Archive of clinical cases最新文献_第8页

Peri-implant distal radius fracture due to car collision. 汽车碰撞导致桡骨远端种植体周围骨折。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.40.1003.10254

Manuela Gabi Poroh, Teodor Stefan Gheorghevici, Bogdan Puha, Paul Dan Sirbu, Norin Forna, Ovidiu Alexa

{"title":"Peri-implant distal radius fracture due to car collision.","authors":"Manuela Gabi Poroh, Teodor Stefan Gheorghevici, Bogdan Puha, Paul Dan Sirbu, Norin Forna, Ovidiu Alexa","doi":"10.22551/2023.40.1003.10254","DOIUrl":"https://doi.org/10.22551/2023.40.1003.10254","url":null,"abstract":"Peri-implant fractures have gained increasing importance in orthopedics as the number of surgical procedures involving orthopedic implants rises globally. These fractures pose a significant challenge in terms of diagnosis, treatment, and postoperative management. They manifest as stress fractures distal to the implant site. Developing an effective treatment strategy involves evaluating multiple influencing factors. This article presents a rare case of a peri-implant distal radius fracture in a 63-year-old man, with no comorbidities, resulting from a car accident, classified as C1U in the Michele D'Arienzo system. The surgical intervention included plate fixation for the radius and wire fixation for the ulna. The wire was used for ulna instead of a plate, due to skin injuries, with good results. As life expectancy rises and individuals remain active in their elder years, the incidence of peri-implant fractures is expected to increase. Factors such as the implant type, surgeon's approach, and patient-specific elements may influence peri-implant fracture occurrence. The widespread use of plate fixation for distal radius fractures may also contribute to a parallel increase in such fractures. Providing detailed context and specific case presentation allows better understanding and implications for clinical practice.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 3","pages":"114-118"},"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/cf/05/acc-10-03-10254.PMC10467352.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135174","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

Ovarian aspergilloma in an immunocompetent patient masquerading as ovarian neoplasm. 免疫功能正常患者卵巢曲菌瘤伪装成卵巢肿瘤。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.38.1001.10237

Gyanendra Singh, Anurag Singh, Anuragani Verma, Yogendra Verma, Neeraj Kumar

引用次数: 0

Kidney transplantation in an adult with transfusion-dependent beta thalassemia: A challenging case report and literature review. 肾移植治疗成人输血依赖性地中海贫血:一个具有挑战性的病例报告和文献综述。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.39.1002.10250

Tsampika-Vasileia N Kalamara, Evangelia G Zarkada, Efstratios D Kasimatis, Athanasios G Kofinas, Philippos I Klonizakis, Efthymia C Vlachaki

{"title":"Kidney transplantation in an adult with transfusion-dependent beta thalassemia: A challenging case report and literature review.","authors":"Tsampika-Vasileia N Kalamara, Evangelia G Zarkada, Efstratios D Kasimatis, Athanasios G Kofinas, Philippos I Klonizakis, Efthymia C Vlachaki","doi":"10.22551/2023.39.1002.10250","DOIUrl":"https://doi.org/10.22551/2023.39.1002.10250","url":null,"abstract":"The markedly increased survival of transfusion-dependent beta thalassemia patients has led to the recognition of new complications, such as renal disorders. Kidney transplantation is nowadays the preferred treatment option for end-stage kidney disease (ESKD). We describe a case of a 49-year-old woman with β-Transfusion Dependent Thalassemia, who developed ESKD as a result of focal segmental glomerulosclerosis and received a deceased-donor kidney transplant following hemodialysis for over a decade. The particular challenges of this case are discussed, including the long-term survival in hemodialysis. Our patient had to overcome multiple obstacles, including hypercoagulability issues presented in the form of thromboembolism, infections, such as hepatitis C and gastroenteritis, and the acute T-cell-mediated rejection, which had to be managed postoperatively. A review of the current literature revealed only one previous report of a thalassemia patient who successfully underwent renal transplantation. More than a year after the transplantation our patient presents with a normal glomerular filtration rate (GFR=62ml/min/1.73m2) and creatinine level (Cr=0.96mg/dL) and is transfused every 3 weeks. In conclusion, renal transplantation is possible in patients with TDT and should not be discouraged. Regular transfusions and optimal follow-up for the elimination of post-transplant complications are required.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 2","pages":"97-101"},"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/6d/c6/acc-10-10250.PMC10289047.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9705168","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

Clinical features and treatment outcomes of progressive uveal melanoma. 进行性葡萄膜黑色素瘤的临床特点及治疗效果。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.39.1002.10251

Milda Rancelyte, Justinas Pamedys, Ruta Grigiene, Birute Brasiuniene

{"title":"Clinical features and treatment outcomes of progressive uveal melanoma.","authors":"Milda Rancelyte, Justinas Pamedys, Ruta Grigiene, Birute Brasiuniene","doi":"10.22551/2023.39.1002.10251","DOIUrl":"https://doi.org/10.22551/2023.39.1002.10251","url":null,"abstract":"Uveal melanoma (UM) is a rare malignant tumor that differs from cutaneous melanoma in terms of pathogenesis, clinical behavior, and treatment response. Despite treatment for the primary tumor, 50% of UM patients develop metastatic disease, with the liver being the most affected organ. Furthermore, UM responds poorly to chemotherapy and immune checkpoint inhibitors. We present a clinical case of a 58-year-old female patient who was diagnosed with right eye choroidal melanoma cT2aN0M0. For the treatment of the initial tumor, the patient received stereotactic radiotherapy. However, 11 months after the initial diagnosis, the disease had progressed to the liver. The patient underwent radiofrequency ablation of liver metastases, then as the UM progressed - anti-PD-1 immunotherapy with nivolumab and ipilimumab were prescribed for the first-line palliative systemic treatment, later chemotherapy with dacarbazine (5 cycles) as the second-line systemic treatment. Based on the Foundation-One®CDx findings and an overview of clinical trials data, the MEK inhibitor trametinib was prescribed as a third-line palliative treatment. The patient died due to cancerous intoxication, with overall survival (OS) of 28 months (∼2.33 years) and a progression-free survival (PFS) of 11 months (∼0.92 years) since the initial diagnosis. Treatment-related adverse events could have an impact on the general health condition of the patient.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 2","pages":"102-106"},"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/24/eb/acc-10-10251.PMC10289051.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9705171","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

Challenging management of coralliform kidney and ureteral stones. 珊瑚状肾结石和输尿管结石的治疗具有挑战性。

IF 0.8

Archive of clinical cases Pub Date : 2022-12-20 eCollection Date: 2024-01-01 DOI: 10.22551/2024.45.1104.10303

Catrinel-Ana Codău, Flavia Coman, Bogdan Novac

引用次数: 0

Marijuana-induced myocarditis in a 24-year-old man. 一名 24 岁男子因吸食大麻引发心肌炎。

IF 0.8

Archive of clinical cases Pub Date : 2022-07-07 eCollection Date: 2022-01-01 DOI: 10.22551/2022.35.0902.10206

Toktam Alirezaei, Mohammad Kalateh Agha Mohammadi, Rana Irilouzadian, Hamidreza Zarinparsa

引用次数: 0

Successful outcome using Tocilizumab in COVID-19 pneumonia with respiratory failure on a ward level Tocilizumab治疗病房级别的新冠肺炎肺炎伴呼吸衰竭的成功结果

Archive of clinical cases Pub Date : 2022-01-10 DOI: 10.22551/2022.34.0901.10200

B. Morărașu, Aida Basirat, M. Kooblall, S. Lane

引用次数: 0

Diagnostic dilemma in a patient presenting with thrombotic microangiopathy in the setting of pregnancy 一例妊娠期血栓性微血管病患者的诊断困境

Archive of clinical cases Pub Date : 2022-01-10 DOI: 10.22551/2022.34.0901.10199

M. Jiffry, M. Ahmed-khan, Felipe Carmona Pires, Nkechi A Okam, Mahnoor Hanif

{"title":"Diagnostic dilemma in a patient presenting with thrombotic microangiopathy in the setting of pregnancy","authors":"M. Jiffry, M. Ahmed-khan, Felipe Carmona Pires, Nkechi A Okam, Mahnoor Hanif","doi":"10.22551/2022.34.0901.10199","DOIUrl":"https://doi.org/10.22551/2022.34.0901.10199","url":null,"abstract":"Abstract We report a case of thrombotic microangiopathy in a postpartum female for which considerable diagnostic uncertainty existed initially regarding the etiology. This case highlights the limitations surrounding PLASMIC scoring criteria for the diagnosis of thrombotic thrombocytopenic purpura (TTP). A 32-year-old woman presented to maternofetal medicine in her third trimester of pregnancy at 32 weeks for a routine follow up and was subsequently found to have elevated blood pressures with proteinuria, and was diagnosed with pre-eclampsia. Worsening anemia and thrombocytopenia prompted a blood smear which showed schistocytes, concerning for a thrombotic microangiopathy. Creatinine was also elevated with normal liver enzymes being noted. A PLASMIC score of 4 placed her in the low-risk category for severe ADAMTS13 deficiency whilst she fulfilled criteria for partial HELLP (hemolysis, elevated liver enzymes and low platelets) syndrome per Tennessee classification. Despite delivery, her symptoms persisted with subsequent ADAMTS13 assay confirming acquired TTP, subsequently requiring repeated plasmapheresis and rituximab to achieve disease control. Thrombotic microangiopathy remains a diagnostic challenge especially in the peripartum population, and scoring systems such as PLASMIC score and Tennessee classification may be of limited utility.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"9 1","pages":"24 - 28"},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44999544","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

Vitamin D deficiency in thyroid autoimmune diseases 甲状腺自身免疫性疾病的维生素D缺乏

Archive of clinical cases Pub Date : 2022-01-10 DOI: 10.22551/2022.34.0901.10201

Ioana-Codruța Lebădă, R. Ristea, M. Metiu, M. Stanciu

{"title":"Vitamin D deficiency in thyroid autoimmune diseases","authors":"Ioana-Codruța Lebădă, R. Ristea, M. Metiu, M. Stanciu","doi":"10.22551/2022.34.0901.10201","DOIUrl":"https://doi.org/10.22551/2022.34.0901.10201","url":null,"abstract":"Abstract The role of vitamin D in the human body is a complex one, proven by the many studies performed related to this aspect. Data from the literature on the correlation between vitamin D deficiency and thyroid autoimmune pathology, although present and increasing in the last 10 years, have failed to establish exactly whether or not there is a link between them. The aim of the study was to assess the status of vitamin D in patients with autoimmune thyroid disease; and to determine if there is a correlation between parameters such as: thyroid stimulating hormone (TSH), free thyroxine (FT4), ATPO; and vitamin D levels. Therefore, we performed a retrospective study in which we included 60 patients, 32 with autoimmune thyroid pathology and 28 patients with negative antithyroid antibodies. The average age of those in the case group was 58 years old and 52 years old for the control group. Female sex was predominant in both groups of patients, 97% in the study group and 71% in the control group. Vitamin D values in patients with thyroid autoimmune pathology in our study were on average higher than those obtained in the control group (patients with negative thyroid antibodies), without finding a statistically significant difference between the values of the two groups of patients (p = 0.197). The study shows a high prevalence of vitamin D deficiency in both groups of patients (with or without autoimmune thyroid disease), the highest rate being observed among patients without autoimmune pathology, but without a statistically significant difference between values.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"9 1","pages":"34 - 40"},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44394876","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

Leptomeningeal carcinomatosis in gastric cancer: a case report of a rare yet aggressive entity 癌症中的瘦素样癌：一例罕见但侵袭性实体的病例报告

Archive of clinical cases Pub Date : 2022-01-10 DOI: 10.22551/2022.34.0901.10196

M. Baleiras, J. Graça, Leonor Fernandes

引用次数: 0