Asian Australasian Neuro and Health Science Journal (AANHS-J)最新文献

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A Rare Case of Pleural Tuberculosis with Tuberculous Pyomyositis 胸膜结核合并结核性肌炎的罕见病例

Asian Australasian Neuro and Health Science Journal (AANHS-J) Pub Date : 2023-12-20 DOI: 10.32734/aanhsj.v5i03.13465

Perdana Putra Lubis

{"title":"A Rare Case of Pleural Tuberculosis with Tuberculous Pyomyositis","authors":"Perdana Putra Lubis","doi":"10.32734/aanhsj.v5i03.13465","DOIUrl":"https://doi.org/10.32734/aanhsj.v5i03.13465","url":null,"abstract":"Introduction: Tuberculosis (TB) gained recognition throughout the 19th century as it inflicted significant mortality rates upon a vast number of individuals across the globe. Pleural tuberculosis and tuberculous pyomyositis are infrequently documented extra-pulmonary manifestations, with limited coverage in the medical literature, and their underlying pathophysiological mechanisms remain unclear. There is a scarcity of published evidence about the management of pleural tuberculosis with tuberculous pyomyositis. Case report: We reported a case of a 51-year-old female patient who presented with progressive exacerbation of dyspnea, elevated body temperature, nocturnal diaphoresis, active cough, and pleuritic chest discomfort localized to the right side for twelve weeks duration. This patient also had multiple bulges in the left lumbal, left upper chest, and axillary regions. Several people living near the patient's home were diagnosed with tuberculosis. During the examination, the patient exhibited decreased breath sounds and a dull percussion note in the right lung field. The chest radiograph revealed a substantial pleural effusion in the right hemithorax. She was subsequently started on four daily anti-tuberculosis therapy and pleural fluid drainage. On the fifth month of follow-up, the patient showed improvement in symptoms and the bulging has reduced in size. Discussion: Pyomyositis is a suppurative infection of skeletal muscle that typically arises from the dissemination of pathogens through the bloodstream. The infection is commonly observed in tropical regions among persons who have significant underlying comorbidities or are immunocompromised. Conclusion: Pleural tuberculosis accompanied by tuberculous pyomyositis is an uncommon manifestation outside of the lungs, nevertheless, it is crucial to maintain vigilance regarding this condition. The timely identification of a disease is crucial for the implementation of appropriate treatment and subsequent resolution","PeriodicalId":502620,"journal":{"name":"Asian Australasian Neuro and Health Science Journal (AANHS-J)","volume":"59 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139169849","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}

引用次数: 0

Surgical Procedure for a Rare Case of Skull Bone Cysts 颅骨囊肿罕见病例的手术治疗方法

Asian Australasian Neuro and Health Science Journal (AANHS-J) Pub Date : 2023-12-20 DOI: 10.32734/aanhsj.v5i03.14331

Ahmad Rafiqi

{"title":"Surgical Procedure for a Rare Case of Skull Bone Cysts","authors":"Ahmad Rafiqi","doi":"10.32734/aanhsj.v5i03.14331","DOIUrl":"https://doi.org/10.32734/aanhsj.v5i03.14331","url":null,"abstract":"Introduction: Bone cysts are inclusive of but not limited to the unicameral bone cyst (UBC) and aneurysmal bone cyst (ABC). UBC have a predilection for males (3:1). UBC make up 3% of primary bone lesions. Most UBCs are found in long bones, most common sites are proximal humerus and femurs, rarely found in flat bones (Skull). Cases of UBC observed following trauma are thought to occur due to intraosseous bleeding when bone organization or repair mechanisms fail. Case Report: Twenty-one-year-old male complained of headache, a history of traumatic brain injury. Motoric examinations show diminished motor function on the left side. CT Scan shows an expansile sclerotic lytic lesion on the right parietal bone. We diagnosed this case with a suggested Bone Cyst on the right parietal, and craniotomy tumor removal with a direct approach was performed. Thickened dura mater was identified, cleansed using NaCL and povidone-iodine, and drilled using a high-speed drill until flattened. The yellowish-colored bony lesion was discovered to contain a semi-translucent substance, the lesion was found to be a unicameral bone cyst. Discussion: UBCs are generally asymptomatic, and usually appear as lesions with lucent characteristics and small zones of transition. As a benign bone tumor, treatments are not required unless the lesion is large and symptomatic, due to the patient's symptomatic condition, craniotomy tumor removal was performed. Conclusion:UBC is a rare condition, that’s scarcely located in the skull. Post-operatively, the patient shows normal motor function and no complaint of pain. Craniectomy tumor removal and flattening of the dura mater using a high-speed drill is sufficient in treating this rare disease.","PeriodicalId":502620,"journal":{"name":"Asian Australasian Neuro and Health Science Journal (AANHS-J)","volume":"475 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139170487","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}

引用次数: 0