OpenMed/multicare-articles huggingface dataset:
Use of mobile medical teams to fill critical gaps in health service delivery in complex humanitarian settings, 2017-2020: a case study of South Sudan
Authors: Diba Dulacha, Otim Patrick Cossy Ramadan, Argata Guracha Guyo, Sylvester Maleghemi, Joseph Francis Wamala, Worri George Wani Gimba, Tony Tombe Wurda, Walla Odra, Chol Thabo Yur, Fredrick Beden Loro, Julu Louis Kenyi Joseph, Emmanuel Timothy Thwol Onak, Stephen Chol Garang Aleu, Kibebu Kinfu Berta, Boniface Ambani Isindu, Olushayo Oluseun Olu
Journal: Pan Afr Med J (2022)
Keywords: rift valley fever, south sudan, vulnerable populations, cholera, disease outbreaks, emergency medical teams, measles, psychosocial care, public health emergencies, rapid response teams
MeSH terms: COVID-19, Cholera / epidemiology, Measles / epidemiology, Measles / prevention & control, Case Reports, Review, Child, Preschool, Disease Outbreaks / prevention & control, Emergencies, Humans, Immunization Programs, South Sudan / epidemiology

The vulnerable populations in the protracted humanitarian crisis in South Sudan are faced with constrained access to health services and frequent disease outbreaks. Here, we describe the experiences of emergency mobile medical teams (eMMT) assembled by the World Health Organization (WHO) South Sudan to respond to public health emergencies. Interventions: the eMMTs, multidisciplinary teams based at national, state and county levels, are rapidly deployed to conduct rapid assessments, outbreak investigations, and initiate public health response during acute emergencies. The eMMTs were deployed to locations affected by flooding, conflicts, famine, and disease outbreaks. We reviewed records of deployment reports, outreach and campaign registers, and analyzed the key achievements of the eMMTs for 2017 through 2020. Achievements: the eMMTs investigated disease outbreaks including cholera, measles, Rift Valley fever and coronavirus disease (COVID-19) in 13 counties, conducted mobile outreaches in emergency locations in 38 counties (320,988 consultations conducted), trained 550 healthcare workers including rapid response teams, and supported reactive measles vaccination campaigns in seven counties [148,726, (72-125%) under-5-year-old children vaccinated] and reactive oral cholera vaccination campaigns in four counties (355,790 vaccinated). The eMMT is relevant in humanitarian settings and can reduce excess morbidity and mortality and fill gaps that routine health facilities and health partners could not bridge. However, the scope of the services offered needs to be broadened to include mental and psychosocial care and a strategy for ensuring continuity of vaccination services and management of chronic conditions after the mobile outreach is instituted.
Papillary cystic and solid tumour of the pancreas: report of a case and literature review
Authors: Abdul Kasem, Zainab Ali, Joseph Ellul
Journal: World J Surg Oncol (2005)

Background:
The papillary cystic and solid tumour of the pancreas (PCSTP) is a rare primary neoplasm of unknown pathogenesis typically found in young women. PCSTP is a low-grade malignant tumour, which is often asymptomatic but it may present with abdominal pain.
Case presentation:
A 38 year old female patient who presented with one day history of epigastric pain was diagnosed as PCSTP. The patient was successfully treated with distal pancreatectomy.
Conclusion:
It is important to differentiate this tumour from other pancreatic tumours because, unlike malignant pancreatic tumours, this neoplasm does not usually metastasise and is amenable to cure after complete surgical resection. However, the cell origin and the aetiology of this tumour are not clear and further studies are warranted in its pathogenesis.
Topical Treatment with Cord Blood Serum in Glaucoma Patients: A Preliminary Report
Authors: Emilio Campos, Piera Versura, Giuseppe Giannaccare, Adriana Terzi, Silvia Bisti, Stefano Di Marco, Marina Buzzi
Journal: Case Rep Ophthalmol Med (2018)
MeSH terms: Case Reports

Purpose:
To report data which happened to be observed in two glaucoma patients treated with Cord Blood Serum (CBS) eye drops.
Design:
A case report and retrospective data analysis.
Methods:
CBS topical eye drops, characterized in advance for growth factors (GFs) content, were administered for two months with the aim to relieve their subjective symptoms, in two patients who had referred ocular surface discomfort, although in absence of any sign of keratopathy. As patients were also affected by advanced glaucoma at risk of vision loss and under treatment with hypotensive drugs, they had been also monitored over the same period with IOP controls and visual field tests in our unit.
Results:
During subsequent visits, data from Mean Deviation and Pattern Standard Deviation in the visual fields were retrospectively collected and compared with before and after treatment with CBS, and an amelioration was observed.
Conclusions:
CBS contains a combination of GFs, which potentially exert a neuroprotective action and elect CBS as an interesting natural source to be delivered in neurodegenerative ocular disorders. The incidentally observed amelioration in these two patients deserves further investigation in this respect.
Elevated aminotransaminases as the first manifestation of sarcoidosis
Authors: Georges Nawfal, Christelle Budin, Raymonde Bouvier, Alain Lachaux
Journal: Case Rep Med (2009)
MeSH terms: Case Reports

Sarcoidose is a rare disease in children. The aminotransaminase level is often normal to moderately elevated (2 to 3 folds of the normal level). We report the case of a child who presented an aminotransaminase level that was 10 times the normal level, as the first manifestation of sarcoidosis.
Candida albicans meningitis in AIDS patient: A case report and literature review
Authors: K Bourbeau, S Gupta, S Wang
Journal: IDCases (2021)
Keywords: brain infection, candida, candida albicans, candida meningitis, fungal meningitis, meningitis
MeSH terms: Case Reports

Candida albicans is found to be part of the normal flora in human skin, oral, and respiratory tract, and is known to be an opportunistic infection in immunocompromised populations; rarely is it a cause of meningitis. This case of a patient with Acquired Immune Deficiency Syndrome (AIDS) and Candida albicans meningitis illustrates the subtle symptoms and insidious onset of fungal meningitis. This case and review of literature identify the importance of early identification and therapy.
Serial Reduction of an Extremely Large Gastroschisis using Vacuum-Assisted Closure
Authors: Marilyn W Butler, Julie Fuchs, Matias Bruzoni
Journal: European J Pediatr Surg Rep (2018)
Keywords: vac, gastroschisis, negative-pressure wound therapy, omphalocele, vacuum-assisted closure
MeSH terms: Case Reports

We herein describe a case of serial reduction of an extremely large and complex gastroschisis using vacuum-assisted closure (VAC) therapy in a boy born at 35 5/7 weeks' gestation. A spring-loaded silicone silo was placed at birth. By day of life (DOL) 22, minimal visceral contents had been reduced, and the silo was difficult to maintain due to the size of the fascial defect and loss of abdominal domain. A bespoke VAC dressing was constructed, and biweekly dressing changes allowed gradual reduction of the gastroschisis until the viscera were consolidated. By DOL 50, the viscera were completely reduced, and VAC therapy was discontinued. Feeds were commenced on DOL 57 and increased to goal by DOL 86. The baby was discharged home on DOL 115. We conclude that VAC dressings can be used to aid gradual reduction of an extremely large gastroschisis, particularly in medical fragile infants.
Acute Bilateral Superior Branch Vestibular Neuropathy
Authors: Dario A Yacovino, John B Finlay, Valentina N Urbina Jaimes, Daniel H Verdecchia, Michael C Schubert
Journal: Front Neurol (2018)
Keywords: acute gait ataxia, bilateral vestibular hypofunction, head impulse test, vestibular neuritis, vestibulo-ocular reflex
MeSH terms: Case Reports

The rapid onset of a bilateral vestibular hypofunction (BVH) is often attributed to vestibular ototoxicity. However, without any prior exposure to ototoxins, the idiopathic form of BVH is most common. Although sequential bilateral vestibular neuritis (VN) is described as a cause of BVH, clinical evidence for simultaneous and acute onset bilateral VN is unknown. We describe a patient with an acute onset of severe gait ataxia and oscillopsia with features compatible with acute BVH putatively due to a bilateral VN, which we serially evaluated with clinical and laboratory vestibular function testing over the course of 1 year. Initially, bilateral superior and horizontal semicircular canals and bilateral utricles were impaired, consistent with damage to both superior branches of each vestibular nerve. Hearing was spared. Only modest results were obtained following 6 months of vestibular rehabilitation. At a 1-year follow-up, only the utricular function of one side recovered. This case is the first evidence supporting an acute presentation of bilateral VN as a cause for BVH, which would not have been observed without critical assessment of each of the 10 vestibular end organs.
Teratoma occupying the left hemithorax
Authors: Charalambos Zisis, Dimitra Rontogianni, Grigorios Stratakos, Konstantinos Voutetakis, Konstantinos Skevis, Mihalis Argiriou, Ion Bellenis
Journal: World J Surg Oncol (2005)

Background:
Teratomas are manifested with a great variety of clinical and radiological features, while sometimes they simply represent incidental findings.
Case presentation:
A rare case of benign teratoma of the dermoid cyst type, in an adult 40-year-old female patient, is reported. The patient had presented recurrent pulmonary infections for the previous 2 months, persistent cough, and progressively aggravating dyspnea. A chest X-ray showed total atelectasis of the left lung, and the thoracic CT-scan revealed a huge mass, containing multiple elements of heterogeneous density, probably originating from the mediastinum, occupying the whole left hemithorax. The mass compressed the vital structures of the mediastinum, great vessels and airways, and a chest MRI was performed to accurately detect the anatomical relations. The patient underwent left thoracotomy and the tumor was totally resected. The size of the tumor was extremely large although no invasion to the vessels or to the airway had occurred. Adherence to the adjacent left pulmonary artery and left main bronchus was present, but without erosion or fistulization. The postoperative course was uneventful, while the histological examination confirmed a teratoma.
Conclusion:
A teratoma is a non-homogeneous pathological entity, clinically, radiologically or histologically. It is predominantly diagnosed between the second and fourth decade and the incidence is equal for both sexes. Symptoms are absent in one half of the patients. The case reported is noteworthy as the tumor appeared with total atelectasis of the left lung, and symptoms started 2 months prior to diagnosis. Total removal of the tumor is adequate treatment for this type of teratoma and the prognosis is excellent.
Toxic Epidermal Necrolysis-Like Reaction Following Combination Therapy With Camrelizumab and Apatinib for Advanced Gallbladder Carcinoma
Authors: Yonghao Yang, Jun Li, Brian G Till, Jun Wang, Bicheng Zhang, Hanping Wang, Hao Huang, Tiepeng Li, Quanli Gao, Hongle Li, Zibing Wang
Journal: Front Oncol (2021)
Keywords: pd-1, ten, adverse event, apatinib, camrelizumab, combination immunotherapy
MeSH terms: Case Reports

Recently, combination regimens based on programmed cell death-1 (PD-1) blockade have become increasingly common in clinical practice for the treatment of cancer. Such combinations significantly improve efficacy, but treatment-related adverse events have also become more complex and severe. Here, we report an acute toxic epidermal necrolysis (TEN)-like reaction in a patient with gallbladder cancer who received camrelizumab (an anti-PD-1 antibody) in combination with apatinib. Interestingly, distinct clinical and pathological characteristics were observed that differed from those of the reported cases of severe cutaneous reactions induced by anti-PD-1 antibodies alone; thus, we speculate that it was induced by the combination of camrelizumab and apatinib. It is worth noting that the TEN-like reaction showed resistance to methylprednisolone initially, which was gradually resolved after the addition of intravenous immunoglobulin (IVIg). Immunohistochemical staining revealed that the skin lesion was infiltrated by moderate numbers of CD4+ T cells and large numbers of CD8+ T cells during the progression of the TEN-like reaction, and mass cytometry by time-of-flight showed a significant reduction in the CD4+ and CD8+ T cell proportions in the peripheral blood after the rash improved. All these findings highlight the essential role of CD4+ T cells and CD8+ T cells in the TEN-like reaction induced by camrelizumab plus apatinib treatment, and we speculate that T cells, especially CD8+ T cells, attack keratinocytes. In conclusion, the TEN-like reaction induced by camrelizumab and apatinib deserves clinical attention, and further work is needed to elucidate the exact pathophysiologic mechanism as well as the optimal management strategy.
Severe acute respiratory syndrome: clinical outcome and prognostic correlates
Authors: Ping Tim Tsui, Man Leung Kwok, Hon Yuen, Sik To Lai
Journal: Emerg Infect Dis (2003)
MeSH terms: Antiviral Agents / therapeutic use, Communicable Diseases, Emerging / drug therapy, Ribavirin / therapeutic use, Severe Acute Respiratory Syndrome / drug therapy, Adult, Aged, Aged, 80 and over, Communicable Diseases, Emerging / complications, Communicable Diseases, Emerging / physiopathology, Female, Humans, Male, Middle Aged, Pneumonia / etiology, Prognosis, Respiration, Artificial, Retrospective Studies, Severe Acute Respiratory Syndrome / complications, Severe Acute Respiratory Syndrome / physiopathology, Treatment Outcome, Antiviral Agents, Ribavirin

Severe acute respiratory syndrome (SARS) poses a major threat to the health of people worldwide. We performed a retrospective case series analysis to assess clinical outcome and identify pretreatment prognostic correlates of SARS, managed under a standardized treatment protocol. We studied 127 male and 196 female patients with a mean age of 41+14 (range 18-83). All patients, except two, received ribavirin and steroid combination therapy. In 115 (36%) patients, the course of disease was limited. Pneumonitis progressed rapidly in the remaining patients. Sixty-seven (21%) patients required intensive care, and 42 (13%) required ventilator support. Advanced age, high admission neutrophil count, and high initial lactate dehydrogenase level were independent correlates of an adverse clinical outcome. SARS-associated coronavirus caused severe illnesses in most patients, despite early treatment with ribavirin and steroid. This study has identified three independent pretreatment prognostic correlates.
Living related donor liver transplantation with atrio-caval anastomosis of inferior vena cava graft stored in deep-freeze for budd-Chiari syndrome
Authors: F Yaylak, V Ince, B Barut, B Unal, M Kilic, S Yilmaz
Journal: Int J Organ Transplant Med (2015)
Keywords: budd-chiari syndrome, living donors, reconstructive surgical procedures, vena cava, inferior, liver transplantation
MeSH terms: Case Reports

We have previously reported our experience in inferior vena cava resection and reconstruction techniques during liver transplantation for Budd-Chiari syndrome. Herein, we present on a case that demonstrates the importance of experience in complex vascular reconstruction techniques for living donor liver transplantation. A 15-year-old boy was scheduled for living donor liver transplantation for Budd-Chiari syndrome. Venous occlusion was extended up to the right atrial orifice of the supra-hepatic vena cava. Retro- and supra-hepatic segments of the vena cava was resected. Inferior vena cava graft stored in deep-freeze was available. Venous reconstruction was performed with end-to-end atrio-caval anastomosis. Surgical treatment was completed with the implantation of the right liver lobe donated by the patient's mother. Post-surgical course was uneventful.
Adult hamartoma of the chest wall: A case report
Authors: Dong Bai, Yan-Han Liu
Journal: Front Oncol (2022)
Keywords: ct, mri, chest wall, hamartoma, soft tissue tumor
MeSH terms: Case Reports

This paper retrospectively analyzed the case data of an adult hamartoma of the left chest wall, and combined with the literature analysis, to discuss the clinical characteristics, imaging diagnosis and differential diagnosis of hamartoma. CT and MRI findings of the patient showed medial occupation of the left serratius anterior muscle, with visible fat and calcification. Different from the previous reports of chest wall hamartoma in terms of age, location and imaging characteristics, this case had certain characteristics, and the diagnosis needed pathological confirmation after surgical resection.
Uncovering the unique characteristics of the mandible to improve clinical approaches to mandibular regeneration
Authors: Ana Prates Soares, Heilwig Fischer, Sabrin Aydin, Claudius Steffen, Katharina Schmidt-Bleek, Carsten Rendenbach
Journal: Front Physiol (2023)
Keywords: bone regeneration, free tissue flap, mandible, mandibular reconstruction, morphogenesis, morphophysiology
MeSH terms: Review

The mandible (lower jaw) bone is aesthetically responsible for shaping the lower face, physiologically in charge of the masticatory movements, and phonetically accountable for the articulation of different phonemes. Thus, pathologies that result in great damage to the mandible severely impact the lives of patients. Mandibular reconstruction techniques are mainly based on the use of flaps, most notably free vascularized fibula flaps. However, the mandible is a craniofacial bone with unique characteristics. Its morphogenesis, morphology, physiology, biomechanics, genetic profile, and osteoimmune environment are different from any other non-craniofacial bone. This fact is especially important to consider during mandibular reconstruction, as all these differences result in unique clinical traits of the mandible that can impact the results of jaw reconstructions. Furthermore, overall changes in the mandible and the flap post-reconstruction may be dissimilar, and the replacement process of the bone graft tissue during healing can take years, which in some cases can result in postsurgical complications. Therefore, the present review highlights the uniqueness of the jaw and how this factor can influence the outcome of its reconstruction while using an exemplary clinical case of pseudoarthrosis in a free vascularized fibula flap.
The impact of invisibility on the health of migrant farmworkers in the southeastern United States: a case study from georgia
Authors: Kari M Bail, Jennifer Foster, Safiya George Dalmida, Ursula Kelly, Maeve Howett, Erin P Ferranti, Judith Wold
Journal: Nurs Res Pract (2012)

Migrant farmworkers represent one of the most marginalized and underserved populations in the United States. Acculturation theory cannot be easily mapped onto the transnational experience of migrant farmworkers, who navigate multiple physical and cultural spaces yearly, and who are not recognized by the state they constitute, "the Citizen's Other" (Kerber, 2009). This paper utilizes narrative analysis of a case study to illustrate, through the relationship of the narrator to migrant farmworkers and years of participant observation by the coauthors, how isolation from family and community, as well as invisibility within institutions, affect the health and well-being of migrant farmworkers in southeastern Georgia. Invisibility of farmworkers within institutions, such as health care, the educational system, social services, domestic violence shelters, and churches contribute to illness among farmworkers. The dominant American discourse surrounding immigration policy addresses the strain immigrants put on the social systems, educational system, and the health care system. Nurses who work with farmworkers are well positioned to bring the subjective experience of farmworkers to light, especially for those engaged with socially just policies. Those who contribute to the abundant agricultural produce that feeds Americans deserve the recognition upon which social integration depends.
Gastric duplication cyst presenting as acute abdomen: a case report
Authors: Kanchan Kayastha, Afzal Sheikh
Journal: APSP J Case Rep (2010)
Keywords: acute abdomen, gastric duplication cyst, peritonitis
MeSH terms: Case Reports

Gastric duplication cysts are rare variety of gastrointestinal duplications. Sometimes they may present with complications like hemorrhage, infection, perforation, volvulus, intussusception and rarely neoplastic changes in the gastric duplication cyst. We present one and half year old male child who developed sudden abdominal distension with pain and fever for two days. Ultrasound revealed a cystic mass in the hypochondrium and epigastric regions. On exploration an infected and perforated gastric duplication cyst was found. Surgical excision of most part of cyst wall with mucosal stripping of the rest was performed. Histopathology confirmed the diagnosis of gastric duplication cyst. Early surgical intervention can result in good outcome.
Schaalia (Formerly Actinomyces) turicensis Infection Following Open Rotator Cuff Repair
Authors: John T Cronin, Brett W Richards, John G Skedros
Journal: Cureus (2023)
Keywords: actinomyces turicensis, infection, irrigation and debridement, open rotator cuff repair, schaalia turicensis, shoulder surgery
MeSH terms: Case Reports

We report the case of a male in his early 70s who developed a deep infection after an open rotator cuff repair, with Schaalia turicensis as the only organism isolated from a surgical biopsy of the tendon remnants and phlegmatic/purulent material at the failed repair site. This species was originally within the genus Actinomyces. We report this case because it is the only one that we could locate where an infected open rotator cuff repair site grew S. turicensis. Our patient was not diabetic, did not smoke, and did not have other recent or concurrent infections. He had hypertension, hypothyroidism, depression, and a hyperactive bladder. Hence, he only had minor risk factors for infection. His postoperative shoulder infection was eradicated with surgical irrigation and debridement, and 6.5 weeks of primarily oral antibiotic treatment. We also review the literature on infections after any shoulder surgery where Schaalia or Actinomyces species were isolated.