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Penetrating orbital injury by a nine-centimetre lead sinker. 被一枚九厘米长的铅球击穿眼眶。
IF 0.6
BMJ Case Reports Pub Date : 2025-07-08 DOI: 10.1136/bcr-2025-265477
Chaoyu Lei, Yinwei Li, Huifang Zhou, Sisi Zhong
{"title":"Penetrating orbital injury by a nine-centimetre lead sinker.","authors":"Chaoyu Lei, Yinwei Li, Huifang Zhou, Sisi Zhong","doi":"10.1136/bcr-2025-265477","DOIUrl":"10.1136/bcr-2025-265477","url":null,"abstract":"<p><p>A male in his early 40s presented with a penetrating orbital injury after a nine-centimetre lead sinker was propelled into his right orbit while fishing. He reported pain, ptosis and visual acuity reduced to light perception. X-rays, preferred over CT due to metallic artefacts, revealed the sinker in the inferior orbital fissure with an intact eyeball. Initial surgical extraction attempts triggered a severe vagal response, necessitating endoscopic navigation for safe removal. Postoperatively, despite an intact globe, he developed vitreous haemorrhage and retinal detachment, requiring vitrectomy and silicone oil injection. Three months later, his visual acuity improved to 20/200, with normal blood lead levels. This case emphasises selecting imaging based on foreign body material, avoiding blind extraction using advanced tools if needed, monitoring for intraocular complications and assessing systemic toxicity risks.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toothbrush-induced posterior pharyngeal emphysema in an adult patient. 成人牙刷致咽部后肺气肿1例。
IF 0.6
BMJ Case Reports Pub Date : 2025-07-08 DOI: 10.1136/bcr-2025-264829
Airi Matsuyama, Tomoki Wada, Ryota Inokuchi, Kent Doi
{"title":"Toothbrush-induced posterior pharyngeal emphysema in an adult patient.","authors":"Airi Matsuyama, Tomoki Wada, Ryota Inokuchi, Kent Doi","doi":"10.1136/bcr-2025-264829","DOIUrl":"https://doi.org/10.1136/bcr-2025-264829","url":null,"abstract":"","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590397","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
Worster-Drought syndrome with progressive symptomatic improvement in early infancy. 婴儿早期症状进行性改善的严重-干旱综合征。
IF 0.6
BMJ Case Reports Pub Date : 2025-07-08 DOI: 10.1136/bcr-2024-263524
Kota Inoue, Shinji Nakamura, Kosuke Koyano, Takashi Kusaka
{"title":"Worster-Drought syndrome with progressive symptomatic improvement in early infancy.","authors":"Kota Inoue, Shinji Nakamura, Kosuke Koyano, Takashi Kusaka","doi":"10.1136/bcr-2024-263524","DOIUrl":"https://doi.org/10.1136/bcr-2024-263524","url":null,"abstract":"<p><p>Worster-Drought syndrome (WDS), or congenital suprabulbar paresis, is characterised by congenital dysarthria, dysphagia and other pseudobulbar paresis without structural abnormalities around the Sylvian fissure on imaging. This rare syndrome is challenging to diagnose, particularly in preterm infants. This report describes a low-birth-weight female infant with WDS who had no sucking reflex from birth, airway obstruction due to saliva retention and muscle rigidity, who was diagnosed with the syndrome at a postconceptional age (PCA) of 1 month. She was discharged with only home oxygen therapy as respiratory support at a PCA of 3 months after gradual improvement in her clinical symptoms. Diagnosis of WDS is difficult in the early postnatal period in preterm cases owing to prematurity but should be suspected when bulbar palsy, including absence of the sucking reflex, persistent dysphagia and obstructed breathing, persists beyond a PCA of 40 weeks and when muscle stiffness is present.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590399","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
Use of haloperidol as a trial of treatment in diagnosing major depressive disorder with subclinical psychotic features. 氟哌啶醇作为诊断伴有亚临床精神病性特征的重度抑郁症的治疗试验。
IF 0.6
BMJ Case Reports Pub Date : 2025-07-08 DOI: 10.1136/bcr-2025-265945
Yu Cheng Foo, Yasmin Sultana
{"title":"Use of haloperidol as a trial of treatment in diagnosing major depressive disorder with subclinical psychotic features.","authors":"Yu Cheng Foo, Yasmin Sultana","doi":"10.1136/bcr-2025-265945","DOIUrl":"https://doi.org/10.1136/bcr-2025-265945","url":null,"abstract":"<p><p>Patients may present with subclinical psychotic features not meeting established diagnostic thresholds for psychosis. Here, we describe our experience of using Haloperidol as a trial of treatment to clarify the diagnostic uncertainty in a patient presenting with major depressive disorder with subclinical psychotic features. Our case highlights the importance of having a high index of suspicion for subclinical psychosis in patients presenting with treatment-resistant affective symptoms despite the use of multiple classes of antidepressant and/or anti-anxiety medications, as well as the need to undertake comprehensive assessments to clarify the differential diagnosis. Our experience may support trialling treatment with antipsychotics if a diagnosis of subclinical psychotic phenomena is being considered.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590398","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
Infant bloody nipple discharge: diagnostic approach in primary healthcare. 婴儿乳头溢血：初级保健的诊断方法。
IF 0.6
BMJ Case Reports Pub Date : 2025-07-08 DOI: 10.1136/bcr-2024-264455
Mariana Pinto Dos Reis, Daniela Bento, Mariana Azevedo, António Luz Pereira
{"title":"Infant bloody nipple discharge: diagnostic approach in primary healthcare.","authors":"Mariana Pinto Dos Reis, Daniela Bento, Mariana Azevedo, António Luz Pereira","doi":"10.1136/bcr-2024-264455","DOIUrl":"https://doi.org/10.1136/bcr-2024-264455","url":null,"abstract":"<p><p>This case details a female infant who presented with unilateral bloody nipple discharge during a primary healthcare visit, a rare but typically benign condition. The infant, exclusively breastfed and healthy, showed no signs of trauma or infection. A small, mobile nodule was found beneath the affected nipple. Investigations conducted within primary healthcare, including blood tests and a breast ultrasound, confirmed benign findings with no signs of malignancy. The case was managed entirely within primary healthcare, and the symptoms resolved spontaneously over a 2-month follow-up. This case underscores the importance of healthcare professionals being familiar with such presentations to confidently adopt a conservative management approach. This reduces unnecessary interventions and alleviates parental anxiety. The findings align with existing literature, emphasising that such cases are usually benign and self-limiting, reinforcing the value of a cautious, informed approach.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590493","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
Laparoscopic management of splenogonadal fusion with contralateral crossed ectopic preperitoneal testis presenting as ambiguous genitalia. 脾性腺融合伴对侧交叉异位腹膜前睾丸表现为阴唇不清的腹腔镜治疗。
IF 0.6
BMJ Case Reports Pub Date : 2025-07-08 DOI: 10.1136/bcr-2024-264025
Palak Singhai, Prema Menon
{"title":"Laparoscopic management of splenogonadal fusion with contralateral crossed ectopic preperitoneal testis presenting as ambiguous genitalia.","authors":"Palak Singhai, Prema Menon","doi":"10.1136/bcr-2024-264025","DOIUrl":"https://doi.org/10.1136/bcr-2024-264025","url":null,"abstract":"<p><p>We report an extremely rare case of ambiguous genitalia presenting with bilateral non-palpable cryptorchidism and scrotal hypospadias with long-term follow-up. The patient had discontinuous splenogonadal fusion of the left testis and an ectopic preperitoneal right testis located to the left of the urinary bladder. Laparoscopic bilateral orchidopexy was performed after the excision of splenic tissue on the left side. Chordee correction and urethroplasty were performed subsequently. To the best of our knowledge, a similar case of male disorder of sexual differentiation with preservation of the testicular tissue has not been reported before.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590494","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
Atypical presentation of Henoch-Schönlein Purpura with parotitis in a young child. 幼童Henoch-Schönlein紫癜伴腮腺炎的不典型表现。
IF 0.6
BMJ Case Reports Pub Date : 2025-07-07 DOI: 10.1136/bcr-2025-265873
Murchana Khound Sharma, Shantasree Ghosh, Gaurav Gupta, Jaya Shankar Kaushik
{"title":"Atypical presentation of Henoch-Schönlein Purpura with parotitis in a young child.","authors":"Murchana Khound Sharma, Shantasree Ghosh, Gaurav Gupta, Jaya Shankar Kaushik","doi":"10.1136/bcr-2025-265873","DOIUrl":"https://doi.org/10.1136/bcr-2025-265873","url":null,"abstract":"<p><p>Henoch-Schönlein Purpura (HSP), also known as IgA vasculitis, is the most common vasculitis in children, characterised by palpable purpura, abdominal pain, arthralgia and renal involvement. Here, we present a case of a young boy who was clinically diagnosed as HSP. The child further developed parotitis, which is a very rare association in HSP with very few reported cases. This case highlights the uncommon association of self-resolving parotitis among children with HSP.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583053","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
Overtraining Syndrome (OTS) in Three Endurance Athletes and Roads to Recovery. 三个耐力运动员的过度训练综合症（OTS）及其康复之路。
IF 0.6
BMJ Case Reports Pub Date : 2025-07-07 DOI: 10.1136/bcr-2025-265066
Jeffrey B Kreher, Jan Stepanek, Robert Amrine, Satyajit Reddy
{"title":"Overtraining Syndrome (OTS) in Three Endurance Athletes and Roads to Recovery.","authors":"Jeffrey B Kreher, Jan Stepanek, Robert Amrine, Satyajit Reddy","doi":"10.1136/bcr-2025-265066","DOIUrl":"https://doi.org/10.1136/bcr-2025-265066","url":null,"abstract":"<p><p>Overtraining syndrome (OTS) is a significant medical condition observed predominantly in endurance athletes and characterised by a decline in performance and disruptions in multiple physiological functions. Given the increasing popularity of endurance training and the complex nature of OTS diagnosis, there is a compelling need for comprehensive case studies. The case series summarises one professional runner, one competitive runner and one recreational runner who were diagnosed with OTS. Key parameters observed include symptoms, diagnostic journey, recovery initiatives and return-to-sport outcomes. All three athletes showed typical OTS manifestations, including impaired performance and multisystem dysfunction (ie, endocrine, nervous, immune and gastrointestinal systems). Following a mandated cessation from training, active recovery strategies were instituted. Two of the three athletes successfully returned to competition. Specific recovery patterns and potential relapse indicators were also identified. The comprehensive examination of the cases underscores the complex nature of OTS diagnosis, its multifaceted symptoms and the critical importance of structured recovery. The case series elucidates the importance of heightened awareness and early intervention to diagnose and manage OTS. In addition, we propose an anecdotal Return to Running Protocol individualised to the athlete's response.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583060","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
X-linked lymphoproliferative syndrome type 1 presenting as DRESS-HLH overlap syndrome. x连锁淋巴细胞增殖性综合征1型表现为DRESS-HLH重叠综合征。
IF 0.6
BMJ Case Reports Pub Date : 2025-07-07 DOI: 10.1136/bcr-2025-265178
Ajitha Periyanayagam, Anitha Palani, Saji James, Dhaarani Jayaraman
{"title":"X-linked lymphoproliferative syndrome type 1 presenting as DRESS-HLH overlap syndrome.","authors":"Ajitha Periyanayagam, Anitha Palani, Saji James, Dhaarani Jayaraman","doi":"10.1136/bcr-2025-265178","DOIUrl":"https://doi.org/10.1136/bcr-2025-265178","url":null,"abstract":"<p><p>A preadolescent male, born to 3rd-degree consanguineous parents, presented with persistent fever, cough and dyspnoea. He had non-resolving suppurative otitis media and two episodes of pneumonia in the past 2 years. During admission, clinical and radiological evaluations revealed bilateral lung consolidation with synpneumonic effusion. Examination also revealed the absence of bilateral tonsils. Blood and pleural fluid cultures were sterile. The child developed a drug reaction with eosinophilia and systemic symptoms (DRESS) associated with haemophagocytic-lymphohistiocytic syndrome (HLH) during the hospital stay. Given his history of recurrent infections and absent tonsils, primary immunodeficiency disorder was suspected. Immunological work-up showed reduced levels of IgG and IgM in serum. Exome sequencing identified a mutation in the SH2D1A gene confirming a diagnosis of X-linked lymphoproliferative syndrome (Duncan syndrome). The child was started on regular intravenous immunoglobulin therapy, along with bacterial and fungal prophylaxis. His parents were counselled regarding the prognosis and necessity of haematopoietic stem cell transplantation as the definitive treatment.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583065","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
Management of complex symptomatic renal artery aneurysm in a patient with Sjögren's syndrome and systemic lupus erythematosus. Sjögren综合征合并系统性红斑狼疮患者复杂症状性肾动脉动脉瘤的处理。
IF 0.6
BMJ Case Reports Pub Date : 2025-07-07 DOI: 10.1136/bcr-2025-265436
Sherif Sultan, Kalliopi-Maria Tasopoulou, Osama Soliman, William Wijns
{"title":"Management of complex symptomatic renal artery aneurysm in a patient with Sjögren's syndrome and systemic lupus erythematosus.","authors":"Sherif Sultan, Kalliopi-Maria Tasopoulou, Osama Soliman, William Wijns","doi":"10.1136/bcr-2025-265436","DOIUrl":"https://doi.org/10.1136/bcr-2025-265436","url":null,"abstract":"<p><p>Renal artery aneurysms (RAAs) are usually incidental findings during investigation of other pathologies; the majority remain asymptomatic. Larger RAAs can present with haematuria, hypertension, renal function decline, distal embolisation and even rupture. In this case report, we outline our novel approach in treating a complex type III RAA of a man in his 70s, who presented with right side abdominal and flank pain with persisting haematuria. The patient underwent a successful percutaneous endovascular procedure with placement of a C-Guard stent as a flow diverting device. Our satisfactory results, with preservation of all side branches, resolution of the patient's symptomatology, improvement of blood pressure control, persisted at 12 months follow-up, along with complete exclusion of the aneurysm from the circulation. The dual-layer design of the C-Guard stent, even though initially designed for treatment of carotid artery disease, effectively stabilised the aneurysm and safeguarded the side branches while minimising complications.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583058","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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