Fatima Abeer, Madan Ethunandan, Sara Waise, Kordo Saeed
{"title":"Lingual necrosis secondary to group a streptococcal necrotising infection.","authors":"Fatima Abeer, Madan Ethunandan, Sara Waise, Kordo Saeed","doi":"10.1093/omcr/omaf022","DOIUrl":"https://doi.org/10.1093/omcr/omaf022","url":null,"abstract":"<p><p>Tongue necrosis is a rare manifestation of Group A Streptococcal (GAS) infection. Only certain strains of GAS have been found to cause invasive disease in the form of necrotising skin and soft tissue infections. We present the case of an older woman who developed a sore throat and localised ulcer on the tongue, that rapidly progressed to lingual necrosis and spreading erythema in the neck and chest. Owing to rapid detection, she received timely surgical treatment and intravenous antibiotic therapy, making a full recovery. This report describes the unique presentation of lingual necrosis in GAS infection. It highlights the diagnostic challenges and emphasises the importance of early recognition of symptoms.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 4","pages":"omaf022"},"PeriodicalIF":0.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024138","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}
Carlos Diaz, Marcos Orellana, Javier Alarcon, Jose Maaz
{"title":"Tangled culprit: a rare case of bezoar-induced small bowel obstruction with pulmonary Edema in a rural Guatemalan woman.","authors":"Carlos Diaz, Marcos Orellana, Javier Alarcon, Jose Maaz","doi":"10.1093/omcr/omaf021","DOIUrl":"https://doi.org/10.1093/omcr/omaf021","url":null,"abstract":"<p><p>We present the unusual case of a 52-year-old woman from a low-resource community in Guatemala who developed small bowel obstruction, followed by acute pulmonary edema. The patient had no prior history of abdominal surgeries or significant comorbidities, making this presentation unexpected. The obstruction was caused by a bezoar and complicated by fluid overload during resuscitation. Radiologic findings revealed dilated bowel loops, suggesting bowel obstruction, and Kerley B lines, indicating concurrent pulmonary edema. This report underscores the challenges of managing complex emergencies in resource-limited settings, highlighting the importance of timely surgical intervention and careful fluid management.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 4","pages":"omaf021"},"PeriodicalIF":0.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045251","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}
Renad AlKanaan, Abdulaziz Almufadhi, Rema S Alkahtani, Muneerah A Alzouman, Yasser Alqubaisy, Fahad Alharthi
{"title":"Leukocytoclastic Vasculitis in IL-12RB1 deficiency: a rare manifestation of Mendelian susceptibility to mycobacterial disease.","authors":"Renad AlKanaan, Abdulaziz Almufadhi, Rema S Alkahtani, Muneerah A Alzouman, Yasser Alqubaisy, Fahad Alharthi","doi":"10.1093/omcr/omaf069","DOIUrl":"https://doi.org/10.1093/omcr/omaf069","url":null,"abstract":"<p><p>Mendelian susceptibility to mycobacterial disease (MSMD) is a rare genetic condition caused by mutations in the interleukin-12/interferon-gamma pathway, leading to vulnerability to infection by weakly virulent mycobacteria. IL-12Rβ1 deficiency, the most common cause of MSMD, has rarely been associated with cutaneous leukocytoclastic vasculitis (LCV). We report the case of a 9-year-old girl with IL-12Rβ1 deficiency who presented with recurrent maculopapular skin lesions confirmed as LCV on biopsy. The patient's clinical course included disseminated BCGitis, a history of kidney anomalies, and periodic erythematous rashes exacerbated by physical pressure. Laboratory findings revealed elevated inflammatory markers and immune dysregulation, and a skin biopsy confirmed leukocytoclastic vasculitis. Treatment with topical corticosteroids and antihistamines resulted in clinical improvement. This case highlights the importance of recognizing LCV as a potential manifestation of IL-12Rβ1 deficiency and underscores the need for a multidisciplinary approach in managing these patients.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 4","pages":"omaf069"},"PeriodicalIF":0.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024049","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":"Superior vena cava syndrome associated with sarcoidosis: a very rare case of veinous parietal involvement.","authors":"Khaoula Boumeriem, Kaoutar Imrani, Iliass Bourekba, Nabil Moatassim Bilah, Itimad Nassar","doi":"10.1093/omcr/omaf016","DOIUrl":"https://doi.org/10.1093/omcr/omaf016","url":null,"abstract":"<p><p>Sarcoidosis, a systemic disorder characterized by non-caseating granulomas, poses diagnostic challenges due to its diverse manifestations. We present a rare case of superior vena cava syndrome (SVCS) secondary to most likely granulomatous involvement in a patient with mediastinal sarcoidosis. While SVCS typically arises from extrinsic compression or thrombosis, our case highlights the importance of considering inflammatory thickening of the SVC wall as a potential cause, requiring appropriate treatment.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 4","pages":"omaf016"},"PeriodicalIF":0.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024139","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}
Claudio Pusceddu, Isabel Morera Fuster, Jesús Ares-Vidal, Jesús Lafuente Baraza, David Rodríguez Rubio, José María Maiques Llácer, Eliodoro Faiella, Claudio Cau, Pierluigi Rinaldi, Albert Solano López, Salvatore Marsico
{"title":"Combined use of SpineJack and microwave ablation with CT and C-arm in the treatment of vertebral fractures in oncologic patients: a case- based technical note.","authors":"Claudio Pusceddu, Isabel Morera Fuster, Jesús Ares-Vidal, Jesús Lafuente Baraza, David Rodríguez Rubio, José María Maiques Llácer, Eliodoro Faiella, Claudio Cau, Pierluigi Rinaldi, Albert Solano López, Salvatore Marsico","doi":"10.1093/omcr/omaf019","DOIUrl":"https://doi.org/10.1093/omcr/omaf019","url":null,"abstract":"<p><p>This technical report highlights the combined treatment of bone metastasis using CT imaging and C-arm fluoroscopy to guide microwave thermal ablation and the SpineJack system. The integration of these imaging techniques was crucial for achieving local tumor control and restoring vertebral stability in cases of pathological fractures associated with metastatic disease. CT imaging ensured accurate tumor volume measurement and ablation, safe needle placement, and secure positioning of protective devices, while C-arm fluoroscopy provided real-time guidance for the correct positioning of the SpineJack implants, monitoring their expansion, and ensuring controlled cement application. Although the combination of these techniques has been increasingly utilized, this is the first detailed report to focus on their combined use in treating pathological fractures within a metastatic setting.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 4","pages":"omaf019"},"PeriodicalIF":0.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053374","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}
Wahab Moustafa, Jörg Silbermann, Salah Maksoud, Amr Badary
{"title":"Exploring Gorham-Strout syndrome in a young adult: an illustrative case report and literature review.","authors":"Wahab Moustafa, Jörg Silbermann, Salah Maksoud, Amr Badary","doi":"10.1093/omcr/omaf018","DOIUrl":"https://doi.org/10.1093/omcr/omaf018","url":null,"abstract":"<p><p>Gorham-Stout Syndrome (GSS) is an exceedingly rare condition characterized by bone loss and lymphatic vessel proliferation and presents diagnostic and therapeutic challenges. We present the case of a 29-year-old female with GSS manifesting as persistent headache and swelling in the left parietal bone. Initial misdiagnosis underscores the diagnostic complexity of GSS. Radiological imaging revealed characteristic features aiding in diagnosis, which were confirmed by histopathological examination showing bone tissue alterations consistent with GSS. Surgical resection and cranioplasty were successful, although post-operative complications, including late subacute hematoma and neurological symptoms, required careful management. This case underscores the importance of a multidisciplinary approach for diagnosing and managing GSS, emphasizing the importance of radiological and histopathological examinations, surgical intervention, and post- operative monitoring.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 4","pages":"omaf018"},"PeriodicalIF":0.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045205","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}
Omar Altermanini, Anas A Ashour, Waleed K Abdullatef, Abdulrahman Arabi, Mhd Baraa Habib
{"title":"Kounis syndrome: acute myocardial injury triggered by ant bite-induced anaphylaxis.","authors":"Omar Altermanini, Anas A Ashour, Waleed K Abdullatef, Abdulrahman Arabi, Mhd Baraa Habib","doi":"10.1093/omcr/omaf020","DOIUrl":"https://doi.org/10.1093/omcr/omaf020","url":null,"abstract":"<p><p>Anaphylaxis triggered by insect bites is well-documented, but its association with acute myocardial injury (AMI) is rare. We report a case of Kounis syndrome, where an ant bite induced anaphylaxis and myocardial injury. A 47-year-old diabetic male presented with anaphylaxis following an ant bite, exhibiting hypotension, respiratory distress, and wheezing. Electrocardiography revealed transient widespread ST depression and ST elevation in lead aVR, a pattern reflecting global ischemia, which is uncommon in Kounis syndrome. Treatment with intramuscular adrenaline stabilized his condition. Peak troponin T levels were 1306 ng/l. Coronary angiography and cardiac MRI were unremarkable, ruling out significant coronary artery disease. The patient was diagnosed with Kounis syndrome and discharged with an EpiPen and instructions for anaphylaxis management. This case highlights the potential for ant bites to trigger anaphylaxis-associated myocardial injury, emphasizing the importance of prompt diagnosis and management of Kounis syndrome in similar scenarios.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 4","pages":"omaf020"},"PeriodicalIF":0.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045246","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":"Renal pelvis rupture presenting as an acute abdomen in patient with Alzheimer's dementia: a case report and literature review.","authors":"Maja Sofronievska Glavinov, Tanja Petrovska, Jasminka Chabukovbska Radulovska, Ognen Tochko, Senol Tahir","doi":"10.1093/omcr/omaf017","DOIUrl":"https://doi.org/10.1093/omcr/omaf017","url":null,"abstract":"<p><p>Renal pelvis rupture (RPR) with clinical presentation of acute abdomen is an unusual clinical event and in a patient with Alzheimer's dementia is unique in its clinical presentation and differentiating the diagnosis. We report a case of a 75-year-old male Alzheimer's patient who complained of sudden right-sided flank and abdominal pain followed by nausea, and vomiting, without a history or signs of external trauma. Abdominal ultrasound showed fluid collection close to the right renal pelvis with first-grade hydronephrosis. Computed tomography revealed right colon overdistension and, a 2 mm proximal right ureteral stone, and contrast urography showed a dilated right renal pelvis with extravasation. After the endoscopic treatment with double-J stent, no contrast extravasation was seen on the control CTU, and the stent was removed after four weeks. Patients with Alzheimer's dementia presenting with acute abdomen and flank pain should be evaluated for renal pelvis rupture with prompt diagnosis and management.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 4","pages":"omaf017"},"PeriodicalIF":0.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020689","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":"Bilateral pneumothorax following acupuncture.","authors":"Masahiro Kashiura, Hideto Yasuda, Takashi Moriya","doi":"10.1093/omcr/omaf015","DOIUrl":"https://doi.org/10.1093/omcr/omaf015","url":null,"abstract":"<p><p>A 57-year-old female presented to our emergency department with dyspnoea and cough two hours after receiving acupuncture on both sides of her back for dizziness. Acupuncture was applied to 16 sites from the posterior neck to the back. The needles were 0.16 mm in diameter and 3 cm in length. On arrival, the patient was alert and oriented, with a respiratory rate of 28 breaths/min, heart rate of 90 bpm, blood pressure of 148/89 mmHg, and 92% peripheral oxygen saturation upon 5 L/min oxygen administration via a face mask in room air. Decreased breath sounds were noted bilaterally. Skin findings on the chest and back were normal. Computed tomography before drainage revealed bilateral pneumothorax with slight subcutaneous emphysema around the fifth and sixth ribs in the left chest (Fig. 1). Bilateral chest drains were inserted, which resulted in rapid improvement in respiratory status and good lung re-expansion. The drains were removed four days later, and the patient was discharged.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 4","pages":"omaf015"},"PeriodicalIF":0.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019718","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}
Salim Haddad, Elie Salloum, Abdullah Silan, Gazel Kalecioğlu, Maria Abdulnour, Sultaneh Haddad, Diana Alasmar, Mahmoud Alayash, Ahmed Noman Ghaleb
{"title":"Mitochondrial complex I deficiency in a 4-year-old boy due to compound heterozygous NDUFV1 mutation: a case report of a new pathogenic variant.","authors":"Salim Haddad, Elie Salloum, Abdullah Silan, Gazel Kalecioğlu, Maria Abdulnour, Sultaneh Haddad, Diana Alasmar, Mahmoud Alayash, Ahmed Noman Ghaleb","doi":"10.1093/omcr/omae166","DOIUrl":"https://doi.org/10.1093/omcr/omae166","url":null,"abstract":"<p><p>Mutations in the NDUFV1 gene are associated with mitochondrial complex I deficiency and have been linked to various clinical conditions such as Leigh syndrome, severe infantile lactic acidosis, newborn cardiomyopathy, progressive leukoencephalopathy, and other encephalomyopathies. Genetic alterations revealed mitochondrial complex 1 deficiency, nuclear type 4 |AR: two compound heterozygous missense mutations in the NDUFV1 gene, c.640G < A (p.E214K) chr11:67377981 (Exon 1) and c.248C < T (p.S83L) chr11:67376115 (Exon 3) gene. Our case identifies a previously unknown pathogenic effect of the variant 'c.248C > T' in the NDUFV1 gene, observed in a 4-year-old boy with left-sided facial paralysis and balance impairment. While this discovery is significant, further exploration of NDUFV1 gene variants is essential for a comprehensive understanding and effective treatment strategies.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 4","pages":"omae166"},"PeriodicalIF":0.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11979451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053011","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}