SAGE Open Medical Case Reports最新文献

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Epigallocatechin gallate, folic acid, vitamin B12 and hyaluronic acid in the management of male Human Papilloma Virus Infection: A case series. 表没食子儿茶素没食子酸酯、叶酸、维生素B12和透明质酸在男性乳头状瘤病毒感染管理中的作用:一个病例系列。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2026-08-12 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261477889
Valdemaro Gianmaria Pavacci, Ludovica Di Fraia, Vittorio Unfer
{"title":"Epigallocatechin gallate, folic acid, vitamin B12 and hyaluronic acid in the management of male Human Papilloma Virus Infection: A case series.","authors":"Valdemaro Gianmaria Pavacci, Ludovica Di Fraia, Vittorio Unfer","doi":"10.1177/2050313X261477889","DOIUrl":"https://doi.org/10.1177/2050313X261477889","url":null,"abstract":"<p><p>Human Papilloma Virus infection represents one of the most common sexually transmitted infections worldwide. While research on Human Papilloma Virus has traditionally focused on its role in cervical cancer pathogenesis, such infection is also highly prevalent in the male population. Despite this, the clinical management of Human Papilloma Virus in men still remains limited, with no universally accepted screening protocols or therapeutic guidelines. This clinical case series describes six male patients (aged 26-66 years) with Human Papilloma Virus infection detected in samples of urethral mucosa, anal mucosa, or seminal fluid. Each patient took the dietary supplement containing epigallocatechin gallate (200 mg), folic acid (400 μg), vitamin B12 (1 mg), and hyaluronic acid (50 mg) daily for up to 6 months. After the oral supplementation, each patient reported complete Human Papilloma Virus clearance. These findings provide, for the first time, preliminary evidence on the positive effect of such molecules in promoting Human Papilloma Virus clearance across different male anatomical sites, including anal and urethral mucosa and seminal fluid. Although preliminary, this report highlights the often-overlooked issue of Human Papilloma Virus management in men, thus paving the way for additional clinical studies with the aim of defining the role of such dietary supplements in counteracting Human Papilloma Virus infection in men.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261477889"},"PeriodicalIF":0.6,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13469532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764628","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
Osteoid osteoma of the triquetrum: A rare cause of ulnar-sided wrist pain in an adolescent female. 骨样骨瘤的三叉骨:一个罕见的原因,在青春期的女性尺侧手腕疼痛。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2026-08-11 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261460587
Tala Pourlak, Ali Kazemiathar
{"title":"Osteoid osteoma of the triquetrum: A rare cause of ulnar-sided wrist pain in an adolescent female.","authors":"Tala Pourlak, Ali Kazemiathar","doi":"10.1177/2050313X261460587","DOIUrl":"10.1177/2050313X261460587","url":null,"abstract":"<p><p>Osteoid osteoma is a common benign osteoblastic tumor typically affecting males in their second or third decade of life, with a predilection for the long bones of the lower extremities. Its occurrence in atypical anatomical sites, such as the carpal bones, is rare. Specifically, triquetral involvement is exceedingly infrequent, often leading to diagnostic challenges as the lesion can mimic more common inflammatory or infectious pathologies. We present the case of an 11-year-old girl with a 9-month history of persistent, localized left wrist pain. Initial magnetic resonance imaging demonstrated extensive bone marrow edema and joint effusion, raising a high suspicion for septic arthritis. Following a negative infectious workup and clinical persistence of symptoms, specifically nocturnal pain responsive to salicylates, a high-resolution computed tomography scan was performed. The computed tomography revealed a pathognomonic 5-mm radiolucent nidus within the triquetrum. The patient underwent surgical excision, which provided immediate and dramatic symptomatic relief. Histopathological analysis confirmed the diagnosis of osteoid osteoma. In pediatric patients presenting with chronic, localized wrist pain that worsens at night, clinicians must maintain a high index of suspicion for osteoid osteoma, even in rare sites like the triquetrum. This case underscores the \"magnetic resonance imaging masquerade\" effect, where extensive reactive edema can mislead the clinician toward an infectious diagnosis. Early utilization of high-resolution computed tomography is essential to identify the nidus, prevent diagnostic delay, and avoid unnecessary hospitalization for suspected infection.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261460587"},"PeriodicalIF":0.6,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723928","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
Idiopathic radial artery pseudoaneurysm: A rare case in a renal transplant recipient - A case report. 特发性桡动脉假性动脉瘤:肾移植受者一例罕见病例报告。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2026-08-11 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261446087
Ali M Bayrouti, P Régine Mydlarski, Paul F Petrasek, Fatemeh Jafarian
{"title":"Idiopathic radial artery pseudoaneurysm: A rare case in a renal transplant recipient - A case report.","authors":"Ali M Bayrouti, P Régine Mydlarski, Paul F Petrasek, Fatemeh Jafarian","doi":"10.1177/2050313X261446087","DOIUrl":"https://doi.org/10.1177/2050313X261446087","url":null,"abstract":"<p><p>Distal radial artery pseudoaneurysm is an uncommon vascular abnormality, usually occurring after trauma or iatrogenic arterial injury. Spontaneous cases are rare and have been reported primarily as isolated case reports in the general population. To our knowledge, no other published reports describe this presentation, especially within a dermatologic context among solid organ transplant recipients. We describe a 55-year-old immunocompromised male presenting with a 2-month history of a progressively enlarging, pulsatile nodule with overlying erythema and skin thinning on the surface of the right radial wrist. Physical examination revealed a subtle pulsatile subcutaneous mass. Biopsy was deferred, and the patient was referred for diagnostic imaging, which revealed a distal radial artery pseudoaneurysm. Vascular surgery was consulted, and the patient underwent urgent surgical resection with an unremarkable recovery. This case highlights that vascular lesions can mimic benign, inflammatory, or other soft tissue nodules in dermatologic practice. Carefulpalpation and imaging are essential when evaluating atypical wrist masses to avoid biopsy-related hemorrhage and ensure safe management.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261446087"},"PeriodicalIF":0.6,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13469514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763668","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
Post-COVID-19 pure red cell aplasia: A case report and literature review. 新冠肺炎后纯红细胞发育不全1例并文献复习。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2026-08-07 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X251412704
Alanoud Al Shmarri, Duha Marwan Naji, Elmustafa Abdalla, Abdulrahman F Al-Mashdali, Mohammed Ahmed, V-Ayah Elhadi, Deena Mudawi, Mohammad Abdulgayoom, Imran Ahmad, Samah Kohla, Sarah Elkourashy, Shehab F Mohamed
{"title":"Post-COVID-19 pure red cell aplasia: A case report and literature review.","authors":"Alanoud Al Shmarri, Duha Marwan Naji, Elmustafa Abdalla, Abdulrahman F Al-Mashdali, Mohammed Ahmed, V-Ayah Elhadi, Deena Mudawi, Mohammad Abdulgayoom, Imran Ahmad, Samah Kohla, Sarah Elkourashy, Shehab F Mohamed","doi":"10.1177/2050313X251412704","DOIUrl":"10.1177/2050313X251412704","url":null,"abstract":"<p><p>Pure red cell aplasia is a rare hematologic disorder characterized by severe normocytic anemia, reticulocytopenia, and absence of erythroid precursors. Since the COVID-19 pandemic, pure red cell aplasia has emerged as an uncommon post-infectious complication, likely driven by immune dysregulation. A 72-year-old man developed transfusion-dependent anemia several weeks after a mild COVID-19 infection. Laboratory evaluation revealed normocytic anemia (hemoglobin of 7.0 g/dL) with profound reticulocytopenia, and bone marrow biopsy showed markedly reduced erythropoiesis with preserved granulopoiesis and megakaryopoiesis. Secondary causes, including nutritional deficiencies, hemolysis, autoimmune disease, parvovirus B19, and hematologic malignancy, were excluded. The patient failed to respond to intravenous immunoglobulin, corticosteroids, and cyclosporine, achieving only a transient partial remission. Rituximab therapy was subsequently initiated and resulted in complete hematologic recovery and sustained remission at 1 year. COVID-19-associated pure red cell aplasia is a rare but clinically important complication. Clinicians should consider it in patients with severe post-COVID anemia, and rituximab may be effective in cases refractory to standard immunosuppressive therapy.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X251412704"},"PeriodicalIF":0.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697818","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
Suspected levetiracetam drug-induced lupus in a child: A case report. 疑似左乙拉西坦药物致儿童狼疮1例报告。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2026-08-07 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261473997
Fiona Landells, Jeanine McColl
{"title":"Suspected levetiracetam drug-induced lupus in a child: A case report.","authors":"Fiona Landells, Jeanine McColl","doi":"10.1177/2050313X261473997","DOIUrl":"10.1177/2050313X261473997","url":null,"abstract":"<p><p>Drug-induced lupus erythematosus (DIL) is an uncommon condition that mimics systemic lupus erythematosus (SLE) and accounts for approximately 10%-12% of SLE cases. Numerous drugs have been implicated, most commonly hydralazine, procainamide, isoniazid, and certain antiepileptics. Levetiracetam has rarely been associated with SLE. We describe the first known possible pediatric case of suspected levetiracetam-induced lupus erythematosus. A previously healthy 6-year-old girl developed thrombocytopenia, neutropenia, anemia, generalized lymphadenopathy, and a petechial rash several months after initiating levetiracetam therapy for absence seizures. Extensive infectious and oncologic investigations, including a bone marrow biopsy and an excisional lymph node biopsy were unremarkable. Given the temporal association with levetiracetam exposure, the presence of clinical features consistent with DIL, and a serological pattern suggestive of DIL, the drug was discontinued, and the patient was treated with corticosteroids, intravenous immunoglobulin, and hydroxychloroquine. She demonstrated rapid clinical and biochemical improvement. Although distinguishing DIL from early SLE remains challenging and no definitive diagnostic criteria exist, this case met several proposed features of DIL and scored as a possible adverse drug reaction on the Naranjo scale. This report expands the spectrum of levetiracetam-associated adverse effects and highlights the need for clinicians to consider DIL in pediatric patients even when receiving drugs with generally favorable safety profiles.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261473997"},"PeriodicalIF":0.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697782","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
Successful cesarean section utilizing a right paramedian incision in a woman who had a mitrofanoff procedure: A case report. 成功剖宫产利用右辅助切口的妇女谁有米特凡诺夫程序:一个病例报告。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2026-08-07 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X251390618
Taylor Jamali, Kailie McGee, Taylor Daniels, Melanie Lagomichos
{"title":"Successful cesarean section utilizing a right paramedian incision in a woman who had a mitrofanoff procedure: A case report.","authors":"Taylor Jamali, Kailie McGee, Taylor Daniels, Melanie Lagomichos","doi":"10.1177/2050313X251390618","DOIUrl":"10.1177/2050313X251390618","url":null,"abstract":"<p><p>Cesarean section (CS) is among the most common surgical operations worldwide. While transverse Pfannenstiel incisions are now considered standard of care, vertical incisions-including midline and paramedian-were historically more common. In certain patients, anatomical variations or prior surgical procedures can render Pfannenstiel incisions unsafe. Paramedian incisions, though less frequently used in obstetrics, may offer advantages such as improved lateral exposure, reduced adhesion risks, and decreased risk of future herniation. We describe the delivery of a patient with a history of a Mitrofanoff procedure, in whom dense adhesions and anatomical alterations posed challenges to standard CS approaches. A paramedian incision was selected due to its ability to provide safer exposure while avoiding the region of prior reconstructive surgery. This approach minimized the risk of inadvertent injury, optimized visualization, and facilitated successful delivery. This case highlights that adhesions and anatomical modifications from prior procedures can complicate routine obstetric surgical planning. In such patients, a paramedian incision may be superior to the Pfannenstiel approach by enhancing surgical exposure and reducing the likelihood of complications. A multidisciplinary team and adaptable delivery plan are critical to achieving favorable maternal and neonatal outcomes in complex surgical scenarios.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X251390618"},"PeriodicalIF":0.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697793","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
Epileptic seizures temporally associated with recombinant human growth hormone therapy in children: A case series of three patients. 儿童重组人生长激素治疗的暂时性癫痫发作:3例患者的病例系列。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2026-08-06 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261474400
Shigeru Nagaki, Minobu Shichiji, Hirokazu Oguni, Makiko Osawa
{"title":"Epileptic seizures temporally associated with recombinant human growth hormone therapy in children: A case series of three patients.","authors":"Shigeru Nagaki, Minobu Shichiji, Hirokazu Oguni, Makiko Osawa","doi":"10.1177/2050313X261474400","DOIUrl":"10.1177/2050313X261474400","url":null,"abstract":"<p><p>We report three pediatric patients who developed epileptic seizures while receiving recombinant human growth hormone therapy. Case 1 was a 12-year-old girl with a history of febrile seizures and epilepsy whose seizures recurred after discontinuation of antiepileptic medication during ongoing recombinant human growth hormone therapy. Case 2 was an 11-year-old boy born extremely preterm who developed afebrile generalized tonic seizures during recombinant human growth hormone therapy but subsequently remained seizure-free without anticonvulsant treatment. Case 3 was a 6-year-old boy with developmental delay and a history of febrile seizures who was diagnosed with Noonan syndrome. He developed febrile status epilepticus following influenza infection several months after initiation of recombinant human growth hormone therapy and subsequently developed refractory epilepsy with progressive cerebral atrophy. All patients had pre-existing neurological or genetic risk factors for epilepsy. A direct causal relationship between recombinant human growth hormone therapy and seizure occurrence was not established. These cases suggest that seizures occurring during recombinant human growth hormone therapy were more likely related to underlying risk factors than to recombinant human growth hormone therapy itself. Careful neurological follow-up is recommended in children receiving growth hormone therapy, particularly those with established risk factors for epilepsy.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261474400"},"PeriodicalIF":0.6,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697800","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
Atypical facial hidradenitis suppurativa complicated by periorbital cellulitis: Case report and literature review. 非典型化脓性面部汗腺炎合并眶周蜂窝织炎1例报告及文献复习。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2026-08-01 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261471655
Aditi Kaveti, Nicholas Mechas
{"title":"Atypical facial hidradenitis suppurativa complicated by periorbital cellulitis: Case report and literature review.","authors":"Aditi Kaveti, Nicholas Mechas","doi":"10.1177/2050313X261471655","DOIUrl":"10.1177/2050313X261471655","url":null,"abstract":"<p><p>Hidradenitis suppurativa is a chronic inflammatory skin disease characterized by recurrent abscesses, nodules, and sinus tracts, most commonly affecting hair-bearing, intertriginous areas such as axillae, groin, and inframammary regions. Cervicofacial presentation is rare, with limited literature including only one case describing periorbital involvement. Due to its atypical location and clinical resemblance to common soft-tissue infections, facial hidradenitis suppurativa can be challenging to manage. We present a unique case of a patient with known hidradenitis suppurativa and uncontrolled diabetes (HbA1c 12.1) who developed a left perioral and periorbital abscesses and, despite prompt treatment, experienced worsening facial swelling requiring surgical drainage.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261471655"},"PeriodicalIF":0.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664424","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
Pyoderma gangrenosum as a rare manifestation of myelodysplastic syndrome in a pediatric patient: A case report. 坏疽性脓皮病是小儿骨髓增生异常综合征的罕见表现:1例报告。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2026-07-31 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X251411531
Adam C Yu, Airiss R Chan, Loretta Fiorillo
{"title":"Pyoderma gangrenosum as a rare manifestation of myelodysplastic syndrome in a pediatric patient: A case report.","authors":"Adam C Yu, Airiss R Chan, Loretta Fiorillo","doi":"10.1177/2050313X251411531","DOIUrl":"10.1177/2050313X251411531","url":null,"abstract":"<p><p>Pyoderma gangrenosum is a rare neutrophilic dermatosis that presents as rapidly progressive ulcerative lesions, often associated with systemic diseases. Pyoderma gangrenosum remains an uncommon and challenging diagnosis particularly in a pediatric population. We report a 3-year-old male with myelodysplastic syndrome who developed a nonhealing ulcer of the right forearm following minor trauma. The lesion was misdiagnosed as an infection, leading to prolonged antibiotic therapy. The patient underwent surgical debridement and closure of the ulcer with bilateral advancement flaps with biopsies taken. However, the wound dehisced and ulcerated. Due to the progressive nature and lack of response to antimicrobials, pyoderma gangrenosum was suspected and later confirmed through clinical and histopathologic findings. The patient demonstrated significant clinical improvement with 2 months of topical and systemic corticosteroid therapy. This case highlights the challenges of diagnosing pyoderma gangrenosum in pediatric populations, and the utility of histology in management, given the low index of suspicion in children.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X251411531"},"PeriodicalIF":0.6,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148653868","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
Suspected myocarditis resulting from leptospirosis: A case report from Iran. 伊朗钩端螺旋体病致疑似心肌炎1例。
IF 0.6
SAGE Open Medical Case Reports Pub Date : 2026-07-28 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261460562
Lotfollah Davoodi, Hasti Asdaghi Jahromi, Eissa Soleymani
{"title":"Suspected myocarditis resulting from leptospirosis: A case report from Iran.","authors":"Lotfollah Davoodi, Hasti Asdaghi Jahromi, Eissa Soleymani","doi":"10.1177/2050313X261460562","DOIUrl":"10.1177/2050313X261460562","url":null,"abstract":"<p><p>Leptospirosis is a potentially fatal disease that can lead to dysfunction across multiple organ systems. Although cardiovascular complications are relatively rare, they are frequently underestimated and may result in severe outcomes if not addressed promptly. A 46-year-old farmer presented with complaints of palpitations and chest pain. He reported a history of fever, chills, rigors, diaphoresis, myalgia, nausea, low back pain, and headaches that began 7 days prior. An electrocardiogram showed diffuse T-wave inversions and sinus tachycardia; a troponin test was positive, indicating myocardial injury. Echocardiography revealed generalized wall motion abnormalities and left ventricular systolic dysfunction. After 5 days of antibiotic treatment and a 3-day course of corticosteroids, the patient fully recovered and was discharged without any complications. His angiography was normal, and leptospiral IgM was highly positive. Severe leptospirosis should be considered a potential cause of myocarditis, especially in patients with occupational risk factors and those living in endemic regions. Given the non-specific clinical features and diagnostic findings of leptospirosis, it is essential to maintain a high level of suspicion. Timely clinical recognition and laboratory confirmation are crucial, as delays can lead to higher mortality.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261460562"},"PeriodicalIF":0.6,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148631533","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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