Case Reports in Medicine最新文献_第10页

Asymptomatic Tumor Thrombus in the Left Atrium from Squamous Cell Carcinoma. 鳞状细胞癌引起的左心房无症状肿瘤血栓。

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Case Reports in Medicine Pub Date : 2021-12-21 eCollection Date: 2021-01-01 DOI: 10.1155/2021/4256471

Nick Huang, Christina DiCorato, Basel Abuzuaiter, Adriana May, Swati P Deshmane, Debanik Chaudhuri, Stephen Graziano, Harvir Singh Gambhir

引用次数: 1

Granulomonocytapheresis Using the Single-Needle Method for a Girl with Ulcerative Colitis. 溃疡性结肠炎女童单针肉芽单胞清除术。

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Case Reports in Medicine Pub Date : 2021-12-16 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5302885

Yoshiaki Sasaki, Hiroki Kajino

引用次数: 0

Cardiac Transthyretin Amyloidosis: Hidden in Plain Sight. 心脏转甲状腺素淀粉样变:隐藏在视线中。

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Case Reports in Medicine Pub Date : 2021-12-07 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2551964

Constantine N Logothetis, Joel Fernandez, Damian A Laber

{"title":"Cardiac Transthyretin Amyloidosis: Hidden in Plain Sight.","authors":"Constantine N Logothetis, Joel Fernandez, Damian A Laber","doi":"10.1155/2021/2551964","DOIUrl":"https://doi.org/10.1155/2021/2551964","url":null,"abstract":"Amyloidosis is an underappreciated medical condition with symptoms camouflaging as common medical comorbidities leading to its underdiagnosis due to its systemic involvement. Despite common misconceptions, amyloidosis and its systemic comorbidities are more prevalent and treatable than previously acknowledged by the medical community. There are two major forms of amyloidosis: amyloid light-chain and transthyretin amyloidosis. Each of these have a distinct pathophysiology, diagnostic work-up, treatment, and prognosis. The patient described in this study was diagnosed with transthyretin cardiac amyloidosis months after presenting with heart failure of unknown etiology. Usually, clinicians presume that heart failure results from common comorbidities such as hypertension, diabetes, and hyperlipidemia. Here, the correct etiology was transthyretin cardiac amyloidosis. The patient had five admissions for heart failure symptoms prior to a physician identifying the etiology as cardiac transthyretin amyloidosis. After initiating the transthyretin stabilizer tafamidis, the patient did not experience another heart failure exacerbation. This vignette provides an example of the clinical presentation, diagnostic work-up, and treatment of a patient with cardiac transthyretin amyloidosis. The review of the literature focuses on the epidemiology, and clinical symptoms that should prompt an evaluation for cardiac amyloidosis as well as the diagnostic and therapeutic options are available. Transthyretin cardiac amyloidosis is a rare and underdiagnosed disease, while heart failure is a highly prevalent condition. This clinical vignette seeks to provide education and awareness to an overlooked medical disorder.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"2551964"},"PeriodicalIF":0.8,"publicationDate":"2021-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8670900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39845660","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

Sequential Immune Thrombocytopenia (ITP) and Thrombotic Thrombocytopenic Purpura (TTP) in an Elderly Male Patient with Primary Sjogren's Syndrome: When in Doubt, Use the PLASMIC Score. 原发性干燥综合征老年男性患者的顺序性免疫性血小板减少症(ITP)和血栓性血小板减少性紫癜(TTP):当有疑问时，使用血浆评分。

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Case Reports in Medicine Pub Date : 2021-11-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6869342

Devon D Miller, Joseph A Krenzer, Vaishalee P Kenkre, William Nicholas Rose

引用次数: 7

Mexiletine and False Positive Urine Drug Screen for Amphetamine: A Case Review. 美西汀和假阳性尿药物筛选安非他明:一个案例回顾。

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Case Reports in Medicine Pub Date : 2021-11-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/7134394

Sumit Sohal, Mina Sous, Gauri Pethe, Shanmugha V Padmanabhan, Rajesh Akbari, Shahriar Dadkhah

引用次数: 2

Management of Asymptomatic Perforation of a Pediatric Rectal Foreign Body into the Peritoneal Cavity Retrieved with Laparoscopy: A Case Report and Review of the Literature. 腹腔镜下小儿直肠异物无症状穿孔进入腹腔的处理:1例报告及文献复习。

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Case Reports in Medicine Pub Date : 2021-11-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5851967

Mehdi Forooghi, Hooman Kamran, Reza Shahriarirad

{"title":"Management of Asymptomatic Perforation of a Pediatric Rectal Foreign Body into the Peritoneal Cavity Retrieved with Laparoscopy: A Case Report and Review of the Literature.","authors":"Mehdi Forooghi, Hooman Kamran, Reza Shahriarirad","doi":"10.1155/2021/5851967","DOIUrl":"https://doi.org/10.1155/2021/5851967","url":null,"abstract":"Rectal foreign body insertion has had an increasing trend throughout the years, whereas it is rarely reported in pediatrics. The management and treatment of these cases can become challenging, since it also can present with atypical or even no symptoms in physical evaluation. A 14-year-old boy was referred to our hospital with a history of insertion of a paintbrush into his anus four weeks before the admission. The paintbrush had perforated the colon and was in the abdominopelvic cavity; however, no symptoms of peritonitis were observed. Rectal examination, sigmoidoscopy, and colonoscopy were unremarkable. Exploratory laparoscopy was performed, and the paintbrush was taken out completely. The patient was discharged in good condition. In cases with rectal foreign body insertion, perforation without causing peritonitis or acute abdomen is possible. In these conditions, imaging examinations play an essential role in managing the patients, and laparoscopy can be a proper procedure for retrieving the foreign body.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"5851967"},"PeriodicalIF":0.8,"publicationDate":"2021-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39700658","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

Two Cases of Leigh Syndrome in One Family: Diagnostic Challenges and Clinical Management Experience in Latvia. 两例利氏综合征在一个家庭:诊断挑战和临床管理经验在拉脱维亚。

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Case Reports in Medicine Pub Date : 2021-11-26 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5266820

Arta Katkevica, Madara Kreile, Ieva Grinfelde, Gita Taurina, Ieva Micule, Iveta Dzivite-Krisane, Arta Smite-Laguna, Ieva Malniece

引用次数: 0

Euglycemic Diabetic Ketoacidosis in a Sedated Patient after Coronary Artery Bypass Grafting: A Case Report and Literature Review. 冠状动脉搭桥术后镇静致糖尿病酮症酸中毒1例报告及文献复习。

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Case Reports in Medicine Pub Date : 2021-11-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2086520

Mohamad S Alabdaljabar, Khaled M Abdullah, Ali Almasood, Syed Salman Ali, Abdullah Ashmeg

{"title":"Euglycemic Diabetic Ketoacidosis in a Sedated Patient after Coronary Artery Bypass Grafting: A Case Report and Literature Review.","authors":"Mohamad S Alabdaljabar, Khaled M Abdullah, Ali Almasood, Syed Salman Ali, Abdullah Ashmeg","doi":"10.1155/2021/2086520","DOIUrl":"https://doi.org/10.1155/2021/2086520","url":null,"abstract":"Euglycemic diabetic ketoacidosis (EDKA) is a rare and serious adverse effect of sodium-glucose cotransporter 2 inhibitors (SGLT-2i). The diagnosis is challenging due to the rarity, nonspecific symptoms, and absence of the alarmingly high blood glucose levels, and thus, it could be initially missed resulting in delayed treatment. This is particularly important for sedated patients, as the absence of typical clinical signs and symptoms can obscure the diagnosis. We present the case of a patient with type 2 diabetes mellitus on empagliflozin who developed EDKA while sedated after coronary artery bypass grafting (CABG) despite stopping the medication 24 hours prior to surgery. We also summarize the current literature on EDKA after CABG. Physicians must be aware and maintain a high index of suspicion for the illness, especially in patients with T2DM taking SGLT-2i and undergoing a major operation such as CABG. Emergent treatment and multidisciplinary follow-up are needed to improve patient outcomes and mitigate complications. Physicians should also consider identifying the optimal time to discontinue SGLT-2i before major surgeries and possible ketone studies in such patients, especially those sedated following the surgery.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"2086520"},"PeriodicalIF":0.8,"publicationDate":"2021-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8616646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39673955","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: 4

Concurrent COVID-19 and Acute HIV: A Case Report and Diagnostic Review. 并发COVID-19和急性HIV:病例报告和诊断综述。

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Case Reports in Medicine Pub Date : 2021-11-16 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2653678

Kelly A Johnson, Sally Graglia, Elizabeth D Lynch, Joanna De Mesa, Erin Antunez, Sandra Torres, Susa Coffey, Stephanie E Cohen

{"title":"Concurrent COVID-19 and Acute HIV: A Case Report and Diagnostic Review.","authors":"Kelly A Johnson, Sally Graglia, Elizabeth D Lynch, Joanna De Mesa, Erin Antunez, Sandra Torres, Susa Coffey, Stephanie E Cohen","doi":"10.1155/2021/2653678","DOIUrl":"https://doi.org/10.1155/2021/2653678","url":null,"abstract":"A 26-year-old male presented to the emergency department feeling unwell in February of 2021 with symptoms including diaphoresis, loose stools, and loss of taste sensation. Workup not only confirmed a diagnosis of COVID-19 but also revealed discordant HIV test results, with a reactive fourth-generation antigen/antibody test but a negative HIV-1/2 differentiation immunoassay. Subsequent HIV viral load testing obtained two days later ultimately established a diagnosis of acute HIV (AHI). Screening for HIV and other sexually transmitted infections decreased during the COVID-19 pandemic. It is critical that providers (1) continue recommended screening for HIV as an essential service; (2) consider acute HIV in the differential when evaluating patients with acute viral syndromes; (3) recognize that AHI can occur concurrently with other infections, including COVID-19; and (4) understand the differential diagnosis for discordant HIV test results and know when HIV viral load testing is needed to resolve such discordant results.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"2653678"},"PeriodicalIF":0.8,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39772092","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: 2

LIMITED JOINT MOBILITY IN A CHILD WITH TYPE 1 DIABETES MELLITUS. 1型糖尿病儿童关节活动受限。

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Case Reports in Medicine Pub Date : 2021-11-15 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6397338

Mohammad H Al-Qahtani, Fai A AlQahtani

引用次数: 1