Osama Hroub, Kareem Ibraheem, Abdalrahman N Herbawi, Mohammad Hroub, Mohammad I Smerat, Ahmad Batran
{"title":"A rare case of Behçet's disease complicated by Budd-Chiari syndrome and perforated duodenal ulcers in a young male.","authors":"Osama Hroub, Kareem Ibraheem, Abdalrahman N Herbawi, Mohammad Hroub, Mohammad I Smerat, Ahmad Batran","doi":"10.1093/omcr/omae135","DOIUrl":"10.1093/omcr/omae135","url":null,"abstract":"<p><p>Behçet's disease (BD) is characterized by skin lesions, uveitis, and recurrent oral and genital ulcers. Vascular problems, predominantly affecting veins, lead to thrombosis, increasing the risk of ruptured artery aneurysms and Budd-Chiari syndrome (BCS). Morbidity and mortality are significantly heightened by rare occurrences such as pulmonary artery aneurysms, cardiac involvement, and BCS. Prompt diagnosis and treatment are pivotal for prognosis improvement, particularly in males with early onset. We present a case of a 16-year-old male with BD history, who developed abdominal distension, pedal edema, and shortness of breath. Clinical examination and laboratory findings revealed thrombosis in the right popliteal vein and BCS. Despite the initiation of lifelong anticoagulation therapy, the patient later suffered a gastrointestinal bleed from perforated duodenal ulcers, necessitating emergency intervention. Given a high Model for End-Stage Liver Disease (MELD) score and associated mortality risk, the patient was promptly referred for liver transplantation.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 11","pages":"omae135"},"PeriodicalIF":0.5,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688929","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":"Rubella myopericarditis and cardiac tamponade: a case report.","authors":"Yohei Ishibashi, Yoshito Nojiri, Yosuke Takahashi, Shinya Takahashi, Nobuaki Fukuda, Shitoshi Hiroi","doi":"10.1093/omcr/omae130","DOIUrl":"10.1093/omcr/omae130","url":null,"abstract":"<p><p>A 20-year-old male patient with ulcerative proctitis presented with a fever and chest pain. He was diagnosed with rubella-associated myopericarditis due to pericardial rub, elevated troponin I, ST elevation, and positive rubella-immunoglobulin M. The patient subsequently developed cardiac tamponade but responded well to pericardial drainage and antiinflammatory therapy. Notably, he lacked the classic rubella rash and lymphadenopathy. This case highlights the rare but potential complication of rubella-induced myopericarditis with tamponade, and the importance of considering this diagnosis in the absence of typical rubella symptoms.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 11","pages":"omae130"},"PeriodicalIF":0.5,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689117","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":"Cor triatriatum sinister in an elderly woman patient with successful conservative treatment.","authors":"Kana Inami, Ryuta Sugihara, Masahiro Kumada, Takaharu Hayashi, Hidetada Fukuoka, Naoki Fukushima, Tsutomu Nakagawa, Yasushi Sakata","doi":"10.1093/omcr/omae122","DOIUrl":"10.1093/omcr/omae122","url":null,"abstract":"<p><p>Cor triatriatum sinister (CTS) is a relatively rare congenital condition characterized by an abnormal septum dividing the left atrium, morphologically presenting as three atria. Although most individuals with heart failure related to CTS undergo surgical treatment in childhood, those with larger fenestrations may remain asymptomatic until they reach an age where surgery is less viable, presenting treatment challenges. In our case study, we report on an elderly woman who declined all invasive treatments and developed heart failure due to severe functional mitral valve regurgitation triggered by atrial fibrillation. She opted for conservative treatment after a comprehensive evaluation of her condition using transesophageal echocardiography, cardiac magnetic resonance imaging, and right-heart catheterization. This multimodal evaluation highlights the importance of accurate diagnostic approaches and tailored treatments for elderly patients with CTS.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae122"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510116","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}
Thien Binh Nu Truong, Anh Trong Nguyen, Luong Dai Ly
{"title":"Full-term pregnancy despite severe hypophosphatemia caused by tumor-induced osteomalacia.","authors":"Thien Binh Nu Truong, Anh Trong Nguyen, Luong Dai Ly","doi":"10.1093/omcr/omae125","DOIUrl":"10.1093/omcr/omae125","url":null,"abstract":"<p><p>A woman in her 30s with a history of multiple bone fractures unexpectedly became pregnant and delivered a full-term baby through cesarean section, despite suffering from excruciating pain without any apparent cause or specific treatment. The patient was referred to our endocrine clinic following childbirth. Blood tests revealed a life-threatening low level of serum phosphate, normal 25-hydroxy vitamin D concentration, low TmP/GFR ratio, and elevated FGF23 levels. A PET/CT scan with Gallium-68 Dotatate identified an abnormal tumor in the right calcaneus. Her FGF23 level returned to normal soon after surgical removal of the tumor, which was confirmed to be chondroblastoma. Her child's cognitive and motor skills typically developed from the newborn to preschool age. He exhibited excellent long-term growth, without any signs of rickets.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae125"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510117","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":"Ischemic stroke in a 4-year child resulting from scorpion envenomation: a case report from Nepal.","authors":"Bhatta Sunil, Awasthi Pusp Raj, Pandit Sukriti","doi":"10.1093/omcr/omae121","DOIUrl":"10.1093/omcr/omae121","url":null,"abstract":"<p><p>In the warmer lowlands, scorpion stings frequently result in emergencies and are a serious public health issue. Early in the spree, scorpion envenomation is particularly deadly because of respiratory and/or cardiovascular collapse. We report a 4-year-old boy with left middle cerebral arterial territory ischemic infarct within 24 h following scorpionism. He was managed conservatively with prazosin, aspirin, enoxaparin, levetriacetam and other supportive measures.</p><p><p></p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae121"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510118","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}
Abdulwahid M Salih, Ronak S Ahmed, Hardi M Zahir, Yadgar A Saeed, Halkawt O Ali, Aso S Muhialdeen, Saeed H Ali, Kayhan A Najar, Fakher Abdullah, Fahmi H Kakamad
{"title":"Axillary pilonidal sinus: an unusual presentation: a case report with literature review.","authors":"Abdulwahid M Salih, Ronak S Ahmed, Hardi M Zahir, Yadgar A Saeed, Halkawt O Ali, Aso S Muhialdeen, Saeed H Ali, Kayhan A Najar, Fakher Abdullah, Fahmi H Kakamad","doi":"10.1093/omcr/omae123","DOIUrl":"10.1093/omcr/omae123","url":null,"abstract":"<p><p>Despite its rarity, pilonidal sinus (PNS) in atypical locations poses significant diagnostic challenges, underscoring the need for early identification and appropriate treatment strategies. This case highlights a rare occurrence of a PNS in the axilla, emphasizing the importance of recognizing uncommon presentations of common ailments. A 27-year-old male presented with a 13-year history of painless axillary discharge, diagnosed with PNS based on clinical evaluation. Surgical excision under local anesthesia successfully treated the condition, showcasing the effectiveness of tailored management in addressing rare presentations of PNS. Surgical therapy for axillary pilonidal sinus enables complete resection and provides precise histopathological diagnoses, making it a suitable treatment option, particularly for cases involving atypical locations.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae123"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510114","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}
Weizhe Han, Nihati Rexiati, Yongzhi Wang, Tao Liu, Yongwen Luo, Zhonghua Yang
{"title":"Cases of consecutive ductal adenocarcinoma of the prostate carrying HRR mutation: case series and literature review.","authors":"Weizhe Han, Nihati Rexiati, Yongzhi Wang, Tao Liu, Yongwen Luo, Zhonghua Yang","doi":"10.1093/omcr/omae124","DOIUrl":"10.1093/omcr/omae124","url":null,"abstract":"","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae124"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510115","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}
Jafar Hamdy, Majd Alnajjar, Hikmat Yacoub, Rana Issa
{"title":"The 41st documented case of the oral angiokeratoma globally, review of literature and case report.","authors":"Jafar Hamdy, Majd Alnajjar, Hikmat Yacoub, Rana Issa","doi":"10.1093/omcr/omae126","DOIUrl":"10.1093/omcr/omae126","url":null,"abstract":"<p><p>Oral angiokeratoma (OAK) is an uncommon vascular anomaly with various clinical manifestations. Typically associated with generalized angiokeratoma. It rarely manifests as a solitary lesion without any underlying systemic conditions. Globally, only around 40 oral cases have been documented to date. Here, we present the 41st solitary oral angiokeratoma in the tongue in a 30-year-old female patient, this case was effectively managed without any surgical intervention.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae126"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510120","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}
Taha Yassine Aaboudech, Kaoutar Znati, Ahmed Jahid, Samia Sassi, Salima Driouich, Fouad Zouaidia, Zakia Bernoussi
{"title":"Unveiling primary Hyperoxaluria type 1: a fortuitous discovery through bone marrow biopsy.","authors":"Taha Yassine Aaboudech, Kaoutar Znati, Ahmed Jahid, Samia Sassi, Salima Driouich, Fouad Zouaidia, Zakia Bernoussi","doi":"10.1093/omcr/omae128","DOIUrl":"10.1093/omcr/omae128","url":null,"abstract":"<p><p>This paper details a rare case of primary hyperoxaluria type 1 (PH1) identified through a bone marrow biopsy in a 46-year-old female patient with a history of nephrolithiasis and chronic renal failure. Genetic analysis identified the p.Ile244Thr mutation in the AGXT gene, confirming the diagnosis of PH1. The paper aims to highlight this case, focusing on the genetic basis of the disorder, including the identified mutation. It underscores the importance of early diagnosis of infantile and childhood nephrolithiasis, particularly in cases with familial history, to prevent renal loss and systemic oxalosis.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 10","pages":"omae128"},"PeriodicalIF":0.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510121","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}