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Syphilitic Leukoplakia 梅毒性白斑
Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550570
MJ Vivancos-Gallego, Mónica García Cosío, Inmaculada Espinosa-Monroy
{"title":"Syphilitic Leukoplakia","authors":"MJ Vivancos-Gallego, Mónica García Cosío, Inmaculada Espinosa-Monroy","doi":"10.26502/acmcr.96550570","DOIUrl":"https://doi.org/10.26502/acmcr.96550570","url":null,"abstract":"A 28-year-old male was referred by his primary care physician for workup of possible oral candidiasis. He had been diagnosed with asymptomatic HIV-infection 18 months earlier and had undetectable viral load under antiretroviral treatment. The patient reported a history of multiple unprotected sexual encounters over the preceding 3 months. Physical examination showed painless and confluent whitish mucous patches (about 2 cm long) with erythematous border on the left soft palate which did not scrape off with a tongue depressor (Panel A). A biopsy specimen from the damaged mucosa was obtained and revealed hyperplasia of the epithelium and a dense inflammatory infiltrate in the corion, composed mainly by plasma cells (Panel B and C). Immunohistochemistry highlights numerous treponemal spirochetes, brown chromogen (Panel D and E). Treponemal tests (EIA and TPPA) were reactive and Rapid Plasma Reagin test (RPR) was positive (titer, 1:32). A diagnosis of syphilis was made. The patient was initially treated with intramuscular penicillin G benzathine. At 3-month follow-up he had complete resolution of palate lesion.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344343","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
Healing of a Chronic Wound after Extensive Burn Injury in An Elderly Patient Using Marine Omega3 Wound Matrix and Split-Thickness Skin Micro-Grafts: A Case Report 应用海洋omega - 3创面基质和分厚皮肤微移植物治疗老年大面积烧伤后慢性创面1例
Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550616
C. Smolle, Judith C. Geißler, S. Nischwitz, H. Luze, L. Kamolz
{"title":"Healing of a Chronic Wound after Extensive Burn Injury in An Elderly Patient Using Marine Omega3 Wound Matrix and Split-Thickness Skin Micro-Grafts: A Case Report","authors":"C. Smolle, Judith C. Geißler, S. Nischwitz, H. Luze, L. Kamolz","doi":"10.26502/acmcr.96550616","DOIUrl":"https://doi.org/10.26502/acmcr.96550616","url":null,"abstract":"Elderly burn patients are at increased risk for wound healing complications, as their injuries are more likely to become deep and wound healing is impaired. Furthermore, higher age is a known risk factor for burn wound infection. New biologic matrices are promising tools in the armamentarium of wound care specialists in application of hard-to-heal wounds. We present a case of an elderly burn patient with chronic wounds that were ultimately healed using marine omega3 wound matrix for wound conditioning and meek micrografting for closure. As the patient general health status did not allow surgery under general anaesthesia, skin grafting was performed bed-side under topical anaesthesia.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344358","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 Rare Case of Postoperative Acanthamoeba Endophthalmites after Uneventful Cataract Surgery 一例罕见的白内障术后眼内棘阿米巴
Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550621
A. Berarducci, M. Colasante, Mariateresa Laborante, A. Laborante
{"title":"A Rare Case of Postoperative Acanthamoeba Endophthalmites after Uneventful Cataract Surgery","authors":"A. Berarducci, M. Colasante, Mariateresa Laborante, A. Laborante","doi":"10.26502/acmcr.96550621","DOIUrl":"https://doi.org/10.26502/acmcr.96550621","url":null,"abstract":"Purpose: To report a rare case of postoperative Acanthamoeba endophthalmites after uncomplicated cataract surgery in an otherwise healthy patient. Case Description: A patient with preexisting glaucoma and CNV in both eyes underwent uneventful cataract surgery (PHACO + IOL + intracamerular cefuroxima) in his right eye. Nine days after surgery, patient presented in eye casualty complaining drop in vision, eye pain and violent diarrhoea. Pars plana vitrectomy was performed and Acanthamoeba protozoa was isolated. Empirical therapy including intravenous voriconazole 2, 5 mg twice a day, a single shot of intravitreal voriconazole 1% in 0,1 ml and topical chlorhexidine 0,02% topical was started immediately. Conclusions: sixteen days from the initial symptoms a complete resolution of the endophthalmites was reported as well as an improvement in the visual acuity. Physicians should be aware of Acanthamoeba infection as a cause of eye infection in any patient, not just contact lens wearers; intravitreal and systemic administration of voriconazole can be successfully used to treat Acanthamoeba endophthalmitis","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344420","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
Hyperhidrosis in Two Patients with Spinal Cord Injury Treated with Oxybutynin: Case Reports and Review of the Literature 奥施布宁治疗脊髓损伤后多汗症2例:病例报告及文献复习
Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550628
E. Lena, F. Tamburella, Matteo x Matteo Lo Russo, Marta Mascanzoni, G. Scivoletto
{"title":"Hyperhidrosis in Two Patients with Spinal Cord Injury Treated with Oxybutynin: Case Reports and Review of the Literature","authors":"E. Lena, F. Tamburella, Matteo x Matteo Lo Russo, Marta Mascanzoni, G. Scivoletto","doi":"10.26502/acmcr.96550628","DOIUrl":"https://doi.org/10.26502/acmcr.96550628","url":null,"abstract":"Hyperhidrosis is a well-documented consequence of spinal cord injuries (SCI). It affects about 25% of the subjects with SCI representing a social problem, a cause of discomfort and a risk for skin breakdown. Here we present two cases of young subjects with a complete spinal cord lesion at thoracic level, who complained of abnormal sweating. In both patients other possible causes of hyperhidrosis were ruled out. Both subjects were put on pharmacological therapy with oral oxybutynin with immediate relief of the sweating. Although oxybutynin is a very well-known drug in the field of SCI and in the field of idiopathic hyperhidrosis, this is the first time that oxybutynin efficacy in abnormal sweating after SCI has been demonstrated.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344535","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
On Family History. 关于家族历史。
Archives of clinical and medical case reports Pub Date : 2023-01-01 Epub Date: 2023-05-19 DOI: 10.26502/acmcr.96550602
Orwa Aboud
{"title":"On Family History.","authors":"Orwa Aboud","doi":"10.26502/acmcr.96550602","DOIUrl":"10.26502/acmcr.96550602","url":null,"abstract":"","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":"210-211"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11351169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344180","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
Design of a Challenging Prosthetic Fitting Process and Rehabilitation Training Program to Achieve Functionality in a Complex Quadruple Amputee 设计具有挑战性的假肢装配过程和康复训练计划，以实现复杂的四肢截肢者的功能
Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550571
Raquel Madroñero-Mariscal, Natalia Palmero-Valdez, E. González-Parra
{"title":"Design of a Challenging Prosthetic Fitting Process and Rehabilitation Training Program to Achieve Functionality in a Complex Quadruple Amputee","authors":"Raquel Madroñero-Mariscal, Natalia Palmero-Valdez, E. González-Parra","doi":"10.26502/acmcr.96550571","DOIUrl":"https://doi.org/10.26502/acmcr.96550571","url":null,"abstract":"multiple","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343876","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
Gall Bladder Duplication: An Interesting Report of Laparoscopic Cholecystectomy performed on Two Cases of Gall Bladder Duplication over a Period of One Week 胆囊重复:一个有趣的报告，腹腔镜胆囊切除术在一个星期内完成了2例胆囊重复
Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550588
Mourad Halfaoui, Fahad Aurif, Abdullah Salman Dalol, Murad Alahmad, Fathimathul Zumara Anwar, Tamer ElBakry
{"title":"Gall Bladder Duplication: An Interesting Report of Laparoscopic Cholecystectomy performed on Two Cases of Gall Bladder Duplication over a Period of One Week","authors":"Mourad Halfaoui, Fahad Aurif, Abdullah Salman Dalol, Murad Alahmad, Fathimathul Zumara Anwar, Tamer ElBakry","doi":"10.26502/acmcr.96550588","DOIUrl":"https://doi.org/10.26502/acmcr.96550588","url":null,"abstract":",","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343998","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
The Efficacy of a Plant Based Formulation in the Symptomatic Management of Mild COVID-19 Cases: A Double Blind, Randomized Controlled Trial 植物制剂对COVID-19轻度症状治疗的疗效:一项双盲、随机对照试验
Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550565
Sanjib K. Das, D. Dash, P. Panda, Sandhya Sadana, Reddy M Ravi Kumar, Venkatesh Hari K, D. Kanchibhotla
{"title":"The Efficacy of a Plant Based Formulation in the Symptomatic Management of Mild COVID-19 Cases: A Double Blind, Randomized Controlled Trial","authors":"Sanjib K. Das, D. Dash, P. Panda, Sandhya Sadana, Reddy M Ravi Kumar, Venkatesh Hari K, D. Kanchibhotla","doi":"10.26502/acmcr.96550565","DOIUrl":"https://doi.org/10.26502/acmcr.96550565","url":null,"abstract":"The Efficacy","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344333","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: 1
Rickettsia with Atypical Presentation in Rural Population 立克次体在农村人群中的非典型表现
Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550567
Vaishnavi Gurumurthy, Gauri Jain
{"title":"Rickettsia with Atypical Presentation in Rural Population","authors":"Vaishnavi Gurumurthy, Gauri Jain","doi":"10.26502/acmcr.96550567","DOIUrl":"https://doi.org/10.26502/acmcr.96550567","url":null,"abstract":",","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344337","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 Unique Case of Acute Renal Failure and Hepatocellular Injury Occurring in the Course of a Mild SARS-CoV-2 Infection 一例在轻度SARS-CoV-2感染过程中发生急性肾衰竭和肝细胞损伤的独特病例
Archives of clinical and medical case reports Pub Date : 2023-01-01 DOI: 10.26502/acmcr.96550623
S. Marinello, Nicolò Presa, Gianluca Cuva, M. Mazzitelli, M. Trevenzoli, L. Sasset, C. Mescoli, F. Nalesso, A. Cattelan
{"title":"A Unique Case of Acute Renal Failure and Hepatocellular Injury Occurring in the Course of a Mild SARS-CoV-2 Infection","authors":"S. Marinello, Nicolò Presa, Gianluca Cuva, M. Mazzitelli, M. Trevenzoli, L. Sasset, C. Mescoli, F. Nalesso, A. Cattelan","doi":"10.26502/acmcr.96550623","DOIUrl":"https://doi.org/10.26502/acmcr.96550623","url":null,"abstract":"SARS-CoV-2 has tropism and replicates not only in the respiratory tract but also in extrapulmonary organs, such as heart, kidney, and liver. Clinical reports indicate that kidney involvement is frequent and ranges from mild proteinuria to an advanced acute kidney injury (AKI). Similarly, abnormal liver function parameters are commonly found in patients with SARS-CoV-2 infection. We describe a recent and unique case of acute renal failure and hepatocellular injury occurring in the course of a mild SARS-CoV-2 infection. A 37-year-old woman presented at ER with a 5-day history of general asthenia, fever, vomiting, and decreased urine output. She reported a positive SARS-CoV-2 antigen test performed 4 days earlier and no other comorbidities. Initial laboratory findings revealed severe renal impairment (sCr 4.57 mg/dl), non-responsive to intravenous diuretic therapy, with a need to start renal replacement therapy (RRT). She presented also with concomitant liver injury (AST/ALT 875/1349 U/L) for which a liver’s biopsy was performed, finding a morphological aspect suggestive of COVID-related microvascular damage. Further hematochemical and microbiological exams were performed to exclude infectious, metabolic, neoplastic, toxic, and autoimmune diseases, confirming the diagnosis of acute renal failure and hepatocellular injury triggered by SARS-COV-2 infection. Liver and kidney function gradually improved and RRT was stopped after three consecutive sessions. Follow-up showed complete recovery of liver and kidney function twenty-eight days after the onset of symptoms. The case illustrates the complex pathophysiology of COVID-19 that frequently may severely involve extrapulmonary organs, without giving respiratory symptoms, like in this patient.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344428","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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