OpenMed/multicare-articles huggingface dataset:
Case study of medical evacuation before and after the Fukushima Daiichi nuclear power plant accident in the great east Japan earthquake
Authors: Tetsu Okumura, Shinichi Tokuno
Journal: Disaster Mil Med (2015)
Keywords: disaster, government, great east japan earthquake, medical transportation

Introduction:
In Japan, participants in the disaster-specific medical transportation system have received ongoing training since 2002, incorporating lessons learned from the Great Hanshin Earthquake. The Great East Japan Earthquake occurred on March 11, 2011, and the very first disaster-specific medical transport was performed. This article reviews in detail the central government's control and coordination of the disaster medical transportation process following the Great East Japan Earthquake and the Fukushima Daiichi Nuclear Power Plant Accident.
Case description:
In total, 124 patients were air transported under the coordination of the C5 team in the emergency response headquarter of the Japanese Government. C5 includes experts from the Cabinet Office, Cabinet Secretariat, Fire Defense Agency, Ministry of Health, Labour and Welfare, and Ministry of Defense. In the 20-30 km evacuation zone around the Fukushima Daiichi nuclear power plant, 509 bedridden patients were successfully evacuated without any fatalities during transportation.
Discussion and evaluation:
Many lessons have been learned in disaster-specific medical transportation. The national government, local government, police, and fire agencies have made significant progress in their mutual communication and collaboration.
Results:
Fortunately, hospital evacuation from the 20-30 km area was successfully performed with the aid of local emergency physicians and Disaster Medical Assistance Teams (DMATs) who have vast experience in patient transport in the course of day-to-day activities. The emergency procedures that are required during crises are an extension of basic daily procedures that are performed by emergency medical staff and first responders, such as fire fighters, emergency medical technicians, or police officers. Medical facilities including nursing homes should have a plan for long-distance (over 100 km) evacuation, and the plan should be routinely reevaluated with full-scale exercises. In addition, hospital evacuation in disaster settings should be supervised by emergency physicians and be handled by disaster specialists who are accustomed to patient transportation on a daily basis.
Radioiodine Contamination Artifacts and Unusual Patterns of Accumulation in Whole-body I-131 Imaging: A Case Series
Authors: Pelin Ozcan Kara, Emel Ceylan Gunay, Alihan Erdogan
Journal: Int J Endocrinol Metab (2014)
Keywords: false positive, radioiodine scan, thyroid cancer
MeSH terms: Case Reports

Introduction:
Radioactive iodine has been used for more than 50 years for the treatment of thyroid diseases. Differentiated thyroid cancers have the ability to trap iodine. Therefore, radioiodine can be used both diagnostically and therapeutically. In the follow-up of patients, it is critical to interpret radioiodine scans correctly.
Case presentation:
Non-physiological Iodine-131 (I-131) extra-thyroidal uptake detected on post-therapy or diagnostic I-131 scanning are not always interpreted as functioning metastatic thyroid cancer.
Conclusions:
This study provides detailed information and case samples of radiodine contamination artifacts and non-physiological, non-metastatic extra-thyroidal I-131 accumulation in whole-body I-131 imaging.
Pleural Mesothelioma: A Rapid Evolution of an Indolent Disease
Authors: Miguel Romano, Pedro Pinto, Raquel Afonso, Joana Fontes, Manuel Ferreira
Journal: Cureus (2023)
Keywords: diagnosis, epithelioid mesothelioma, malignant pleural mesothelioma (mpm), oncology, pneumology, prognosis, treatment
MeSH terms: Case Reports

Mesothelioma is a rare and insidious neoplasm and is characterized by its highly malignant and aggressive nature. The most common etiology is asbestos exposure, but there are some reports without known asbestos exposure and other factors leading to malignant pleural mesothelioma (MPM). Here, we present the case of a 58-year-old woman with pleuritic chest pain, dyspnea, and fever on presentation to the emergency department (ED), which caused several admissions to the ED in 20 days. The patient was then admitted to the internal medicine department with a diagnosis of community-acquired pneumonia with parapneumonic effusion. During hospitalization, a positron emission tomography (PET) scan, thoracic computed tomography (CT), and pleural biopsy were performed and a final diagnosis of malignant epithelioid pleural mesothelioma was made. Six weeks after the onset of symptoms, the patient presented with an exponential disease progression, dying two months after the diagnosis, despite the initiation of chemotherapy. MPM remains a diagnostic and therapeutic challenge with a very poor prognosis. However, studies show that mesothelioma patients who undergo treatment live at least twice as long as patients who do not receive treatment. This case report is particularly significant because, although it was epithelioid mesothelioma, multiple solid masses were noted on CT and the patient exhibited rapid disease progression, dying a few weeks after starting treatment.
Are parents really attached to their adopted children?
Authors: Muhammad Imtiaz Subhani, Amber Osman, Fariha Abrar, Syed Akif Hasan
Journal: Springerplus (2014)
Keywords: adopted children, ambivalent attachment behavior, attachment theory, avoidant attachment behavior, disorganized attachment behavior, secure attachment behavior
MeSH terms: Case Reports

Background:
Psychological studies found that adopted children suffer from lack of attachment relationships in life. It is important for new parents to understand the underlying concepts before they begin to comprehend behavior issues arising out of different turbulent situations in an adopted child's life. Attachment theory facilitates in comprehending the frame of mind of these children, when they come from emotionally turbulent backgrounds and how some, if not all behavior issues can be attempted to be resolved to recognize children better and to create a nurturing relationship between adopted child and new parents.
Findings:
Focus group method was deployed to collect the data via un-restricted non-probability sampling approach; data was quantified for evaluating the hypotheses via t-test of equality of means. Cross cultural findings suggested that parents-adopted children relationship in terms of secure attachment is revealed more in non-working parents, female parents, children of 11-14 years and female children across stated nations while, the ambivalent, avoidant and disorganized attachments are found more in practice if parents are working & male parents and if foster children are male at large & of 15-18 years.
Conclusion:
It is concluded that the task of creating an enriched attachment relationship with an adopted child depends more on parents, normally non working parents and female parents while quality time and care is given somehow the other to young and female kids by either of the parents for establishing quality attachment. Quality time being bestowed to kids translates the category and intensity of parents- children associations.
Serious Complications of Intraosseous Access during Infant Resuscitation
Authors: Jiri Molacek, Karel Houdek, Václav Opatrný, Jiri Fremuth, Lumir Sasek, Inka Treskova, Vladislav Treska
Journal: European J Pediatr Surg Rep (2018)
Keywords: compartment syndrome, intraosseous access, limb amputation
MeSH terms: Case Reports

We report on a 2.5-month-old infant with ischemia of the left leg and compartment following intraosseous needle application during resuscitation. Unfortunately, this event led to major limb amputation. The cause, mechanism, and prevention of this severe complication are discussed in this article.
Supracubital perineurioma misdiagnosed as carpal tunnel syndrome: case report
Authors: Carsten Saft, Juergen E Andrich, Eva Neuen-Jacob, Gebhard Schmid, Ludger Schols, Georgios Amoiridis
Journal: BMC Neurol (2004)
MeSH terms: Carpal Tunnel Syndrome / diagnosis, Median Nerve / pathology, Nerve Sheath Neoplasms / diagnosis, Case Reports, Adult, Diagnosis, Differential, Humans, Magnetic Resonance Imaging, Male, Median Nerve / injuries, Median Nerve / surgery, Nerve Sheath Neoplasms / etiology, Nerve Sheath Neoplasms / surgery, Pain / etiology, Procaine / adverse effects, Sural Nerve / transplantation, Procaine

Background:
Perineuriomas have been defined as tumorous lesions of the peripheral nerves which derive from perineurial cell proliferation and may be associated with abnormalities on chromosome 22.
Case presentation:
Three years after a painful cubital vein procaine injection, a 33 year-old man developed a median nerve lesion, initially diagnosed as carpal tunnel syndrome. Symptoms progressed despite appropriate surgery. Clinical and electrophysiological re-evaluation revealed a fusiform mass at the distal upper arm, confirmed by MRI. Immunohistochemical studies classified the tumor as a mixed perineurioma and neuroma.
Conclusions:
Perineurioma mixed with neuroma may potentially caused by the previous trauma or cytotoxic effects of procaine.
Retrograde Endoscopic Management of Completely Transected Ureter Discovered Postoperatively
Authors: Dong Wang, Shaw P Wan
Journal: J Endourol Case Rep (2018)
Keywords: delayed diagnosis, stenting, ureteral injury
MeSH terms: Case Reports

Inadvertent injury of the ureter is a known risk of pelvic surgery. If the injury is noticed intraoperatively, the treatment is relatively straightforward. However, if the discovery of the injury is delayed, the treatment is more difficult and less assured. We encountered a case of a completely transected ureter that had occurred during laparoscopic sigmoid colectomy and was diagnosed on the 8th postoperative day. The patient was treated with minimally invasive retrograde endoscopic realignment with excellent results. Therefore, we decided to report this case and perform a literature review on this subject.
Bacillus cereus catheter related bloodstream infection in a patient with acute lymphoblastic leukemia
Authors: N Gurler, L Oksuz, M Muftuoglu, Fd Sargin, Sk Besisik
Journal: Mediterr J Hematol Infect Dis (2012)
MeSH terms: Case Reports

Bacillus cereus infection is rarely associated with actual infection and for this reason single positive blood culture is usually regarded as contamination . However it may cause a number of infections, such catheter-related bloodstream infections. Significant catheter-related bloodstream infections (CRBSI) caused by Bacillus spp. are mainly due to B. cereus and have been predominantly reported in immunocompromised hosts. Catheter removal is generally advised for management of infection. In this report, catheter-related bacteremia caused by B. cereus in a patient with acute lymphoblast c leukemia (ALL) in Istanbul Medical Faculty was presented.
Successful Conservative Management of Spontaneous Antegrade Migration of Feeding Jejunostomy
Authors: Gautham Krishnamurthy, Narendra Pandit, Harjeet Singh, Rajinder Singh
Journal: Euroasian J Hepatogastroenterol (2017)
Keywords: antegrade migration, feeding, jejunostomy
MeSH terms: Case Reports

Successful conservative management of spontaneous antegrade migration of feeding jejunostomy of a patient with dysphagia due to carcinoma of nasopharynx is reported. How to cite this article: Krishnamurthy G, Pandit N, Singh H, Singh R. Successful Conservative Management of Spontaneous Antegrade Migration of Feeding Jejunostomy. Euroasian J Hepato-Gastroenterol 2017;7(1):84-86.
Paraneoplastic limbic encephalitis with associated hypothalamitis mimicking a hyperdense hypothalamic tumor: a case report
Authors: Vipula R Bataduwaarachchi, Nirmali Tissera
Journal: BMC Med Imaging (2016)
MeSH terms: Brain / diagnostic imaging, Hypothalamic Diseases / diagnosis, Limbic Encephalitis / diagnosis, Case Reports, Diagnosis, Differential, Humans, Hypothalamic Neoplasms / diagnosis, Male, Middle Aged, Sri Lanka, Tomography, X-Ray Computed

Background:
Paraneoplastic limbic encephalitis is an uncommon association of common malignancies such as small cell lung carcinoma, testicular teratoma, and breast carcinoma. The nonspecific nature of the clinical presentation, lack of freely available diagnostic markers, and requirement for advanced imaging techniques pose a great challenge in the diagnosis of this disease in resource-poor settings.
Care presentation:
A 64-year-old previously healthy Sri Lankan man was admitted to the general medical unit with subacute memory impairment regarding recent events that had occurred during the previous 3 weeks. Initial noncontrast computed tomography of the brain revealed a hyperdensity in the hypothalamic region surrounded by hypodensities extending toward the bilateral temporal lobes; these findings were consistent with a possible hypothalamic tumor with perilesional edema. The patient later developed cranial diabetes insipidus, which was further suggestive of hypothalamic disease. Interestingly, gadolinium-enhanced magnetic resonance imaging of the brain showed no such lesions; instead, it showed prominent T2-weighted signals in the inner mesial region, characteristic of encephalitis. The possibility of tuberculosis and viral encephalitis was excluded based on cerebrospinal fluid analysis results. Limbic encephalitis with predominant hypothalamitis was suspected based on the radiological pattern. Subsequent screening for underlying malignancy revealed a mass lesion in the right hilum on chest radiographs. Histological examination of the lesion showed small cell lung cancer of the "oat cell" variety.
Conclusion:
We suggest that the initial appearance of a hyperdensity in the hypothalamus region on noncontrast computed tomography is probably due to hyperemia caused by hypothalamitis. If hypothalamitis is predominant in a patient with paraneoplastic limbic encephalitis, magnetic resonance imaging will help to differentiate it from a hypothalamic secondary deposit. Limbic encephalitis should be considered in a patient with computed tomographic evidence of a central hyperdensity surrounded by bitemporal hypodensities. This pattern of identification will be useful for early diagnosis in resource-poor settings.
Anesthesia management of an aged patient with giant abdominal tumor and large hiatal hernia: A case report and literature review
Authors: Bingbing Xiang, Mingliang Yi, Hong Yin, Rui Chen, Feng Yuan
Journal: Front Surg (2022)
Keywords: aggressive fibromatosis, anesthesia management, arrhythmia, case report, hiatal hernia
MeSH terms: Case Reports

Introduction:
A giant abdominal tumor with a large hiatal hernia remains a rare disease with few studies regarding its implications in anesthesia. A large hiatal hernia may compress the heart and cause arrhythmia and even cardiac arrest, which greatly increases the risks and challenges of anesthesia management.
Case description:
We present a case in which a patient with a giant abdominal desmoid tumor and large hiatal hernia experienced a critical situation during anesthesia and surgery.
Conclusions:
It is a great challenge for anesthesiologists to manage a patient's respiratory system and circulation. Careful perioperative management and optimized multidisciplinary teams are the key factors in the successful management of this rare condition. In addition, awake endotracheal intubation, ventilation preserving spontaneous breathing and target-directed fluid therapy play an essential role in anesthesia management.
Dental Management of a Tunisian Child with Sanjad-Sakati Syndrome
Authors: Farah Chouchene, Aymen Ben Haj Khalifa, Fatma Masmoudi, Ahlem Baaziz, Fethi Maatouk, Hichem Ghedira
Journal: Case Rep Dent (2022)
MeSH terms: Case Reports

Sanjad-Sakati syndrome (SSS) is a rare autosomal recessive congenital disorder. The present case report is aimed at describing the orofacial manifestations and dental management of a 4-year seven-month-old, Tunisian boy with SSS. The patient has typical dysmorphic facial features and growth retardation. Intraoral examination revealed micrognathic mandible and maxilla, an arched palate, and small dental arches with an open bite. All the maxillary and mandibular teeth were decayed due to the poor oral hygiene, plaque accumulation, and enamel hypoplasia. Oral rehabilitation involved pulpotomies and root canal therapies on decayed teeth. Resin composite restorations were performed on maxillary and mandibular incisors, and stainless-steel crowns were placed on maxillary and mandibular first and second primary molars. Dental treatment of children with SSS should improve their quality of life and their general health. Undeveloped dental arches associated with dental anomalies as well as learning deficit make very difficult of the oral rehabilitation of such patients.
Partial Excision and Ablative Carbon Dioxide Fractional Laser Therapy for Multiple Apocrine Hidrocystomas on the Periorbital Regions and Cheeks
Authors: Hiroshi Kitagawa, Isao Sugimoto, Toshinori Bito, Keiichi Yamanaka, Hiroto Terashi
Journal: Case Rep Dermatol Med (2023)
MeSH terms: Case Reports

A 51-year-old Japanese woman presented with translucent papules on the periorbital area and cheeks that had progressively enlarged over five years. She underwent a skin biopsy and was diagnosed with multiple apocrine hidrocystomas. Her lesions became more pronounced and obscured her vision when her body warmed up, such as during bathing. To alleviate her symptoms, we began treatment by partially resecting the tumors on the lower eyelids. After surgery, her vision was no longer obscured. Approximately 1.5 years later, she underwent ablative 10,600 nm carbon dioxide fractional laser therapy for the mildly enlarged apocrine hidrocystomas on her lower eyelids and cheeks. At roughly six months of follow-up, the symptoms had improved, and the cosmetic results were satisfactory, although minor scarring and hypopigmentation were still evident. These case findings underscore the effectiveness of ablative carbon dioxide fractional lasers in treating apocrine hidrocystomas.
Oncocytic carcinoma of the parotid gland with late cervical lymph node metastases: a case report
Authors: Lorena Gallego, Luis García-Consuegra, Eduardo Fuente, Nicolás Calvo, Luis Junquera
Journal: J Med Case Rep (2011)

Introduction:
Oncocytic carcinoma is a rare proliferation of cytomorphologically malignant oncocytes mainly found in glandular tissue, accounting for 0.5% of all epithelial salivary gland malignancies and 0.18% of all epithelial salivary gland tumors.
Case presentation:
We report a case of oncocytic carcinoma arising in the parotid gland of a 65-year-old Caucasian man. Our patient initially underwent left superficial parotidectomy, including the removal of the mass. A close follow-up was made, and four years after first surgery cervical lymph node metastases were confirmed. Therefore, a complete parotidectomy and radical neck dissections were performed. There were no complications and no sign of recurrence after six months of follow-up.
Conclusion:
Oncocytic carcinoma is an extremely rare malignancy in the salivary glands. Prophylactic neck dissection may be indicated for tumors larger than 2 cm in diameter (our patient's tumor was 2.5 cm at its greatest diameter). The clinical course of our patient, with the appearance of cervical lymph node metastases after four years of follow-up, supports this approach. Further investigation of the prognosis and correct treatment of patients with oncocytic carcinoma are required as more cases are reported.
Solitary Renal Metastasis Arising from a Pulmonary Adenoid Cystic Carcinoma: A Case Report and Review of the Literature
Authors: Prodromos Philippou, Anastasios Michalakis, Maria Miliatou, Christiana Poullou, Pavlos Constantinou
Journal: Case Rep Urol (2021)
MeSH terms: Case Reports

Adenoid cystic carcinoma (ACC) is a malignancy affecting the salivary glands and rarely involving the lung. Due to its rarity, primary lung ACC remains incompletely understood. We herein report the case of a 57-year-old female patient who was initially diagnosed with primary lung ACC and was treated by lobectomy. Seven years later, an abdominal computed tomography scan performed in the context of surveillance revealed the presence of a solid lesion arising from the lower pole of the left kidney. The patient underwent left partial nephrectomy, and histopathology confirmed a completely excised metastatic ACC.
An unusual presentation of tyrosine hydroxylase deficiency
Authors: Linn E Katus, Steven J Frucht
Journal: J Clin Mov Disord (2017)
Keywords: dystonia, genetics, tyrosine hydroxylase deficiency
MeSH terms: Case Reports

Background:
Dopa-responsive dystonia (DRD) has largely been associated with autosomal dominant mutations in the GCH1 gene leading to GTP cyclohydrolase 1 deficiency. More recently, a deficiency in tyrosine hydroxylase (TH) has been recognized to cause DRD. This is a rare disorder resulting from genetic mutations in the TH gene on chromosome 11. The phenotype ranges from DRD with complete resolution on levodopa to infantile parkinsonism and encephalopathy only partially responsive to levodopa. Here we discuss an adult with TH deficiency with a history of possible parkinsonism and dystonia responsive to levodopa, notable for a residual dynamic segmental dystonia.
Case presentation:
Our patient grew up in rural Myanmar with limited medical care. Childhood was normal except for episodic illness with difficulty moving and speaking. At 18 years he developed difficulty writing. At 21 years he could not speak, walk, or write and was taken to a city hospital. Multiple medications were tried without benefit until he received carbidopa/levodopa, to which he had a miraculous response. Since then he has attempted to come off medication, however after several weeks his symptoms returned. On presentation to us at 31 years he was taking 450 mg levodopa/day and 4 mg trihexyphenidyl/day. He had a dynamic dystonia in his neck and trunk, subtle at rest and prominent with walking. He exhibited a sensory trick when touching his hand to his chin; improvement occurred to a lesser degree when he imagined touching his chin, and to an even lesser degree when the examiner touched his chin. He had no parkinsonism. He underwent genetic testing which revealed a homozygous variant mutation in the TH gene (p.Thr494Met) leading to a diagnosis of autosomal recessive tyrosine hydroxylase deficiency.
Conclusions:
TH deficiency can cause a broad range of clinical symptoms and severity. As more cases are discovered, the phenotype expands. Here we describe a unique case of DRD and possible parkinsonism due to TH deficiency with residual symptoms of dystonia that was task dependent and responded to a sensory trick. In addition, while the history is limited, it is possible he may have had episodes similar to "lethargy-irritability crises" seen in more severe cases. In large part he fits within the milder form of TH hydroxylase deficiency.