{"title":"Hypersensitive reaction due to ferric carboxymaltose in a post-partum mother experienced in a tertiary care hospital in West Bengal, India: A case report.","authors":"Arindam Halder, Bharat Chandra Mandi, Dattatreya Mukherjee, Aymar Akilimali","doi":"10.1177/2050313X241290380","DOIUrl":"10.1177/2050313X241290380","url":null,"abstract":"<p><p>Iron deficiency anaemia (IDA) is highly associated with insufficient nutrition, chronic renal failure and congestive heart failure. Post-partum anaemia is also very common with a high mortality rate. Ferric carboxymaltose (FCM) is a non-dextran third-generation intravenous (IV)-iron preparation. FCM is an effective means of correcting IDA and improving haemoglobin (Hb) concentration in IDA. Incidence of IDA is common in low socio-economic groups. Clinical research has shown that the risk of hypersensitivity reaction (HSR) with FCM is low. An 18- year-old female has faced post-partum anaemia. IDA is most common due to low socio-economic status. Day 1 of post-partam period, Hb was 6.5 g/dl. One unit of packed red blood cell has been transfused. The next day, the Hb was 7.1, so, IV FCM was advised. The patient had faced a serious HSR. Sudden respiratory distress occurred and chest congestion was present. SpO<sub>2</sub> had dropped to 85%. The case was primarily managed with Injection (Inj) Adrenaline, Inj Hydrocortisone, Inj Promethazine, oxygen and nebulization. In this case report, we are reporting a case of severe HSR due to administration of IV FCM in a post-partum mother. It should be kept in mind that severe HSR can be seen due to IV FCM infusion. During the infusion, proper monitoring is important. FCM should be advised in a well-equipped setup where proper infrastructure and protocols are present to combat the HSR.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241290380"},"PeriodicalIF":0.6,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11490943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473731","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}
Qudus O Lawal, Mojeed O Momoh, Governor Bo Okome, Christopher E Okpunu, Charles E Ikhifa, Julius Arebun
{"title":"Utilizing acute normovolemic hemodilution for blood conservation in myomectomy for Jehovah's Witnesses: A case report.","authors":"Qudus O Lawal, Mojeed O Momoh, Governor Bo Okome, Christopher E Okpunu, Charles E Ikhifa, Julius Arebun","doi":"10.1177/2050313X241272655","DOIUrl":"10.1177/2050313X241272655","url":null,"abstract":"<p><p>Myomectomy for Jehovah's Witnesses presents a unique challenge because of their religious beliefs against blood transfusions. In this case report, we describe the successful management of a Jehovah's Witness patient with 22-week-sized uterine fibroids complicated by menorrhagia, emphasizing a multidisciplinary approach to blood conservation while respecting the patient's faith. She had a presenting hematocrit of 38%, which dropped to 33% just before surgery and subsequently had acute normovolemic hemodilution (ANH) along with meticulous surgical techniques, resulting in minimal blood loss and avoidance of allogeneic blood transfusions. She had good postoperative recovery and was discharged with hematocrit of 34%. This approach highlights the importance of understanding and accommodating patients' religious beliefs in surgical practice. Furthermore, it underscores the effectiveness of ANH as a viable alternative for blood conservation in high-risk surgical procedures.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241272655"},"PeriodicalIF":0.6,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11489985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473737","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}
Ali Shakhshir, Mo'tasem Z Dweekat, Ameer Awashra, Ahmad Nouri, Hadi Rabee', Alaa Shamlawi, Khaled Al-Ali
{"title":"Dramatic devastative complications in a patient with catastrophic antiphospholipid syndrome: A Case report and literature review.","authors":"Ali Shakhshir, Mo'tasem Z Dweekat, Ameer Awashra, Ahmad Nouri, Hadi Rabee', Alaa Shamlawi, Khaled Al-Ali","doi":"10.1177/2050313X241272678","DOIUrl":"10.1177/2050313X241272678","url":null,"abstract":"<p><p>Catastrophic antiphospholipid syndrome (CAPS) is a very severe form of the classic antiphospholipid syndrome (APS). Although CAPS occurs in less than 1% of all patients with APS, it is considered a life-threatening condition. This report highlights an interesting case of a 45-year-old male diagnosed with CAPS. Unfortunately, the diagnosis was followed by devastating complications. Moreover, this report tried to gather the significant medical information available about CAPS in light of the obvious shortage of epidemiology, signs, symptoms, mechanisms of action and options of treatment in relation to the current guidelines.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241272678"},"PeriodicalIF":0.6,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11489949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473729","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}
Barinder K Bajwa, Chad R Brown, Yazdan Mirzanejad, Carolyn J Shiau
{"title":"Increasing incidence of syphilis: A case report of non-resolving papulosquamous rash and role of a biopsy in the prevention of delayed diagnosis.","authors":"Barinder K Bajwa, Chad R Brown, Yazdan Mirzanejad, Carolyn J Shiau","doi":"10.1177/2050313X241289591","DOIUrl":"10.1177/2050313X241289591","url":null,"abstract":"<p><p>Syphilis is a sexually transmitted infection that is undergoing a resurgence in Canada and around the world. If not diagnosed correctly, syphilis can progress to its secondary and tertiary stages, affecting numerous organ systems. We present a case of a 41-year-old female who developed a papulosquamous rash, initially diagnosed as varicella with progression to a widespread and painful rash over 3 months. Based on clinical, histological, and serological findings, she was later diagnosed with secondary syphilis and successfully treated with intramuscular penicillin. This case underscores the importance of accurate diagnosis and treatment of syphilis to prevent systemic complications. We advocate for increased awareness among frontline providers with a proactive approach to diagnosis and management, including thorough history and physical examination, low threshold for performing serological testing, biopsy for lesions that do not resolve as expected with management, and multidisciplinary involvement for complex presentations of syphilis.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241289591"},"PeriodicalIF":0.6,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11490946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473732","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}
Parag Pushpan, Sai Harsha Sreepada, Kiran K V Acharya, Jonathan Abraham
{"title":"Black tendon-identifying a rare autosomal recessive disorder: Intraoperative diagnosis of alkaptonuria: A case report.","authors":"Parag Pushpan, Sai Harsha Sreepada, Kiran K V Acharya, Jonathan Abraham","doi":"10.1177/2050313X241283597","DOIUrl":"10.1177/2050313X241283597","url":null,"abstract":"<p><p>Tendon injuries in the lower extremities are common in physically active individuals, although spontaneous Achilles tendon ruptures are linked to oral corticosteroid or fluoroquinolone use. Such ruptures are typically due to degenerative changes within the tendon and frequently occur during sudden dorsiflexion of a plantar-flexed foot. Bilateral spontaneous ruptures are especially prevalent in patients undergoing long-term corticosteroid therapy. Here, we present a rare case of bilateral spontaneous calcaneal avulsion in an otherwise healthy woman, ultimately diagnosed with alkaptonuria. This case underscores the importance of considering metabolic disorders in atraumatic tendon ruptures and highlights the diagnostic value of intraoperative findings.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241283597"},"PeriodicalIF":0.6,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11503845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142507025","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}
{"title":"Plaque-like cutaneous mucinosis associated with pain: A case report.","authors":"Kakha Bregvadze, Lally Mekokishvili","doi":"10.1177/2050313X241290121","DOIUrl":"https://doi.org/10.1177/2050313X241290121","url":null,"abstract":"<p><p>Plaque-like cutaneous mucinosis (PCM) is a rare atypical subtype of Lichen myxedematosus, characterized by hyperpigmented plaques typically found on the midline trunk. We report the case of a 26-year-old woman with a 1-year history of painful, pruritic, hyperpigmented plaques over her spine. Physical examination revealed soft plaques in the midline of the back, and histopathology showed dermal mucin deposition, consistent with PCM. The presented case is notable as the first reported instance of PCM presenting with lesional pain. We propose that mechanical stress, likely due to repeated friction at the site of spinous processes, contributed to the development of pain. The fact that pain lessened after the use of a lumbar support pillow and gaining weight supports our hypothesis. Our case demonstrates the importance of considering PCM in the differential diagnosis of hyperpigmented plaques and highlights the need for further research to elucidate its underlying pathogenesis and optimize treatment strategies.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241290121"},"PeriodicalIF":0.6,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11470494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473734","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}
{"title":"A young woman with unexpected panhypopituitarism: Case Report.","authors":"Kathryn Humes","doi":"10.1177/2050313X241290122","DOIUrl":"https://doi.org/10.1177/2050313X241290122","url":null,"abstract":"<p><p>Nausea and vomiting are common symptoms most frequently caused by gastrointestinal etiologies. Alternatively, panhypopituitarism is a rare condition in which two or more pituitary hormones are deficient. In this case, we describe a 25-year-old type II diabetic woman with severe and persistent nausea and vomiting. She had lost 9 kg of weight since her symptoms began 5 weeks prior. Vital signs were normal, and laboratory studies showed metabolic acidosis thought to be due to fasting ketosis. She underwent an extensive gastrointestinal workup and treatment plan without successful control or abatement of symptoms. Upon further questioning, she was found to have been experiencing secondary amenorrhea and body hair changes. Testing revealed panhypopituitarism with severe adrenocorticotropic hormone and cortisol deficiency. She was started on immediate treatment, and her symptoms resolved in less than 24 h. Imaging showed suspected Rathke's cyst, which has since been removed. Based on similar cases and neuroanatomy, we suspect that her symptoms were due to her severe cortisol deficiency, such that a lack of sympathetic tone leads to increased vagal tone and increased neuronal signals from the brain's emetic center. This conclusion is further supported by the rapidity of resolution of her nausea and vomiting. This case highlights this rare and severe case of panhypopituitarism and also comments on the importance of a thorough history and physical exam, which ultimately lead to the uncovering of an unexpected diagnosis.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241290122"},"PeriodicalIF":0.6,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11483849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473725","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}
Joshua Lewis, Bethel D Desta, Oyetokunbo Ibidapo-Obe, Ernst J Nicanord
{"title":"Challenges in diagnosing spongiotic dermatitis: A complex case report.","authors":"Joshua Lewis, Bethel D Desta, Oyetokunbo Ibidapo-Obe, Ernst J Nicanord","doi":"10.1177/2050313X241289555","DOIUrl":"https://doi.org/10.1177/2050313X241289555","url":null,"abstract":"<p><p>This case study presents a challenging case of spongiotic dermatitis manifesting in the vaginal region. Spongiotic dermatitis, characterized by fluid buildup causing skin swelling, poses diagnostic difficulties due to its resemblance to other skin conditions. A 64-year-old female initially misdiagnosed with various genital infections underwent multiple treatments without relief. With Sexually Transmitted Diseases (STD) tests being negative, a biopsy later revealed spongiotic dermatitis. Histological examination confirmed characteristic features of spongiotic dermatitis, guiding definitive diagnosis. Following confirmation of spongiotic dermatitis through biopsy, the patient received appropriate treatment, leading to the resolution of symptoms. This case underscores the importance of biopsy in diagnosing spongiotic dermatitis amidst variable clinical presentations, highlighting the need for further research to understand spongiotic dermatitis prognosis and clinical manifestations.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241289555"},"PeriodicalIF":0.6,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11471011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473728","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}
{"title":"Case report of a delayed diagnosis of radiation induced ulcer in a patient following angioplasty.","authors":"Gabrielle Harvey, Andréanne Waddell, Marc-Antoine Despatis","doi":"10.1177/2050313X241289593","DOIUrl":"https://doi.org/10.1177/2050313X241289593","url":null,"abstract":"<p><p>Diagnosis of fluoroscopy-induced radiodermatitis remains challenging for dermatologists. We present a case report where a patient had predictable risks of developing chronic radiodermatitis, yet the diagnostic was delayed for over a year and a half. In the current absence of appropriate follow-ups in some institutions, dermatologists should keep high suspicion for chronic fluoroscopy-induced radiodermatitis when encountering lesions characteristic of radiation dermatitis without a history of radiotherapy, prompting the necessity to inquire about antecedents of fluoroscopy-guided interventions.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241289593"},"PeriodicalIF":0.6,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11481164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473727","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}
Hossein Schandiz, Salah Nm Nasser, Bente Ekeberg, Mette K Pedersen, Truls M Leegaard, Torill Sauer
{"title":"Human cystic echinococcosis detected in mesentery: A case report.","authors":"Hossein Schandiz, Salah Nm Nasser, Bente Ekeberg, Mette K Pedersen, Truls M Leegaard, Torill Sauer","doi":"10.1177/2050313X241287645","DOIUrl":"10.1177/2050313X241287645","url":null,"abstract":"<p><p>Cystic echinococcosis, although rare in Europe, presents a diagnostic challenge when encountered, especially in atypical locations such as the mesentery. This case report is significant because it highlights the unique presentation of mesenteric hydatid cysts, emphasizing the importance of considering uncommon etiologies in differential diagnosis, particularly in immigrant populations. The novelty of this case lies in its rarity and the diagnostic dilemma it posed, ultimately leading to successful management through prompt recognition and accurate diagnosis. A 33-year-old pregnant female from East Africa presented with intermittent abdominal pain during pregnancy. Imaging revealed a cystic mass adjacent to the mesentery, initially misdiagnosed as an ovarian cyst. Postpartum, she developed acute abdominal symptoms, leading to a revised diagnosis of a ruptured hydatid cyst. Antiparasitic treatment and surgical intervention were initiated, resulting in successful management. This case underscores the necessity of prompt recognition and accurate diagnosis of rare conditions such as mesenteric hydatid cysts, particularly in immigrant populations. A multidisciplinary approach is crucial for optimal patient care in such cases.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241287645"},"PeriodicalIF":0.6,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558687","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}