Journal of medical case reports and reviews最新文献

{"title":"Rapid reversion of spur cell anemia after liver transplantation","authors":"F. Santopaolo, B. Neri, A. Bosa, G. Viola, I. Lenci, M. Angelico","doi":"10.15761/mcrr.1000124","DOIUrl":"https://doi.org/10.15761/mcrr.1000124","url":null,"abstract":"Spur cell anemia (SCA) is a form of hemolytic anemia historically associated with alcoholic liver cirrhosis. The name of the disease comes from the spike-like projections on the erythrocyte membrane. These are due to a disorder in the cholesterol metabolism causing increased cholesterol to protein and cholesterol to phospholipid ratios in the red cell membrane, making the cells more prone to trapping and destruction by the spleen [1]. One of the first cases of SCA associated to post-alcoholic liver cirrhosis was reported in the New England Journal of Medicine in 1964 [2]. Several investigators have reported the association between alcoholism and SCA, but recent reports demonstrated that the entity might be present in liver disease regardless of etiology. It was reported that the comparison of spur cell rate in patients with alcoholic cirrhosis versus remaining etiologies did not exhibit any difference [3]. The presence of SCA in liver cirrhosis has been associated with advanced disease and poor prognosis [4]. Spur-cell morphological abnormality is reversible in a non-cirrhotic microenvironment and it vanishes after liver transplantation [5]. In the following case report we discuss the history of a patient diagnosed with SCA who, after liver transplantation, promptly resolved the disease.","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"116 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78248853","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":"Subtotal petrosectomy after recurrent otogenic meningitis. A case report and literature review","authors":"E. Amadei, C. Cola","doi":"10.15761/MCRR.1000130","DOIUrl":"https://doi.org/10.15761/MCRR.1000130","url":null,"abstract":"Otogenic meningitis is a serious and fortunately rare complication of a middle ear otitis. Recurrent otogenic meningitis is even more rare and dangerous. This requires primarily the search for the cause. Therefore, it is indicated to perform an effective, safe and stable surgical technique. The purpose is to bring the patient to complete healing. This surgical technique is represented by subtotal petrosectomy. *Correspondence to: Enrico Maria Amadei, Department of Otorhinolaryngology and Audiology, Infermi Hospital, Rimini, via Popilia 233, Rimini, RN, 47922, Italy, E-mail: enricomaria.amadei@libero.it","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86002659","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":"Experience of intermittent epidural analgesia for open liver resection","authors":"T. Matsusaki, R. Kaku, Daisuke Ono, Arata Taniguchi, H. Morimatsu","doi":"10.15761/mcrr.1000136","DOIUrl":"https://doi.org/10.15761/mcrr.1000136","url":null,"abstract":"There were some reports regarding intermittent method of epidural analgesia would be better in terms of postoperative analgesia with the obstetric analgesia for labors. In this study, the main outcome was to investigate the appropriate dosage of intermittent bolus injection from epidural block (0.2%ropivacaine 200mL+fentanyl 200-400μg/kg). The definition of “Appropriate” was we had no side effects such as neurologic complication such as numbing and hypotension, and to keep the patient’s good pain control controlled below resting Numerous Rating Scale (NRS) three until 24 hours after surgery (ICU periods). This study started from 2ml6ml/60 minutes (minimum dose) according to our protocol. In 2ml protocol, one patient cleared our protocol, however two patients couldn’t clear in terms of NRS. In 3ml protocol, we could keep the good pain control based on the definition of “effectiveness” (NRS, bolus request, the necessity of increased pain analgegics and no deleterious events). 3mL of intermittent epidural contrast for the open hepatectomy was identified by our clinical study in order to control the postoperative pain. The results of our study might contribute to future research regarding intermittent epidural administration, as well as provide patients with more excellent analgesia. *Correspondence to: Takashi Matsusaki, Department of Anesthesiology and Resuscitology Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan, E-mail: matusakik@ybb.ne.jp","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83689386","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":"First bacteremia described by Butyricimonas virosa in Spain","authors":"Asunción Gasós, P. Sigüenza, Helena Monzón, E. Padilla","doi":"10.15761/mcrr.1000127","DOIUrl":"https://doi.org/10.15761/mcrr.1000127","url":null,"abstract":"In the present document, we describe the case of bacteremia caused by Butyricimonas virosa ( B. virosa ), the first reported in Spain, occurred in a patient affected by colon adenocarcinoma. The literature is reviewed and we summarize the characteristics of the previously described cases, pointing out the fact that B. virosa is closely related to intra-abdominal pathology, especially with gastrointestinal malignancy.","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90595249","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":"Changes during vaso-occlusive crisis (VOC) and normal state in sickle cell disease patients","authors":"Kenechukwu C. Onyekwelu, Silas A Ufelle, Joy E Ikekpeazu, Richard C Ezeh, Chukwemelie Z Uche, Iniebon Philip Udoh","doi":"10.15761/mcrr.1000122","DOIUrl":"https://doi.org/10.15761/mcrr.1000122","url":null,"abstract":"","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74969900","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 reversible cardiomyopathy caused by a high dose of doxylamine intoxication: a case report","authors":"D. Lee, Eun Kim","doi":"10.15761/mcrr.1000137","DOIUrl":"https://doi.org/10.15761/mcrr.1000137","url":null,"abstract":"","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78025176","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":"Tardive dyskinesia: Risk factors, prevention, and treatment","authors":"S. Madhusoodanan, Michael J. Spatcher","doi":"10.15761/mcrr.1000134","DOIUrl":"https://doi.org/10.15761/mcrr.1000134","url":null,"abstract":"Background : Tardive dyskinesia is a complication of antipsychotic treatment characterized by chorieform involuntary movements affecting commonly the orofacial and buccolingual regions, but also trunk and extremities. Even though the exact etiology is not clearly understood, it is believed that upregulation of postsynaptic dopamine receptors after chronic dopamine blockade and neuronal oxidative damage may be implicated. The symptoms may be lifelong in some patients. Risk factors include advanced age, female sex, type of antipsychotic agents and routes of administration, pre existing movement disorders and general health of the patient. Multiple agents including vitamin B6, branched-chain amino acids, Ginko biloba, medications including beta blockers, ondansetron and benzodiazapines have been tried in the treatment of tardive dyskinesia without much success. The newly approved medications valbenazine and deutetrabenazine offer hope to these patients who otherwise had to live with this socially and functionally disabling disorder. Methods : Literature review was conducted using keywords tardive dyskinesia, risk factors, pathophysiology, treatment, Valbenazine, and deutetrabenazine. Search engines used include Pubmed, Cochrane Review, PsycINFO, and Psychiatry Online. Results : We have summarized the history, pathophysiology, risk factors, and management of TD including the recently approved medications. Conclusion : Tardive dyskinesia is a disabling, long term side effect of antipsychotic use. Many risks factors predispose patients to the development of symptoms. Until recently, there were no FDA approved treatments. The newly approved medications valbenazine and tetrabenazine have shown promising results for the","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80079433","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":"Madelung’s Disease with polyneuropathy in a non-alcoholic Mexican-American male","authors":"L. Salinas, Yanira Sanchez-De la Torre","doi":"10.15761/MCRR.1000121","DOIUrl":"https://doi.org/10.15761/MCRR.1000121","url":null,"abstract":"Madelung’s disease, also known as benign symmetric lipomatosis or Launois-Bensaude syndrome was first described by Sir Benjamin Brodie in 1846 from a series of patients he had encountered characterizing adipose tumors deposited preferentially on the neck [1]. It is a disorder of fat metabolism with deposition of multiple, symmetrical and painless non-encapsulated lipomas. Depending on the type of Madelung’s Disease, the adipose tissue deposition can be seen in the neck, upper extremities, trunk and hip area. About 90% of the cases described in the literature have been associated with chronic alcoholism and tobacco use and in a population of European/ Mediterranean descent, reporting up to 1 in 25,000 cases in Italy to have the condition [2,3]. Rare cases have also been reported in Indians and one case in an African American male [4,5]. We present a case of a 48-year-old Hispanic male of Mexican ancestry with no significant history of alcoholism who presented to our emergency department with chief complaint of progressive proximal muscle weakness in upper and lower extremities resulting in an inability to walk or care for daily activities.","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"224 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89171589","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":"Tuberculosis: the great mimicker. This time resembling Langerhans cell histiocytosis","authors":"Catalina Arango-ferreira","doi":"10.15761/MCRR.1000128","DOIUrl":"https://doi.org/10.15761/MCRR.1000128","url":null,"abstract":"The clinical case of a previously healthy 8 year old boy who presented to the emergency room with constitutional symptoms, along with multiple osteolytic lesions of the skull, ribs and vertebrae secondary to Tuberculosis infection resembling Langerhans cells Histiocytosis (LCH) is presented. Diagnosis was clarified with a biopsy of the frontal bone which revealed multinucleated cells with granulomas. Negative S100 and CDA1 immunohistochemical markers helped exclude. Also, drainage of a paracostal soft tissue abscess reported acid-fast bacilli seen in the Ziehl-Neelsen stain of pus. Bone marrow biopsy and aspirate were both normal. Similarities in clinical presentation as well as differences between both conditions that can help distinguish between these diseases and define the diagnosis are shortly discussed, along with the description of treatments and clinical evolution of the reported patient. *Correspondence to: Catalina Arango-Ferreira, University of Antioquia Medellín, Colombia, E-mail: catarango52@hotmail.com Received: February 21, 2019; Accepted: March 05, 2019; Published: March 08, 2019 Introduction LCH mimics many other conditions and a definitive diagnosis requires a combination of clinical manifestations, histological findings and specific immunohistochemistry markers. Tuberculosis is one of the most frequent differential diagnosis, but still, the clinical and radiological manifestations overlap between these two diseases. A high index of suspicion is necessary to clarify the diagnosis and offer timely treatment. Case report An 8-year-old, apparently previously healthy boy, presented to the emergency room with 3 months of a left paracostal abscess and a frontal subcutaneous nodule, accompanied by weight loss and intermittent non quantified fever. Skull radiography revealed osteolytic lesions of the frontal bone (Figure 1) and chest X rays showed osteolytic lesions of the left tenth and eleventh ribs, without pulmonary compromise. A 3-phase bone scintigraphy, reported abnormal cranial, costal and vertebral (T2, T4 and T9) capitation (Figure 2). Suspecting Langerhans cell Histiocytosis (LCH), a biopsy of the frontal bone along with drainage of the paracostal soft tissue abscess were performed. The Ziehl-Neelsen stain of pus drained from the paracostal abscess reported acid-fast bacilli (Figure 3). After growth in culture, a rapid test (SD BIOLINE TB Ag MPT64 Rapid TEST) confirmed M. tuberculosis complex, later identified as M. tuberculosis by PCR (GenoType Direct mycobacterial assay). Frontal bone biopsy revealed multinucleated cells with granulomas. S100 and CDA1 immunohistochemical markers to exclude LCH came back negative. The bone marrow biopsy and aspirate were both normal, as well as a negative 4th generation HIV test. No different organic compromise was identified except the multiple bones previously mentioned. The patient was started on anti TB treatment with HRZE during the first two months of therapy and continued on Isoniazid","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81980560","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":"Primary, exercise induced internal jugular vein thrombosis – a case report","authors":"S. Mashkov, G. Bonnet, M. Osman","doi":"10.15761/MCRR.1000131","DOIUrl":"https://doi.org/10.15761/MCRR.1000131","url":null,"abstract":"","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85302819","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}