Archives of clinical case reports最新文献

{"title":"A rare case of recurrent urinary tract infection due to Trichosporon species in an immune-competent diabetic female patient","authors":"S. Adhikari, B. Saud, G. Paudel, S. Wagle","doi":"10.29328/journal.acr.1001017","DOIUrl":"https://doi.org/10.29328/journal.acr.1001017","url":null,"abstract":"Trichosporon spp. are basidiomycetous yeast-like anamorphic organisms mainly found in soil and other environmental sources of tropical and temperate areas. In humans, these are rarely found in gastrointestinal tract, oral cavity, respiratory tract and skin surfaces [1]. The burden of Trichosporon spp. infection mainly represent the second or third most common non-Candida yeast infections causing invasive disease in patients with cancer [2]. Their pathogenicity is due to the presence of different virulence factors like production of enzymes (Proteases and phospholipases), presence of glucuronoxylomannan in cell wall (that protects from phagocytic activity) and bio ilm formation (that protects from antifungal drugs and host immune responses) [1].","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86654418","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}

{"title":"Type II myocardial infarction and latent LVOT obstruction due to Systolic Anterior Motion of mitral valve","authors":"Makrides Constantinos","doi":"10.29328/JOURNAL.ACR.1001015","DOIUrl":"https://doi.org/10.29328/JOURNAL.ACR.1001015","url":null,"abstract":"","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"112 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81652161","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}

{"title":"Anasarca in a 35 year old man- A diagnostic dilemma","authors":"Okafor Uh, Okorie Go, S. Ede","doi":"10.29328/JOURNAL.ACR.1001014","DOIUrl":"https://doi.org/10.29328/JOURNAL.ACR.1001014","url":null,"abstract":"","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86689360","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}

{"title":"Brachial pseudoaneurysm associated with median nerve injury as a complication of peripherally inserted central catheter: A case report","authors":"P. Kauffman, Alfredo Salim Helito, Mairy Ja Poltronieri, M. R. García, Públio Viana","doi":"10.29328/JOURNAL.ACR.1001013","DOIUrl":"https://doi.org/10.29328/JOURNAL.ACR.1001013","url":null,"abstract":"Introduction: Peripherally inserted central venous catheters (PICCs) have been increasingly used as an alternative to conventional central venous catheters for long-term administration of chemotherapy, antibiotics, parenteral nutrition, and hydration in patients with dif fi cult venous access. Traumatic complications to arteries and nerves adjacent to veins selected for PICC placement have been rarely described. Case presentation: We report the case of a PICC placement in the brachial vein of the right upper limb of a 78-year-old woman that resulted in brachial artery pseudoaneurysm and median nerve lesion. Discussion: The pseudoaneurysm was successfully repaired with thrombin injection, but neurological de fi cits to the hand resulting from nerve injury persisted even four months after the procedure.","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76251321","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}

{"title":"Influenza-Related Parotitis during a Large Mumps Outbreak - Arkansas, 2016-2017.","authors":"Sarah M Labuda, Cheng Yang, Carol Daniels, Susan R Young, Haytham Safi, Dirk Haselow","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During August 2016-July 2017, Arkansas experienced a large mumps (parotitis) outbreak; however, mumps-negative cases of parotitis were also identified in this period. Nineteen of 215 samples (9%) randomly selected for influenza PCR testing were positive for influenza A virus. Practitioners should consider influenza as a cause of nonmumps parotitis.</p>","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"2 2","pages":"6-8"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37874818","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}

{"title":"Local recurrence after enlarged total nephrectomy","authors":"Mahdi Graiouid, W. Bai, M. Gallouo, Dakir Mohammed, A. Debbagh, R. Aboutaieb","doi":"10.29328/JOURNAL.ACR.1001012","DOIUrl":"https://doi.org/10.29328/JOURNAL.ACR.1001012","url":null,"abstract":"Local isolated recurrence of kidney cancer in the renal lodge after radical nephrectomy is rare and has a poor prognosis. Surgical excision, sometimes even extended to neighboring organs, is currently the only effective treatment for local recurrence of kidney cancer. The interest of new medical therapies remains to be defi ned. We report a case of local recurrence in a patient with radical nephrectomy. Case Report","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87080337","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}

{"title":"A Case of Acute Peripheral Vertigo: Using the HINTS Exam to guide diagnostic workup","authors":"Gerard Thong, P. Casserly","doi":"10.29328/JOURNAL.ACR.1001011","DOIUrl":"https://doi.org/10.29328/JOURNAL.ACR.1001011","url":null,"abstract":"Acute dizziness/vertigo is among the most common causes for visiting the emergency department or primary care physician. Although the majority of these presentations represent an acute peripheral vestibulopathy (APV), lateral medullary, lateral pontine, and inferior cerebellar infarctions can mimic APV very closely. We present an atypical presentation of an aggressive APV and outline how a well-constructed bedside neurotologic evaluation can distinguish central from peripheral vertigo in the acute setting. Case Report A Case of Acute Peripheral Vertigo: Using the HINTS Exam to guide diagnostic workup Gerard Thong1 and Paula Casserly2* 1Department of Otolaryngology, Head and Neck Surgery, Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin 2, Ireland 2ENT Consultant, Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin 2, Ireland *Address for Correspondence: Ms. Paula Casserly, ENT Consultant, Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin 2, Ireland, Tel: 00353 (87) 4185069; Email: paulacasserly@hotmail.com Submitted: 12 October 2018 Approved: 07 March 2019 Published: 08 March 2019 Copyright: © 2019 Thong G, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited How to cite this article: Thong G, Casserly P. A Case of Acute Peripheral Vertigo: Using the HINTS Exam to guide diagnostic workup. Arch Case Rep. 2019; 3: 001-004. https://dx.doi.org/10.29328/journal.acr.1001011 Case Report A 39-year-old female was referred emergently to the ENT service with a week-long history of disabling vertigo and imbalance. This was constant in nature and associated with severe nausea, gait instability, and nystagmus, compatible with acute vestibular syndrome. She had a history of a right canal wall up mastoidectomy nine years previously for cholesteatoma. Tympanic membrane and external auditory canal (EAC) examination bilaterally were normal. There was horizontal spontaneous and gaze nystagmus with the fast phase to the left. This was a second degree nystagmus that obeyed alexander’s law, without changing direction when looking towards the slow phase. Head-impulse test demonstrated an abnormal vestibulo-occular re lex (VOR) to the right. There was no skew deviation on alternate cover testing. The patient could not walk unaided and Romberg test was positive. A CT temporal bones and brain was performed urgently. This revealed a large soft tissue density in the right mastoid with an aerated middle ear. There was erosion of the lateral semi-circular canal and the bone overlying the horizontal segment of the facial nerve (Figure 1). There was also signi icant erosion of the tegmen tympani and communication with the middle cranial fossa (Figure 2). An examination under anaesthetic (EUA) was performed and a defect was palpable in the posterior EAC. Incision of the mucosa over this de","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75433095","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}

{"title":"McArdle’s Disease (Glycogen Storage Disease type V): A Clinical Case","authors":"Cameselle-Teijeiro Jf","doi":"10.29328/JOURNAL.ACR.1001010","DOIUrl":"https://doi.org/10.29328/JOURNAL.ACR.1001010","url":null,"abstract":"McArdle’s disease is a metabolic and recessive genetic disease caused by a mutation on the PYGM gene located on chromosome 11q13. This gene is responsible for the synthesis of the myophosphorylase (or glycogen phosphorylase) enzyme. It is the most common form of muscular glycogenesis. We present here the clinical case of a 35 years old woman diagnosed with McArdle’s disease at the age of 21 after a visit to a Neurologist. It was confi rmed that the patient had shown symptoms of this disease at least 10 years before defi nitive diagnosis: intolerance to exercise, asthenia and muscular weakness. In this report we describe the different signs and symptoms of the disease, as well as the tests performed to confi rm the diagnosis by muscle biopsy and genetic analysis. McArdle’s disease is classifi ed as a rare disease and often its diagnosis is delayed due to a lack of knowledge about its symptoms and signs. Our intention is to make, with the description of our clinical case, the information about this disease more available to physicians to prevent future misinterpretations and delayed diagnosis. A medical documentary we have created on “McArdle’s Disease” can be seen in YouTube using the following links: https://youtu.be/HAhoZ7jxz7Q (English version) and https://youtu.be/uZopzSHOl20 (Spanish version). Case Report","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84379704","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}

{"title":"Brooke-Spiegler Syndrome: A rare cause of skin appendageal tumor","authors":"N. Suganthan, S Pirasath, Dikowita Dd","doi":"10.29328/journal.acr.1001009","DOIUrl":"https://doi.org/10.29328/journal.acr.1001009","url":null,"abstract":"A 51-year-old women presented with asymptomatic multiple polypoidal nodules over scalp with simultaneous papularnodular skin eruptions involving nose, nasolabial folds and forehead for 40 years duration. Her daughter also noted to be having multiple papularnodular skin eruptions involving nose, nasolabial folds and forehead which raised curiosity of possible familial condition. The punch biopsy of polypoidal nodule indicating histological evidence of spiradenoma was favour in diagnosis of Brook Spienger Syndrome. We report this case as this is a rare clinical entity. Case Report Brooke-Spiegler Syndrome: A rare cause of skin appendageal tumor N Suganthan1*, S Pirasath2 and DD Dikowita2 1Consultant, Physician and Senior Lecturer, University Medical Unit, Teaching Hospital, Jaffna, Sri Lanka 2Registrar, University Medical Unit, Teaching Hospital, Jaffna, Sri Lanka *Address for Correspondence: Dr. N Suganthan, Consultant, Physician and Senior Lecturer, University Medical Unit, Teaching Hospital, Jaffna, Sri Lanka, Email: drn.suganthan@yahoo.com Submitted: 12 October 2018 Approved: 31 October 2018 Published: 01 November 2018 Copyright: © 2018 Suganthan N, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79214038","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}

{"title":"Clinical, histopathological and surgical evaluations of persistent oropharyngeal membrane case in a calf","authors":"V. Gunes, G. Atalan, L. C. Bayram, K. Varol, H. Erol, İ. Keleş, A. C. Onmaz","doi":"10.29328/JOURNAL.ACR.1001016","DOIUrl":"https://doi.org/10.29328/JOURNAL.ACR.1001016","url":null,"abstract":"Oropharyngeal membrane forms in two different layers from the embryonic stage. First, outher layer originates from ectodermal epitelium and the second is inner layer from the endodermal epithelium. These two layers differ to each other by a connective tissue (Deep stomodeum wall). Pharynx is closed by this tissue towards to anterior direction. Ectoderm of stomodeum forms membrana oropharyngea by fusing with blind end of foregut (Membrana buccopharenge). The membrane separates stomodeum from the front bowel, which is known as draft of mouth cavity. In the progressive stage, stomodeum and pharynx or pharyngeal membrane disappears during embryonic development for many breed in the third and fourth week of pregnancy in order to create pharynx, this provides formation of oral cavity and oropharynx following palatoglossal arch. Persistent oropharyngeal membrane separates oral cavity from oesophagus and laryngeal entrance and then stays permanent because of insuf iciency of embryonic development of gastrointestinal tract. Brie ly, it is a developmental anomaly of oropharynx [1-8].","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"178 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80025692","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}