European Journal of Case Reports in Internal Medicine最新文献_第5页

Acute thrombocytosis in a patient treated with ertapenem 一名接受厄他培南治疗的患者出现急性血小板增多症

European Journal of Case Reports in Internal Medicine Pub Date : 2024-01-25 DOI: 10.12890/2024_004283

Edward K. Sarfo, Jennifer L. Dziemianko, Thomas Chen, Kosuke K. Iwaki

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Gastrointestinal complications of mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) syndrome managed by parenteral nutrition 肠外营养治疗线粒体脑肌病、乳酸酸中毒和中风样发作（MELAS）综合征的胃肠道并发症

European Journal of Case Reports in Internal Medicine Pub Date : 2024-01-22 DOI: 10.12890/2024_004268

Simona Horná, M. Péč, Juraj Krivuš, R. Michalová, Štefan Sivák, Peter Galajda, Marián Mokáň

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Diffuse B-cell lymphoma of the mandible disguised as acute osteomyelitis 伪装成急性骨髓炎的下颌骨弥漫性B细胞淋巴瘤

European Journal of Case Reports in Internal Medicine Pub Date : 2024-01-22 DOI: 10.12890/2024_004243

Devina Adalja, Ariana Tagliaferri, Abraam Rezkalla, Basil Taha

{"title":"Diffuse B-cell lymphoma of the mandible disguised as acute osteomyelitis","authors":"Devina Adalja, Ariana Tagliaferri, Abraam Rezkalla, Basil Taha","doi":"10.12890/2024_004243","DOIUrl":"https://doi.org/10.12890/2024_004243","url":null,"abstract":"Background: Primary bone lymphoma (PBL) is a rare form of extra nodal non-Hodgkin’s lymphoma (NHL). Case description: We describe a 39-year-old-male with no medical history who presented with unilateral facial swelling following a tooth extraction. Initial diagnoses after various presentations over the course of three weeks, based on inflammatory and infectious aetiologies. However, the patient was ultimately diagnosed with diffuse large B-cell lymphoma. Discussion: Symptoms of PBL are very similar to inflammatory and infectious diseases of the bone, such as osteomyelitis or osteonecrosis. Clinical features of PBL involving the head and neck include persistent jaw pain, tooth mobility secondary to extensive destruction of bone, and in advanced cases, lip numbness and swelling. On examination it may present as an exposed necrotic bone with surrounding soft tissue oedema. Misdiagnosis of these lesions as an infectious or inflammatory aetiology may lead to an unnecessary delay in lymphoma treatment, and subsequently worsen the prognosis if caught at a later stage. Therefore, any concerning lesion, especially in the oral cavity, must be subjected to early histopathological evaluation to differentiate PBL from osteomyelitis and/or osteonecrosis. Conclusion: This case report highlights the importance of an early histopathological evaluation to prevent delay in the diagnosis of primary bone lymphomas.","PeriodicalId":502981,"journal":{"name":"European Journal of Case Reports in Internal Medicine","volume":"45 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139608578","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

Obstructive jaundice secondary to hepatic hilar tuberculosis without pulmonary involvement: Biliary Tuberculosis 继发于肝门部结核而无肺部受累的阻塞性黄疸：胆道结核

European Journal of Case Reports in Internal Medicine Pub Date : 2024-01-19 DOI: 10.12890/2024_004277

Mohammad N Kloub, Khaled Elfert, Ahmed Elnajjar, Ahmad Alnasarat, Ghaith Alhadidi, Atheer Anwar, Raed Atiyat

引用次数: 0

Before quadriparesis with dysphagia can be attributed to COVID-19, all differential causes must be excluded 在将伴有吞咽困难的四肢瘫痪归咎于 COVID-19 之前，必须先排除所有可能的病因

European Journal of Case Reports in Internal Medicine Pub Date : 2024-01-17 DOI: 10.12890/2024_004279

J. Finsterer, S. Mehri

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A rare case of P63-negative sinonasal NUT midline carcinoma in the elderly: Nut Midline Carcinoma 一例罕见的 P63 阴性老年人鼻窦 NUT 中线癌：坚果中线癌

European Journal of Case Reports in Internal Medicine Pub Date : 2024-01-17 DOI: 10.12890/2024_004265

Anum Qayum, Malik Waleed Zeb Khan, Abdul Rehman Arshad, Samar Hasnain, Muhammad Danyal Tariq, Salman Khan, Shakir Ullah

引用次数: 0

‘The year of living dangerously’: successful Rhodococcus equi therapy in an immunosuppressed patient with minimal toxicity by one year of continuous intravenous vancomycin therapy combined with oral levofloxacin and rifampicin 危险生活的一年"：通过持续静脉注射万古霉素并口服左氧氟沙星和利福平一年，成功治疗了一名免疫抑制患者的马尾大黄杆菌，且毒性极小

European Journal of Case Reports in Internal Medicine Pub Date : 2024-01-12 DOI: 10.12890/2024_004249

Miguel Franco-Álvarez, Iván Fernández-Castro, Mariño Francisco Fernández Cambeiro, Carmen Beceiro Abad, Esteban Otero Antón, Sandra Rodríguez López, María Dolores Calvo Barbeito, Ignacio Novo-Veleiro

{"title":"‘The year of living dangerously’: successful Rhodococcus equi therapy in an immunosuppressed patient with minimal toxicity by one year of continuous intravenous vancomycin therapy combined with oral levofloxacin and rifampicin","authors":"Miguel Franco-Álvarez, Iván Fernández-Castro, Mariño Francisco Fernández Cambeiro, Carmen Beceiro Abad, Esteban Otero Antón, Sandra Rodríguez López, María Dolores Calvo Barbeito, Ignacio Novo-Veleiro","doi":"10.12890/2024_004249","DOIUrl":"https://doi.org/10.12890/2024_004249","url":null,"abstract":"Background: Rhodococcus equi is a Gram-positive microorganism that causes infections, particularly in immunocompromised patients. Treatment duration can be prolonged. While vancomycin is an effective drug in this scenario, its use may lead to renal damage. Studies have shown that continuous vancomycin infusion appears to be a safe strategy in terms of adverse effects compared to bolus administration. Case description: We present the case of a 71-year-old female liver transplant recipient. After being diagnosed with a mediastinal infection caused by Rhodococcus equi with poor response to initial therapy, she required 12 months of continuous intravenous domiciliary infusion of vancomycin combined with oral levofloxacin and rifampicin. There was no drug-related complication throughout the follow-up. Conclusions: The use of continuous vancomycin infusion has emerged as a safer, more efficient, and cost-effective alternative to intermittent administration. We want to emphasise the uniqueness of this case, where despite the unprecedented treatment duration, no adverse effects occurred.","PeriodicalId":502981,"journal":{"name":"European Journal of Case Reports in Internal Medicine","volume":" 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139625106","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