性免疫缺陷综合征患者的播散性组织胞浆菌病(加利福尼亚)。

Journal of Medical Cases Pub Date : 2023-07-01 DOI: 10.14740/jmc4097

Alexander T Phan, Ankur Bhagat, Bahareh Maknouni, Momin Masroor, Mufadda Hasan

{"title":"Disseminated Histoplasmosis in a Patient With Acquired Immunodeficiency Syndrome in a Non-Endemic Region (California).","authors":"Alexander T Phan, Ankur Bhagat, Bahareh Maknouni, Momin Masroor, Mufadda Hasan","doi":"10.14740/jmc4097","DOIUrl":"https://doi.org/10.14740/jmc4097","url":null,"abstract":"Histoplasmosis is caused by infection with Histoplasma capsulatum (H. capsulatum). Progressive disseminated histoplasmosis is a more severe form of histoplasmosis and is seldom diagnosed in non-endemic regions of the world owing to the fungus's geographical distribution. In the United States (USA), Histoplasma capsulatum is classically known to be endemic to the Mississippi and Ohio River valleys, and cases in non-endemic areas, such as the southwest USA, are exceedingly rare. Patients with acquired immunodeficiency syndrome (AIDS) are at risk for infection with H. capsulatum, and failure to recognize and treat histoplasmosis may be devastating to patients. In non-endemic regions, the proposed mechanism for disseminated histoplasmosis in AIDS patients is reactivation of a previous infection. Here, we present the case of a young male patient who presented to a southern California hospital with diarrhea, was diagnosed with AIDS, and developed acute hypoxic respiratory failure. Chest imaging revealed diffuse reticulonodular opacities, and histoplasmosis was confirmed by urine and serologic examination. He was subsequently treated with liposomal amphotericin B and safely discharged from the hospital with oral itraconazole therapy. This case contributes to the current limited body of literature citing histoplasmosis infections in California, and clinicians should consider histoplasmosis as a differential diagnosis in non-endemic regions.","PeriodicalId":16279,"journal":{"name":"Journal of Medical Cases","volume":"14 7","pages":"260-264"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/ef/jmc-14-260.PMC10409541.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10345237","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

There's More Than Meets the Eye: Wolfram Syndrome in a Type I Diabetic Patient. 不仅仅是眼睛看到的:1型糖尿病患者的Wolfram综合征。

Journal of Medical Cases Pub Date : 2023-07-01 DOI: 10.14740/jmc4128

Jasvindar Kumar, Atif Ahmed, Mashal Khan, Yasir Ahmed

引用次数: 1

Intravenous Immunoglobulin-Associated Severe Hemolytic Anemia. 静脉注射免疫球蛋白相关的严重溶血性贫血。

Journal of Medical Cases Pub Date : 2023-07-01 DOI: 10.14740/jmc4126

Ojbindra Kc, Ananta Subedi, Rakshya Sharma

引用次数: 0

Myocarditis Related to the Use of Mesalazine. 与美沙拉嗪使用有关的心肌炎。

Journal of Medical Cases Pub Date : 2023-07-01 DOI: 10.14740/jmc4104

Michaela Kyriakou, Stefanos Sakellaropoulos, Thrasos Constantinides, Grigorios Chatzantonis, Panayiotis Avraamides, Andreas Mitsis