Case Reports in Medicine最新文献_第7页

Eyelash Trichomegaly: Unusual Feature Associated with Systemic Lupus Erythematosus Patient. 睫毛毛状:与系统性红斑狼疮患者相关的不寻常特征。

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Case Reports in Medicine Pub Date : 2022-08-04 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1320992

Amjad M AlWarawreh, Ahmad M AlWarawreh, Bashar F Jarrar, Asem H Aldebei, Mahasen S Ajarmeh, Fadi F Ayyash, Manal A Abu Al-Ghanam

引用次数: 0

A Case Report of Acute Necrotizing Pancreatitis after COVID-19 Infection. COVID-19感染后急性坏死性胰腺炎1例报告。

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Case Reports in Medicine Pub Date : 2022-07-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3258677

Amir Mohammad Salehi, Hossain Salehi, Maryam Hasanzarrini, Ensiyeh Jenabi, Aida Alizamir

引用次数: 2

A Strangulated Congenital Diaphragmatic Bochdalek Hernia Diagnosed in an Adult. 成人先天性膈肌绞窄性Bochdalek疝。

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Case Reports in Medicine Pub Date : 2022-07-20 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3355058

Warsinggih Warsinggih, Julianus Aboyaman Uwuratuw, Arham Arsyad, Muhammad Faruk

{"title":"A Strangulated Congenital Diaphragmatic Bochdalek Hernia Diagnosed in an Adult.","authors":"Warsinggih Warsinggih, Julianus Aboyaman Uwuratuw, Arham Arsyad, Muhammad Faruk","doi":"10.1155/2022/3355058","DOIUrl":"https://doi.org/10.1155/2022/3355058","url":null,"abstract":"Although Bochdalek hernias are uncommon in adults and difficult to diagnose, such congenital diaphragmatic hernias (CDHs) are some of the most serious malformations among newborns. In particular, CDHs are accompanied by high mortality and marked disability later in life due to concomitant morbidity (i.e., caused by pulmonary lung hypoplasia and persisting pulmonary hypertension of neonates) and require long-lasting neonatal treatment in an intensive care unit. Late-diagnosed CDHs are extremely rare and always show small defects that justify a better prognosis than CDHs with large defects. In most cases, such CDHs go undiagnosed due to their mild, delayed symptoms. In the case described here, an 18-year-old Asian male presented with abdominal pain and a bowel contour in the epigastric region and left upper quadrant. A chest X-ray and thoracoabdominal computerized tomography scan confirmed the diagnosis of bowel obstruction due to a left diaphragmatic hernia. Moreover, a defect was revealed in the posterolateral left diaphragm, and the transverse colon, spleen, and half of the stomach had herniated through it. A segmentectomy was performed on the transverse colon, followed by an end-to-end anastomosis, a diaphragmatic plasty, and the placement of an intrapleural catheter. In conclusion, diagnosing a diaphragmatic hernia before surgery can be difficult due to its rarity and wide range of symptoms. Although prenatal diagnosis using ultrasonography is possible in up to 80% of fetuses, that method may not be available in all regions in Indonesia or in all countries, where doctors thus continue to face a diagnostic challenge when dealing with CDHs.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40681578","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

MuSK-Myasthenia Gravis Unmasked by Hydroxychloroquine. 麝香-羟氯喹揭开重症肌无力的面纱。

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Case Reports in Medicine Pub Date : 2022-07-15 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4802538

Shalini Bhaskar, Mohammed Fauzi Bin Abdul Rani

{"title":"MuSK-Myasthenia Gravis Unmasked by Hydroxychloroquine.","authors":"Shalini Bhaskar, Mohammed Fauzi Bin Abdul Rani","doi":"10.1155/2022/4802538","DOIUrl":"https://doi.org/10.1155/2022/4802538","url":null,"abstract":"Introduction: Muscle-specific tyrosine kinase (MuSK) antibody positive myasthenia gravis (MuSK-MG) is a rare clinical disorder, and diagnosing it can be challenging. Most of the patients present with predominant facial, oculo-bulbar, and neck muscle weakness along with respiratory muscle involvement. Such a presentation can be mistaken for bulbar onset motor neuron disease or as one of the rare oculopharyngeal myopathies. Case Report. We present a young female patient, who reported to us with neck muscle weakness, ocular and bulbar muscle paralysis, and breathing difficulty. She had been healthy till she was prescribed hydroxychloroquine (HCQ) tablets (400 mg per day) for a malar rash. By the end of the second week after commencing the HCQ therapy, she developed the muscle weakness. Her symptoms began to regress after stopping HCQ and starting steroids, pyridostigmine, and, subsequently, azathioprine. She was negative for anticholinesterase receptor antibodies (AChR-Ab) but was positive for MuSK antibodies (MuSK-Ab).Conclusion: This report proves that MuSK-MG can also be unmasked by HCQ administration. Awareness of drug-induced/-unmasked MG is important, as failure to do so may result in a severe morbidity and a fatal outcome. The offending drug has to be promptly discontinued, and appropriate treatment should be instituted.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9307397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40535043","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

SARS-CoV-2 and Subacute Thyroiditis: A Case Report and Literature Review. SARS-CoV-2 与亚急性甲状腺炎：病例报告与文献综述

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Case Reports in Medicine Pub Date : 2022-06-30 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6013523

Amir Mohammad Salehi, Hossain Salehi, Hossein Ali Mohammadi, Jamileh Afsar

{"title":"SARS-CoV-2 and Subacute Thyroiditis: A Case Report and Literature Review.","authors":"Amir Mohammad Salehi, Hossain Salehi, Hossein Ali Mohammadi, Jamileh Afsar","doi":"10.1155/2022/6013523","DOIUrl":"10.1155/2022/6013523","url":null,"abstract":"Introduction: Subacute thyroiditis (SAT) is an inflammatory disorder of the thyroid gland, usually triggered by a recent viral or bacterial infection of upper respiratory tracts. The disease is characterized by neck pain radiating to the ears and thyroid gland tenderness. In most cases, it is associated with a transient episode of hyperthyroidism, which is followed by euthyroidism. However, sometimes, it manifests itself with hypothyroidism. Case Presentation. The present report described a case of SAT who was a 55-year-old man presenting to an endocrine clinic with tachycardia, tremor, and neck pain radiating to the jaw and ears. His thyroid function test revealed thyrotoxicosis, and thyroid ultrasound findings were consistent with SAT. The patient reported a history of COVID-19 about 15 days before presentation, which was confirmed by a positive PCR test for SARS-CoV-2.Conclusions: It is of great importance for physicians to note that thyrotoxicosis in a patient with a recent history of COVID-19 can be due to SAT. Therefore, they should not begin antithyroid drugs without ordering proper investigations.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9262519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40580762","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

Ovarian Cancer Was Discovered in Sister Mary Joseph's Nodule. 卵巢癌是在玛丽·约瑟夫修女的结节中发现的。

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Case Reports in Medicine Pub Date : 2022-06-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5131705

Mouna Kouira, Imen Bannour, Mohammed Raouf Ben Abdesslem, Nihed Abdessayed, Badra Bannour

{"title":"Ovarian Cancer Was Discovered in Sister Mary Joseph's Nodule.","authors":"Mouna Kouira, Imen Bannour, Mohammed Raouf Ben Abdesslem, Nihed Abdessayed, Badra Bannour","doi":"10.1155/2022/5131705","DOIUrl":"https://doi.org/10.1155/2022/5131705","url":null,"abstract":"Introduction: Sister Mary Joseph's nodule (SMJN) is a rare illness characterized by an umbilical mass caused by tumor metastases in the abdomen or pelvis. The most common main site of SMJN in women is ovarian cancer. Case Presentation. A 73-year-old woman with no pathological history came to our emergency room with a one-month history of umbilicus enlargement. A 9-centimeter uncomfortable umbilical swelling with hard consistency was discovered during a clinical examination. An ovarian tumor with several local expansions was seen on an abdominal CT scan. It was linked to peritoneal metastases, one of which extends via a supraumbilical hernial orifice and into intestinal tissues in the same hernia sac. The umbilical tumor was removed from the patient. A moderately differentiated serous carcinoma with ovarian origin was identified in a periumbilical site on histological testing.Conclusion: The presence of an SMJN is a rare but significant issue that clinicians must examine because it is associated with a bad prognosis. Early detection and diagnosis of the original lesion can lead to more effective treatment and a higher rate of survival.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40580761","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

Kounis Syndrome Secondary to Laxative Administration. Kounis综合征继发于泻药。

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Case Reports in Medicine Pub Date : 2022-06-22 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6087176

Mateo Zuluaga-Gómez, Daniel González-Arroyave, Carlos M Ardila

引用次数: 3

Bilateral Adrenal Hemorrhage and Adrenal Insufficiency in the Context of Polycythemia Vera: A Case Report and Review of the Literature. 真性红细胞增多症的双侧肾上腺出血和肾上腺功能不全:1例报告和文献复习。

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Case Reports in Medicine Pub Date : 2022-06-22 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5335543

Sara Soltanmohammadi, Mehrbod Vakhshoori, Ghazaleh Sajadi, Maryam Heidarpour

{"title":"Bilateral Adrenal Hemorrhage and Adrenal Insufficiency in the Context of Polycythemia Vera: A Case Report and Review of the Literature.","authors":"Sara Soltanmohammadi, Mehrbod Vakhshoori, Ghazaleh Sajadi, Maryam Heidarpour","doi":"10.1155/2022/5335543","DOIUrl":"https://doi.org/10.1155/2022/5335543","url":null,"abstract":"Background: Polycythemia vera (PV) is a myeloproliferative disorder presented with different manifestations. However, bilateral adrenal hemorrhage (BAH) and adrenal insufficiency (AI) are rare manifestations. Herein, we described a patient who suffered from BAH and AI in the context of PV. Case Presentation. A 60-year-old man with an underlying history of PV was admitted with severe abdominal pain, nausea, and loss of consciousness. Primitive computed tomography (CT) scan findings revealed bilateral adrenal masses (right: 40 ∗ 23 mm, left: 60 ∗ 35 mm) with the second scan showing quite similar results (right adrenal: 40 ∗ 29 mm, left adrenal: 48 ∗ 26 mm) suggesting BAH. The further adrenal assessment proved concurrent AI. Both adrenal masses resolved completely after 15 months. However, the patient still suffered from AI.Conclusion: BAH and AI in patients with PV should be considered rare complications requiring high clinical suspicion for early diagnosis and treatment to avoid life-threatening outcomes.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9242798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40476988","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

Acute Pancreatitis in Individuals with COVID-19: A Case Report and Critical Review of Literature. COVID-19患者的急性胰腺炎:1例报告和文献综述

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Case Reports in Medicine Pub Date : 2022-06-18 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1275287

Arsia Jamali, Khashayar Nemovi, Betul N Bayraktutar, Adam Farzaneh, Kevin Chan, Carlos Ramirez, Elika Shahkamrani, Anil Perumbeti

引用次数: 1

Intramural Esophageal Hematoma Mimicking Acute Coronary Syndrome: Complication of Warfarin Use in a Mechanical Heart Valve Patient. 模拟急性冠状动脉综合征的食管壁内血肿:华法林用于机械心脏瓣膜患者的并发症。

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Case Reports in Medicine Pub Date : 2022-06-15 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5636989

Toktam Alirezaei, Rana Irilouzadian, Ali Pirsalehi, Sayyed Mojtaba Nekooghadam

{"title":"Intramural Esophageal Hematoma Mimicking Acute Coronary Syndrome: Complication of Warfarin Use in a Mechanical Heart Valve Patient.","authors":"Toktam Alirezaei, Rana Irilouzadian, Ali Pirsalehi, Sayyed Mojtaba Nekooghadam","doi":"10.1155/2022/5636989","DOIUrl":"https://doi.org/10.1155/2022/5636989","url":null,"abstract":"A 59-year-old female with a history of mitral valve replacement presented to emergency department, complaining of sudden-onset retrosternal chest pain since 4 hours ago. Electrocardiogram, laboratory tests, and computed tomography (CT) angiography of aorta were performed and ruled out aortic dissection and cardiovascular events. However, new complaint of odynophagia, dysphagia, and incidental findings in CT angiography proposed esophageal pathologies. After initial workup including upper gastrointestinal endoscopy, intramural esophageal hematoma was diagnosed. Laboratory tests revealed significant reduction in the hemoglobin level. Management of warfarin-induced major bleeding in a patient whom anticoagulation was necessary for the prevention of mechanical heart valve thrombosis was challenging. The patient recovered fully with conservative treatment and was discharged on hospital day 14 with low molecular weight heparin. We described a case of intramural esophageal hematoma as a rare condition that could be misdiagnosed as a cardiovascular emergent disease and would be worsened by antiplatelet and anticoagulation therapy. Accordingly, it is important to differentiate intramural esophageal hematoma from cardiac ischemic events. Another challenge was correction of coagulation in the presence of mechanical mitral valve. Fortunately, we had a favorable outcome following conservative management.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9217597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40400120","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