Case Reports in Medicine最新文献_第10页

Mycotic Aneurysm with Iliac Artery-Colonic Fistula 霉菌性动脉瘤合并髂动脉-结肠瘘

IF 0.8

Case Reports in Medicine Pub Date : 2022-03-04 DOI: 10.1155/2022/3250749

Le Viet Dung, Ma Mai Hien, Dang-Thi Bich Nguyet, T. Tra My, N. M. Minh Duc

引用次数: 1

An Unusual Case of Eosinophilia with Systemic Lupus Erythematosus: A Case Report and Review of Literature 罕见嗜酸性粒细胞增多伴系统性红斑狼疮1例报告及文献复习

IF 0.8

Case Reports in Medicine Pub Date : 2022-02-28 DOI: 10.1155/2022/3264002

Aman Mishra, Sandip Kuikel, Robin Rauniyar, S. Poudel, Sital Thapa, Nibesh Pathak, Suman Rimal, Kundan Raj Pandey, S. Jha

引用次数: 0

And the Oscar Goes to Peripheral Blood Film for the Detection of Lead Poisoning in a Complicated Toxic Patient: A Case Report with a Review of Laboratory Clues. 奥斯卡奖授予外周血片用于检测一名复杂中毒患者的铅中毒：病例报告与实验室线索回顾。

IF 0.8

Case Reports in Medicine Pub Date : 2022-02-23 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9238544

Amir Zamani, Ehsan Sarraf Kazerooni, S Saeed Kasaee, Mohammad Hossein Anbardar, Sahand Mohammadzadeh, Golsa Shekarkhar, Neda Soleimani

{"title":"And the Oscar Goes to Peripheral Blood Film for the Detection of Lead Poisoning in a Complicated Toxic Patient: A Case Report with a Review of Laboratory Clues.","authors":"Amir Zamani, Ehsan Sarraf Kazerooni, S Saeed Kasaee, Mohammad Hossein Anbardar, Sahand Mohammadzadeh, Golsa Shekarkhar, Neda Soleimani","doi":"10.1155/2022/9238544","DOIUrl":"10.1155/2022/9238544","url":null,"abstract":"Background: Peripheral blood smear examination is an invaluable laboratory test, which provides the complete hematologic and/or nonhematologic picture of a case. In addition to verifying the results of automated cell counters, it has the potential to identify some pathologic and morphologic changes that remain hidden using the cell counters alone. Case Presentation. A 40-year-old man with a three-year history of alcohol intake and marijuana abuse presented with severe lower extremities of the bone and abdominal pain. Physical examination showed high blood pressure, high pulse rate, and abdominal tenderness. He underwent extensive laboratory and imaging tests, and cholecystectomy and bone marrow studies were associated with no definite diagnosis. Right after all these invasive, expensive, and time-consuming investigations during a month, finding coarse basophilic stippling in the red blood cells in the peripheral blood smear by an expert led to the final diagnosis. Elevated blood lead level and the presence of ring sideroblasts in the bone marrow study confirmed the diagnosis of lead poisoning, and the patient responded well to chelator therapy in a short period.Conclusion: This case clearly showed the value of peripheral blood smear review and its impact on patient care. In order not to lose the cases, laboratories are recommended to design their own policy for peripheral blood smear review. The peripheral blood smear is the fastest, simplest, and most available screening test, which can prevent many misdiagnoses and malpractices. It provides rich morphological information, among which basophilic stippling is highly suggestive of lead poisoning.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8890882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79349083","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

Diffuse Cerebral Edema and Impending Herniation Complicating Hepatic Encephalopathy in Hereditary Hemorrhagic Telangiectasia 遗传性出血性毛细血管扩张症并发肝性脑病的弥漫性脑水肿和迫在眉睫的疝

IF 0.8

Case Reports in Medicine Pub Date : 2022-02-18 DOI: 10.1155/2022/2612544

Charisma Mylavarapu, Alexander J. Lu, E. Burns, Justin Samorajski, D. Gotur, K. Baker

引用次数: 1

Ischemic Priapism Progressing to Penile Gangrene in a Patient with COVID-19 Infection: A Case Report with Literature Review. COVID-19感染患者缺血性阴茎勃起进展为阴茎坏疽1例报告并文献复习

IF 0.8

Case Reports in Medicine Pub Date : 2022-02-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8408216

Saad M Alsaedi, Rakan M Alsarwani, Ahmed I Ali, Saleem A Aladhrai

{"title":"Ischemic Priapism Progressing to Penile Gangrene in a Patient with COVID-19 Infection: A Case Report with Literature Review.","authors":"Saad M Alsaedi, Rakan M Alsarwani, Ahmed I Ali, Saleem A Aladhrai","doi":"10.1155/2022/8408216","DOIUrl":"https://doi.org/10.1155/2022/8408216","url":null,"abstract":"Priapism is considered a rare disorder and even more rare when it occurs as a complication of COVID-19. To the best of our knowledge, only eight studies have reported priapism as a complication of COVID-19. Here, we report the case of a 66-year-old male with COVID-19 who presented with neglected priapism for three days. On local examination, penile erection was apparent in association with blackened areas on the glans penis extending to the midpenile shaft denoting penile gangrene. A clear line of demarcation was noticed at the midpenile shaft. Penile duplex was performed, showing no blood flow in both cavernosal arteries. Penile aspiration was performed, and the cavernosal blood sample showed evidence of ischemic priapism. Given the presence of penile gangrene extending to the midshaft of the penis and the poor general condition of the patient, the decision was made to perform partial penectomy and suprapubic tube placement. We recommend the establishment of a guideline for the diagnosis and prevention of thrombotic diseases in patients with COVID-19 infection as there is increasing evidence of COVID-19-related thrombotic manifestations.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8847035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39932966","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: 9

Giant Parathyroid Adenoma-Associated Fracture, Not All Lytic Bone Lesions are Cancer: A Case-Based Review. 巨大甲状旁腺腺瘤相关骨折，并非所有溶解性骨病变都是癌症:一项基于病例的回顾。

IF 0.8

Case Reports in Medicine Pub Date : 2022-01-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3969542

Jose C Alvarez-Payares, Marcel E Ribero, Sara Ramírez-Urrea, María C Fragozo-Ramos, Jose E Agámez-Gómez, Alejandro Román-González, Luis F Arias, Roberto Benavides Arenas, Fernando López-Urbano

{"title":"Giant Parathyroid Adenoma-Associated Fracture, Not All Lytic Bone Lesions are Cancer: A Case-Based Review.","authors":"Jose C Alvarez-Payares, Marcel E Ribero, Sara Ramírez-Urrea, María C Fragozo-Ramos, Jose E Agámez-Gómez, Alejandro Román-González, Luis F Arias, Roberto Benavides Arenas, Fernando López-Urbano","doi":"10.1155/2022/3969542","DOIUrl":"https://doi.org/10.1155/2022/3969542","url":null,"abstract":"Introduction: Due to the early diagnosis of primary hyperparathyroidism the musculoskeletal manifestations of this disease are becoming less frequent. When this disease manifests secondary to a giant adenoma, it presents with more aggressive symptoms and can have important repercussions such as the hungry bone syndrome after parathyroidectomy. There are few reported cases of hyperparathyroidism secondary to a giant adenoma in the literature, as the presence of a brown tumor is often misinterpreted as a metastatic lesion from an unknown primary tumor.Methods: We describe a case and performed a literature review to identify all case reports. A literature search was carried out on PubMed/MEDLINE and EMBASE bibliographic databases. All available studies from May 2009 to May 2021 were included. Data were tabulated, and outcomes were cumulatively analyzed.Results: Twenty-four cases of primary hyperparathyroidism due to giant adenoma have been described; the majority were women, with a mean age of 52 years. They presented with heterogeneous symptoms such as palpable nodules (45%), bone pain (33%), brown tumor (12.5%), asymptomatic (12.5%), metabolic profile with a mean calcemia of 13.8 mg/dL, PTH 1109 ng/L, and mean tumor weight of 47.24 g.Conclusion: Primary hyperparathyroidism due to giant adenoma increases the risk of developing potentially serious postoperative complications such as hungry bone syndrome. This implies the need of implementing preventive measures comprising administration of intravenous zoledronic acid and early supplementation of oral calcium to prevent complications after resection.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8817849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39760573","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: 1

Steroid-Responsive Post-Traumatic Persistent Neutrophilic Meningitis. 类固醇反应性创伤后持续性中性粒细胞性脑膜炎。

IF 0.8

Case Reports in Medicine Pub Date : 2022-01-12 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7615939

Mahboubeh Haddad, Fereshte Sheybani, Nahid Olfati, Yeganeh Azhdari

{"title":"Steroid-Responsive Post-Traumatic Persistent Neutrophilic Meningitis.","authors":"Mahboubeh Haddad, Fereshte Sheybani, Nahid Olfati, Yeganeh Azhdari","doi":"10.1155/2022/7615939","DOIUrl":"https://doi.org/10.1155/2022/7615939","url":null,"abstract":"Post-traumatic meningitis is a potentially fatal condition that presents as a diagnostic and therapeutic challenge. The vast majority of post-traumatic meningitides are caused by infectious pathogens, most commonly multi-drug-resistant (MDR) bacterial pathogens. However, aseptic meningitis occurs less frequently due to tissue response to injury or stimulation by noninfectious agents, such as blood breakdown products or chemicals. Here, we present a case of post-traumatic persistent neutrophilic meningitis who was found to be steroid responsive. Diagnostic evaluation in our patient did not reveal any infectious pathogen, and the patient did not respond to broad-spectrum antimicrobial treatment. We suggest that physicians who treat patients with post-traumatic meningitis should consider steroid-responsive post-traumatic persistent neutrophilic meningitis (SPNM) in the list of differential diagnosis particularly when no infectious etiology is found and the patient does not respond to empirical antimicrobial treatment. Brain injury-induced immune dysregulation causing exaggerated inflammatory reaction might play a role in the pathogenesis of SPNM; however, further neuropathological studies are absolutely necessary to evaluate and characterize trauma-induced immune dysregulation.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39962693","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

A Case of Metastatic CNS Melanoma of Unknown Primary Presenting with Seizures. 转移性中枢神经系统黑色素瘤1例，原发以癫痫为表现。

IF 0.8

Case Reports in Medicine Pub Date : 2022-01-06 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3099750

Viva Nguyen, Samar Aboulenain, Shawn Mohammed, Sahyli Perez Parra

引用次数: 2

Basilar Predominant Emphysema: Thinking beyond Alpha-1-Antitrypsin Deficiency. 基底动脉显性肺气肿:超越α -1-抗胰蛋白酶缺乏的思考。

IF 0.8

Case Reports in Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/9840085

Ho-Man Yeung, Lauren Gaffaney

{"title":"Basilar Predominant Emphysema: Thinking beyond Alpha-1-Antitrypsin Deficiency.","authors":"Ho-Man Yeung, Lauren Gaffaney","doi":"10.1155/2022/9840085","DOIUrl":"https://doi.org/10.1155/2022/9840085","url":null,"abstract":"Basilar predominant emphysema, or disproportionate emphysematous involvement of the lung bases compared to the apices, is an uncommon radiographic pattern of emphysema traditionally associated with alpha-1-antitrypsin deficiency (AATD). We present a case of a 59-year-old female with 41 pack-year tobacco use, Stage IV COPD with supplemental oxygen, and bibasilar predominant emphysema who successfully underwent bronchoscopic lung volume reduction. She presented with recurrent hospitalizations for frequent exacerbations. After lung reduction, the patient displayed improvement in functional status without hospitalizations at the 15-month follow-up. Careful history taking is essential for any patients diagnosed with lower lobe emphysema to elucidate the underlying etiology. This case challenges the notion that basilar emphysema is sensitive or specific for AATD and emphasizes that this pattern of emphysema has a broad differential diagnosis and alternative etiologies should be considered. Our patient was ultimately diagnosed with smoking-related emphysema, with atypical bibasilar involvement. Furthermore, basilar predominant emphysema should be considered a separate entity from its apical predominant counterpart.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9757930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10460803","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

Spontaneous Haemothorax in a Patient with COVID-19. 1例COVID-19患者自发性血胸。

IF 0.8

Case Reports in Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/8275326

Shalini A Mohan, Zharif Sufyaan Fadzaily, S H Abdullah Hashim

引用次数: 2