OpenMed/multicare-articles huggingface dataset:
Case report: Fluoroscopic-assisted closed reduction and minimally invasive femoral capital physeal fracture repair in four calves
Authors: Avery F Loyd, Dane M Tatarniuk, Jaron H Naiman, Paul T Merkatoris, Jarrod R Troy
Journal: Front Vet Sci (2022)
Keywords: calves, capital, femur, fluoroscopy, fracture, physeal
MeSH terms: Case Reports

Objective:
To describe a minimally invasive osteosynthesis (MIO) femoral capital physeal fracture (FCPF) repair technique using multiple smooth Steinmann pins in four calves.
Study design:
Case series.
Animal:
Four calves (< 60 days of age).
Methods:
Medical records at a single referral hospital were searched for calves that had minimally invasive osteosynthesis (MIO) femoral capital physeal fracture (FCPF) repair performed using multiple Steinmann pins between 2020 and 2021. Calves receiving alternative repair, euthanasia without repair, or > 60 days of age were excluded. Medical records were reviewed together the following information: inciting FCPF cause, patient signalment, clinical sign duration pre-admission, history of dystocia, and any pre-admission treatment. Preoperative parameters collected included packed cell volume (PCV), serum total solids (TS), additional bloodwork when available, peripheral blood glucose, antimicrobial therapy, and analgesic medications. Preoperative coxofemoral radiographic images of all calves were obtained.
Results/outcome:
Four calves were presented with severe hind limb lameness from varying etiologies. FCPF was diagnosed in all calves via radiograph. All FCPFs were repaired with an MIO repair technique using multiple Steinmann pins. Intraoperative fracture reduction and fixation were deemed appropriate by the attending surgeon with the use of fluoroscopy. Postoperatively, all calves retained normal weight bearing and were ambulating. One calf died postoperatively due to an unrelated comorbidity (severe bronchopneumonia and hyperkalemia). The three remaining calves survived to hospital discharge and were ambulating normally with an adequate range of motion at the time of discharge. Long-term follow-up reports were available for two cases, which revealed long-term survival at 210- and 146-days. Owners reported good ambulation, and one of the calves was placed in the show ring and was performing. However, one calf was lost to long-term follow-up.
Conclusion:
MIO FCPF repair with multiple Steinmann pins, previously described in small animal species, can be implemented for FCPF repair in young calves.
Clinical impact:
This case series provides a foundation for minimally invasive osteosynthesis technique translation to large animal juveniles and reports an alternative MIO technique for capital physeal closed fracture repair in calves.
Case Report and Literature Review: Bacterial Meningoencephalitis or Not? Naegleria fowleri Related Primary Amoebic Meningoencephalitis in China
Authors: Wenjuan Zhou, Yuzhen Ouyang, Di Zhang, Sheng Liao, Hui Liang, Lingling Zhao, Chunyuan Chen
Journal: Front Pediatr (2022)
Keywords: naegleria fowleri, early diagnosis, metagenomic next-generation sequencing, pediatrics, primary amoebic meningoencephalitis
MeSH terms: Case Reports

In China, a 9-year-old boy was transferred to the hospital with fever, vomiting, and headache. The disease rapidly deteriorated into vague consciousness. Applying conventional clinical examinations such as blood and cerebrospinal fluid (CSF) tests, the diagnosis of bacterial meningoencephalitis was first drawn, and expectant treatments were adopted immediately. However, the symptoms did not alleviate, adversely, this boy died 3 days after admission. Considering the skeptical points of the duration, such as the unknown infectious bacteria and the pathogen invasion path, blood and CSF samples were then sent for metagenomic next-generation sequencing (mNGS) to ascertain the cause of death. The 42,899 and 1,337 specific sequences of N. fowleri were detected by mNGS in the CSF sample and the blood sample, respectively. PCR results and pathological smear subsequently confirmed the mNGS detection. The patient was finally diagnosed as primary amoebic meningoencephalitis. Besides, in this article, 15 similar child infection cases in the past 10 years are summarized and analyzed to promote the early diagnosis of this rare disease.
Management of skeletal Cl III malocclusion using simultaneous alternate rapid maxillary expansion and constriction (Alt-RAMEC) and facemask protraction in adolescence
Authors: Harpreet Singh, Pranav Kapoor, Poonam Sharma, Raj Kumar Maurya, Tanmay Mittal
Journal: J Dent Res Dent Clin Dent Prospects (2022)
Keywords: adolescence, alt-ramec, cl iii malocclusion, orthopedic, protraction facemask, stability
MeSH terms: Case Reports

Cl III malocclusion with a significant skeletal component presents a therapeutic challenge during adolescence. This article presents the encouraging results of an individualized two-stage treatment approach adopted for successful nonsurgical correction of severe skeletal Cl III malocclusion in an adolescent girl after the onset of puberty. An orthopedic approach involving simultaneous alternate rapid maxillary expansion and constriction (Alt-RAMEC) protocol and protraction facemask (PFM) therapy was adopted in phase 1 to correct the sagittal skeletal discrepancy. In phase 2, fixed orthodontic therapy aided by the interim use of a modified occlusal settling appliance was undertaken to obtain well-interdigitated occlusion. Meticulously planned and well-executed orthopedic and orthodontic approach, combined with good patient compliance and favorable growth pattern, helped establish well-balanced facial harmony with a proper maxillomandibular relationship and satisfactory overjet and overbite. The results remained stable during the 4-year follow-up. Alt-RAMEC-PFM therapy accompanied by fixed mechanotherapy is a viable option to treat severe skeletal Cl III malocclusion in adolescents.
Surgical correction of the webbed neck: an alternative lateral approach
Authors: Imen Mehri Turki
Journal: GMS Interdiscip Plast Reconstr Surg DGPW (2017)
Keywords: turner syndrome, pterygium colli, surgical technique, webbed neck deformity
MeSH terms: Case Reports

Objective: The webbed neck deformity or pterygium colli is the number one symptom of the Turner syndrome that leads the patient to consult a doctor. Various but rare surgical approaches have been described to correct this deformity. We reviewed our experience with the surgical correction of the pterygium colli. Methods: Through five clinical cases, we describe the surgical technique with a lateral approach which provides a better control of the operative site, allows for the excision of the underlying trapezial fascial web, thus preventing recurrence seen in the posterior approach, and restores a normal hairline. Results: No postoperative wound infection occurred. No recurrence was observed through 24 months. Three patients developed hypertrophic scars. Conclusion: The lateral approach associated with an advanced flap and a Z-plasty is an effective technique for correction of this neck deformity. The presence of a multidisciplinary team, formed with maxillofacial and plastic surgeons, endocrinologists and psychologists, is required to treat these patients allowing reintegration into society and family.
Diffuse-Type Tenosynovial Giant Cell Tumor of the Knee with Concurrent Polymicrobial Infection ( Klebsiella oxytoca and Group B Streptococcus)
Authors: J Hunter Marshall, John G Skedros, Chris F Campana, Allan M Seibert
Journal: Case Rep Infect Dis (2021)
MeSH terms: Case Reports

Tenosynovial giant cell tumors (TGCT) are a rare class of benign proliferative tumors that are classified according to their presentation: localized-type (L-TGCT) or diffuse-type (D-TGCT). TGCT is synonymous with pigmented villonodular synovitis (PVNS). We describe the unique case of a 56-year-old obese male with type 2 diabetes who had polymicrobial septic arthritis of his left knee joint with concurrent D-TGCT in the same knee. While on a vacation, he noticed spontaneous left knee pain and swelling with an acute onset of fever. He was diagnosed with septic arthritis that was attributed to hematogenous spread from a leg laceration. The septic arthritis was treated with arthroscopic lavage and debridement, including simultaneous excision of the D-TGCT lesions, followed by intravenous ceftriaxone. Cultures of the synovial tissue that were obtained during arthroscopy grew Klebsiella oxytoca and beta-hemolytic (group B) Streptococcus agalactiae. We were not able to find another reported case of any joint with (1) a polymicrobial bacterial infection that included Klebsiella oxytoca and (2) concurrent bacterial septic arthritis and TGCT.
Citrobacter koseri: A Cause of Silicone Oil Related Endophthalmitis after Post Pars Plana Vitrectomy
Authors: Luigi Sborgia, Valeria Albano, Giancarlo Sborgia, Francesco Boscia, Giovanni Alessio
Journal: Case Rep Ophthalmol Med (2023)
MeSH terms: Case Reports

Purpose:
We present a rare case of Citrobacter koseri culture-positive endophthalmitis in a postvitrectomy silicone oil-filled eye. Case report. A 64-year-old male patient presented to our ophthalmology emergency room with representative symptoms of acute endophthalmitis. He underwent a plana vitrectomy oil-filled tamponade previously. Preoperative and postoperative findings of the case were reported.
Results:
Culture tests of aqueous, silicone oil, and vitreous taps were positive for Citrobacter koseri.
Conclusions:
Culture-positive endophthalmitis in a silicone oil-filled eye has very rarely been in the literature. The described cases were caused by acute inflammatory reactions to silicone oil and were culture-negative. The postvitrectomy culture-positive endophthalmitis caused by Citrobacter is a very rare condition, and its management is not so smooth. Approaching with silicone oil removal, intraoperative intravitreal antibiotic injection, and silicone oil reinjection was performed in our case with good outcomes.
Exercise-Induced Acute Bilateral Upper-Arm Compartment Syndrome
Authors: Brian C Traub, Mark K Lane, Jeff A Traub
Journal: Case Rep Emerg Med (2017)
MeSH terms: Case Reports

We present a rare case of acute exercise-induced bilateral upper-arm compartment syndrome in a patient who, after a year-long hiatus from exercise, subjected his upper-extremities to the stress of over 100 pushups. The patient presented with severe pain of the bilateral biceps and triceps and complaints of dark urine. Decompressive fasciotomy was performed followed by an intensive care unit (ICU) stay for associated myoglobinuria secondary to rhabdomyolysis. The patient suffered no long-term sequelae as a result of his conditions and recovered full function of the bilateral upper-extremities. Albeit rare, acute exercise-induced compartment syndrome should be considered as a diagnosis following unaccustomed bouts of exercise.
Treatment of an Adult Skeletal Class III Patient with Surgically Assisted Rapid Palatal Expansion and Facemask
Authors: Hossein Behnia, Hossein Mohammad-Rahimi, Mohammad Behnaz
Journal: Case Rep Dent (2019)
MeSH terms: Case Reports

This case report presents the treatment of a 21-year-old male patient with class III skeletal malocclusion, an open bite, and vertical growth pattern. He was managed with surgically assisted rapid palatal expansion (SARPE) along with an orthopedic facemask. The duration of treatment was 16 months. Significant improvement and favourable outcome were observed concerning both facial appearance and paraclinical parameters after completion of treatment.
Case report: Left gaze and facial nerve palsies after ventral intermediate thalamic nucleus deep brain stimulation implantation
Authors: Victoria Cegielski, Sean Gratton
Journal: Front Neurol (2023)
Keywords: facial nerve palsy, gaze palsy, neuro-ophthalmology, neurology, ophthalmology
MeSH terms: Case Reports

Deep brain stimulation (DBS) to the ventral intermediate nucleus (VIM) of the thalamus has become a common procedure for some refractory, medication-resistant movement disorders like essential tremors. The most common adverse effects from this surgery include dysarthria and gait disturbances. This case report details a left gaze and ipsilateral facial nerve palsy following overshot cannula insertion into the pons during a VIM DBS procedure. Initial patient presentation after surgery revealed significant impairment of horizontal gaze to the left. This improved during follow-up visits and after the recession of the bilateral medial recti. When considering complications of the VIM DBS procedure, surgeons should be aware of the risks of cannula overshot given the anatomic proximity between the thalamus and brainstem. Furthermore, patients should be aware of this risk when making their surgical decision. All patients who undergo VIM DBS should be assessed for cranial nerve deficits after placement.
Radiation-induced peripheral malignant nerve sheath tumor arising from vestibular schwannoma after linac-based stereotactic radiation therapy: a case report and review of literatures
Authors: Putipun Puataweepong, Taweesak Janwityanujit, Noppadol Larbcharoensub, Mantana Dhanachai
Journal: Case Rep Med (2012)

In recent years the use of stereotactic radiation for vestibular schwannomas has increased worldwide. However, malignant transformation associated with radiation, although uncommon, has been reported in recent publications. We present a case of the 34 year-old female who had left vestibular schwannoma and who underwent surgery and postoperative stereotactic radiotherapy (SRT), hypofraction in 2005. At 6 years after SRT, the patient came with left facial palsy and severe headache. CT brain revealed progression in size with cystic and hemorrhagic changes of the preexisting tumor at left CPA with new obstructive hydrocephalus. Partial tumor removal was done, and the pathological report was malignant peripheral nerve sheath tumor (MPNST). Regarding the uncertainty of carcinogenesis risk, we should still practice radiation therapy with caution, especially in the young patient with tumor predisposition syndrome. Because of low incidence of MPNST after radiation, it should not be a major decision about giving radiotherapy. However, with the poor prognosis of MPNST, this possibility should be explained to the patient before radiation treatment option.
Pacemaker Placement in Patients with Stroke-Mediated Autonomic Dysregulation
Authors: Ali A Alsaad, Christopher O Austin, Maisha T Robinson, Michael B Phillips
Journal: Case Rep Med (2017)
MeSH terms: Case Reports

Lateral medullary syndrome (LMS) is an ischemic disease of the medulla oblongata, which involves the territory of the posterior inferior cerebellar artery. Lateral medullary syndrome is often missed as the cause of autonomic dysregulation in patients with recent brain stem stroke. Due to the location of the baroreceptor regulatory center in the lateral medulla oblongata, patients with LMS occasionally have autonomic dysregulation-associated clinical manifestations. We report a case of LMS-associated autonomic dysregulation. The case presented as sinus arrest and syncope, requiring permanent pacemaker placement. A dual-chamber pacemaker was placed, after failure of conservative measures to alleviate the patient's symptoms. Our case shows the importance of recognizing LMS as a potential cause for life-threatening arrhythmias, heart block, and symptomatic bradycardia. Placement of permanent pacemaker may be necessary in some patients with LMS presenting with syncope, secondary to sinus arrest.
Case Report: The Association Between Chromosomal Anomalies and Cluster A Personality Disorders: The Case of Two Siblings With 16p11.2 Deletion and a Review of the Literature
Authors: Cecilia Maria Esposito, Paolo Enrico, Domenico Sciortino, Elisabetta Caletti, Giulia Bruna Marchetti, Claudia Cesaretti, Lucio Oldani, Alessio Fiorentini, Paolo Brambilla
Journal: Front Psychiatry (2021)
Keywords: chromosome, deletion, duplication, genetic, paranoid personality, personality disorder
MeSH terms: Case Reports

Although several studies have shown the correlation between chromosomal rearrangements and the risk of developing psychotic disorders, such as schizophrenia, little attention has been given to identifying the genetic basis of pre-disposing personality so far. In this regard, a limited but significant number of studies seem to indicate an association between chromosomal anomalies and cluster A personality disorders (CAPD). Starting from the clinical description of two brothers affected by familial 16p11 deletion syndrome (OMIM #611913), both sharing cluster A and C personality traits, the aim of the present study is to critically review the literature regarding the correlation between chromosomal rearrangements and CAPD. A bibliographic search on PubMed has been conducted, and eight studies were finally included in our review. Most of the studies highlight the presence of schizotypal personality disorder in the 22q11.2 deletion syndrome, whose evolutionary course toward psychotic pictures is well-known. One study also identified a paranoid personality disorder in a patient with a deletion on chromosome 7q21.3. No studies have so far identified the presence of paranoid personality disorder in 16p11 deletion, as in the case of the two siblings we report, while its association with psychosis and autism is already known. Although further epidemiologic studies on broader populations are indicated, our observations might pave the way for the definition of new diagnostic subgroups of CAPD and psychotic disorders, in order to implement the clinical management of such complex conditions.
Simultaneous pyometra and viable puppies' gestation in a bitch
Authors: A Risso, F J Pellegrino, Y Corrada
Journal: Open Vet J (2014)
Keywords: bitch, gestation, pyometra, viable puppies
MeSH terms: Case Reports

Here we describe a case of pyometra coexisting with gestation in a 4.5 year-old miniature short-haired Dachshund. The dog exhibited depression, vaginal discharge, polydipsia and dehydration. Ultrasound examination revealed the presence of low to moderate anechoic fluid collection in the left uterine horn. Blood analysis revealed mild neutrophilia with a left shift. Based on these findings a presumptive diagnosis of pyometra was made and the bitch was treated using amoxicillin-clavulanate with dopaminergic agonist (cabergoline). A second ultrasound scan revealed the presence of two gestational vesicles in the right uterine horn that were successfully carried to term. Unusually, while pyometra persisted in the left uterine horn, two viable puppies were delivered by caesarean section from the right uterine horn.
Mechanical thrombectomy for ischaemic stroke: the first UK case series
Authors: Nasar Ahmad, Sanjeev Nayak, Changez Jadun, Indira Natarajan, Palbha Jain, Christine Roffe
Journal: PLoS One (2013)
MeSH terms: Endovascular Procedures / adverse effects, Mechanical Thrombolysis / adverse effects, Stroke / surgery, Thrombectomy / adverse effects, Aged, Endovascular Procedures / mortality, Female, Humans, Intracranial Hemorrhages / etiology, Male, Mechanical Thrombolysis / mortality, Middle Aged, Postoperative Complications, Prospective Studies, Thrombectomy / methods, Thrombectomy / mortality, Treatment Outcome, United Kingdom

Background and purpose:
Endovascular treatments have the potential to accelerate reperfusion in acute ischaemic stroke with large vessel occlusion. In the UK only a few stroke centres offer this interventional option. The University Hospital of North Staffordshire (UHNS) has treated the largest number of cases in the UK. Results of the first 106 endovascular treatments (EVT) are presented here.
Methods:
All patients treated with EVT (intra-arterial thrombolysis (IAT), mechanical thrombectomy (MT) or both, or an attempt at intervention) for acute stroke at UHNS, Stoke-on-Trent, UK, were entered into a prospective register. Baseline demographic and clinical data, the National Institutes for Health Stroke Scale (NIHSS), imaging results including Thrombolysis in Cerebral Infarction (TICI) score, and complications were recorded. Mortality, and modified Rankin score (mRS) were assessed at 90 days.
Results:
From December 2009 to January 2013 106 patients (mean age 64 years, median baseline NIHSS 18) were treated with EVT (thrombectomy ± IAT 83%, IAT alone 13%, neither 4%). Seventy-eight per cent of occlusions were in the anterior circulation. Intravenous bridging thrombolysis was performed in 81%. Revascularization was successful (TICI 2b/3) in 84%. The median time from stroke onset to the end of the procedure was 6 h 03 min. A good outcome (mRS ≤ 2) at 90 days was achieved in 48% with a mortality of 15%. Fatal or nonfatal symptomatic intracranial haemorrhage (sICH) within 10 days occurred in 9%. The median length of stay was 14 days (31% discharged home ≤ 7 days).
Conclusions:
EVT led to good clinical outcomes in almost 50% of patients with severe strokes.
A Rare Central Venous Catheter Malposition in a 10-Year-Old Girl
Authors: Ali Movafegh, Alireza Saliminia, Reza Atef-Yekta, Omid Azimaraghi
Journal: Case Rep Anesthesiol (2018)
MeSH terms: Case Reports

Central venous catheters (CVCs) are placed in operating rooms worldwide via different approaches. Like any other medical procedure, CVC placement can cause a variety of complications. We report the case of an unexpected malposition of a catheter in the right internal jugular vein, where it looped back on itself during placement and went upward into the right internal jugular vein. CVC line placement should always be viewed as a procedure that could become complicated, even in the hands of the most experienced operators.
Management of extensive maxillofacial trauma with bony foreign body within the orbit from a chainsaw injury
Authors: Randall O Craft, Kyle R Eberlin, Michael H Stella, Edward J Caterson
Journal: Eplasty (2011)

Objective:
The goal of this case report is to characterize injury patterns typical for chainsaw injuries to the face. We describe our approach to the soft tissue and skeletal injury patterns seen in these injuries.
Methods:
We present a case report of a traumatic chainsaw injury to the face.
Results:
A literature review of the typical injury patterns seen in chainsaw injuries to the face is discussed. Fractures to the bony orbit are on of the most common findings. Traumatic orbital fractures are often associated with other facial fractures, including those of the maxillary sinus and naso-orbital-ethmoid (NOE) region. There is a reported 47% incidence of lacrimal obstruction after NOE fractures, most caused by bone malposition or damage to the lacrimal sac or duct. Misdiagnosis of this injury pattern can lead to chronic patient morbidity.
Conclusion:
We present a case of traumatic orbital fracture with subsequent bony intrusion into the orbit, necessitating urgent exploration. The compound soft tissue and skeletal injury in this patient is typical for patients with associated lacrimal injury. Awareness of the injury patterns and treatment algorithms of these cases allows for appropriate assessment and intervention.