Archives of clinical and medical case reports最新文献_第9页

Lingual Mucosal Lesions for Starting the Secondary Stage of Syphilis: A Case Report 舌黏膜病变开始二期梅毒:1例报告

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550490

Min Zhao

引用次数: 0

Transcatheter Closure of a Ragged Post-Myocardial Infarction Ventricular Septal Defect Using an Off-Label ASD Occluder 使用标签外ASD封堵器经导管关闭心肌梗死后不规则室间隔缺损

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550452

C. Quast, S. Afzal, P. Leuders, M. Masyuk, K. Klein, M. Kelm, A. Polzin, T. Zeus

{"title":"Transcatheter Closure of a Ragged Post-Myocardial Infarction Ventricular Septal Defect Using an Off-Label ASD Occluder","authors":"C. Quast, S. Afzal, P. Leuders, M. Masyuk, K. Klein, M. Kelm, A. Polzin, T. Zeus","doi":"10.26502/acmcr.96550452","DOIUrl":"https://doi.org/10.26502/acmcr.96550452","url":null,"abstract":"Post-myocardial infarction ventricular septal defect has become a rare event following ST Elevation Myocardial Infarction (STEMI) but is still a life-threatening complication with high mortality. Transcatheter closure of post-myocardial infarction ventricular septal defects has emerged as an alternative therapeutic approach but often requires individual strategies due to complex morphology. We report a case of a 62-year-old man who was admitted to our hospital after STEMI of the inferior wall with pulmonary congestion due to a post-myocardial infarction VSD for interdisciplinary evaluation and therapy. The patient was characterized by estimated high perioperative risk and underwent interventional closure of the VSD according to heart team decision. Because of ragged nature of the VSD closure with a conventional Occlutech VSD occluder was not possible. Therefore, we decided to close the defect using an off-lable device for ASD closure which Arch Clin Med Case Rep 2022; 6 (1): 66-71 DOI: 10.26502/acmcr.96550452 Archives of Clinical and Medical Case Reports 67 was successfully implanted without relevant residual shunt.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343582","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

A Case Report on Bronchial Asthma with Myopathy 支气管哮喘伴肌病1例报告

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550453

SM. Shahidul Islam, Rehana Akter Lima

{"title":"A Case Report on Bronchial Asthma with Myopathy","authors":"SM. Shahidul Islam, Rehana Akter Lima","doi":"10.26502/acmcr.96550453","DOIUrl":"https://doi.org/10.26502/acmcr.96550453","url":null,"abstract":"Muscle disease is referred to as myopathy. As a result, the muscles are less efficient than they might be. When muscles don't grow correctly, are injured, or are missing vital components, this might happen. Muscle atrophy is common in patients who have had Bronchial Asthma with Myopathy for a long time. Muscles lose mass and strength as a result of this fading away. We recently treated a patient who was experiencing some of the same issues. We suggested a Brain MRI and total spine screening to the patient which indicated hypoplasticity in the left transverse sinus. An X-Ray of the chest indicated that the left inferior nasal turbinate had expanded. Traditional therapies like acupuncture and massage, as well as modern techniques like multipurpose equipment and physiotherapy, were chosen to treat our patients. Our patient had wonderful success with these strategies. The procedure for the patient’s treatment has been completed. At the end of the 12th day of chest treatment, the patient was completely free of breathlessness. On the 10th day of acupuncture, the patient’s low back discomfort began to improve. At the end of the 20th day of therapy, the patient's headache begins to improve. Moreover, the authors believe that it is the first successful reported case in Bangladesh using these techniques. Arch Clin Med Case Rep 2022; 6 (1): 72-77 DOI: 10.26502/acmcr.96550453 Archives of Clinical and Medical Case Reports 73","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343588","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

Bilateral Approach with Botulinum Toxin Type A Injections in Patients with One-Sided Facial Hyperkinetic Movements 双侧入路注射A型肉毒杆菌毒素治疗单侧面部运动过度

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550462

C. Karapantzou, Joao Pedro Vale, Frank Joachim Haubner, Konstantinos Zagoridis, Konstantinos Agas, Konstantinos Karagogos, Nikoleta Zagoridou, M. Canis

{"title":"Bilateral Approach with Botulinum Toxin Type A Injections in Patients with One-Sided Facial Hyperkinetic Movements","authors":"C. Karapantzou, Joao Pedro Vale, Frank Joachim Haubner, Konstantinos Zagoridis, Konstantinos Agas, Konstantinos Karagogos, Nikoleta Zagoridou, M. Canis","doi":"10.26502/acmcr.96550462","DOIUrl":"https://doi.org/10.26502/acmcr.96550462","url":null,"abstract":"Background: Main subject of our investigation was to clarify, if a bilateral approach with Botulinum toxin type A injections is more efficient from cosmetic and functional aspect, compared to unilateral injections, in patients with one-sided facial hyperkinetic movements, like synkinesis and hemi facial spasm. Methods: Our patient cohort included 30 patients suffering from unilateral hyperkinetic facial contractions. We performed a total of 60 injections, 30 of them only on the Arch Clin Med Case Rep 2022; 6 (2): 149-172 DOI: 10.26502/acmcr.96550462 Archives of Clinical and Medical Case Reports 150 affected side and 30 on both facial sides. All participants underwent 2 botulinum toxin sessions, with a 4 months period lying between the injections. Our statistical analysis was divided into 4 hypothesis testing sub-groups, based on the results of the subjective satisfaction rates our patients delivered 2 months and 6 months after the initial botulinum toxin session. Furthermore 2 doctors evaluated the results based on pre-and after photographs on a Quartile Grading Scale for objective evaluation for the same time periods. Each one of the observers received one patient group, either with bilateral or with ipsilateral treatments, without knowing which group they received. Results: Summarizing the statistical results we analyzed from both sources (patients and doc-tors-observers), we found statistically significant differences in satisfaction rate between the two groups (p=.004) and a better objective evaluation on patients who underwent combined treatments. Conclusions: Our work confirmed the initial assumption that patients with facial asymmetry of different etiology benefit from a bilateral therapeutic approach with botulinum toxin injections, instead of one-sided injections into the hyperkinetic or dyskinesia facial side.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343676","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

Diagnosis and Treatment of an Infected Supraorbital Ethmoid Cell Cyst 一例感染性眶上筛细胞囊肿的诊断与治疗

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550467

K. Koda, K. Yasuhara

引用次数: 0

Peracute Onset Pediatric Myelin Oligodendrocyte Glycoprotein Antibody Associated Focal Cortical Encephalitis: A Case Report 小儿髓磷脂少突胶质细胞糖蛋白抗体相关局灶性皮质脑炎1例报告

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550522

Johanna Sophie Pohl, F. Leypoldt, Naomi Larsen, A. van Baalen, K. Wandinger, K. Rostásy, H. Muhle

{"title":"Peracute Onset Pediatric Myelin Oligodendrocyte Glycoprotein Antibody Associated Focal Cortical Encephalitis: A Case Report","authors":"Johanna Sophie Pohl, F. Leypoldt, Naomi Larsen, A. van Baalen, K. Wandinger, K. Rostásy, H. Muhle","doi":"10.26502/acmcr.96550522","DOIUrl":"https://doi.org/10.26502/acmcr.96550522","url":null,"abstract":"Recently, several case series have described pediatric patients presenting with new onset focal seizures together with relapsing fever and cortical T2/FLAIR hyperintensities in association with myelin oligodendrocyte glycoprotein (MOG) antibodies, in adults known as unilateral cortical fluid-attenuated inversion recovery (FLAIR) hyperintense lesions in anti-MOG-associated encephalitis with seizures (FLAMES). A previously healthy 12-year-old girl first arrived to the emergency department with stroke-like symptoms, including hemiparesis, facial palsy, and severe headache. Heparin therapy was initiated; seizures were successfully treated with valproate. Due to persistent cortical edema in brain magnetic resonance imaging (MRI), anti-inflammatory treatment with high dose dexamethasone was initiated and led to prompt recovery. One month later, the patient displayed fever and headache of unknown origin. Brain MRI showed cortical FLAIR hyperintensities and leptomeningeal contrast enhancement. Cerebrospinal fluid (CSF) analyses including autoimmune diagnostics revealed a lymphocytic pleocytosis, elevated protein, and positive oligoclonal bands. MOG antibodies in serum and CSF were positive. Intravenous methylprednisolone (IVMP), followed by oral tapering, led to complete recovery, yet one relapse occurred and intravenous immunoglobulins (IVIG) were added, given monthly to date. Our patient remained relapse-free for eight months when moderate but persisting headache and paraesthesia reoccurred. Methylprednisolone therapy was given, but outstanding MOG antibodies in serum and CSF were negative. Therefore, maintenance therapy was not extended. Single focal seizures led to adjustment of antiseizure medication. In summary, this is the first case report of a pediatric patient with MOG encephalitis, first presenting stroke-like symptoms, reminiscent of the newly described FLAMES syndrome.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343857","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

CADASIL or MS? Consider “Red Flags” but Avoid a Misdiagnosis: Case Series of a Concomitant Diagnosis CADASIL还是MS?考虑“危险信号”但避免误诊:伴随诊断的病例系列

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550530

Morena Emanuele, Lucchi Matteo, Romano Carmela, Petrucci Simona, Tartaglia Matteo, Morosetti Roberta, Conte Antonella, Buscarinu Maria Chiara, Romano Silvia, Salvetti Marco, Mirabella Massimiliano, Ristori Giovanni

引用次数: 0

Unexpected Elevation of Infection Parameters in a Heart Transplanted Patient with Chronic Kidney Disease: A Case Report 慢性肾脏疾病心脏移植患者感染参数意外升高一例报告

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550558

Kurzhagen Jt, Roeder Ss, M. J

{"title":"Unexpected Elevation of Infection Parameters in a Heart Transplanted Patient with Chronic Kidney Disease: A Case Report","authors":"Kurzhagen Jt, Roeder Ss, M. J","doi":"10.26502/acmcr.96550558","DOIUrl":"https://doi.org/10.26502/acmcr.96550558","url":null,"abstract":"Patients with end-stage kidney disease are under an increased risk for morbidity and mortality due to cardiovascular reasons. Yet, patients might show only atypical symptoms during cardiac events and routinely performed pre-transplant diagnostic measures are discussed controversially. A heart transplanted 50-year-old male with end-stage kidney disease was assessed for kidney transplantation. Myocardial scintigraphy, chest x-ray, pulmonary function test, urological and gastrointestinal assessment showed normal results. A routinely performed blood test revealed elevated procalcitonin, C-reactive protein and leucocytes. Measured vital parameters and physical examination revealed no pathologies. Coughing, shortness of breath or chest pain were denied. CT-scan showed no signs of infection but lack of contrast media enhancement in the heart. Myocardial infarction was confirmed in electrocardiogram and transthoracic echocardiogram demonstrated an impaired ejection fraction of 20%. Treatment with anti-platelet medication and anticoagulation was followed by invasive heart catheterization, which revealed no acute stenosis but a dissolved in-stent thrombosis. Since kidney failure was progressing the patient required dialysis treatment. Microbiological analyses of blood and urine samples stayed negative. Chronic kidney disease patients are at increased cardiovascular risk. However, invasiveness of cardiac diagnostics for potential kidney transplant is debated controversially. KDIGO guideline 2020 advises non-invasive screening for coronary artery disease for asymptomatic patients at high risk. However, there is no specific guideline for previously heart transplanted candidates for kidney transplant and patients with high pretest probability benefit from invasive diagnostics. A risk stratification for cardiac complications and pre-kidney transplant evaluation should be executed in clinical practice.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69344274","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

Lower GI Bleeding and Left Colon Blue Rubber Blebs: Rare Case Report 下消化道出血及左结肠蓝色橡胶泡:罕见病例报告

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550560

Fahad Al-Lhedan, A. Kurdi

引用次数: 0

Knowledge, Attitude and Perceptions towards COVID-19 Vaccination among South Indian (Telangana) Population - A Cross Sectional Study 南印度(特伦甘纳邦)人口对COVID-19疫苗接种的知识、态度和看法——一项横断面研究

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550485

Srimanth Kumar Barigela, Rajesh Kumar Galimudi, Shivani Kadarla, Durga Neeharika Rani, Pardha P. Reddy, Madhavi Jangala, Sunita G Kumar

引用次数: 0