Ouiam Taibi, Rania Bouanane, Salma Elaouadi, Ola Messaoud, O El Aoufir, L Jroundi, Zaynab Iraqi Houssaini
{"title":"A rare etiology of right lower back pain in a young man: contained rupture of the common iliac artery aneurysm.","authors":"Ouiam Taibi, Rania Bouanane, Salma Elaouadi, Ola Messaoud, O El Aoufir, L Jroundi, Zaynab Iraqi Houssaini","doi":"10.1093/omcr/omaf146","DOIUrl":"10.1093/omcr/omaf146","url":null,"abstract":"<p><p>Relatively rare aneurysms of the common iliac artery are abnormal dilatations of the vessel, which can be complicated by a rupture that, in rarer cases, may be contained by surrounding structures. Imaging, particularly CT angiography, plays a key role in diagnosis. We report a case of a contained rupture of the common iliac artery aneurysms responsible for hydronephrosis, obstruction of the common iliac vein, and lysis of the adjacent vertebra.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf146"},"PeriodicalIF":0.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973443","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}
Tahir Shahzad, Zain A Bhutta, Muhammad Abd Ur Rehman
{"title":"Severe cardiopulmonary complications of ketamine: Acute pulmonary Edema in a cardiac patient.","authors":"Tahir Shahzad, Zain A Bhutta, Muhammad Abd Ur Rehman","doi":"10.1093/omcr/omaf063","DOIUrl":"10.1093/omcr/omaf063","url":null,"abstract":"<p><p>Ketamine use in the emergency department is more widespread than ever due to its favorable safety profile and combined analgesic and anesthetic properties. Its ability to stimulate the cardiovascular system via the sympathetic nervous system is particularly important, as patients can develop hemodynamic instability. However, concerns remain regarding the risk of decompensated cardiac function due to extreme tachycardia and severely elevated systemic blood pressure. In this case, a middle-aged male with a known history of coronary artery disease and congestive heart failure deteriorated significantly after ketamine was administered for sedation to facilitate a computed tomography pulmonary angiogram. He developed acute pulmonary edema and cardiogenic shock, requiring mechanical ventilation and inotropic support. Therefore, it is advisable to use ketamine with caution in patients with underlying heart failure. Further research is needed to establish a causal relationship between ketamine and cardiac decompensation leading to cardiogenic shock and pulmonary edema in selected patients.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf063"},"PeriodicalIF":0.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973480","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 case of chromoblastomycosis with osteolytic lesions of the foot.","authors":"Rova Malala Fandresena Randrianarisoa, Armel Mamihaja Andrianiaina, Mirantosoa Fabiola Ravelonjatovo, Hanta Marie Danielle Vololontiana","doi":"10.1093/omcr/omaf139","DOIUrl":"10.1093/omcr/omaf139","url":null,"abstract":"<p><p>We report a case of chromoblastomycosis presenting with osteolytic lesions in the foot of a 32-year-old man from Madagascar. Bone involvement occurred through contiguous spread several years after traumatic inoculation. The initial clinical course was favorable following antifungal treatment with itraconazole. Bone involvement in chromoblastomycosis is uncommon and may initially be misdiagnosed. The lesion's appearance, the history of traumatic inoculation, and the geographic origin must all be taken into account. Diagnosis is established through histopathological examination and fungal culture.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf139"},"PeriodicalIF":0.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973362","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":"Successful fluoroquinolone-based salvage therapy in the conservative management of refractory infective endocarditis caused by <i>Streptococcus anginosus</i> in an elderly patient: a case report.","authors":"Kana Inami, Ryuta Sugihara, Masahiro Kumada, Takaharu Hayashi, Yuji Nishimoto, Tsutomu Nakagawa, Yasushi Sakata","doi":"10.1093/omcr/omaf127","DOIUrl":"10.1093/omcr/omaf127","url":null,"abstract":"<p><p>Infective endocarditis (IE) is a life-threatening condition, often requiring surgical intervention; however, in cases where surgery is contraindicated, conservative management relies on appropriate antibiotic therapy. Moreover, modification of antibiotics can be critical, as certain agents may be superior in resolving infection and associated complications. We present the case of an 88-year-old woman with IE due to <i>Streptococcus anginosus</i>, successfully treated with oral antibiotics. Transthoracic echocardiography revealed vegetations on the mitral and aortic valves, along with moderate-to-severe valvular dysfunction. Despite 6-week treatment with intravenous ampicillin, her condition showed limited improvement. A strategic switch to levofloxacin led to remarkable clinical progress, with significantly reduced vegetation size and normalized inflammatory markers. The effectiveness of levofloxacin, due to its biofilm penetration and bactericidal activity, indicates the potential for customized antibiotic regimens to achieve positive outcomes. This case illustrates that even when standard treatment is unsuccessful, careful antibiotic adjustment can significantly impact the therapeutic course.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf127"},"PeriodicalIF":0.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849342","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}
Henry Gallimore, Sophie Paddock, Vassilios S Vassiliou
{"title":"When smoke gets to your heart - carbon monoxide-induced atrial fibrillation.","authors":"Henry Gallimore, Sophie Paddock, Vassilios S Vassiliou","doi":"10.1093/omcr/omaf132","DOIUrl":"10.1093/omcr/omaf132","url":null,"abstract":"","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf132"},"PeriodicalIF":0.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849343","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}
Rahul K Chattopadhyay, Paul Carter, Vassilios S Vassiliou
{"title":"Bending back to sinus rhythm-cardioverting with a yoga pose.","authors":"Rahul K Chattopadhyay, Paul Carter, Vassilios S Vassiliou","doi":"10.1093/omcr/omaf125","DOIUrl":"10.1093/omcr/omaf125","url":null,"abstract":"","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf125"},"PeriodicalIF":0.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849337","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}
Yuko Fujishima, Yuji Hataya, Kanta Fujimoto, Toshio Iwakura, Naoki Matsuoka
{"title":"Bilateral adrenal infarction in a patient with essential thrombocythemia: a case report and brief literature review.","authors":"Yuko Fujishima, Yuji Hataya, Kanta Fujimoto, Toshio Iwakura, Naoki Matsuoka","doi":"10.1093/omcr/omaf129","DOIUrl":"10.1093/omcr/omaf129","url":null,"abstract":"<p><p>Adrenal infarction (AI) is rare condition caused by inadequate blood supply to the adrenal glands, with few reports of its association with essential thrombocythemia (ET). Here, we report a case of bilateral AI as an initial thrombotic complication in a patient with ET. A 69-year-old man presented with right abdominal pain. Abdominal computed tomography (CT) showed diffuse enlargement and poor enhancement of bilateral adrenal glands. He was diagnosed with bilateral AI. Based on positive screening for thrombocytosis and the Janus kinase 2 V617F mutation, he was diagnosed with ET. After low-dose aspirin therapy, he showed no symptom recurrence. The cortisol response in the adrenocorticotropic hormone stimulation test decreased at onset but improved after three months. Furthermore, abdominal CT revealed improvement in bilateral adrenal enlargement and enhancement. In patients presenting with AI, ET should be considered as a potential underlying disease, and early diagnosis and treatment is important to prevent recurrence.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf129"},"PeriodicalIF":0.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849338","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}
Thanh Thuy Phan, Nguyen Ngoc Du, Minh Quan Pham, Thùy Trang Mai, Van Giap Vu, Thu Phuong Phan
{"title":"Pleural effusion due to dracunculus infection: a rare case in vietnam.","authors":"Thanh Thuy Phan, Nguyen Ngoc Du, Minh Quan Pham, Thùy Trang Mai, Van Giap Vu, Thu Phuong Phan","doi":"10.1093/omcr/omaf128","DOIUrl":"10.1093/omcr/omaf128","url":null,"abstract":"<p><p>Guinea worm, scientific name is Dracunculus medinensis, is a rare parasite that causes disease in humans. People are infected with worms by drinking water containing cyclops carrying the larvae of Dracunculus medinensis. The cyclops dies after consumption, and the released larvae grow into adult worms by entering the host's digestive system. The female worms, which often live in the epidermis and subcutaneous tissue of the legs, arms, or shoulders, develop a painful and itchy blister after 9-14 months of incubation. We provide a clinical case of a male patient who had pleural effusion from a Dracunculus medinensis infection. There isn't a particular therapy for this parasite at the moment. Treatment includes drugs to kill other co-infecting parasites and manual removal of Dracunculus medinensis from the nests.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf128"},"PeriodicalIF":0.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849341","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}
Daniel Lopez-Zertuche, Roberto Garcia-Manzano, Carlos A Zacaula-Aguilar, David A Peña-Di-Donato, Guillermo Espinoza Zarazúa, Erika M Hernandez-Montiel
{"title":"Ileal benign tumor (Vanek's tumor) a rare cause of bowel obstruction in elderly adult: a case report.","authors":"Daniel Lopez-Zertuche, Roberto Garcia-Manzano, Carlos A Zacaula-Aguilar, David A Peña-Di-Donato, Guillermo Espinoza Zarazúa, Erika M Hernandez-Montiel","doi":"10.1093/omcr/omaf043","DOIUrl":"10.1093/omcr/omaf043","url":null,"abstract":"<p><p>Inflammatory fibroid polyps (IFP) are rare benign lesions of the gastrointestinal tract that can lead to serious complications, such as intussusception, particularly in adults. We present a case of small bowel intussusception caused by IFP, emphasizing diagnostic and therapeutic challenges. The patient presented with acute abdominal pain and signs of intestinal obstruction, confirmed by computed tomography, with the tumor identified during transoperatory and histopathological examinations confirmed the diagnosis of IFP. This case highlights the importance of considering IFP as a differential diagnosis in adult bowel obstruction secondary to intussusception, and the need for timely surgical intervention to prevent complications. The literature contains some case reports of IFPs that explaining the management and diagnosis of this pathology. Our objective was to communicate our experience of IFP as the etiology of intestinal obstruction in an elderly adult.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf043"},"PeriodicalIF":0.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849340","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 case of Henoch-Schönlein purpura associated with tick exposure.","authors":"Rova Malala Fandresena Randrianarisoa, Fatma Zohra Nachet, Vasile Truta, Catherine Letrillard","doi":"10.1093/omcr/omaf123","DOIUrl":"10.1093/omcr/omaf123","url":null,"abstract":"<p><p>We report the case of a 68-year-old male who presented with necrotic purpura a few days following a tick bite. He was diagnosed with Henoch-Schönlein purpura. The clinical course was favorable after treatment with corticosteroids. This observation suggests that tick bites may act as a trigger for Henoch-Schönlein purpura. In cases of purpura occurring after a tick bite, it is crucial to perform biopsies in addition to testing for tick-borne diseases to ensure that vasculitis is not overlooked.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 8","pages":"omaf123"},"PeriodicalIF":0.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849334","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}