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Serotonin Syndrome after a Single Dose of Sertraline: A Case Report 单剂量舍曲林后的血清素综合征1例报告
Mathews journal of case reports Pub Date : 2022-05-12 DOI: 10.30654/mjcr.10071
Meltem Küçükdağ, Nurcan Ünal
{"title":"Serotonin Syndrome after a Single Dose of Sertraline: A Case Report","authors":"Meltem Küçükdağ, Nurcan Ünal","doi":"10.30654/mjcr.10071","DOIUrl":"https://doi.org/10.30654/mjcr.10071","url":null,"abstract":"Backgrounds: Serotonin Syndrome is a rare and life-threatening drug reaction that occurs with increased serotonin activity in the brain as a result of taking therapeutic doses or excessive amounts of serotonergic-acting drugs or using multiple serotonergic-acting drugs together. It is characterized by neuromuscular abnormalities, autonomic hyperactivity, and cognitive/behavioral changes. Case: In our case, we describe a serotonergic syndrome, which developed as a result of the use of a therapeutic single dose serotonergic drug in a 15-year-old girl and its treatment. Conclusions: The determination of the history of serotonergic drug use, early recognition of the mental, autonomic, and neurological finding triad, and the early application of supportive medical treatments ensure the effective and successful management of the case.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41321560","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
Gallbladder Volvulus a Rare Clinical Presentation, Case Report 胆囊扭转一罕见临床表现，附1例报告
Mathews journal of case reports Pub Date : 2022-04-27 DOI: 10.30654/mjcr.10070
A. Abbas, Ansari-Asl Majid
{"title":"Gallbladder Volvulus a Rare Clinical Presentation, Case Report","authors":"A. Abbas, Ansari-Asl Majid","doi":"10.30654/mjcr.10070","DOIUrl":"https://doi.org/10.30654/mjcr.10070","url":null,"abstract":"Introduction: Gallbladder volvulus is a rare clinical entity, and it is one of the causes of the acute abdominal pain which is hard to diagnosis and it is needed emergency surgery. Case Presentation: An 86 years old woman with upper abdominal pain which was more in right upper quadrant, nausea and vomiting for 3 days. She had right upper abdominal tenderness with sharpness in right upper abdominal quadrant without rebound tenderness. She underwent emergency laparotomy. The gallbladder was gangrenous and had rotation around the cystic pedicle, so cholecystectomy was done for her. Discussion: Gallbladder volvulus is an uncommon cause of acute abdominal pain and pre- operative diagnosis is complicated. The cause of volvulus is not completely understood, it is more in old women and is needed an emergency surgical intervention. Conclusion: It is really important to know although gallbladder volvulus is an uncommon manifestation but it is an important emergency differential diagnosis of acute abdominal pain specifically in elderly patients.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41993927","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 and Metastatic Papillary Thyroid Microcarcinoma Presenting as Toxic Multinodular Goiter 复发和转移性乳头状甲状腺微癌，表现为毒性多结节性甲状腺肿
Mathews journal of case reports Pub Date : 2021-12-30 DOI: 10.30654/mjcr.10069
Shelton Tacang, Marcelino Tanquilut, Emelito O. Valdez-Tan, Wenceslao S. Llauderes
{"title":"Recurrent and Metastatic Papillary Thyroid Microcarcinoma Presenting as Toxic Multinodular Goiter","authors":"Shelton Tacang, Marcelino Tanquilut, Emelito O. Valdez-Tan, Wenceslao S. Llauderes","doi":"10.30654/mjcr.10069","DOIUrl":"https://doi.org/10.30654/mjcr.10069","url":null,"abstract":"Background: Hyperthyroidism does not safeguard individuals from developing thyroid cancer. Papillary thyroid microcarcinoma, notwithstanding its torpid course and low risk classification, has a propensity to induce significant morbidity despite radioactive iodine treatment. Clinical case: We present the unusual case of a 37-year old, Filipino male who demonstrated typical signs and symptoms of toxic multinodular goiter (TMG) including anterior neck mass, tremors, weight loss, excessive sweating, palpitations, easy fatigability and bilateral proptosis. The patient, upon follow up, was found to have agranulocytosis attributed to being on anti-thyroid medication for two years. The patient was then subjected to total thyroidectomy with a histopathology report showing colloid goiter with concomitant papillary thyroid microcarcinoma (0.9 cm in widest diameter). Initial radioactive iodine (RAI) therapy was initiated following surgery and subsequent 131I whole body survey (WBS 131I) a year after, showing a negative result; however, after 2 months of WBS 131I, there was locoregional recurrence detected by neck ultrasound and CT scan, and eventually confirmed on lymph node biopsy after modified radical neck dissection (MRND). In an attempt to ablate the probable micrometastases, a second RAI therapy with a higher dose was administered; and subsequent post-therapy scan revealed recurrence of cancer on the thyroid bed and distant metastasis on the right lower quadrant of the abdomen. Currently, the patient is on suppression therapy and constantly monitored for progression of the disease. Conclusion: Even when aided with strict protocols, clinicians must recognize that guidelines are not surrogate to clinical judgment and that prompt institution of treatment is critical to circumvent potential pitfalls. This case further illustrates the avenue of championing the use of radioactive iodine (RAI) therapy just as in the low risk stratification.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43800455","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 Rare Case of Peliosis Hepatis in Infancy 婴儿肝盆腔积症1例
Mathews journal of case reports Pub Date : 2021-01-28 DOI: 10.30654/mjcr.10067
S. M, N. Rasheva, M. Georgieva, V. Kaleva, Hr Hristosova, P. Drenakova, I. Krasnaliev, B. Balev
{"title":"A Rare Case of Peliosis Hepatis in Infancy","authors":"S. M, N. Rasheva, M. Georgieva, V. Kaleva, Hr Hristosova, P. Drenakova, I. Krasnaliev, B. Balev","doi":"10.30654/mjcr.10067","DOIUrl":"https://doi.org/10.30654/mjcr.10067","url":null,"abstract":"Peliosis hepatis is a rare condition characterized by numerous vascular formations in the liver measuring from a few millimeters to several centimeters in diameter. Such formations may also be found in the spleen, lymph nodes, lungs, kidneys, adrenals, bone marrow and other parts of the gastrointestinal tract. The condition is typically asymptomatic and diagnosed accidentally. Rarely, patients present with severe symptoms such as jaundice, hepatomegaly, liver failure and haemoperitoneum.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41354243","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
COVID-19 and Sudden Cardiac Death in a Young Man with Myasthenia Gravis 1例重症肌无力青年患者的COVID-19与心脏性猝死
Mathews journal of case reports Pub Date : 2021-01-07 DOI: 10.30654/mjcr.10068
Maysa Ghayyem, S. Haseli, S. Yaghmaei
{"title":"COVID-19 and Sudden Cardiac Death in a Young Man with Myasthenia Gravis","authors":"Maysa Ghayyem, S. Haseli, S. Yaghmaei","doi":"10.30654/mjcr.10068","DOIUrl":"https://doi.org/10.30654/mjcr.10068","url":null,"abstract":"Myasthenic patients are expected to develop more severe COVID-19 respiratory symptoms compared to the general population because of both respiratory muscle weakness and the possibility of an immunocompromised state related to immunotherapy. During a pandemic like COVID-19, such situation requires meticulous attention, as the entire population is potentially at risk of exposure. However, there is no data on best management for myasthenic patients with COVID infection.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49071533","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
Secondary Nasolacrimalduct Obstruction Causing Persisting Epiphora 继发性鼻泪管阻塞致持续溢泪
Mathews journal of case reports Pub Date : 2021-01-01 DOI: 10.30654/mjcr.10066
K. Aljanabi
{"title":"Secondary Nasolacrimalduct Obstruction Causing Persisting Epiphora","authors":"K. Aljanabi","doi":"10.30654/mjcr.10066","DOIUrl":"https://doi.org/10.30654/mjcr.10066","url":null,"abstract":"Epiphora secondary to nasolacrimal duct obstruction (NLDO) is a common condition and may affect quality of life usually it usually requires surgical intervention. NLDO may be multifactorial. Co-occurrence of endoscopic sinunasal anomalies can contribute and may be additional causes to NLDO as will be demonstrated in our case.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69531613","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
Endoscopic Keyhole and Microsurgery Approach to Cerebellopontine angle Tumors: Surgical outcomes 脑桥角肿瘤的内镜锁孔和显微外科手术入路：手术结果
Mathews journal of case reports Pub Date : 2020-12-27 DOI: 10.30654/MJCR.10065
O. Piloto, Tania Margarita Cruz Hernández, Gabriela Tania Lintilde, A. Barreto, C. Flores, Orestes López Ayala, Ernesto García
{"title":"Endoscopic Keyhole and Microsurgery Approach to Cerebellopontine angle Tumors: Surgical outcomes","authors":"O. Piloto, Tania Margarita Cruz Hernández, Gabriela Tania Lintilde, A. Barreto, C. Flores, Orestes López Ayala, Ernesto García","doi":"10.30654/MJCR.10065","DOIUrl":"https://doi.org/10.30654/MJCR.10065","url":null,"abstract":"Results: 28.6% of the cases and 30% of the controls were between 50 and 59 years old. 60% of the cases and 57.1% of the controls were women. The tumor was on the right side in 68.6% of the cases and 67.1% of the controls. Hearing loss was found in 80% and 84.3% of cases and controls, respectively. Schwannoma was found in 82.9% of cases and 85.7% of controls. Postoperative facial function was classified as grade I in 60% and 48.6% of cases and controls, respectively, while auditory was classified as class I in 74.3% and 61.4% for both groups, respectively. The frequency of complications was 40% in cases and 51.4% in controls.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46279223","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 Leiomyoma – When CT Demonstrates the Tumor: A Radio-Pathological Correlation 支气管内膜平滑肌瘤——CT显示肿瘤时的放射病理相关性
Mathews journal of case reports Pub Date : 2020-12-03 DOI: 10.30654/MJCR.10064
D. Penha, K. Abelian, G. Cross, E. Pinto, E. Marchiori
{"title":"Endobronchial Leiomyoma – When CT Demonstrates the Tumor: A Radio-Pathological Correlation","authors":"D. Penha, K. Abelian, G. Cross, E. Pinto, E. Marchiori","doi":"10.30654/MJCR.10064","DOIUrl":"https://doi.org/10.30654/MJCR.10064","url":null,"abstract":"Endobronchial leiomyomas are rare benign tumors, accounting for less than 2% of all benign lung tumors. Known to arise from the smooth muscle of the tracheobronchial tree, leiomyomas occur in parenchymal, endotracheal, or endobronchial locations. Endobronchial lesions constitute about 33% of all pulmonary leiomyomas. Literature on primary endobronchial leiomyomas is extremely limited. Symptomatology depends on the degree of endoluminal bronchial obstruction.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48475721","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
Delayed Appearance of Klein-Levin Syndrome Caused by Traumatic Brain Injury: A Case Report 外伤性脑损伤致Klein-Levin综合征延迟表现1例报告
Mathews journal of case reports Pub Date : 2020-10-20 DOI: 10.30654/MJCR.10063
Ali Javadpour, S. Yaghmaei, Nejla Mostafeenezhad, N. Derakhshan, P. Schofield
{"title":"Delayed Appearance of Klein-Levin Syndrome Caused by Traumatic Brain Injury: A Case Report","authors":"Ali Javadpour, S. Yaghmaei, Nejla Mostafeenezhad, N. Derakhshan, P. Schofield","doi":"10.30654/MJCR.10063","DOIUrl":"https://doi.org/10.30654/MJCR.10063","url":null,"abstract":"Background: The combination of hypersomnia and any of: hyper-phagia, hyper-sexuality, or mood changes is known as Klein-Levin Syndrome. This syndrome is quite infrequent and mostly restricted to adolescent males. Case Description: A young patient with KLS is presented in this report. He was presented with relapsing-remitting hypersomnia and irritability more than two years after incurring a traumatic brain injury. Magnetic resonance imaging (MRI) showed hyperintensity in the posterolateral part of the right temporal region, matched with the brain injuries caused by the old trauma. His extremely long sleep episodes forced medical team to provide him with some necessary basic cares such as nasogastric tube and urinary catheter. Five consecutive weeks of taking modafinil got his sleep pattern back to normal. Conclusion: In addition to medical treatment which is inevitable for severe cases, family and social support is extremely vital for managing KLS patients.","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42178398","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
MDCT Angiography Criteria for Arteries Invasion in Patients with Pancreatic Head Carcinoma 胰头癌动脉侵犯的MDCT血管造影标准
Mathews journal of case reports Pub Date : 2019-10-07 DOI: 10.30654/mjcr.10059
G. Mónica, Palacios Juárez Julio, S. Hirosi, H. Erik, Franco González Samantha
{"title":"MDCT Angiography Criteria for Arteries Invasion in Patients with Pancreatic Head Carcinoma","authors":"G. Mónica, Palacios Juárez Julio, S. Hirosi, H. Erik, Franco González Samantha","doi":"10.30654/mjcr.10059","DOIUrl":"https://doi.org/10.30654/mjcr.10059","url":null,"abstract":"","PeriodicalId":92691,"journal":{"name":"Mathews journal of case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43132935","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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