S. Rice, Angela J. Cabrera, M. Daines, Christopher Spiekerman, Peter Klinger
{"title":"A Case Study of Acute Onset Obsessive-Compulsive Symptoms in a Pediatric Patient","authors":"S. Rice, Angela J. Cabrera, M. Daines, Christopher Spiekerman, Peter Klinger","doi":"10.33790/jmccr1100103","DOIUrl":"https://doi.org/10.33790/jmccr1100103","url":null,"abstract":"This is a case of a 10 year old boy who was seen in a clinic that specializes in childhood postinfectious encephalopathy (CPAE). The patient presented with new onset of obsessive-compulsive behaviors, severe separation anxiety and progressive eating restriction which led to dehydration and hospitalization. His mother reported that prior to onset of symptoms two months earlier, he was a happy, playful and engaging child who enjoyed friendships, family, school and karate. Differential diagnosis in such cases focuses on identifying the most likely primary underlying cause for the presenting symptoms. This is especially challenging because there are many potential etiologies including a variety of behavioral and environmental causes. Based on patient examination, laboratory findings and psychometric tests, diagnoses considered by the clinical team included new onset or exacerbation of previously not identified obsessive compulsive disorder (OCD) or anxiety, new onset of tic disorder, new onset of eating disorder, Pediatric Autoimmune Neuropsychiatric Disorders Associated with Group A Streptococcal infection (PANDAS) and Pediatric Acute-onset Neuropsychiatric Syndrome (PANS). The presentation of OCD with an avoidant restrictive food intake disorder in combination with the acute onset of symptoms and the lack of documented strep infection led the team to a PANS diagnosis. When treated with a combination of anti-inflammatory and antibiotic medications, the patient demonstrated rapid improvement with a return to baseline functioning with resolution of OCD symptoms, separation anxiety, emotional lability, sleep disturbances and nocturnal enuresis. At 8 month follow up, school performance was reported to have returned to baseline.","PeriodicalId":433298,"journal":{"name":"Journal of Multidisciplinary Clinical Case Reports","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127588206","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":"Small Airway Disease / Bronchiolitis: Case Presentation and Review of Literature","authors":"W. Elatre","doi":"10.33790/jmccr1100101","DOIUrl":"https://doi.org/10.33790/jmccr1100101","url":null,"abstract":"Small airways constitute the quiet zone between the conducting and the respiratory lung zones [1]. Still, Small Airway Disease (SAD) can be a presenting manifestation in multiple diseases includes connective tissue disorders such as rheumatoid arthritis, exposure to tobacco smoke, air borne pollutants, mineral dusts, and viral respiratory infections. It may develop following bone marrow transplantation and in recipients of heart-lung or lung transplantation [2].","PeriodicalId":433298,"journal":{"name":"Journal of Multidisciplinary Clinical Case Reports","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121413546","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":"Brief Report: False Positive Erlichia Serology in a Patient with SLE (Systemic Lupus Erythematosus).","authors":"D. Bergamo, A. Campos","doi":"10.33790/jmccr1100102","DOIUrl":"https://doi.org/10.33790/jmccr1100102","url":null,"abstract":"Systemic Lupus Erythematosus (SLE) and Ehrlichiosis may present with similar history and physical findings; therefore, tick borne disease must be considered in endemic areas. Symptoms include: myalgia, nausea, anorexia, fever and a maculopapular to petechial rash. Laboratory findings include leukopenia, hyponatremia, elevated liver enzymes, anemia and thrombocytopenia. Nephritic syndrome has been described in patients with Ehrlichiosis.","PeriodicalId":433298,"journal":{"name":"Journal of Multidisciplinary Clinical Case Reports","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116504819","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}
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