SAGE Open Medical Case Reports最新文献

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Transient unilateral brachial plexus block following landmark-guided superficial cervical plexus block: A case report. 路标引导下颈浅丛阻滞后短暂单侧臂丛阻滞1例。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251321658
Isabel Besozzi, Andrea Goldmann, Daniel Button, Stefanie Senn, Caveh Madjdpour
{"title":"Transient unilateral brachial plexus block following landmark-guided superficial cervical plexus block: A case report.","authors":"Isabel Besozzi, Andrea Goldmann, Daniel Button, Stefanie Senn, Caveh Madjdpour","doi":"10.1177/2050313X251321658","DOIUrl":"10.1177/2050313X251321658","url":null,"abstract":"<p><p>We report a case of a 61-year-old male patient with impaired function of the contralateral brachial plexus after right parathyroidectomy. The symptoms appeared directly after emerging from general anaesthesia and disappeared completely within 24 h after surgery. The follow-up check after 6 weeks was unremarkable. The patient suffered from asthma, osteoporotic degenerative changes of the spine and a chronic impingement of the left shoulder. He showed no signs of pain or limitations while reclining his neck during pre-operative airway assessment. Before surgery, a bilateral superficial cervical plexus block was performed by the surgeon using the landmark technique. We discuss the positioning of the neck and cervical spine in preparation for surgery and pre-operative superficial cervical plexus block as possible causes for the impaired function of the brachial plexus observed in this patient. We conclude that the latter was the most likely cause in this patient and recommend considering ultrasound guidance for the performance of superficial cervical plexus block.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251321658"},"PeriodicalIF":0.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483962","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
Sinus node dysfunction following bariatric surgery: A case report. 减肥手术后窦结功能障碍1例报告。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2025-02-19 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251321063
Kristoffer Dahl, Knut Tore Lappegard
{"title":"Sinus node dysfunction following bariatric surgery: A case report.","authors":"Kristoffer Dahl, Knut Tore Lappegard","doi":"10.1177/2050313X251321063","DOIUrl":"10.1177/2050313X251321063","url":null,"abstract":"<p><p>Sinus node dysfunction is often due to degeneration of the heart's impulse-generating system. We report a case of a 40-year-old woman with a recent gastric sleeve surgery, who presented with symptomatic sinus bradycardia following significant post-surgical weight loss. Extensive workup excluded common causes such as electrolyte disturbances, hypothyroidism, or cardiomyopathy. We hypothesize that alterations in leptin metabolism due to weight loss triggered increased vagal stimulation, leading to her bradycardia. The patient was treated with theophylline as a noninvasive alternative to pacemaker implantation. Long-term monitoring showed partial improvement in heart rate. This case highlights the need for vigilance in managing bradycardia as a potential side effect of bariatric surgery-induced weight loss, emphasizing the importance of follow-up and the potential role of leptin in heart rate regulation.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251321063"},"PeriodicalIF":0.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459391","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
Corrigendum to "Facial vein thrombophlebitis post facial skin infection: a case report and review of the literature". “面部皮肤感染后的面部静脉血栓性静脉炎:一例报告和文献回顾”的更正。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2025-02-19 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251321227
{"title":"Corrigendum to \"Facial vein thrombophlebitis post facial skin infection: a case report and review of the literature\".","authors":"","doi":"10.1177/2050313X251321227","DOIUrl":"https://doi.org/10.1177/2050313X251321227","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/2050313X241283265.].</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251321227"},"PeriodicalIF":0.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468941","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
Severe left main coronary artery disease and STEMI in a 19-year-old without traditional risk factors: A rare case of premature coronary artery disease. 19岁无传统危险因素的严重左主干冠状动脉疾病和STEMI:一例罕见的过早冠状动脉疾病
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251321041
Wasef Alhroub, Maaweya Jabareen, Haya Abu-Mayyaleh, Bayyena Abu-Radwan, Mustafa Shehadeh, Ali Abu-Farah, Talha Isayed
{"title":"Severe left main coronary artery disease and STEMI in a 19-year-old without traditional risk factors: A rare case of premature coronary artery disease.","authors":"Wasef Alhroub, Maaweya Jabareen, Haya Abu-Mayyaleh, Bayyena Abu-Radwan, Mustafa Shehadeh, Ali Abu-Farah, Talha Isayed","doi":"10.1177/2050313X251321041","DOIUrl":"10.1177/2050313X251321041","url":null,"abstract":"<p><p>Premature coronary artery disease (CAD) is defined by the early onset of significant atherosclerotic narrowing of the coronary arteries, generally occurring before age 55 in men and 60 in women. This condition is an increasing concern in cardiovascular medicine due to its impact on younger populations, resulting in greater morbidity, diminished quality of life, and a substantial economic burden. Common risk factors include dyslipidemia, hypertension, diabetes, smoking, obesity, and genetic predispositions such as familial hyperlipidemia. This case report describes a 19-year-old male with no known cardiovascular risk factors who presented with an ST-segment elevation myocardial infarction and ventricular tachycardia caused by left main coronary artery disease including the left anterior descending artery and the left circumflex artery. Despite lacking common risk factors, he underwent successful coronary artery bypass grafting with two grafts.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251321041"},"PeriodicalIF":0.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450122","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 case report on comparison between PMCT and conventional autopsy approach in traumatic death. 创伤性死亡的PMCT与常规尸检方法比较一例报告。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251321046
Arijit Datta, Darshan Galoria, Shridhar Dave, Preeti Tiwari, Srushti Shukla, Viral Patel
{"title":"A case report on comparison between PMCT and conventional autopsy approach in traumatic death.","authors":"Arijit Datta, Darshan Galoria, Shridhar Dave, Preeti Tiwari, Srushti Shukla, Viral Patel","doi":"10.1177/2050313X251321046","DOIUrl":"10.1177/2050313X251321046","url":null,"abstract":"<p><p>In cases of traumatic death, precise injury evaluation is crucial for both legal and medical reasons. In the modern era, many scholarly articles recommend postmortem computed tomography (PMCT) instead of routine postmortem practices. This case report compares the findings of PMCT with those of conventional autopsy methods for assessing blunt traumatic injuries. In this case, we received the body of a 16-year-old male who died due to a road traffic accident. Before performing a routine postmortem examination, we performed CT imaging to compare the findings with those of routine procedures. This report highlights the significance of the conventional postmortem approach in identifying soft tissue and bony injuries that are undetectable by imaging techniques. While CT imaging offers noninvasive visualization of injuries, manual examination remains essential for identifying specific injuries, particularly those affecting soft tissues. The combination of CT imaging and conventional autopsy procedures strengthens the precision and dependability of forensic evaluations in cases of traumatic death, especially in intricate situations involving multiple wounds. Recognizing the advantages and constraints of these methods is vital for advancing forensic inquiries and improving legal outcomes in medical contexts.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251321046"},"PeriodicalIF":0.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450113","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
Dasatinib-induced renal (or chronic) thrombotic microangiopathy in a patient with chronic myeloid leukemia: A case report. 慢性髓性白血病患者达沙替尼诱发肾(或慢性)血栓性微血管病变:1例报告。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251322621
Ryan Sabour, Sohrab Kharabaf, Eric Frazier, Matthew Nguyen, Dao Le, Jonathan Zuckerman, Ramy Hanna
{"title":"Dasatinib-induced renal (or chronic) thrombotic microangiopathy in a patient with chronic myeloid leukemia: A case report.","authors":"Ryan Sabour, Sohrab Kharabaf, Eric Frazier, Matthew Nguyen, Dao Le, Jonathan Zuckerman, Ramy Hanna","doi":"10.1177/2050313X251322621","DOIUrl":"10.1177/2050313X251322621","url":null,"abstract":"<p><p>Thrombotic microangiopathy encompasses microvascular thrombosis, hemolytic anemia, thrombocytopenia, and end-organ damage. Secondary thrombotic microangiopathy can result from malignancies, autoimmune diseases, or treatments such as tyrosine kinase inhibitors. Dasatinib, a tyrosine kinase inhibitor used in managing chronic myeloid leukemia, has been linked to thrombotic microangiopathy. This report describes a 66-year-old female with chronic myeloid leukemia treated with dasatinib who developed renal-limited thrombotic microangiopathy. Progressive renal dysfunction found in the context of chronic kidney disease prompted extensive lab evaluation and evaluation, with a renal biopsy confirming thrombotic microangiopathy attributed to dasatinib-induced nephrotoxicity. Discontinuation of dasatinib led to a slight improvement in renal function; however, progressive decline necessitated dialysis. This case underscores the diagnostic and therapeutic challenges of dasatinib-induced thrombotic microangiopathy, emphasizing renal biopsy in diagnosis and monitoring. Individualized treatment strategies and further research should be conducted to optimize future outcomes.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251322621"},"PeriodicalIF":0.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450115","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
Endometriosis-associated obstructive uropathy: A case report. 子宫内膜异位症相关梗阻性尿路病变1例报告。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251321671
Caoimhe Ryan, Michael Burns, Lynn Redahan
{"title":"Endometriosis-associated obstructive uropathy: A case report.","authors":"Caoimhe Ryan, Michael Burns, Lynn Redahan","doi":"10.1177/2050313X251321671","DOIUrl":"10.1177/2050313X251321671","url":null,"abstract":"<p><p>Endometriosis affects approximately 10% of premenopausal women, with urinary tract involvement in 1% of cases. Ureteric endometriosis is a rare, typically asymptomatic, cause of obstructive renal failure. We present the case of a 30-year-old woman with stage IV endometriosis and advanced human immunodeficiency virus presenting with acute, severe left flank pain and kidney injury. Imaging revealed severe, bilateral hydronephrosis due to extensive endometriosis deposits obstructing the urinary tract. Recurrent ureteric obstruction by infiltrating endometrial disease necessitated eight procedures (bilateral nephroureteric stent placements and nephrostomy insertions). Despite the severity of the disease surgery was successfully avoided. At the time of discharge and subsequent follow-up, the patient was clinically well with stable renal function (Creatinine 1.33-1.61 mg/dL). This case highlights the importance of considering endometriosis in the differential diagnosis of acute kidney injury in women. It demonstrates successful non-surgical management of severe ureteric disease to prevent irreversible renal damage.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251321671"},"PeriodicalIF":0.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450118","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
IL-23 blockade in a patient with psoriasis and Toxoplasma gondii reactivation history: Case report and review. IL-23阻断在银屑病患者和刚地弓形虫再激活史:病例报告和回顾。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251320196
J Dagher, J Ringuet
{"title":"IL-23 blockade in a patient with psoriasis and <i>Toxoplasma gondii</i> reactivation history: Case report and review.","authors":"J Dagher, J Ringuet","doi":"10.1177/2050313X251320196","DOIUrl":"10.1177/2050313X251320196","url":null,"abstract":"<p><p><i>Toxoplasma gondii</i> infection can lead to severe disease in immunocompromised patients. Current systemic therapies in psoriasis rely on varying degrees of immunomodulation. Few studies have investigated the involvement of key cytokines targeted by these novel therapies (interleukins 23 and 17) in the immune response against <i>T. gondii</i>. We describe a case of a patient with severe plaque psoriasis and a history of frequent ocular toxoplasmosis reactivations successfully treated using anti-IL-23 therapy without <i>T. gondii</i> reactivation. A brief scoping review of the literature is presented to address current data on toxoplasmosis and biologic therapy for psoriasis.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251320196"},"PeriodicalIF":0.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450120","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 epidermal growth factor receptor T790M/cis-C797S/L718Q compound mutation in a lung adenocarcinoma patient who did not derive any benefit from combination therapy with afatinib and bevacizumab. 一种罕见的表皮生长因子受体T790M/cis-C797S/L718Q复合突变发生在一名肺腺癌患者中,该患者未从阿法替尼和贝伐单抗联合治疗中获得任何益处。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251319381
Xiaopeng Meng, Jingyi Liu, Xiaohui Wu, Pei Peng
{"title":"A rare epidermal growth factor receptor T790M/cis-C797S/L718Q compound mutation in a lung adenocarcinoma patient who did not derive any benefit from combination therapy with afatinib and bevacizumab.","authors":"Xiaopeng Meng, Jingyi Liu, Xiaohui Wu, Pei Peng","doi":"10.1177/2050313X251319381","DOIUrl":"10.1177/2050313X251319381","url":null,"abstract":"<p><p>The most common mutations in epidermal growth factor receptor (<i>EGFR</i>) are exon 19 deletions and exon 21 L858R mutations, both of which respond effectively to <i>EGFR</i> tyrosine kinase inhibitors. However, the efficacy of <i>EGFR</i> tyrosine kinase inhibitors against rare <i>EGFR</i> mutations remains controversial. Many patients eventually develop resistance to <i>EGFR</i> tyrosine kinase inhibitors. Here, we encountered the case of a 62-year-old male with lung adenocarcinoma and a history of hypertension, who harbored a rare EGFR L858R/T790M/cis-C797S/L718Q compound mutation and showed resistance to osimertinib. The patient showed a partial response to treatment with a combination of afatinib and bevacizumab lasting 2 months. Although this case did not demonstrate a clear benefit from dual therapy with afatinib and bevacizumab, it provides a valuable therapeutic reference for patients with rare compound <i>EGFR</i> mutations and offers insights for future studies.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251319381"},"PeriodicalIF":0.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441720","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
An uncommon presentation of discoid lupus suggesting systemic evolution. 盘状狼疮的罕见表现,提示系统进化。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.1177/2050313X251320480
Ariana Nateghi, Julie Desrochers
{"title":"An uncommon presentation of discoid lupus suggesting systemic evolution.","authors":"Ariana Nateghi, Julie Desrochers","doi":"10.1177/2050313X251320480","DOIUrl":"10.1177/2050313X251320480","url":null,"abstract":"<p><p>Discoid lupus erythematosus (DLE) is a chronic autoimmune condition primarily affecting the head and neck, with palmoplantar involvement (ppDLE) being an uncommon presentation. We present a case of a 46-year-old male with ppDLE and rare perineal involvement, confirmed through biopsy and serological findings, including positive RNP and Sm antibodies. This case underscores the importance of recognizing atypical presentations of DLE, which may indicate a higher risk of systemic progression and require tailored management strategies.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251320480"},"PeriodicalIF":0.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441725","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
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