Archive of clinical cases最新文献_第10页

Valproate-induced burning mouth syndrome in a male with fibromyalgia and bipolar spectrum disorder. 丙戊酸钠诱导的男性纤维肌痛和双相情感障碍患者的灼口综合征。

Archive of clinical cases Pub Date : 2023-09-20 eCollection Date: 2023-01-01 DOI: 10.22551/2023.40.1003.10257

Accursio Raia, Valerio Caruso, Clara Montalbano, Lavinia Migli, Calogero Raia, Stefano Pini

{"title":"Valproate-induced burning mouth syndrome in a male with fibromyalgia and bipolar spectrum disorder.","authors":"Accursio Raia, Valerio Caruso, Clara Montalbano, Lavinia Migli, Calogero Raia, Stefano Pini","doi":"10.22551/2023.40.1003.10257","DOIUrl":"https://doi.org/10.22551/2023.40.1003.10257","url":null,"abstract":"Burning mouth syndrome is a chronic painful condition characterized by a subjective intraoral pain and burning sensations in the absence of an identifiable medical, dental, or psychiatric cause. Although the underlying etiology is currently unclear, an idiopathic (or primary) form and a secondary form to other conditions are formally recognized. However, as several authors have suggested, it might be of clinical utility to consider the existence of a third clinical entity, namely Drug-Induced Burning mouth syndrome, for its therapeutic implications. The latter has been reported with angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, antiretrovirals, anticoagulants, chemotherapy, and drugs commonly used in the treatment of neuropsychiatric disorders such as antidepressants, benzodiazepines, and antipsychotics. Regarding anticonvulsants a literature search found a previous case of Topiramate-Induced Burning mouth syndrome but no previous report of valproate-induced Burning mouth syndrome. Our case is, to date, the first case in the literature of Burning mouth syndrome onset following the administration of valproate to a patient suffering from fibromyalgia and bipolar spectrum disorder. Symptoms resolved completely when the drug was stopped, and the association between symptoms and drug was replicated after drug re-administration.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 3","pages":"125-127"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/85/acc-10-03-10257.PMC10510332.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158836","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}

引用次数: 0

Polycystic ovary syndrome due to the novel translocation 46XX t(2;9)(q21;p24). 新型易位46XX t（2；9）（q21；p24）引起的多囊卵巢综合征。

Archive of clinical cases Pub Date : 2023-09-20 eCollection Date: 2023-01-01 DOI: 10.22551/2023.40.1003.10256

Josef Finsterer

引用次数: 0

Catching the diagnosis: A peculiar presentation of Chiari malformation type I. 抓住诊断：奇拉氏畸形 I 型的一种特殊表现。

IF 0.8

Archive of clinical cases Pub Date : 2023-06-07 eCollection Date: 2023-01-01 DOI: 10.22551/2023.39.1002.10247

Austin C Rezigh, Alec B Rezigh

引用次数: 0

Plasmapheresis can correct refractoriness of insulin on triglyceride metabolism - A case report of hypertriglyceridemia-induced acute pancreatitis. 血浆置换可纠正胰岛素对甘油三酯代谢的难治性——高甘油三酯血症致急性胰腺炎1例报告。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.39.1002.10244

Bala Sundaram, Nabadwip Pathak, Sunil Kumar Nanda

引用次数: 0

Euglycemic diabetic ketoacidosis caused by empagliflozin complicated by failure to thrive in a geriatric patient. 恩格列净引起的糖尿病酮症酸中毒合并老年患者生长发育失败。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.39.1002.10248

Azeem Rathore, Nidhi Gupta, Cameron Kahn, Dinesh Kadariya

{"title":"Euglycemic diabetic ketoacidosis caused by empagliflozin complicated by failure to thrive in a geriatric patient.","authors":"Azeem Rathore, Nidhi Gupta, Cameron Kahn, Dinesh Kadariya","doi":"10.22551/2023.39.1002.10248","DOIUrl":"https://doi.org/10.22551/2023.39.1002.10248","url":null,"abstract":"Euglycemic diabetic ketoacidosis (euDKA) is a rare but deadly complication of sodium-glucose cotransport-2 (SGLT-2) inhibitors. Primarily indicated for the treatment of Type 2 Diabetes Mellitus, the incidence of euDKA is expected to rise as SGLT-2 inhibitors become a mainstay therapy for diabetics with heart failure. Diagnosis of euDKA can be difficult given the presence of normoglycemia and is especially challenging among geriatric patients that are complicated by additional comorbidities. We present a case of an elderly male with multiple comorbidities who presented for dehydration and altered mentation from a nursing home facility. Laboratory investigations showed signs of acute renal failure, uremia, electrolyte abnormalities, and severe metabolic acidosis due to high levels of plasma beta-hydroxybutyrate. He was admitted to the medical intensive care unit (ICU) for further management. A presumptive diagnosis of euDKA was strongly suspected due to his laboratory data and medication reconciliation which revealed the recent initiation of empagliflozin. The patient was promptly started on a standardized treatment protocol for DKA with continuous infusion of regular insulin with strict glucose monitoring, along with intravenous fluids, and a small dose of sodium bicarbonate infusion as per current standard guidelines. With the rapid improvement in symptoms and metabolic derangements, the diagnosis was confirmed. Geriatric patients from nursing home facilities are a high-risk cohort who if not properly cared for by nursing staff can develop dehydration, malnutrition and worsening frailty including sarcopenia that exposes them to increased risk of medication side effects, such as euDKA. Clinicians should consider euDKA in their differential diagnosis in elderly patients with overt or relative insulinopenia who are receiving SGLT-2 inhibitors when presenting with acute changes in health and mentation.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 2","pages":"89-92"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/b9/acc-10-10248.PMC10258732.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10004882","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}

引用次数: 1

Rapid metachronous bladder metastasis of type 2 papillary renal cell carcinoma. 2型乳头状肾细胞癌快速异时性膀胱转移。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.39.1002.10249

Ahmed Elabbady, Ryan Boudreau, Vahid Mehrnoush, Mona Salem, Ahmed Fahmy, Rawan Elabbady, Ahmed Kotb

{"title":"Rapid metachronous bladder metastasis of type 2 papillary renal cell carcinoma.","authors":"Ahmed Elabbady, Ryan Boudreau, Vahid Mehrnoush, Mona Salem, Ahmed Fahmy, Rawan Elabbady, Ahmed Kotb","doi":"10.22551/2023.39.1002.10249","DOIUrl":"https://doi.org/10.22551/2023.39.1002.10249","url":null,"abstract":"Renal cell carcinoma (RCC) frequently spreads to distant organs like the lung, lymph nodes, bone, and liver. However, there have been some reports of RCC bladder metastasis. We present a case of a 61-year-old man presented with total painless gross hematuria. The patient had a history of right radical nephrectomy for papillary (type 2) RCC, high-grade, pT3a with negative surgical margins. There was no evidence of metastases on 6-month surveillance CT. After one-year post-operation, at this current admission, the cystoscopy discovered a solid bladder mass away from the trigone in the right lateral bladder wall. The resected bladder mass was metastatic papillary RCC with PAX-8 positive but GATA-3 negative on immunostaining. A positron emission tomography scan confirmed multiple lung, liver, and osseous metastases. This case report can highlight the importance of having bladder metastasis in RCC mind, although rare, and may necessitate the surveillance measures like urine analysis at more frequent interval and CT Urography instead of regular CT to detect the RCC metastatic bladder cancer at early stage.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 2","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/40/acc-10-10249.PMC10258733.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9629747","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}

引用次数: 0

Sevoflurane-Induced Diffuse Alveolar Hemorrhage. 七氟醚所致弥漫性肺泡出血。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.38.1001.10235

Mohammad Ahmed-Khan, Kayvon Moin, Carly Funk, Mala Sachdev, Mohamed Zakee Mohamed Jiffry

{"title":"Sevoflurane-Induced Diffuse Alveolar Hemorrhage.","authors":"Mohammad Ahmed-Khan, Kayvon Moin, Carly Funk, Mala Sachdev, Mohamed Zakee Mohamed Jiffry","doi":"10.22551/2023.38.1001.10235","DOIUrl":"https://doi.org/10.22551/2023.38.1001.10235","url":null,"abstract":"Diffuse alveolar hemorrhage (DAH) is a potentially life-threatening pulmonary pathology which results in intra-alveolar hemorrhage secondary to disruption of the alveolar capillary basement membrane. Most commonly, these patients present with hemoptysis, hypoxemia and pulmonary infiltrates. Although rare, sevoflurane, an inhalational anesthetic used as a rapid induction agent for anesthesia may be implicated in the etiology of DAH. We report a case of a 21-year-old otherwise healthy male found to have postoperative diffuse alveolar hemorrhage secondary to sevoflurane inhalation. Thus far, only five documented cases describing sevoflurane induced diffuse alveolar hemorrhage have been described in the literature, with prior cases also showing a clear temporal association between sevoflurane administration and symptom onset. Although uncommon, we must take sevoflurane into consideration as a possible etiology of diffuse alveolar hemorrhage when encountering signs of respiratory distress and hemoptysis in postoperative patients.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 1","pages":"29-31"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9a/bd/acc-10-01-29.PMC10012166.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9643126","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}

引用次数: 1

Coronary Artery Bypass Grafting complicated by post-operative coronavirus infection - two similar presentations with dissimilar outcomes. 冠状动脉搭桥术并发术后冠状病毒感染——两种相似的表现，不同的结果。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.38.1001.10230

Alexis Redding, Harideep Samanapally, Mike O Udoh, Jiapeng Huang, Mark S Slaughter, Siddharth Pahwa

{"title":"Coronary Artery Bypass Grafting complicated by post-operative coronavirus infection - two similar presentations with dissimilar outcomes.","authors":"Alexis Redding, Harideep Samanapally, Mike O Udoh, Jiapeng Huang, Mark S Slaughter, Siddharth Pahwa","doi":"10.22551/2023.38.1001.10230","DOIUrl":"https://doi.org/10.22551/2023.38.1001.10230","url":null,"abstract":"Patients diagnosed with COVID-19 infection undergoing surgical procedures have been reported to have increased post-operative complications and mortality. These findings are important when considering cardiac surgical procedures, specifically coronary artery bypass grafting (CABG) during this pandemic, since the Society of Thoracic Surgeons (STS) describes most of these operations as 'urgent'. In addition, the majority of cardiac surgical patients are at increased risk of infection and death with COVID-19, as they are frequently of old age, obese, hypertensive, and diabetic, with severe cardiac or pulmonary diseases. This case series describes the clinical course following a CABG procedure in two patients that went on to develop COVID-19 infection post-operatively. We aim to illustrate the similarities in clinical presentation, but differences in eventual outcomes for both patients and hypothesize the reasons for the differences.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 1","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4e/11/acc-10-01-7.PMC9940284.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9341779","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}

引用次数: 0

Prenatal diagnosis of an adrenal mature teratoma mimicking a neuroblastoma. 模拟神经母细胞瘤的肾上腺成熟畸胎瘤的产前诊断。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.39.1002.10243

Camille Garcia, Giulia Fusi, Marion Gambart, Agnès Sartor, Anne Gomez-Mascard, Olivier Abbo

{"title":"Prenatal diagnosis of an adrenal mature teratoma mimicking a neuroblastoma.","authors":"Camille Garcia, Giulia Fusi, Marion Gambart, Agnès Sartor, Anne Gomez-Mascard, Olivier Abbo","doi":"10.22551/2023.39.1002.10243","DOIUrl":"https://doi.org/10.22551/2023.39.1002.10243","url":null,"abstract":"Teratomas are defined by the presence of cell types from different germ layers, they typically involve the gonads or the sacrococcygeal region and are rarely retroperitoneal. Prenatally detected adrenal teratomas are extremely uncommon. Aim of this paper is to share our experience with an adrenal antenatal mass initially diagnosed as a left adrenal neuroblastoma that turned out to be a mature teratoma after microscopical examination. We present the case of a male fetus with antenatal diagnosis of a left adrenal cystic image at the 22nd week of amenorrhea. The fetal magnetic resonance imaging showed a non-calcified cystic mass of the left adrenal gland, compatible with a neuroblastoma. At birth an ultrasound confirmed the presence of an anechogenic lesion of the left adrenal gland. The infant was closely monitored during his first year and in the absence of significant regression of the adrenal mass, it was decided to perform a laparoscopic left adrenalectomy. Unexpectedly, the final pathological diagnosis was mature cystic adrenal teratoma. In conclusion, an adrenal mass diagnosed antenatally is generally a hemorrhage or a neuroblastoma. Adrenal teratomas are very rare and those diagnosed antenatally even more. At present, we have no clinical, biological, or radiological evidence to suspect them before surgical removal. There are only two other cases of unexpected adrenal teratoma in infants described in Literature.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 2","pages":"66-69"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/df/19/acc-10-10243.PMC10201373.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9510044","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}

引用次数: 0

Acute meningitis complicated with ventriculitis caused by Streptococcus dysgalactiae subsp. dysgalactiae. 急性脑膜炎并发脑室炎由欠乳链球菌引起。dysgalactiae。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.38.1001.10231

Mariana Guerra, Daniela Marado, Jorge Fortuna

引用次数: 0