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Journal of Case Reports and Medical History最新文献

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EBV-Induced Inflammatory Chorioretinitis With Bilateral Retinal Serous Detachment in a Young Immunocompetent Patient 一名免疫功能正常的年轻患者因 EB 病毒诱发炎性脉络膜视网膜炎并伴有双侧视网膜浆液性脱离
Journal of Case Reports and Medical History Pub Date : 2024-02-06 DOI: 10.54289/jcrmh2400110
{"title":"EBV-Induced Inflammatory Chorioretinitis With Bilateral Retinal Serous Detachment in a Young Immunocompetent Patient","authors":"","doi":"10.54289/jcrmh2400110","DOIUrl":"https://doi.org/10.54289/jcrmh2400110","url":null,"abstract":"Epstein-Barr virus (EBV) infection is generally asymptomatic and persists throughout life. Ocular involvement is rare, observed in immunocompromised patients, particularly those infected with HIV, where retinal involvement may occur. Inflammatory chorioretinitis with bilateral retinal serous detachment is a rare entity in EBV infections. This case report describes inflammatory chorioretinitis with bilateral serous retinal detachment in an immunocompetent patient, resulting from Epstein-Barr virus (EBV) infection. Although ocular involvement by EBV is rare in immunocompetent patients, this case highlights the importance of considering this possibility. The patient was successfully treated with acyclovir, highlighting the potential efficacy of antivirals in these situations. This observation highlights the need for early detection to prevent irreversible ocular damage, despite the lack of standard diagnostic algorithms. Optimal clinical management of these cases remains a challenge, underlining the need for further research. Keywords: Epstein-Barr Virus Infections; Chorioretinitis; Retinal Serous Detachment; Acyclovir; Immunocompetent Patient Abbreviations: EBV: Epstein-Barr Virus, HIV: Human Immunodeficiency Virus, CMV: Cytomegalovirus, HSV: Herpes Simplex Virus, OCT: Optical Coherence Tomography","PeriodicalId":507376,"journal":{"name":"Journal of Case Reports and Medical History","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139860936","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
EBV-Induced Inflammatory Chorioretinitis With Bilateral Retinal Serous Detachment in a Young Immunocompetent Patient 一名免疫功能正常的年轻患者因 EB 病毒诱发炎性脉络膜视网膜炎并伴有双侧视网膜浆液性脱离
Journal of Case Reports and Medical History Pub Date : 2024-02-06 DOI: 10.54289/jcrmh2400110
{"title":"EBV-Induced Inflammatory Chorioretinitis With Bilateral Retinal Serous Detachment in a Young Immunocompetent Patient","authors":"","doi":"10.54289/jcrmh2400110","DOIUrl":"https://doi.org/10.54289/jcrmh2400110","url":null,"abstract":"Epstein-Barr virus (EBV) infection is generally asymptomatic and persists throughout life. Ocular involvement is rare, observed in immunocompromised patients, particularly those infected with HIV, where retinal involvement may occur. Inflammatory chorioretinitis with bilateral retinal serous detachment is a rare entity in EBV infections. This case report describes inflammatory chorioretinitis with bilateral serous retinal detachment in an immunocompetent patient, resulting from Epstein-Barr virus (EBV) infection. Although ocular involvement by EBV is rare in immunocompetent patients, this case highlights the importance of considering this possibility. The patient was successfully treated with acyclovir, highlighting the potential efficacy of antivirals in these situations. This observation highlights the need for early detection to prevent irreversible ocular damage, despite the lack of standard diagnostic algorithms. Optimal clinical management of these cases remains a challenge, underlining the need for further research. Keywords: Epstein-Barr Virus Infections; Chorioretinitis; Retinal Serous Detachment; Acyclovir; Immunocompetent Patient Abbreviations: EBV: Epstein-Barr Virus, HIV: Human Immunodeficiency Virus, CMV: Cytomegalovirus, HSV: Herpes Simplex Virus, OCT: Optical Coherence Tomography","PeriodicalId":507376,"journal":{"name":"Journal of Case Reports and Medical History","volume":"51 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139801126","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
Metacarpal Lengthening: A Case Report Including Lengthening of Three Metacarpals 掌骨延长术：包括三个掌骨延长的病例报告
Journal of Case Reports and Medical History Pub Date : 2024-02-01 DOI: 10.54289/jcrmh2400106
{"title":"Metacarpal Lengthening: A Case Report Including Lengthening of Three Metacarpals","authors":"","doi":"10.54289/jcrmh2400106","DOIUrl":"https://doi.org/10.54289/jcrmh2400106","url":null,"abstract":"Using distraction osteogenesis in metacarpal lengthening has been well documented in pediatric patients but has a limited trials in older patients. Fewer studies have assessed the success of the procedure through outcome measure scores. The aim of this study is to report a case of distraction osteogenesis of three metacarpals in skeletally mature adult with amputated middle three fingers and patient’s perspective on her satisfaction through the Michigan hand outcomes questionnaire [1].","PeriodicalId":507376,"journal":{"name":"Journal of Case Reports and Medical History","volume":"26 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139816209","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
Metacarpal Lengthening: A Case Report Including Lengthening of Three Metacarpals 掌骨延长术：包括三个掌骨延长的病例报告
Journal of Case Reports and Medical History Pub Date : 2024-02-01 DOI: 10.54289/jcrmh2400106
{"title":"Metacarpal Lengthening: A Case Report Including Lengthening of Three Metacarpals","authors":"","doi":"10.54289/jcrmh2400106","DOIUrl":"https://doi.org/10.54289/jcrmh2400106","url":null,"abstract":"Using distraction osteogenesis in metacarpal lengthening has been well documented in pediatric patients but has a limited trials in older patients. Fewer studies have assessed the success of the procedure through outcome measure scores. The aim of this study is to report a case of distraction osteogenesis of three metacarpals in skeletally mature adult with amputated middle three fingers and patient’s perspective on her satisfaction through the Michigan hand outcomes questionnaire [1].","PeriodicalId":507376,"journal":{"name":"Journal of Case Reports and Medical History","volume":"111 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139876270","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
Unifying the Puzzle: Cardiac Amyloidosis in the Spectrum of Generalized Edematous Syndromes 统一谜题：全身水肿综合征谱系中的心脏淀粉样变性
Journal of Case Reports and Medical History Pub Date : 2023-12-29 DOI: 10.54289/jcrmh2300147
Zahri Soukaina
{"title":"Unifying the Puzzle: Cardiac Amyloidosis in the Spectrum of Generalized Edematous Syndromes","authors":"Zahri Soukaina","doi":"10.54289/jcrmh2300147","DOIUrl":"https://doi.org/10.54289/jcrmh2300147","url":null,"abstract":"Introduction: Addressing the diagnostic challenges posed by nephrotic syndrome and congestive heart failure, this article underscores the pivotal role of comprehensive investigations in unraveling underlying etiologies. Amid the diverse spectrum of potential causes, the focus is directed towards amyloidosis—a distinct category characterized by abnormal amyloid fibril accumulation in organs. Despite its infrequency, the gravity and potential for targeted interventions accentuate the importance of considering amyloidosis in the differential diagnosis. Case Presentation: A detailed case study of a 68-year-old female with generalized edematous syndrome revealed a complex clinical scenario involving cardiac and renal manifestations. AL amyloidosis was confirmed through thorough diagnostic assessments, guiding a targeted therapeutic approach. Discussion: The discussion delves into the pathophysiology of AL amyloidosis, diagnostic considerations, and the significance of ECG and echocardiographic findings. It highlights the importance of laboratory assessments, especially immunologic tests, and emphasizes the role of biopsy in confirming the diagnosis. Conclusion: The complexity of AL amyloidosis is underscored, emphasizing the interplay of cardiac, renal, and hematologic aspects. Early diagnosis and a tailored multidisciplinary therapeutic approach yielded positive outcomes, contributing valuable insights to the evolving understanding of amyloidosis management.","PeriodicalId":507376,"journal":{"name":"Journal of Case Reports and Medical History","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139142100","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
Myocardial Infarction During Behcet's Disease: A Case Report 白塞氏病期间的心肌梗死：病例报告
Journal of Case Reports and Medical History Pub Date : 2023-12-26 DOI: 10.54289/jcrmh2300146
{"title":"Myocardial Infarction During Behcet's Disease: A Case Report","authors":"","doi":"10.54289/jcrmh2300146","DOIUrl":"https://doi.org/10.54289/jcrmh2300146","url":null,"abstract":"Behcet's disease is a multi-systemic inflammatory vasculitis of unknown etiology. Its diagnosis is based on a clinical score (international criteria’s) including oral and genital aphthosis, neurological, ophthalmological, and vascular involvement. Cardiac involvement is a rare complication and can affect all three tunics. Coronary involvement is exceptional and can be life threatening. We report the observation of a 38-year-old man suffering from Behcet's disease who presented a myocardial infarction related to the occlusion of the proximal anterior interventricular artery.","PeriodicalId":507376,"journal":{"name":"Journal of Case Reports and Medical History","volume":"19 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156283","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
An Evans Syndrome Revealing a Renal Neoplasm 揭示肾肿瘤的埃文斯综合征
Journal of Case Reports and Medical History Pub Date : 2023-11-29 DOI: 10.54289/jcrmh2300138
Safaa Mhaber, Achraf El Kabli, Safaa Mourabit, Khadija Echchilali, Mina Moudatir, Hassan El Kabli
{"title":"An Evans Syndrome Revealing a Renal Neoplasm","authors":"Safaa Mhaber, Achraf El Kabli, Safaa Mourabit, Khadija Echchilali, Mina Moudatir, Hassan El Kabli","doi":"10.54289/jcrmh2300138","DOIUrl":"https://doi.org/10.54289/jcrmh2300138","url":null,"abstract":"We present a rare case of Evans syndrome associated with clear cell renal cell carcinoma, in which the patient showed rapid restoration of blood cell count and durable complete remission of Evans syndrome after resection of the renal tumor. A thorough examination led to the diagnosis of Evans syndrome. We hypothesized that our patient's initial hematological manifestation was a paraneoplastic phenomenon associated with her underlying malignancy. This rare case illustrates the unique relationship between renal neoplasm and the development of paraneoplastic Evans syndrome.","PeriodicalId":507376,"journal":{"name":"Journal of Case Reports and Medical History","volume":"10 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139210120","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
Posttraumatic Ileal Perforation in Crohn's Disease A Case Report 克罗恩病创伤后回肠穿孔病例报告
Journal of Case Reports and Medical History Pub Date : 2023-11-29 DOI: 10.54289/jcrmh2300139
{"title":"Posttraumatic Ileal Perforation in Crohn's Disease A Case Report","authors":"","doi":"10.54289/jcrmh2300139","DOIUrl":"https://doi.org/10.54289/jcrmh2300139","url":null,"abstract":"Introduction: Free peritoneal perforations in Crohn's disease are extremely rare. In this observation, we report the case of a patient who presented with this condition following abdominal blunt trauma. Case presentation: This is a 30-year-old patient with Crohn's disease who was being followed anarchically. She presented with peritonitis following violent abdominal blunt trauma, which was operated on with some diagnostic delay. Discussion: Abdominal blunt trauma could lead to small bowel perforation in patients with Crohn's disease. Especially when the small bowel is weakened by non-adherence to therapy, as in our case. Diagnosis is often delayed, as the clinical signs are discreet. On the other hand, trauma surgeons focus more on solid organs than hollow ones. Conclusion: Abdominal blunt trauma in Crohn's disease increase the risk of occurrence of perforated bowel, especially when the therapeutic follow-up of these patients is not rigorous or in the event of non-adherence to therapy. Delayed diagnosis of these perforations may increase their morbidity.","PeriodicalId":507376,"journal":{"name":"Journal of Case Reports and Medical History","volume":"179 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139210639","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
A Tale of Two Rings: The Need for Informed Consent 两个戒指的故事：知情同意的必要性
Journal of Case Reports and Medical History Pub Date : 2023-11-25 DOI: 10.54289/jcrmh2300137
{"title":"A Tale of Two Rings: The Need for Informed Consent","authors":"","doi":"10.54289/jcrmh2300137","DOIUrl":"https://doi.org/10.54289/jcrmh2300137","url":null,"abstract":"Over the past 85 years, the mission of the FDA’s Center for Device and Radiologic Health has been to provide safe medical devices for the US consumer, and to adapt the regulatory standards to meet the needs of the rapidly evolving medical device industry. This brief report is the historical account of two investigational devices dating back to 2006, the devices never receiving FDA approval for use in patients during a clinical trial, and the patients never received informed consent.","PeriodicalId":507376,"journal":{"name":"Journal of Case Reports and Medical History","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139236344","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
Efficacy of Uridine Monophosphate, Acetyl-L-Carnitine and Alpha Lipoic Acid in the Treatment of Pain in Chronic Neuropathy and Radiculopathy: A Review of the Literature and an Observational Pilot Study on Radiculopathy 单磷酸尿苷、乙酰-L-肉碱和硫辛酸治疗慢性神经病变和神经根病疼痛的疗效：文献综述和针对神经根病的观察性试点研究
Journal of Case Reports and Medical History Pub Date : 2023-11-21 DOI: 10.54289/jcrmh2300136
{"title":"Efficacy of Uridine Monophosphate, Acetyl-L-Carnitine and Alpha Lipoic Acid in the Treatment of Pain in Chronic Neuropathy and Radiculopathy: A Review of the Literature and an Observational Pilot Study on Radiculopathy","authors":"","doi":"10.54289/jcrmh2300136","DOIUrl":"https://doi.org/10.54289/jcrmh2300136","url":null,"abstract":"Peripheral neuropathy and radiculopathy are frequently observed conditions in outpatients primary care and can cause significant discomfort and functional deficits with strong impact on quality of life. The role of nutraceutics and supplements as additional tool for treating chronic pain has grown up in popularity in the past 10 years. Uridine monophosphate as well as acetyl_L-carnitine and also alpha lipoic acid have shown efficacy in treatment of pain due to neuropathies and symptomatic peripheral entrapments. In this survey a review of the literature is reported. In addiction, based on the cited evidences on efficacy of these ingredients in treatment of NP, an observational pilot study to evaluate the efficacy of combined Uridine Monofosphate, acetyl-L-carnitine and Alpha-lipoic-acid in reducing pain even in chronic radiculopathy is presented.","PeriodicalId":507376,"journal":{"name":"Journal of Case Reports and Medical History","volume":"37 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139251920","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
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