Case reports in internal medicine最新文献_第2页

Urinothorax: A rare complication of spontaneous bladder rupture 尿疗：自发性膀胱破裂的罕见并发症

Case reports in internal medicine Pub Date : 2019-09-28 DOI: 10.5430/crim.v6n4p16

Cyrus V. Edelson, S. Edelson, J. Edelson, G. Dooley

引用次数: 0

Pylephlebitis caused by a liver abscess 由肝脓肿引起的肾盂炎

Case reports in internal medicine Pub Date : 2019-09-26 DOI: 10.5430/crim.v6n4p13

Daniel C. Alcantar, F. Galeano, Christine C. Junia

{"title":"Pylephlebitis caused by a liver abscess","authors":"Daniel C. Alcantar, F. Galeano, Christine C. Junia","doi":"10.5430/crim.v6n4p13","DOIUrl":"https://doi.org/10.5430/crim.v6n4p13","url":null,"abstract":"Pylephlebitis is a rare complication associated with an intra-abdominal septic process in the portal venous system. It is defined as thrombophlebitis of the portal vein and is often reported in association with appendicitis and diverticulitis. We present a 64-yearold female who presented with fever, chills, myalgia, and loss of appetite. A computerized tomography (CT) chest/abdomen/pelvis was performed and the patient was found to have a low-density lesion within the left lobe of the liver suspicious for a hepatic abscess and a suspected left segmental plyephlebitis. The diagnosis of pylephlebitis can be challenging as there is a broad differential diagnosis to consider. When considering pylephlebitis, empiric antibiotic coverage for poly-microbial infection targeting both gram-negative aerobes and anaerobes should be initiated. Antimicrobial therapy is modified according to blood culture results and treatment can be extended for 4 to 6 weeks. To our knowledge, there are only a few cases identifying liver abscesses as an etiology for pylephlebitis. This case was atypical compared to other cases in that the diagnosis of pylephlebitiswas incidental.","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/crim.v6n4p13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43761983","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

Intractable stokes adams attack with myriad of ventricular arrythmias masquerading acute myocarditis 顽固性斯托克斯-亚当斯发作伴无数室性心律失常伴急性心肌炎

Case reports in internal medicine Pub Date : 2019-09-25 DOI: 10.5430/crim.v6n4p9

M. Kaur, Prema Bezwada, C. Ayala-Rodriguez

引用次数: 0

Dolutegravir induced sub-acute hepatic failure in HIV positive treatment naïve man in Botswana 多来替韦在HIV阳性治疗中诱导亚急性肝功能衰竭naïve在博茨瓦纳的男子

Case reports in internal medicine Pub Date : 2019-09-24 DOI: 10.5430/crim.v6n4p5

G. Rwegerera, Munashe Rimbi, Vimbai Mudhina, M. Simone, Moranodi Sefo, Bofelo Segona

引用次数: 3

A case of wide complex tachycardia in wolff-parkinson-white syndrome wolff-parkinson-white综合征的宽复性心动过速1例

Case reports in internal medicine Pub Date : 2019-09-04 DOI: 10.5430/crim.v6n4p1

J. Lowenthal, Jack Xu, E. Pagan, Richard Tangel, D. Schaer, Theodore J. Maglione, A. Saluja

{"title":"A case of wide complex tachycardia in wolff-parkinson-white syndrome","authors":"J. Lowenthal, Jack Xu, E. Pagan, Richard Tangel, D. Schaer, Theodore J. Maglione, A. Saluja","doi":"10.5430/crim.v6n4p1","DOIUrl":"https://doi.org/10.5430/crim.v6n4p1","url":null,"abstract":"The manifestation of atrial flutter, particularly with 1:1 conduction, is rare in patients with ventricular preexcitation secondary to Wolff-Parkinson-White Syndrome (WPW). Very few cases have been reported in the literature. We present a 40-year old male with a history of untreated WPW who presented with severe chest pain and shortness of breath. He was found to have a rapid, regular, wide complex tachycardia. He underwent successful synchronized cardioversion, in which the patient converted tonormal sinus rhythm with classic WPW waveform characteristics, including a shortened PR interval and prolonged QRS complex with a slurred upstroke. Surprisingly, a subsequent electrophysiology study revealed atrial flutter, with bystander conduction of 1:1 atrial flutter being the most likely cause of the patient’s presenting symptoms, and a posteroseptal accessory pathway consistent with the diagnosis of WPW. While considerably rarer than ventricular tachycardia or AVRT, it is nevertheless important for clinicians to consider atrial flutter with 1:1 conduction as a potential diagnosis in patients with WPW presenting with wide complex tachycardia.","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/crim.v6n4p1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45277328","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

Recurrent invasive lobular breast carcinoma presenting as gastric outlet obstruction 复发性浸润性小叶性乳腺癌表现为胃出口梗阻

Case reports in internal medicine Pub Date : 2019-08-28 DOI: 10.5430/crim.v6n3p26

A. Contreras, A. Robles, A. Mendoza-Ladd

引用次数: 0

Primary cutaneous coccidioidomycosis in an immunocompetent oil field worker in West Texas 得克萨斯州西部一名免疫活性油田工人的原发性皮肤球虫病

Case reports in internal medicine Pub Date : 2019-08-16 DOI: 10.5430/CRIM.V6N3P21

E. Christensen, M. Feldman

引用次数: 0

Thoracoacromial artery bleeding manifests as an enlarging chest mass: A rare case report 胸部妥协性动脉出血表现为胸部肿块增大：一例罕见病例报告

Case reports in internal medicine Pub Date : 2019-08-15 DOI: 10.5430/CRIM.V6N3P18

Tsung-Han Lin, Tien-Chi Huang, Wen-Hsien Lee, C. Chu, Ho-Ming Su, Tsung-Hsien Lin, P. Hsu

引用次数: 0

Acquired von Willebrand syndrome secondary to Waldenström’s macroglobulinemia 继发于Waldenström巨球蛋白血症的获得性血管性血友病

Case reports in internal medicine Pub Date : 2019-07-18 DOI: 10.5430/CRIM.V6N3P13

Satoko Hijii, T. Kodaka, Takae Goka, Y. Aoyama, Hiroko Tsunemine, Takayuki Takahashi

{"title":"Acquired von Willebrand syndrome secondary to Waldenström’s macroglobulinemia","authors":"Satoko Hijii, T. Kodaka, Takae Goka, Y. Aoyama, Hiroko Tsunemine, Takayuki Takahashi","doi":"10.5430/CRIM.V6N3P13","DOIUrl":"https://doi.org/10.5430/CRIM.V6N3P13","url":null,"abstract":"Acquired von Willebrand (vW) syndrome in Waldenström’s macroglobulinemia (WM) should be differentially diagnosed from hyperviscosity syndrome of WM, which exhibits a bleeding tendency. We report a rare case of acquired vW syndrome secondary to WM. A 62-year-old woman was referred to our hospital because of extensive subcutaneous hemorrhage following a light hit to the left arm. Although the platelet count was normal, APTT was prolonged to 49.4 sec. Furthermore, the serum concentration of IgM was elevated to 7,796 mg/dL, which was revealed to be IgM-κ monoclonal protein, leading to a diagnosis of WM. On ophthalmofundoscopy, mild hemorrhage, but not retinal vein dilatation, was observed. Regarding the abnormal APTT value, we measured coagulation factors in the intrinsic arm, revealing reduced activities of vW factor and factor VIII of 11 and 18%, respectively. Furthermore, the amount of vW protein was decreased to 23%. Multimer analysis of vW factor demonstrated an abnormal pattern lacking high-molecular-weight- bands. Additional diagnosis of acquired vW syndrome secondary to WM was made. The APTT cross-mixing test showed a simple but not inhibitor-related decreasing pattern of vW factor, suggesting the absorption of this factor by abnormal lymphoplasmacytic cells. The patient was treated with bendamustine, leading to reduced IgM, improvement of the APTT value, and the normal multimer pattern of vW factor.","PeriodicalId":72533,"journal":{"name":"Case reports in internal medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CRIM.V6N3P13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48147286","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

Clindamycin-Induced Rhabdomyolysis in the Setting of Mitochondrial Myopathy 克林霉素诱导的线粒体肌病横纹肌溶解症

Case reports in internal medicine Pub Date : 2019-07-15 DOI: 10.5430/CRIM.V6N3P10

J. Lowenthal, Jessica Kunadia, Vivek Bose, Jack Xu, T. Nahass, I. Iwata

引用次数: 0