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Traumatic canalicular laceration and complex eyelid injury in a newborn delivered by forceps. 新生儿外伤性小管撕裂及复杂眼睑损伤1例。
IF 0.4
BMJ Case Reports Pub Date : 2026-09-04 DOI: 10.1136/bcr-2025-269036
Keerti Wali, Aniketan Vallabha, Anilkumar Sajjan
{"title":"Traumatic canalicular laceration and complex eyelid injury in a newborn delivered by forceps.","authors":"Keerti Wali, Aniketan Vallabha, Anilkumar Sajjan","doi":"10.1136/bcr-2025-269036","DOIUrl":"https://doi.org/10.1136/bcr-2025-269036","url":null,"abstract":"<p><p>We present a neonatal case of complex upper eyelid lacerations with canalicular injury following a forceps-assisted vaginal delivery. Mother's insistence on vaginal delivery despite obstetric advice of caesarean section led to obstructed labour requiring forceps delivery. The neonate presented with four full-thickness lacerations of the right upper eyelid, including injury to the upper canaliculus. Immediate surgical repair with canalicular stenting was performed. A corneal ulcer developed secondary to stent-induced mechanical trauma. Early stent removal with topical fortified antibiotics led to ulcer resolution. By 3 months, the lid and cornea healed with a favourable anatomical and functional outcome with a residual eyelid notch and paracentral corneal opacity. This case emphasises the complexity of managing maternal preferences in obstetric care, particularly when they conflict with clinical recommendations, and emphasises that timely ophthalmic microsurgical intervention can result in excellent recovery, even in complex neonatal eyelid and canalicular injuries.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 9","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896606","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
Tularaemia presenting as infection of an abdominal aortic endograft. 图拉血症表现为腹主动脉内移植物感染。
IF 0.4
BMJ Case Reports Pub Date : 2026-09-04 DOI: 10.1136/bcr-2026-272881
Arthur Clement, Lydie Porte, Xavier Chaufour, Antoine Sauguet
{"title":"Tularaemia presenting as infection of an abdominal aortic endograft.","authors":"Arthur Clement, Lydie Porte, Xavier Chaufour, Antoine Sauguet","doi":"10.1136/bcr-2026-272881","DOIUrl":"https://doi.org/10.1136/bcr-2026-272881","url":null,"abstract":"","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 9","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896552","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
Treatment of acute calcific tendinopathy of the hip using focused shockwave. 聚焦冲击波治疗急性髋关节钙化肌腱病。
IF 0.4
BMJ Case Reports Pub Date : 2026-09-04 DOI: 10.1136/bcr-2026-275276
Jennifer R Arthurs, Christine Hunt, Shane A Shapiro
{"title":"Treatment of acute calcific tendinopathy of the hip using focused shockwave.","authors":"Jennifer R Arthurs, Christine Hunt, Shane A Shapiro","doi":"10.1136/bcr-2026-275276","DOIUrl":"https://doi.org/10.1136/bcr-2026-275276","url":null,"abstract":"<p><p>Calcific tendinopathy (CT) is a painful condition characterised by the formation of deposits of calcium hydroxyapatite within tendon insertions. This most often occurs in the shoulder but may occur at other sites such as the gluteus medius or minimus tendons. While extracorporeal shockwave treatment has been used in the management of shoulder CT, limited data exist for CT of the hip. Here we describe a man who developed sudden onset of right gluteal/posterior thigh pain. Imaging revealed prominent CT at the insertion of the gluteus maximus at the linea aspera. He was treated with focused shockwave; treatments were administered once per week for 5 weeks with significant improvement in symptoms of pain and function. Repeat imaging obtained 1 month after completion of shockwave showed resolution of previously noted calcium hydroxyapatite.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 9","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896578","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
Non-ossifying fibroma of the proximal tibia mimicking chronic osteomyelitis in a child. 模拟儿童慢性骨髓炎的胫骨近端非骨化纤维瘤。
IF 0.4
BMJ Case Reports Pub Date : 2026-09-04 DOI: 10.1136/bcr-2025-270917
Jitendra Kumar, Amit Kumar, Mainak Roy, Ashutosh Sharma
{"title":"Non-ossifying fibroma of the proximal tibia mimicking chronic osteomyelitis in a child.","authors":"Jitendra Kumar, Amit Kumar, Mainak Roy, Ashutosh Sharma","doi":"10.1136/bcr-2025-270917","DOIUrl":"https://doi.org/10.1136/bcr-2025-270917","url":null,"abstract":"<p><p>A boy in his early teens presented with gradually progressive pain and swelling over the anterior aspect of the left upper leg. The insidious onset and firm swelling suggested an infective aetiology, and a provisional diagnosis of chronic osteomyelitis was made. Radiographs demonstrated a well-demarcated lytic lesion in the metaphyseal region of the proximal tibia, further strengthening the clinical suspicion of infection. However, curettage of the lesion and subsequent histopathological analysis revealed a benign fibro-osseous lesion consistent with non-ossifying fibroma (NOF). The patient underwent surgical debridement followed by analgesics, antibiotics, calcium supplementation and guided physiotherapy. He recovered uneventfully, mobilising with support at discharge. This case highlights the diagnostic challenge posed by NOF when it clinically and radiographically mimics chronic osteomyelitis, underscoring the importance of a multidisciplinary approach incorporating radiology, pathology and orthopaedic input in establishing the correct diagnosis and management strategy.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 9","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896617","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
Rigid bronchoscopic bridge to lung isolation in an airway emergency in congenital lobar emphysema. 先天性大叶性肺气肿气道急症中刚性支气管镜桥接至肺隔离。
IF 0.4
BMJ Case Reports Pub Date : 2026-09-04 DOI: 10.1136/bcr-2025-271061
Nishant Patel, Ummul Fabeena Mangaladan, Sushmita Bairagi, Vishesh Jain
{"title":"Rigid bronchoscopic bridge to lung isolation in an airway emergency in congenital lobar emphysema.","authors":"Nishant Patel, Ummul Fabeena Mangaladan, Sushmita Bairagi, Vishesh Jain","doi":"10.1136/bcr-2025-271061","DOIUrl":"https://doi.org/10.1136/bcr-2025-271061","url":null,"abstract":"<p><p>Congenital lobar emphysema (CLE) presents unique anaesthetic challenges due to the risk of worsening hyperinflation with positive pressure ventilation. We describe an infant who developed rapid desaturation during induction for thoracoscopic lobectomy. In the absence of a suitable bronchial blocker or time for fibreoptic guidance, lung isolation was achieved using a rigid bronchoscope for immediate left lung ventilation, followed by bougie-assisted endobronchial intubation. This manoeuvre restored oxygenation and enabled safe surgical completion. The case highlights the life-saving potential of rigid bronchoscope-guided intubation with temporary bronchoscope ventilation in airway emergencies involving CLE.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 9","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896631","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
Endobronchial tuberculosis revealing extensive multiorgan dissemination in a severely malnourished immunocompetent adult. 严重营养不良免疫功能正常的成人支气管内结核显示广泛的多器官播散。
IF 0.4
BMJ Case Reports Pub Date : 2026-09-04 DOI: 10.1136/bcr-2026-275470
Supriya Adiody, Vishnu Narayanan S
{"title":"Endobronchial tuberculosis revealing extensive multiorgan dissemination in a severely malnourished immunocompetent adult.","authors":"Supriya Adiody, Vishnu Narayanan S","doi":"10.1136/bcr-2026-275470","DOIUrl":"https://doi.org/10.1136/bcr-2026-275470","url":null,"abstract":"<p><p>A woman in her mid-30s presented with a 3-month history of dry cough, profound weight loss and anorexia. Evaluation revealed pulmonary tuberculosis microbiologically confirmed by bronchoalveolar lavage cartridge-based nucleic acid amplification testing (CBNAAT) together with histopathological evidence from endobronchial biopsy, with extensive dissemination involving the pleura, pericardium, peritoneum, omentum, liver and colon. Bronchoscopy demonstrated multiple nodular endobronchial lesions while bronchoalveolar lavage CBNAAT detected Mycobacterium tuberculosis without rifampicin resistance. Endobronchial biopsy showed granulomatous inflammation consistent with tuberculosis. The patient was HIV-negative and non-diabetic but had severe protein-energy malnutrition, with a body mass index of 12.9 kg/m². Cutaneous lesions over the extremities initially raised suspicion of vasculitis; however, autoimmune evaluation including antinuclear antibody testing and serum angiotensin-converting enzyme levels was unremarkable. The clinical course was further complicated by antitubercular therapy-induced hepatitis and severe left ventricular systolic dysfunction, necessitating modification of therapy. This case highlights the protean manifestations of disseminated tuberculosis, the diagnostic value of bronchoscopy and molecular testing in sputum smear-negative disease and the challenges of management in severely malnourished individuals.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 9","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896389","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
Pyloric stenosis following hydrochloric acid-based bathroom cleaner ingestion in a toddler. 幼儿摄入盐酸浴室清洁剂后幽门狭窄。
IF 0.4
BMJ Case Reports Pub Date : 2026-09-04 DOI: 10.1136/bcr-2025-268585
Amar Taksande, Aditya Mohan Jain, Amol Lohkare, Prashant Khartade
{"title":"Pyloric stenosis following hydrochloric acid-based bathroom cleaner ingestion in a toddler.","authors":"Amar Taksande, Aditya Mohan Jain, Amol Lohkare, Prashant Khartade","doi":"10.1136/bcr-2025-268585","DOIUrl":"https://doi.org/10.1136/bcr-2025-268585","url":null,"abstract":"<p><p>Accidental ingestion of corrosive household substances can lead to serious injuries in young children. While damage to the oesophagus is most common, injuries affecting the stomach, especially the pylorus, are rare and can be easily missed. We describe a toddler who developed persistent vomiting after swallowing a hydrochloric acid-based bathroom cleaner. Investigations revealed complete blockage at the gastric outlet due to scarring. She was successfully treated with surgery. This case highlights the importance of early recognition and timely intervention, especially when the child continues to vomit despite initial treatment.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 9","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896585","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 incomplete Kawasaki disease with small-joint-predominant arthritis during the acute phase. 急性期复发性不完全性川崎病伴小关节为主关节炎。
IF 0.4
BMJ Case Reports Pub Date : 2026-09-02 DOI: 10.1136/bcr-2026-272465
Kentaro Suzuki, Soichiro Ishimaru, Yuka Mihara, Satoru Kisohara
{"title":"Recurrent incomplete Kawasaki disease with small-joint-predominant arthritis during the acute phase.","authors":"Kentaro Suzuki, Soichiro Ishimaru, Yuka Mihara, Satoru Kisohara","doi":"10.1136/bcr-2026-272465","DOIUrl":"https://doi.org/10.1136/bcr-2026-272465","url":null,"abstract":"<p><p>An adolescent boy was admitted on illness day 6 with fever and left cervical lymphadenopathy. He had been treated for complete Kawasaki disease (KD) approximately a decade earlier. He subsequently developed painful swelling of the left wrist and bilateral finger and toe interphalangeal joints, impairing grip strength; ultrasonography confirmed synovitis. Although fever resolved by illness day 12, arthritis persisted. New conjunctival injection, lip erythema and a secondary rise in C-reactive protein led to a diagnosis of incomplete KD on illness day 18, followed by intravenous immunoglobulin. Arthritis rapidly improved and he was discharged without residual joint symptoms or coronary artery abnormalities. KD-associated arthritis may vary by disease phase, with acute-phase polyarthritis sometimes involving small joints and later arthritis affecting larger joints. Distinguishing this presentation from systemic juvenile idiopathic arthritis can be challenging; serial reassessment of the clinical course and treatment response is essential.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 9","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891097","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
Life-threatening multisystem sarcoidosis with neurological, renal, ocular and autoimmune haemolytic manifestations treated with intravenous immunoglobulin, plasma exchange, cyclophosphamide and infliximab. 静脉注射免疫球蛋白、血浆置换、环磷酰胺和英夫利昔单抗治疗危及生命的多系统结节病，伴有神经、肾脏、眼部和自身免疫性溶血症状。
IF 0.4
BMJ Case Reports Pub Date : 2026-09-02 DOI: 10.1136/bcr-2026-275128
Kalpa Jayanatha, Mark Sapsford, Alexandra Chaptynova, Ajay Kumar
{"title":"Life-threatening multisystem sarcoidosis with neurological, renal, ocular and autoimmune haemolytic manifestations treated with intravenous immunoglobulin, plasma exchange, cyclophosphamide and infliximab.","authors":"Kalpa Jayanatha, Mark Sapsford, Alexandra Chaptynova, Ajay Kumar","doi":"10.1136/bcr-2026-275128","DOIUrl":"https://doi.org/10.1136/bcr-2026-275128","url":null,"abstract":"<p><p>Multisystem sarcoidosis is uncommon and presentation as a stroke mimic with severe renal impairment and concurrent haemolysis has not previously been described. Evidence for the use of plasma exchange (PLEX) in sarcoidosis is limited. This case describes a patient with multisystem sarcoidosis who presented with encephalopathy, acute tubulointerstitial nephritis, optic neuritis and autoimmune haemolytic anaemia. Extensive immunological investigations were non-diagnostic. The patient's neurological and haematological manifestations improved rapidly with intravenous methylprednisolone, intravenous immunoglobulin and PLEX. Her clinical course was complicated by sight-threatening steroid-induced glaucoma, adrenocortical insufficiency and diabetes mellitus. Her extra-ocular, extra-renal manifestations responded to oral glucocorticoid and intravenous cyclophosphamide therapy, while complete remission of ocular and renal disease was achieved with infliximab therapy at 12 and 24 months, respectively.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 9","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891074","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
Rapidly progressive glomerulonephritis in rheumatoid arthritis: an early presentation of ANCA-associated vasculitis. 快速进展的肾小球肾炎在类风湿关节炎：早期表现的anca相关血管炎。
IF 0.4
BMJ Case Reports Pub Date : 2026-09-02 DOI: 10.1136/bcr-2026-272069
Jegadis Sreeneyasan, Roberta Dewar, Seema Rana, Jamil Choudhury, Helen Alderson, Sarang Chitale
{"title":"Rapidly progressive glomerulonephritis in rheumatoid arthritis: an early presentation of ANCA-associated vasculitis.","authors":"Jegadis Sreeneyasan, Roberta Dewar, Seema Rana, Jamil Choudhury, Helen Alderson, Sarang Chitale","doi":"10.1136/bcr-2026-272069","DOIUrl":"https://doi.org/10.1136/bcr-2026-272069","url":null,"abstract":"<p><p>Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis is a multisystem autoimmune disease that may present diagnostic challenges, particularly in patients with coexisting autoimmune conditions. Although the coexistence of rheumatoid arthritis and ANCA-associated vasculitis is recognised, vasculitis more commonly develops several years after rheumatoid arthritis onset. We describe a 68-year-old man who developed rapidly progressive glomerulonephritis due to myeloperoxidase (MPO)-ANCA-associated microscopic polyangiitis within 6 months of a diagnosis of seropositive rheumatoid arthritis. The diagnosis was established following an acute deterioration in renal function, positive MPO-ANCA serology and renal biopsy demonstrating pauci-immune necrotising crescentic glomerulonephritis. This case emphasises the importance of considering ANCA-associated vasculitis in patients with rheumatoid arthritis who develop acute kidney injury, even early in the disease course.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 9","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891069","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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