SAR Journal of Medical Case Reports最新文献

{"title":"Rare yet Critical Manifestations: A Case of Langerhans Cell Histiocytosis in a Child Presenting with Belt-Like Dorsalgia: Diagnostic and Therapeutic Approach","authors":"L. Atroune, A. Hachid, Y. Djouadi, E. Kerboua, Z. Benlahrech, M. Djaafer","doi":"10.36346/sarjmcr.2024.v05i03.001","DOIUrl":"https://doi.org/10.36346/sarjmcr.2024.v05i03.001","url":null,"abstract":"Langerhans cell histiocytosis (LCH) is a rare disease characterized by abnormal proliferation of Langerhans cells. We present the case of a 9-year-old girl complaining of recent belt-like dorsalgia, whose imaging revealed dorso-lumbar scoliosis and a tumor mass at the posterior arch of T11 with posterior epidural infiltration. Surgical decompression and tumor resection were performed, histopathologically confirming the diagnosis of LCH. This abstract highlight the diagnostic and therapeutic challenges of LCH, emphasizing the importance of a multidisciplinary approach for effective management of this rare disease. Additionally, it underscores the relevance of early intervention and meticulous follow-up to ensure optimal outcomes for patients with LCH.","PeriodicalId":206465,"journal":{"name":"SAR Journal of Medical Case Reports","volume":"7 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005201","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}

{"title":"Cavitary Lung Disease with Constitutional Symptoms Misinterpreted & Treated as a Bronchial Asthma and Enteric Fever for a Long Period: What are Timings from Infection to Cavitation in Tuberculosis? Revisits Wallgren’s timetable !","authors":"Aditi Gatagat, Shital Patil, Sachin Tote","doi":"10.36346/sarjmcr.2023.v04i05.001","DOIUrl":"https://doi.org/10.36346/sarjmcr.2023.v04i05.001","url":null,"abstract":"Pulmonary tuberculosis is the most common cause for cavitary lung disease in India due to its endemic nature and high case burden. In spite of awareness by government organizations regarding symptoms, diagnostic modalities and treatment options for disease, Pulmonary tuberculosis management is delayed in all aspects due to the large proportion of cases receiving access to the private sector where adequate training and awareness regarding tuberculosis is missing. Constitutional symptoms of tuberculosis are not severe and fatal as well and this is the most common reason for lack of timely suspicion as commonly occurred with cardiac ailments. Constitutional symptoms in tuberculosis cases are usually managed by general practitioners in line with enteric fever, jaundice, bronchitis and pneumonia and these cases were treated accordingly. In present case report, 45-year-old female, with constitutional symptoms for six months were treated in outdoor and indoor settings by general practitioners, family physicians and other healthcare professionals with antibiotics and bronchodilators in line with enteric fever, jaundice and bronchitis with asthma on many occasions with partial response to treatment and symptoms worsening. She was referred to our center after an episode of moderate hemoptysis and we have retrospectively studied the reports and noted chronic lung cavitation in chest x-rays done a few months before which is clearly demarcated and visible in posteroanterior and lateral views. Her radiological abnormalities were never evaluated as she was never examined by a pulmonologist before our center and only x-ray was done without a confirmed diagnosis. We have documented typical cavitary lesions favoring chronic infective disease with radiological features of tuberculous cavity in HRCT chest. Her induced sputum examination for CBNAAT (Cartridge based nucleic acid amplification) MTB (mycobacterium tuberculosis) positive, Rifampicin mutation (Rpo-b) Negative. Treatment initiated with anti-tuberculosis (ATT). We have recorded near complete radiological resolution, bacteriological cure after eight months of ATT with good compliance. Pulmonary tuberculosis should be suspected early in cases with cavitating lung disease with constitutional symptoms to have a successful treatment outcome.","PeriodicalId":206465,"journal":{"name":"SAR Journal of Medical Case Reports","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255785","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}

{"title":"Cervical Epidural Blood Patch for Spontaneous Intracranial Hypotension-A Case Report","authors":"J. Bae, Gihyang Kim, Goh Daehun, Kiyoung Shin, S. Kang","doi":"10.36346/sarjmcr.2023.v04i03.004","DOIUrl":"https://doi.org/10.36346/sarjmcr.2023.v04i03.004","url":null,"abstract":"Spontaneous intracranial hypotension (SIH) is an uncommon disorder caused by cerebrospinal fluid (CSF) leaks in the spine. Treatment is directed at sealing the site of leak, which is often difficult to localize. We present a case of near fatal SIH that was treated with cervical epidural blood patch (EBP) and burr hole drainage of the hematoma. A 41-year old male presented with severe headache after drinking alcohol over several weeks. Brain magnetic resonance imaging (MRI) showed features typical of SIH. But, further imaging with MR myelography and radionuclide cisternography failed to identify a precise site of leak. Despite lumbar EBP, the patient’s orthostatic headache recurred and developed acute subdural hematoma(SDH) to require burr hole drainage for hematoma evacuation. After surgery, the patient’s mental state improved, and the amount of SDH decreased, but he still complained of severe orthostatic headache. We performed EBP at cervico-thoracic junction level. The headache was rapidly relieved and the SDH was completely absorbed. In this case, we aim to remind clinicians that cervical EBP should be considered management for SIH as an alternative to the repeated lumbar blood patch.","PeriodicalId":206465,"journal":{"name":"SAR Journal of Medical Case Reports","volume":"169 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116208562","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}

{"title":"Spinal Anesthetic Management for Proteus Syndrome: A Case Report","authors":"Kiyoung Shin, J. Bae, Goh Daehun, Yoon Giyong, S. Kang","doi":"10.36346/sarjmcr.2023.v04i03.003","DOIUrl":"https://doi.org/10.36346/sarjmcr.2023.v04i03.003","url":null,"abstract":"Proteus syndrome is a rare, complex, and progressive disorder characterized by tissue overgrowth, deformities, and vascular anomalies. We present a case of a 56-year-old patient with Proteus syndrome who underwent successful incision and drainage an ulcerative lesion on a Cerebriform connective tissue nevus on the left plantar surface under spinal anesthesia. The patient had a history of mild lumbar scoliosis and a previous hospitalization for pulmonary embolism. Due to the patient's difficult airway and increased risk of thromboembolism, spinal anesthesia was chosen as the anesthetic technique. The procedure was carried out without complications, and the patient had a satisfactory postoperative recovery.","PeriodicalId":206465,"journal":{"name":"SAR Journal of Medical Case Reports","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125782928","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}

{"title":"Ectopic Cyclic Cushing's syndrome, A Diagnostic Challenge: A Case Report","authors":"Sandra Aidee Gómez Acosta, A. López","doi":"10.36346/sarjmcr.2023.v04i03.002","DOIUrl":"https://doi.org/10.36346/sarjmcr.2023.v04i03.002","url":null,"abstract":"Introduction: Cyclic Cushing's syndrome is a not widely known pathology with low incidence; however, an increase in the number of cases has been observed in recent years. The intermittent clinical symptoms and discordant laboratory results make it a complicated diagnosis; therefore, close follow-up is crucial. We describe a case of ectopic cyclic Cushing's syndrome in a woman in her seventies who presented weight gain, proximal myopathy, moderate hypokalemia and uncontrolled hypertension; in the first evaluation hypercortisolism was found, however, 2 months later cortisol presented normal levels. Subsequently, a close follow-up was carried out and the study protocol was continued once the presence of 3 peaks and 2 valleys was demonstrated, obtaining compatible values for ectopic ACTH-dependent cyclic Cushing's syndrome. In thoracoabdominal MRI a spiculated lesion was found in the left basal lung field surrounding 25% of the aorta. Due to the location of the lesion, the patient refused surgical treatment, being currently under adequate control with the use of ketoconazole and octreotide injections. Conclusions: The possibility of cyclic Cushing's syndrome diagnosis should be kept in mind in those patients with symptoms suggestive of Cushing's syndrome that remit sporadically and whose laboratory studies show intermittent results of hypercortisolism and normocortisolism, since early identification allows opportune treatment and therefore better prognosis.","PeriodicalId":206465,"journal":{"name":"SAR Journal of Medical Case Reports","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127528995","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}

{"title":"Wolfram Syndrome; Case Series Report at the “National Medical Center 20 De Noviembre ISSSTE”","authors":"Eduardo Sagarnaga- Quezada, A. López","doi":"10.36346/sarjmcr.2023.v04i03.001","DOIUrl":"https://doi.org/10.36346/sarjmcr.2023.v04i03.001","url":null,"abstract":"Wolfram syndrome it’s a rare autosomal genetic disease. Also, kwon as DIDMOAD (Diabetes Insipidus, Diabetes Mellitus, Optic Atrophy, and Deafness). Its classified as one of infancy onset diabetes mellitus non autoimmune causes, its presentation generally happens at an early age; other characteristics of the disease are insipidus diabetes, optic atrophy, neurosensorial deafness, psychiatric alterations and other neurodegenerative disorders.","PeriodicalId":206465,"journal":{"name":"SAR Journal of Medical Case Reports","volume":"2013 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128096196","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}

{"title":"Penis Necrosis, a Rare Complication of Fournier's Gangrene: Cause and Management","authors":"Mohamed Achraf Chadli, Mouad EL Badr, M. Alafifi, A. Doumer, A. Moataz, M. Dakir, A. Debbagh, R. Aboutaieb","doi":"10.36346/sarjmcr.2023.v04i02.003","DOIUrl":"https://doi.org/10.36346/sarjmcr.2023.v04i02.003","url":null,"abstract":"Penile Fournier's gangrene is extremely rare due to the rich blood supply of the penis. It has only been reported in a few cases in the literature. Prompt surgical exploration, antibiotic therapy, and meticulous postoperative care are the cornerstone in the successful mangement of this high-mortality emergency. We present a rare case of penile Fournier's gangrene with total necrosis of the penis necessitating penectomy in a 70-year-old patient who is well advanced, with complete perineum healing. The goal of this article is to illustrate this rare case, as well as to explain what causes it and how to manage it.","PeriodicalId":206465,"journal":{"name":"SAR Journal of Medical Case Reports","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125260405","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}

{"title":"Neuroendocrine Tumor of the Appendix: A Case Report and Review of Literature","authors":"N. Chettahi, A. Mahmoudi, O. Alaoui, K. Khattala, Y. Bouabdallah","doi":"10.36346/sarjmcr.2023.v04i02.002","DOIUrl":"https://doi.org/10.36346/sarjmcr.2023.v04i02.002","url":null,"abstract":"Background: Neuroendocrine tumor of the appendix is a rare neoplasm discovered only incidentally. They are mainly found in the histological examination of appendices operated due to acute appendicitis. The treatment is essentially surgical, and depending on the size of the lesion, it can range from a simple appendectomy to right hemicolectomy. Case presentation: In our work, we report the case of a neuroendocrine tumor of the appendix in a 15-year-old female patient admitted for symptoms of acute abdominal pain. She was diagnosed with appendicular peritonitis and admitted to the surgical unit. The anatomopathological examination of the vermiform appendix obtained after appendicectomy showed a histological aspect of a neuroendocrine tumor. Conclusion: We recommend that appendectomy specimens be routinely sent for pathological examination malignancy and NETs, may be missed without histopathological examination.","PeriodicalId":206465,"journal":{"name":"SAR Journal of Medical Case Reports","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128895406","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}

{"title":"Herbal Treatment: Yes, It Works","authors":"Z. H. Tanveer, S. Zafar, A. Raza, Jamil Ahmed Lakhair, S. Mastoi, S. Shaheena, A. Fatah, E. Fatima","doi":"10.36346/sarjmcr.2023.v04i02.001","DOIUrl":"https://doi.org/10.36346/sarjmcr.2023.v04i02.001","url":null,"abstract":"Coronary artery disease is a complex syndrome to get initiation from formation of atherosclerotic plaques in systemic circulation to cardiac arrhythmia causing morbidity/mortality. This study was conducted to compare hypolipidemic effects of Niacin and Indian date (Jujuba) in hyperlipidemic patients. Study was conducted from July 2019 to December 2019 at National Hospital Lahore-Pakistan. Sixty participants were enrolled of both gender male and female patient’s age range from 25 to 60 years. Consent was taken from all patients. They were divided in two groups. Group-I was advised to take 2 grams Niacin in divided doses for the period of two months. Group-II was advised to take 500 grams of fruit Jujube daily for the period of two months. All patients’ systolic and diastolic blood pressure was noted. Their baseline LDL and HDL cholesterol was determined by conventional method of measuring Lipid Profile. After two months therapy, their post treatment blood pressure and lipid profile was measured and mean values with ± SEM were analyzed biostatistically. Group-I which was on Niacin their blood pressure was reduced but it was non-significant change, LDL cholesterol decreased significantly and HDL cholesterol was increased significantly. In group-II patients LDL cholesterol was decreased significantly but HDL increase was not significant with p-value of >0.05. It was concluded from the research work that Niacin is potent in lowering LDL and increasing HDL cholesterol, while Jujube has significant effect as LDL cholesterol lowering potential, but it does not increase HDL cholesterol significantly. Jujubes and vitamin B-3 did not reduced blood pressure, when analyzed statistically.","PeriodicalId":206465,"journal":{"name":"SAR Journal of Medical Case Reports","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121445835","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}

{"title":"Dry Fruits: Contain Chemicals to Keep Human Body Organs Healthy","authors":"Jamil Ahmed Lakhair, Z. H. Tanveer, Shaher Murad, S. Shahina, A. Fatah, E. Fatima","doi":"10.36346/sarjmcr.2023.v04i01.002","DOIUrl":"https://doi.org/10.36346/sarjmcr.2023.v04i01.002","url":null,"abstract":"Hyperglycemia, hypertension, and hyperlipidemia are known as metabolic syndrome. In presence of high levels of blood LDL particles, free radicals (ROS), macrophages, cytokines, platelets, histamine, 5HT get involved in LDL oxidation, leading to formation of atherosclerotic plaques which get deposited in endothelium of coronary arteries causing coronary artery disease (CAD). Psyllium fibers and Ficus Carica (FC) are being considered to be useful in treating hyperlipidemia, hypertension, and hyperglycemia. This study was conducted to determine hypotensive, hypolipidemic, and hypoglycemic potential of Psyllium husk and FC. Study was conducted in National hospital, Lahore, Pakistan from January to April 2020. Seventy five hyperlipidemic, hypertensive and diabetic patients were enrolled selected from the hospital with their consent. They were divided in three groups ie 25 patients in each group. Group-1 was on placebo, group-2 was on 15 grams psyllium husk to be used in three divided doses. Group-3 was on 12 grams FC to be taken in three divided doses daily for two months. Their Lipid profile, FBS, and hypertension were determined before and after two months therapy by these two agents. Two analyze data we used SPSS version 10.01.001 2015 and t test was applied to determine changes in the tested parameters. In two months therapy by psyllium husk in 24 patients TG, TC, LDL-c was reduced 21.48, 10.09, 24.17 mg/dl respectively. HDL was increased 12.38 mg/dl in this group. FBS reduction was 28.66 mg/dl, systolic BP 6.30, and diastolic BP reduced in this group 7.52 mm of mg. We then concluded that FC and PH have good enough potential to normalize lipid profile, reduce BP, and FBS in patients suffering from metabolic syndrome.","PeriodicalId":206465,"journal":{"name":"SAR Journal of Medical Case Reports","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131964867","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}