Journal of Medical Cases最新文献_第3页

Chronic Unilateral Headache Related to Scar Neuromas. 与瘢痕性神经瘤有关的慢性单侧头痛。

Journal of Medical Cases Pub Date : 2023-06-01 DOI: 10.14740/jmc4087

Karen S Ferreira, Jose G Speciali

引用次数: 0

Cholinergic Mushroom Poisoning With a Detection of Muscarine Toxin in Urine. 胆碱能蘑菇中毒与尿中毒蕈碱毒素的检测。

Journal of Medical Cases Pub Date : 2023-06-01 DOI: 10.14740/jmc4109

Tina Yee Ching Chan, Sau Wah Ng, Chi Keung Chan, Hencher Han Chih Lee, Tony Wing Lai Mak

{"title":"Cholinergic Mushroom Poisoning With a Detection of Muscarine Toxin in Urine.","authors":"Tina Yee Ching Chan, Sau Wah Ng, Chi Keung Chan, Hencher Han Chih Lee, Tony Wing Lai Mak","doi":"10.14740/jmc4109","DOIUrl":"https://doi.org/10.14740/jmc4109","url":null,"abstract":"We report an uncommon case of cholinergic poisoning following an ingestion of wild mushrooms. Two middle-aged patients presented to the emergency unit with acute gastrointestinal symptoms including epigastric pain, vomiting and diarrhea, followed by miosis, palpitations and diaphoresis which were compatible with a cholinergic toxidrome. The patients volunteered a history of taking two tablespoons of cooked wild mushrooms collected in a country park. Mildly elevated liver transaminase was noted in one female patient. Mushroom specimens were sent to a mycologist for identification using morphological analysis. Muscarine, a cholinergic toxin found in mushrooms such as Inocybe and Clitocybe species, was subsequently extracted from and identified in the urine specimens of both patients, using a liquid-chromatography tandem mass spectrometry method. In this report, the variable clinical presentation of cholinergic mushroom poisoning is discussed. Key issues in the management of these cases were presented. In addition to conventional mushroom identification methods, this report also highlights the use of toxicology tests on different biological and non-biological specimens for diagnosis, prognosis and surveillance purposes.","PeriodicalId":16279,"journal":{"name":"Journal of Medical Cases","volume":"14 6","pages":"222-226"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bf/fd/jmc-14-222.PMC10332868.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9815796","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

Eyelid Edema May Be as a Sign of Dacryoadenitis in the Course of Epstein-Barr Virus Infectious Mononucleosis. 眼睑水肿可能是eb病毒感染性单核细胞增多症过程中泪腺炎的征兆。

Journal of Medical Cases Pub Date : 2023-06-01 DOI: 10.14740/jmc4114

Marco Capelli

引用次数: 0

Severe Abdominal Pain and Multi-Organ Involvement in a Young Woman With Systemic Lupus Erythematosus. 年轻女性系统性红斑狼疮的严重腹痛和多器官受累。

Journal of Medical Cases Pub Date : 2023-06-01 DOI: 10.14740/jmc4065

Ayu Paramaiswari, Anita Kusumawati, Dhite Bayu Nugroho

{"title":"Severe Abdominal Pain and Multi-Organ Involvement in a Young Woman With Systemic Lupus Erythematosus.","authors":"Ayu Paramaiswari, Anita Kusumawati, Dhite Bayu Nugroho","doi":"10.14740/jmc4065","DOIUrl":"https://doi.org/10.14740/jmc4065","url":null,"abstract":"Systemic lupus erythematosus (SLE) is a complex autoimmune disease characterized by diverse clinical manifestations and a broad spectrum of disease course and prognosis. Often presenting over an extended period, delays in diagnosis can significantly influence patient management and survival, particularly when faced with rare complications such as digestive system manifestations. This case report uniquely highlights the diagnostic and therapeutic challenges posed by severe abdominal pain in a young woman suspected of SLE, with a symptom often masked by steroid therapy or immunosuppression. The diagnostic journey, which led to the identification of SLE as the cause of abdominal pain, involved differentiating SLE from various abdominal pathologies including abdominal vasculitis, gastrointestinal syndrome, antiphospholipid antibody syndrome, pancreatitis, urinary tract infections, and obstetric-gynecological abnormalities. This case underlines the critical need for accurate, timely diagnosis, and targeted therapy in managing SLE, emphasizing the potential implications of such complexities on patient outcomes.","PeriodicalId":16279,"journal":{"name":"Journal of Medical Cases","volume":"14 6","pages":"196-199"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d0/20/jmc-14-196.PMC10332872.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9817929","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

Unique Variant of Zieve Syndrome With a Normal Reticulocyte Count. 网织红细胞计数正常的Zieve综合征的独特变体。

Journal of Medical Cases Pub Date : 2023-06-01 DOI: 10.14740/jmc4077

Apurva Vedire, Steven Imburgio, Harshavardhan Sanekommu, Rushi Patel, Haley Johnson, Sobaan Taj, Mohammad Hossain

引用次数: 0

A Rare Case of Severe Jaundice in a Panhypopituitarism Patient. 全垂体功能低下患者严重黄疸1例。

Journal of Medical Cases Pub Date : 2023-06-01 DOI: 10.14740/jmc4102

Jennifer Wiese, Abdel Wahap El Ghezewi, Mujtaba Mohamed, Tejas Joshi, Wesam Frandah

{"title":"A Rare Case of Severe Jaundice in a Panhypopituitarism Patient.","authors":"Jennifer Wiese, Abdel Wahap El Ghezewi, Mujtaba Mohamed, Tejas Joshi, Wesam Frandah","doi":"10.14740/jmc4102","DOIUrl":"https://doi.org/10.14740/jmc4102","url":null,"abstract":"Hyperbilirubinemia and transaminitis are rarely associated with a disorder of endocrine function. It mostly manifests as a cholestatic pattern of liver injury. Herein, a 25-year-old female patient with a past medical history of congenital hypopituitarism due to pituitary ectopia presented with serum direct bilirubin level of 9.9 mg/dL and aspartate transaminase (AST)/alanine transaminase (ALT) of 60/47 U/L. All tests for chronic liver disease imaging and liver biopsy were normal. She was found to have central hypothyroidism and low cortisol level. She was started on intravenous (IV) levothyroxine 75 µg daily and IV hydrocortisone 10-5 mg AM/PM. She was discharged on oral levothyroxine 88 µg daily and hydrocortisone orally 10 mg twice daily. Follow-up labs 1 month later showed completely normal liver function test. In conclusion, hyperbilirubinemia due to congenital hypopituitarism can occur in adults. Delayed recognition of underlying endocrine disorder as a cause of hyperbilirubinemia and hepatocellular inflammation can result in end-stage liver damage due to prolonged cholestasis.","PeriodicalId":16279,"journal":{"name":"Journal of Medical Cases","volume":"14 6","pages":"204-207"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/00/jmc-14-204.PMC10332867.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9817932","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

Identifying the Cause of Acute Left-Sided Visual Loss: A Clinical Dilemma. 识别急性左侧视力丧失的原因:一个临床困境。

Journal of Medical Cases Pub Date : 2023-06-01 DOI: 10.14740/jmc4093

Anirudh R Damughatla, Vanessa Milan-Ortiz, Pragna Koleti, Myrna M Milan-Ortiz, Sudhir Reddy Pasham, Abhishek R Damughatla, Saivaishnavi Kamatham, Kareem Bazzy

{"title":"Identifying the Cause of Acute Left-Sided Visual Loss: A Clinical Dilemma.","authors":"Anirudh R Damughatla, Vanessa Milan-Ortiz, Pragna Koleti, Myrna M Milan-Ortiz, Sudhir Reddy Pasham, Abhishek R Damughatla, Saivaishnavi Kamatham, Kareem Bazzy","doi":"10.14740/jmc4093","DOIUrl":"https://doi.org/10.14740/jmc4093","url":null,"abstract":"Given the global increase in the incidence of head and neck cancers over the last decade, the use of chemoradiation has also increased. It is well known that chemotherapy/radiation are established standard therapies in head and neck cancers, especially in patients who are not candidates for surgery. Despite this increase in chemoradiation therapies in head and neck cancers, there is a lack of established guidelines on the surveillance and screening of these patients for long-term complications. We present an interesting case of acute left eye blindness in a veteran patient with a history of laryngeal cancer status post chemoradiation and in the setting of a left ventricular (LV) thrombus on anticoagulation resulting in a diagnostic challenge determining the etiology. This case emphasizes the need for thorough patient-centered annual evaluation, thus providing an opportunity for early noninvasive or minimally invasive intervention.","PeriodicalId":16279,"journal":{"name":"Journal of Medical Cases","volume":"14 6","pages":"200-203"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/72/a4/jmc-14-200.PMC10332869.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9815797","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

Microwave Therapy for Frostbite Management: A Case Series. 冻伤的微波治疗:一个病例系列。

Journal of Medical Cases Pub Date : 2023-06-01 DOI: 10.14740/jmc4115

Benedetta Salsi, Irene Fusco, Laura Pieri

引用次数: 0

Vanishing Bile Duct Syndrome in a Patient With Recurrent Hodgkin Lymphoma. 复发性霍奇金淋巴瘤患者的胆管消失综合征。

Journal of Medical Cases Pub Date : 2023-05-01 DOI: 10.14740/jmc4073

Olger Nano, Stanislav Ivanov, Tarun Kapoor

{"title":"Vanishing Bile Duct Syndrome in a Patient With Recurrent Hodgkin Lymphoma.","authors":"Olger Nano, Stanislav Ivanov, Tarun Kapoor","doi":"10.14740/jmc4073","DOIUrl":"https://doi.org/10.14740/jmc4073","url":null,"abstract":"Vanishing bile duct syndrome (VBDS) is an acquired syndrome characterized by clinical and laboratory signs of cholestasis with pathologic findings of interlobular bile duct paucity in liver biopsy specimens. VBDS can result from a variety of conditions including infections, autoimmune diseases, adverse drug reactions, and neoplastic processes. Hodgkin lymphoma (HL) is a rare cause of VBDS. The mechanism by which HL leads to VBDS remains unknown. Development of VBDS in patients with HL portends an extremely poor prognosis due to the risk of progression to fulminant hepatic failure. Treatment of the underlying lymphoma has been demonstrated to offer increased probability of recovery from VBDS. The decision to treat and choice of treatment of the underlying lymphoma is often complicated by the hepatic dysfunction characteristic of VBDS. We present the case of a patient who presented with dyspnea and jaundice in the context of recurrent HL and VBDS. We additionally review the literature on HL complicated by VBDS with specific focus on treatment paradigms for management of these patients.","PeriodicalId":16279,"journal":{"name":"Journal of Medical Cases","volume":"14 5","pages":"162-168"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bc/07/jmc-14-162.PMC10251707.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9620287","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

A Rare Case of Anterograde Gastroduodenal Intussusception Caused by Migrated Percutaneous Endoscopic Gastrostomy Feeding Tube. 经皮内镜胃造口术饲管移位致胃十二指肠顺行肠套叠一例。

Journal of Medical Cases Pub Date : 2023-05-01 DOI: 10.14740/jmc4101

Abdelwahap Elghezewi, Mohamed Hammad, Mujtaba Mohamed, Peter Chirico, Wesam Frandah

{"title":"A Rare Case of Anterograde Gastroduodenal Intussusception Caused by Migrated Percutaneous Endoscopic Gastrostomy Feeding Tube.","authors":"Abdelwahap Elghezewi, Mohamed Hammad, Mujtaba Mohamed, Peter Chirico, Wesam Frandah","doi":"10.14740/jmc4101","DOIUrl":"https://doi.org/10.14740/jmc4101","url":null,"abstract":"Gastroduodenal intussusception is a critical condition in which stomach protrudes into the duodenum. It is a very rare condition in adults. Most common causes include intra luminal lesions in the stomach including benign or malignant tumors of the stomach. Most common tumors included are gastrointestinal stromal tumors (GISTs), gastric carcinoma, gastric lipoma, gastric leiomyoma, and gastric schwannoma. It is extremely rare to be caused by migration of percutaneous feeding tube. A 50-year-old woman with a past medical history (PMH) of dysphagia status post percutaneous endoscopic gastrostomy (PEG) tube, history of spastic quadriplegia, presented with acute nausea, vomiting and abdominal distention, and was found to have gastroduodenal intussusception in computed tomography (CT) scan. Condition resolved after retracting PEG tube. Endoscopy did not reveal any intra luminal lesions. External fixation using Avanos Saf-T-Pexy T-fasteners was performed to prevent recurrence of this condition. Most common of causes of gastroduodenal intussusception are GIST tumors of stomach. CT abdomen is the most accurate test and upper endoscopy is needed to rule out any intra luminal causes. Treatment of choice is either endoscopic or surgical resection. External fixation is essential to prevent recurrence.","PeriodicalId":16279,"journal":{"name":"Journal of Medical Cases","volume":"14 5","pages":"169-173"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/7b/jmc-14-169.PMC10251706.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9623223","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