International journal of medical and pharmaceutical case reports最新文献_第4页

Lung Ultrasound to Diagnose Necrotizing Pneumonia in the Pediatric Patient 用肺部超声波诊断小儿坏死性肺炎

International journal of medical and pharmaceutical case reports Pub Date : 2023-12-07 DOI: 10.9734/ijmpcr/2023/v16i4356

Rachna P. Kadakia, Isaac Gordon, Cornelia Muntean

引用次数: 0

Saddle Shaped Thrombus at Subclavian-Vertebral Artery Junction 锁骨下-椎动脉交界处的马鞍形血栓

International journal of medical and pharmaceutical case reports Pub Date : 2023-11-17 DOI: 10.9734/ijmpcr/2023/v16i4354

A. K. Sharma, S. Roy

引用次数: 0

A Rare Neurological Sequela: Pontine Infarct Conducing to Millard-gubler Syndrome 罕见的神经系统后遗症：诱发米勒-古布勒综合征的桥脑梗塞

International journal of medical and pharmaceutical case reports Pub Date : 2023-11-15 DOI: 10.9734/ijmpcr/2023/v16i4353

Hema Ratna Sai Lakshmi Vemana, Nisar Ahmed, Bhagya Aruna Chikkala, Rupa Lavanya Gogulamanda, Priyanka Kandregula, Minisha Nalli, Pavan Kumar Yanamadala

{"title":"A Rare Neurological Sequela: Pontine Infarct Conducing to Millard-gubler Syndrome","authors":"Hema Ratna Sai Lakshmi Vemana, Nisar Ahmed, Bhagya Aruna Chikkala, Rupa Lavanya Gogulamanda, Priyanka Kandregula, Minisha Nalli, Pavan Kumar Yanamadala","doi":"10.9734/ijmpcr/2023/v16i4353","DOIUrl":"https://doi.org/10.9734/ijmpcr/2023/v16i4353","url":null,"abstract":"Background: Ventral Pontine Syndrome, likewise called Millard Gubler Syndrome (MGS) or Facial abducens hemiplegia disorder is a neurodegenerative problem that is described by one-sided lesions influencing the basal piece of the caudal pons including fascicles of the abducens and the facial nerves and the pyramidal lot filaments. Clinical findings incorporate fringe Facial Nerve Paralysis and neuromuscular shortcoming or loss of motion of at least one appendage. This is an exceptionally uncommon condition assessed to influence 1 out of 10, 00, 000. Men (aged 40-60 years) are bound to foster the condition than ladies. Case Nuances: A 45-year-old male patient had intensely passed a-sided facial droop 4 days prior to presenting with weakness on the left half of his upper and lower appendages. He, along with his attender likewise referenced that he had recently had a 2-minute loss of cognizance, discombobulation, and vertical shifting of the right eye both when he lost his consciousness. He had low serum Vitamin D and was determined to have Millard Gubler Condition as an Infarct in the pontine locale was recognized in imaging, and was dealt with restoratively and with Non-intrusive treatment. Discussion: Millard-Gubler disorder might cause cerebellar ataxia if the paramedian pontine dead tissue region somewhat expands horizontally, influencing the centre cerebellar peduncles. Detached pontine localized necrosis might have decent progress whenever analyzed and overseen early. Conclusion: MGS is typically found in instances of brainstem cancers, drain, tuberculoma, parasitic contamination, Ischemic stroke secondary to impediment of the basilar supply route, and injury.","PeriodicalId":90548,"journal":{"name":"International journal of medical and pharmaceutical case reports","volume":"10 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139275070","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

Spotting the Culprit: A Rare Case of Hematometra in a Menstruating Female with Fraser Syndrome 找出罪魁祸首:一个罕见的病例血肿月经女性与弗雷泽综合征

International journal of medical and pharmaceutical case reports Pub Date : 2023-10-18 DOI: 10.9734/ijmpcr/2023/v16i4352

Sameer Khan, Nevine Macalintal, Katlin Davitt, Jennifer McEachron, Cornelia Muntean

引用次数: 0

Yolk Sac Tumor in a 43-Year-Old Woman 43岁女性卵黄囊肿瘤

International journal of medical and pharmaceutical case reports Pub Date : 2023-10-18 DOI: 10.9734/ijmpcr/2023/v16i4351

Chijioke O. Ezeigwe, Uchenna D. Okudo, Onyeka C. Ekwebene, Emmanuel C. Egwuatu, Daniel C. Anyiam, Jerome C. Okudo, Oyetokunbo Ibidapo-Obe, George U. Eleje, Charlotte B. Oguejiofor, Nkejesus C. Obi, Victor K. Nwodo

引用次数: 0

A Case Report on Recurrent Episodes of Dyselectrolytemia Diagnosed as Gitleman Syndrome 反复发作诊断为吉特曼综合征的电解质障碍1例报告

International journal of medical and pharmaceutical case reports Pub Date : 2023-10-10 DOI: 10.9734/ijmpcr/2023/v16i4350

None Priyadharshini V., Deepika Ganesh, None Rajmahizhan T.

{"title":"A Case Report on Recurrent Episodes of Dyselectrolytemia Diagnosed as Gitleman Syndrome","authors":"None Priyadharshini V., Deepika Ganesh, None Rajmahizhan T.","doi":"10.9734/ijmpcr/2023/v16i4350","DOIUrl":"https://doi.org/10.9734/ijmpcr/2023/v16i4350","url":null,"abstract":"Background: Gitleman syndrome (GS) is also known as familial hypokalaemia-hypomagnesemia, which is a rare genetic disorder. It is an autosomal recessive disease that is characterized by hypokalaemia, hypomagnesemia, metabolic alkalosis, hypocalciuric hypercalcemia and hyperaldosteronism. Case Report: 70-year-old female patient who was diagnosed with Gitelman syndrome with the symptoms of loss of appetite, muscle weakness, and abdominal pain. Electrolyte levels were low. After inconclusive evidence from laboratory investigation, genetic testing was performed. The detection of the SLC12A3 gene mutation encoding thiazide diuretic sensitive sodium chloride cotransporter located in DCT of kidney, confirmed the diagnosis of GS with c.1331delA variant. No pathological variant of CLCNKB for Bartter syndrome has been found. The patient was treated with parenteral normal saline, potassium chloride, Arachitol, spironolactone, metoclopramide, and MgD3 (magnesium glycinate and vitamin D3), the symptoms was significantly relieved. After discharge the intravenous medicines were shifted to oral and followed up with serum electrolyte levels in our institute.","PeriodicalId":90548,"journal":{"name":"International journal of medical and pharmaceutical case reports","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136352412","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

Vibrio cholerae Bacteraemia: Report of Two Cases 霍乱弧菌菌血症2例报告

International journal of medical and pharmaceutical case reports Pub Date : 2023-10-09 DOI: 10.9734/ijmpcr/2023/v16i4349

Bhaskar Narayan Chaudhuri, Amrita Basak, Partha Guchhait, Sayan Naskar, Anupam Das, Satadal Das

{"title":"Vibrio cholerae Bacteraemia: Report of Two Cases","authors":"Bhaskar Narayan Chaudhuri, Amrita Basak, Partha Guchhait, Sayan Naskar, Anupam Das, Satadal Das","doi":"10.9734/ijmpcr/2023/v16i4349","DOIUrl":"https://doi.org/10.9734/ijmpcr/2023/v16i4349","url":null,"abstract":"Aims: Case reports on Vibrio cholerae bacteraemia are extremely rare and thus such cases should be presented for a proper understanding of the mechanism of these rare conditions. Presentation of Cases: One male patient aged 67 years was suffering from vomiting, hiccups, fever with chills and weakness. The post-liver transplant patient was also suffering from diabetes, hypertension, and chronic kidney disease. There was evidence of acute phase inflammatory reactions. Blood culture revealed polymyxin B sensitive Vibrio cholerae. After treatment, patient became normal and was discharged. Another male patient aged 68 years was suffering from jaundice, vomiting, abdominal pain and fever. The post-cholecystectomy patient was also suffering from COPD. LFT and P-time were grossly abnormal with 1.94x105/ml HBV DNA. CT scan of the lungs showed bronchiectasis, fibrosis and emphysema. Blood culture revealed polymyxin B-resistant Vibrio cholerae. Gradually severe metabolic acidosis and congestive cardiac failure developed and the patient expired. Discussion: Male dominance of Vibrio cholerae bacteraemia as observed also by others was probably due to protection in females by oestrogen; polymyxin B sensitivity, invasion of tissue from colonization and comorbidity conditions may be important factors for treatment outcome. Conclusion: Vibrio cholerae bacteraemia, although rare, may be present in difficult-to-treat cases.","PeriodicalId":90548,"journal":{"name":"International journal of medical and pharmaceutical case reports","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135141189","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

Frustrations of Parents/ Guardians of Children Living with Sickle Cell Disease: A Case Series 患有镰状细胞病儿童的父母/监护人的挫折:一个案例系列

International journal of medical and pharmaceutical case reports Pub Date : 2023-10-06 DOI: 10.9734/ijmpcr/2023/v16i4348

Samuel N. Osei-Djarbeng, Samuel Osei-Asante, Natasha Asamoah

{"title":"Frustrations of Parents/ Guardians of Children Living with Sickle Cell Disease: A Case Series","authors":"Samuel N. Osei-Djarbeng, Samuel Osei-Asante, Natasha Asamoah","doi":"10.9734/ijmpcr/2023/v16i4348","DOIUrl":"https://doi.org/10.9734/ijmpcr/2023/v16i4348","url":null,"abstract":"Aim: To present some frustrations and problems parents/guardians of children living with Sickle Cell Disease go through. Presentation of Reports: We present series of cases of parents and guardians whose children are less than fourteen (14) years of age and have sickle cell disease (SCD). In two of such cases the parents wished that their wards were dead to relieve them (the parents) of the challenges they go through to take care of the children. In the third report, the husband divorced the wife, blaming her for the plight of their two children; and the final one presents a couple who contemplated withdrawing their wards from school, so they would not have to spend money to educate them and lose them eventually to death. Discussion: The case series give clear indications of the challenges guardians with children living with SCD go through. The disease which is hereditary affects the haemoglobin of the red blood cells, making the cells sickle-shaped. The clinical hallmarks of frequent infection, bone-pain crisis, anaemia, fatigue, organ failure and many other symptoms associated with the condition lead to frequent hospitalization. This is where the frustrations of the parents come from. With proper management of the condition and education to the guardians, SCD patients can go through normal life and the guardians can also have relative peace of mind to support such children. Conclusion: Individuals who are carriers of the sickle cell traits should be discouraged from getting married to other carriers; and if they do, they should be cautioned about the challenges they stand to face if they decide to have children. By doing this, perpetuation of this condition and its attendant problems may be reduced. Newborn babies should be tested for the condition and proper management given from the onset to minimize crisis.","PeriodicalId":90548,"journal":{"name":"International journal of medical and pharmaceutical case reports","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134943830","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 Case Report on Adult - Onset Still’s Disease 成人发病斯蒂尔氏病1例报告

International journal of medical and pharmaceutical case reports Pub Date : 2023-10-04 DOI: 10.9734/ijmpcr/2023/v16i4347

None Meenatchi R., None Karthy C., None Krithika Sri. J. B.

引用次数: 0

Hemophagocytic Lymphohistiocytosis Secondary to Chronic Lymphocytic Leukaemia and Multiple Infections Manifested with Quotidian Pyrexia: A Case Report 慢性淋巴细胞白血病继发的嗜血球性淋巴组织细胞增多症和以日常发热为表现的多重感染1例

International journal of medical and pharmaceutical case reports Pub Date : 2023-10-02 DOI: 10.9734/ijmpcr/2023/v16i4346

D. Fragrance Jemimah, Gency Ann Raju, S. Hariharan, G. Thenmozhi

{"title":"Hemophagocytic Lymphohistiocytosis Secondary to Chronic Lymphocytic Leukaemia and Multiple Infections Manifested with Quotidian Pyrexia: A Case Report","authors":"D. Fragrance Jemimah, Gency Ann Raju, S. Hariharan, G. Thenmozhi","doi":"10.9734/ijmpcr/2023/v16i4346","DOIUrl":"https://doi.org/10.9734/ijmpcr/2023/v16i4346","url":null,"abstract":"Hemophagocytic lymphohistiocytosis (HLH) is a rare, life-threatening immune regulatory condition that can cause end-organ damage and death. HLH is clinically characterized by uncontrolled activation of cytotoxic T lymphocytes, natural killer cells, and macrophages that can lead to a cytokine storm. Fever, hepatosplenomegaly, cytopenia, elevated liver enzymes, hypertriglyceridemia, hyperferritinemia, and hemophagocytosis in the bone marrow, spleen, or lymph nodes are the hallmarks of the disease. Its primary (genetic) form is typically observed in pediatric patients whereas its secondary, acquired form is seen in adult patients with an underlying autoimmune, malignant, or infectious disease. Here, we present a case of secondary hemophagocytic lymphohistiocytosis in a 70-year-old male with a history of chronic lymphocytic leukemia, severe prolonged COVID-19, and multiple infections who presented with persistent pyrexia of unknown origin (PUO). Diagnosis and management of HLH in adults are often extrapolated from the pediatric HLH-94 and HLH-2004 protocols. The management includes etoposide-based regimens containing corticosteroids, cyclosporine A, intravenous immunoglobulins (IVIG), intrathecal therapy, and liberal allogeneic stem cell transplant use in higher-risk patients. Due to the diverse clinical manifestations and the presence of numerous diagnostic mimics, the diagnosis of HLH is challenging. Since the prognosis is typically poor, prompt diagnosis and strong treatment are required. Here is a description of how our patient is diagnosed and treated based on the HLH 2004 protocol.","PeriodicalId":90548,"journal":{"name":"International journal of medical and pharmaceutical case reports","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135830014","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