Journal of cardiology case reports最新文献_第2页

Manejo de la mola hidatiforme. Reporte de un caso 棘状翻车鱼的管理。报告个案

Journal of cardiology case reports Pub Date : 2023-01-25 DOI: 10.15446/cr.v8n2.93735

María Cuaresma-González, Laura Barrero-Real, E. García-García, Lucía Pérez-Gallego, Julio Alberto Gobernado-Tejedor, Marta Ibáñez-Nieto

{"title":"Manejo de la mola hidatiforme. Reporte de un caso","authors":"María Cuaresma-González, Laura Barrero-Real, E. García-García, Lucía Pérez-Gallego, Julio Alberto Gobernado-Tejedor, Marta Ibáñez-Nieto","doi":"10.15446/cr.v8n2.93735","DOIUrl":"https://doi.org/10.15446/cr.v8n2.93735","url":null,"abstract":"Resumen\u0000Introducción. La mola hidatiforme es un tipo de enfermedad trofoblástica gestacional que se presenta como resultado de la fertilización anormal de un ovocito y que ocasiona síntomas inespecíficos como amenorrea, metrorragia y aumento del tamaño del útero. Aunque infrecuentes, sus síntomas más característicos incluyen hiperémesis, preeclampsia de inicio temprano, anemia y distrés respiratorio.\u0000Presentación del caso. Mujer marroquí de 47 años que consultó al servicio de urgencias del Hospital Clínico Universitario de Valladolid debido a que había presentado tos y vómitos por un mes. La paciente refirió haber sufrido epigastralgia y amenorrea por dos meses, así como escaso sangrado vaginal en los últimos dos días. Teniendo en cuenta que la paciente dio positivo en una prueba de embarazo, que en la ecografía transvaginal se observó una masa intrauterina heterogénea de 124x120mm, que no se reportaron hallazgos anormales en la ecografía Doppler y que sus niveles séricos de βhCG alcanzaron un valor de 772.110 mUI/mL, se sospechó un diagnóstico de mola hidatiforme. Una vez informada sobre las posibles alternativas terapéuticas, la paciente decidió someterse a una histerectomía total, pues refirió que ya había cumplido su deseo de ser madre. Luego de realizar procedimiento, la condición clínica de la paciente mejoró; además, el informe de patología de la masa permitió confirmar el diagnóstico de mola hidatiforme parcial.\u0000Conclusiones. El diagnóstico temprano de la mola hidatiforme es de gran importancia para ofrecer un tratamiento adecuado y, de esta forma, mejorar el pronóstico de estas pacientes. Por tanto, a pesar de su baja incidencia y sus manifestaciones clínicas inespecíficas, se debe considerar como diagnóstico diferencial de las metrorragias del primer trimestre.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81097928","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

Lupus pernio vs. lupic perniosis: A case report 狼疮与狼疮性腐殖症:1例报告

Journal of cardiology case reports Pub Date : 2023-01-15 DOI: 10.15446/cr.v8n2.92970

Doris Juliana Parra-Sepúlveda, Laura Catalina Urueña-Betancourt, J. F. Porras-Villamil, Nadia Katherine Ríos-Camargo

{"title":"Lupus pernio vs. lupic perniosis: A case report","authors":"Doris Juliana Parra-Sepúlveda, Laura Catalina Urueña-Betancourt, J. F. Porras-Villamil, Nadia Katherine Ríos-Camargo","doi":"10.15446/cr.v8n2.92970","DOIUrl":"https://doi.org/10.15446/cr.v8n2.92970","url":null,"abstract":"Abstract\u0000Introduction: Systemic lupus erythematosus (SLE) is an autoimmune disease that is difficult to diagnose due to the wide array of signs and symptoms it displays that may be associated to multiple clinical conditions, including perniosis (a rare inflammatory condition), lupus pernio (a manifestation of sarcoidosis), and lupus perniosis (a form of SLE), which can be easily mistaken.\u0000Case description: A 29-year-old Colombian mestizo woman with no family history of autoimmune, inflammatory or cutaneous diseases was diagnosed with SLE after ruling out several differential diagnoses. Although the patient presented with features of lupus pernioticus (lupus perniosis), it was established that she had lupus pernio, a type of sarcoidosis. The patient was given the indicated treatment, which led to an improvement in her quality of life.\u0000Conclusion: Based on the epidemiology, clinical history and histopathologic findings, it was possible to establish that the patient presented with lupus perniosis and not lupus pernio. In that regard, considering that these three conditions (perniosis, lupus pernio and lupic perniosis) can be easily confused, the present case highlights the importance of a thorough clinical evaluation and precise use of diagnostic terms, because these are three different conditions despite their similar names.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87125979","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

Buerger’s disease with cerebral involvement in a middle-aged woman with diabetes mellitus. A case report 伴有糖尿病的中年妇女患伯格氏病伴大脑受累。病例报告

Journal of cardiology case reports Pub Date : 2022-12-14 DOI: 10.15446/cr.v8n2.95271

J. Frías-Ordoñez, M. A. Pérez-Hernández, José Ignacio Angarita-Céspedes, Sergio Alexander Mora-Alfonso, Michel Hernández-Restrepo, Humberto Carlo Parra-Bonilla

{"title":"Buerger’s disease with cerebral involvement in a middle-aged woman with diabetes mellitus. A case report","authors":"J. Frías-Ordoñez, M. A. Pérez-Hernández, José Ignacio Angarita-Céspedes, Sergio Alexander Mora-Alfonso, Michel Hernández-Restrepo, Humberto Carlo Parra-Bonilla","doi":"10.15446/cr.v8n2.95271","DOIUrl":"https://doi.org/10.15446/cr.v8n2.95271","url":null,"abstract":"Introduction: Buerger’s disease (BD) generally affects men, young people, and smokers, but it can also affect women. Its incidence is rare in Latin America.\u0000Case report: A 40-year-old Colombian woman, active smoker and user of psychoactive substances, attended the emergency department of a tertiary care center due to symptoms of 3 days consisting of retraction of the corner of the mouth, drooling, and involuntary tongue movements. The patient, who had a history of uncontrolled diabetes and recent acute ischemia of the right upper limb due to acute thrombosis, required surgical management and subsequent use of oral anticoagulation. She later developed necrotic changes in the distal phalanges of the right hand that required ablative therapy. Since age, sex and limb involvement were not typical for BD, collagenosis, vasculitis or thrombophilia were ruled out, but after excluding these disorders, BD with atypical features was considered. The patient was discharged with oral anticoagulation, aspirin, combined analgesia, physiotherapy, and recommendation for smoking cessation.\u0000Conclusions: Age, sex, smoking and comorbidities such as diabetes are risk factors for BD. Imaging and histopathology are the gold standard for the definitive diagnosis of this entity. Multidisciplinary management, lifestyle changes, smoking cessation, pain control, good wound healing and social support are key aspects for better clinical outcomes in patients with BD.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84935834","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

Pelvic retroperitoneal echinococcal cyst. A case report 盆腔腹膜后棘球蚴囊肿。病例报告

Journal of cardiology case reports Pub Date : 2022-12-13 DOI: 10.15446/cr.v8n2.93080

Edmundo Ziede-Rojas, Eduardo Ramírez-González, Jaime Jans-Baez

引用次数: 0

Perinatal prognosis in euploid fetus with cystic hygroma. Report of two clinical cases 整倍体胎儿囊性水瘤的围生期预后。报告2例临床病例

Journal of cardiology case reports Pub Date : 2022-12-01 DOI: 10.15446/cr.v8n2.92779

R. Tarazona-Bueno, R. L. Aragón-Mendoza, Deisy Yurany Daza Leguizamón, Marcela Altman-Restrepo

{"title":"Perinatal prognosis in euploid fetus with cystic hygroma. Report of two clinical cases","authors":"R. Tarazona-Bueno, R. L. Aragón-Mendoza, Deisy Yurany Daza Leguizamón, Marcela Altman-Restrepo","doi":"10.15446/cr.v8n2.92779","DOIUrl":"https://doi.org/10.15446/cr.v8n2.92779","url":null,"abstract":"Introduction: Cystic hygroma (CH) is a rare congenital anomaly of the lymphatic system. It is characterized by cystic lesions predominantly in the fetal neck and its prenatal diagnosis has been associated with increased perinatal mortality, aneuploidy, and congenital malformations.\u0000Case presentation: Two cases of cervical cystic hygroma diagnosed during the second trimester of gestation are presented, one of them associated with bilateral clubfoot. Both fetuses underwent karyotyping by amniocentesis, which established that both were euploid (46 XY and 46 XX), as well as fetal nuclear magnetic resonance imaging that showed no associated major malformations. In the interdisciplinary follow-up performed 1 year after birth, no findings consistent with genetic syndromes or neurodevelopmental alterations were observed in either of the 2 cases.\u0000Conclusions: CH is a marker of poor fetal prognosis; however, euploid fetuses with this condition have a better prognosis if their lesion resolves, do not progress to hydrops fetalis, and do not present other associated malformations. Euploid fetuses with CH require specific genetic studies for RASopathies, such as Noonan syndrome, which were not available in the clinical approach of the 2 cases presented; however, typical postnatal characteristics of the disease were not evident in the clinical genetic evaluation.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88816194","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 Takotsubo syndrome: case report and literature review 复发性Takotsubo综合征1例报告并文献复习

Journal of cardiology case reports Pub Date : 2022-11-22 DOI: 10.15446/cr.v8n2.92955

Sergio Alexander Velasco-Malagón, Guillermo Mora-Pabón

{"title":"Recurrent Takotsubo syndrome: case report and literature review","authors":"Sergio Alexander Velasco-Malagón, Guillermo Mora-Pabón","doi":"10.15446/cr.v8n2.92955","DOIUrl":"https://doi.org/10.15446/cr.v8n2.92955","url":null,"abstract":"Abstract\u0000Introduction: Takotsubo syndrome is a cardiomyopathy that can lead to severe myocardial involvement. It is characterized by the presence of signs and symptoms suggestive of ventricular dysfunction associated with an adrenergic discharge during a stressful event. This case report presents a literature review, as well as a comparison with other similar cases.\u0000Case presentation. A 56-year-old female with a previous episode of Takotsubo was admitted to the emergency department due to symptoms of acute coronary syndrome and a history of Takotsubo syndrome. Her electrocardiogram showed T-wave inversion in leads V1-V4 and a raise in troponins. Percutaneous coronary angiography revealed no coronary lesions, and an echocardiogram revealed segmental alterations compatible with Takotsubo syndrome, requiring medical therapy with beta-blockers and angiotensin-converting enzyme (ACE) inhibitors, with subsequent improvement in ventricular function.\u0000Conclusions. Recurrence in Takotsubo cardiomyopathy is a rare complication that should be suspected. The risk factors associated with recurrence are not known. Although therapy with ACE inhibitors and beta-blockers seems to have an impact on the recovery of ventricular function in patients with this condition, further studies are necessary to establish the best pharmacological treatment.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78541658","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

Giant Right Atrial Myxoma with Right to Left Shunt Across Atrial Septum 巨大右心房黏液瘤伴右至左房间隔分流

Journal of cardiology case reports Pub Date : 2022-10-25 DOI: 10.47496/sl.ccr.2022.01.03

Zuhaib Ahmed, Lubna Baqai, Ubaidullah Popal, A. Memon, B. Hanif

引用次数: 0

Congenital syphilis. New questions about a neglected but re-emerging condition 先天性梅毒。关于一种被忽视但又重新出现的疾病的新问题

Journal of cardiology case reports Pub Date : 2022-08-03 DOI: 10.15446/cr.v8n1.99963

Hernando Gaitán Duarte

引用次数: 0

Adenoma metanéfrico: diagnóstico diferencial del carcinoma urotelial del tracto urinario superior. Reporte de un caso 后肾腺瘤:尿路上皮癌的鉴别诊断。报告个案

Journal of cardiology case reports Pub Date : 2022-08-03 DOI: 10.15446/cr.v8n1.92283

David Andrés Castañeda Millán, Juan Camilo Álvarez Restrepo, Víctor Iván Romero Nieto, Diego Camacho Nieto, Wilfredo Donoso Donoso, Jorge Forero Muñoz

{"title":"Adenoma metanéfrico: diagnóstico diferencial del carcinoma urotelial del tracto urinario superior. Reporte de un caso","authors":"David Andrés Castañeda Millán, Juan Camilo Álvarez Restrepo, Víctor Iván Romero Nieto, Diego Camacho Nieto, Wilfredo Donoso Donoso, Jorge Forero Muñoz","doi":"10.15446/cr.v8n1.92283","DOIUrl":"https://doi.org/10.15446/cr.v8n1.92283","url":null,"abstract":"Introduction: Metanephric adenoma is a rare benign kidney tumor. Patients with these tumors are usually asymptomatic, although polycythemia occurs in up 12% of cases. These masses are often described on diagnostic imaging as solid, single, well-defined, oval-shaped, unilateral lesions, located primarily in the renal medulla and without extrarenal involvement. These neoplasms are difficult to differentiate from malignant neoplasms of the upper urinary tract, so the definitive diagnosis is achieved by histopathology. Currently, the treatment of choice is radical nephrectomy.\u0000Case presentation: A 51-year-old woman from Bogotá (Colombia) was referred to the urology service of a tertiary care hospital due to bilateral lumbar pain of non-specific characteristics. At the time of consultation, the patient was asymptomatic. Renal and urinary tract ultrasound showed hydronephrosis and right renal mass. Computed tomography urography was requested, which revealed a lesion in the right renal pelvis with parenchymal invasion highly suggestive of high-risk upper urinary tract urothelial carcinoma, as well as adenopathies in the para-aortic lymph nodes. The patient underwent a radical nephroureterectomy with bladder cuff, which allowed establishing a final diagnosis of metanephric adenoma according to the histopathological study.\u0000Conclusions: Metanephric adenoma is a rare tumor that is difficult to diagnose through imaging, so it is necessary to explore additional tools to establish an accurate pre-surgical diagnosis that allows preserving the affected renal unit. Also, given their non-specificity, these tumors should be included in the differential diagnosis of lesions suggestive of upper tract urothelial carcinoma.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74001185","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

Severe congenital diarrhea secondary to tufting enteropathy. Case report 继发于丛状肠病的严重先天性腹泻。病例报告

Journal of cardiology case reports Pub Date : 2022-08-03 DOI: 10.15446/cr.v8n1.90883

L. González-Hakspiel, María Angélica Wilches-Cuadros, Paula Andrea Nausa-Suárez, F. Fernández, Paula Patiño-Ascencio, Alejandra Manrique-Guerrero, Díaz-Díaz Díaz-Díaz, Castro-Rojas Castro-Rojas

{"title":"Severe congenital diarrhea secondary to tufting enteropathy. Case report","authors":"L. González-Hakspiel, María Angélica Wilches-Cuadros, Paula Andrea Nausa-Suárez, F. Fernández, Paula Patiño-Ascencio, Alejandra Manrique-Guerrero, Díaz-Díaz Díaz-Díaz, Castro-Rojas Castro-Rojas","doi":"10.15446/cr.v8n1.90883","DOIUrl":"https://doi.org/10.15446/cr.v8n1.90883","url":null,"abstract":"Introduction: Tufting enteropathy is a rare cause of congenital diarrhea in neonates. It is characterized by the abnormal distribution of epithelial adhesion molecules, which causes enterocytes to shed into the lumen, forming the characteristic tufts.\u0000Case presentation: A 15-day-old female neonate was taken by her parents to the emergency department of a tertiary care hospital due to diarrheal stools she had been experiencing since birth. The patient presented with dehydration, abnormal weight loss, metabolic acidosis, and acute kidney failure. She received treatment with alizapride, loperamide, zinc sulfate, and probiotics, but after 75 days of treatment she was still symptomatic. An upper tract endoscopy and colonoscopy were performed, finding flattening of the villi and lymphoid cells in the lamina propria. However, the symptoms persisted, and she died at the age of ten months. A post-mortem exome sequencing reported tufting enteropathy.\u0000Conclusions. When congenital diarrhea is present, tufting enteropathy should be considered. An early molecular study would allow to evaluate the possibility of performing an intestinal transplant or modifying the treatment to meet the patient’s palliative care needs.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84826524","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