OpenMed/multicare-articles huggingface dataset:
Postextraction Alveolar Preservation and Use of the Crown of the Extracted Tooth as a Temporary Restoration
Authors: Andrea Rodríguez Moreno, Mariné Ortiz Magdaleno, Marissa Muñoz Islas, Jorge Armando Villar Mercado, María Del Pilar Goldaracena Azuara, Everardo Ruiz Cruz, Gabriel Fernando Romo Ramírez
Journal: Case Rep Dent (2019)
MeSH terms: Case Reports

Ranging from the extraction of teeth from anterior sector commitment to the loss of bone and soft tissues, alveolar preservation is a regenerative technique that employs biomaterials that induce the preservation of bone tissue and minimize resorption. Placement of provisional restorations at the defect site maintains the stability of the soft tissues and aesthetics at which the definitive restoration is found. The objective of this clinical case was alveolar preservation postextraction of the anterior tooth that presented a coronal fracture, placing the clinical crown of the extracted tooth as the provisional restoration to maintain stability and to avoid soft tissue collapse and compromise to an aesthetic area.
Staphylococcus aureus Bacteremia Complicated by Psoas Abscess and Infective Endocarditis in a Patient with Atopic Dermatitis
Authors: Ichiro Tsuboi, Tetsuya Yumoto, Tatsuya Toyokawa, Katsunori Matsueda, Joichiro Horii, Hiromichi Naito, Atsunori Nakao
Journal: Case Rep Infect Dis (2017)
MeSH terms: Case Reports

The close relationship between atopic dermatitis (AD) and infective endocarditis (IE) has been implicated. Staphylococcus aureus colonization is frequently seen observed in AD patients' skin lesions. Although a case of IE due to S. aureus bacteremia in an AD patient has been sporadically reported, a case of S. aureus bacteremia complicated by psoas abscess and IE has not been previously reported. A 42-year-old man with a history of AD presented to our hospital complaining of fever, fatigue, chills, lower right back pain, and poor appetite for a week. His blood cultures showed growth of S. aureus. On day 3, the patient presented acute cardiac failure and was diagnosed with IE based on echocardiogram examination. Since the patient's cardiac failure did not respond to medication, an emergency surgery was performed on the fourth day of hospitalization. The patient underwent successful surgical treatment of the heart lesions and subsequent percutaneous drainage of psoas abscess and received intensive antibiotics, which successfully improved his condition. Our report emphasizes awareness of the association between AD and invasive S. aureus infections.
Asymptomatic bone cement pulmonary embolism after vertebroplasty: case report and literature review
Authors: Girolamo Geraci, Giorgio Lo Iacono, Chiara Lo Nigro, Fabio Cannizzaro, Massimo Cajozzo, Giuseppe Modica
Journal: Case Rep Surg (2013)

Introduction. Acrylic cement pulmonary embolism is a potentially serious complication following vertebroplasty. Case Report. A 70-year-old male patient was treated with percutaneous vertebroplasty for osteoporotic nontraumatic vertebral collapse of L5-S1. Asymptomatic pulmonary cement embolism was detected on routine postoperative chest radiogram and the patient was treated with enoxaparin, amoxicillin, and dexamethasone. At the followup CT scan no further migration of any cement material was reported; and the course was uneventful. Discussion. The frequency of local leakage of bone cement is relatively high (about 80-90%), moreover, the rate of cement leakage into the perivertebral veins (seen in up to 24% of vertebral bodies treated) with consequent pulmonary cement embolism varies from 4.6 to 6.8% (up to 26% in radiologic studies); the risk of embolism is increased with the liquid consistency of the cement and with the treatment of some malignant lesions. Patients may remain asymptomatic and develop no known long-term sequelae. Conclusions. Our ancedotal case illustrates the need for close monitoring of patients undergoing percutaneous vertebroplasty and emphasizes the importance of prompt and correct diagnosis and treatment, even if actually there is no agreement regarding the therapeutic strategy.
Symmetrical peripheral gangrene caused by septic shock
Authors: Keisuke Shimbo, Kazunori Yokota, Junpei Miyamoto, Yukako Okuhara, Mitsuo Ochi
Journal: Case Reports Plast Surg Hand Surg (2015)
Keywords: flap, septic shock, surgical amputation, symmetrical peripheral gangrene
MeSH terms: Case Reports

We report three cases of symmetrical peripheral gangrene (SPG) caused by septic shock. Most of sepsis survivors with SPG require amputation of the affected extremities. To preserve the length of the thumb and fingers, we performed surgical amputation and used flaps to cover the amputated peripheral extremities.
Warfarin-related nephropathy in a patient with renal pelvic cancer
Authors: Yuki Nagasako, Akiko Fujii, Satoshi Furuse, Katsunori Saito, Naobumi Mise
Journal: Clin Nephrol Case Stud (2017)
Keywords: acute kidney injury, macrohematuria, renal pelvic cancer, warfarin-related nephropathy
MeSH terms: Case Reports

An 83-year-old Japanese man had a history of chronic heart failure due to bradycardia-tachycardia syndrome. He was admitted to our hospital because of macrohematuria and acute kidney injury (AKI), which were detected by an urologist at an outpatient visit. He had a history of recurrent macrohematuria and transurethral resection of bladder tumors twice in the preceding 2 years. He had been on warfarin for 12 years, with a stable international normalized ratio (INR) that was usually less than 2.1. Urinalysis revealed numerous red blood cells (RBCs) and mild proteinuria without RBC casts. His serum creatinine level was elevated to 2.41 mg/dL from 0.96 mg/dL at 3 weeks before admission. INR was 1.44. Hydronephrosis was not observed. Ureteroscopy detected invasive urothelial carcinoma of the renal pelvis, and right laparoscopic nephroureterectomy was performed at 41 days after diagnosis of AKI. The background renal parenchyma displayed tubular obstruction by red blood cell casts and acute tubular injury, which were changes compatible with warfarin-related nephropathy (WRN). Warfarin was discontinued, and the serum creatinine level recovered to 1.66 mg/dL after 3 months. In the present patient with nephrosclerosis, WRN occurred at a therapeutic INR level after 12 years of uneventful warfarin therapy, and the coexisting urothelial malignancy was a unique feature.
Panuveitis as a manifestation of ocular syphilis leading to HIV diagnosis
Authors: Jay Kumar Chhablani, J Biswas, S Sudharshan
Journal: Oman J Ophthalmol (2010)
Keywords: hiv, ocular syphilis in hiv, syphilitic panuveitis in hiv
MeSH terms: Case Reports

Syphilis is a rare cause of panuveitis. We present the case of a 33-year-old man who presented with diminution of vision of three months duration in his left eye (OS), without any other systemic illness. Ophthalmic examination showed features of pauveitis with dense vitreous exudates, disc pallor and sheathing of vessels on fundoscopy. A diagnosis of probable endogenous endophthalmitis was made and vitreous tap performed. Vitreous biopsy showed no growth of fungus or bacteria. Rapid plasma reagin (RPR) and Treponema pallidum hemagglutination (TPHA) test were positive. Enzyme-Linked Immuno Sorbent Assay (ELISA) and Western Blot test were then performed, which revealed concurrent HIV infection. The patient improved dramatically with intravenous penicillin therapy. HIV positive patients may present with panuveitis secondary to ocular syphilis, as the only presenting feature in HIV positive patient in absence of any other systemic features.
Paroxysmal Nocturnal Dyspnea Secondary to Right Ventricular Myxoma: A Novel Presentation of an Unusual Tumor
Authors: Tristan E Knight, Bruce Shiramizu, Princeton Ly, Karen S Thompson, Venu Reddy
Journal: Case Rep Pediatr (2018)
MeSH terms: Case Reports

A 14-month-old male presented with paroxysmal nocturnal dyspnea and grade III/VI systolic ejection murmur at the upper left sternal border with an S4 gallop and was subsequently found to have a right ventricular cardiac myxoma. Prior presentations of these tumors have been with exertional syncope and murmur, asymptomatic murmur, or exertional dyspnea; the presentation of such a tumor with paroxysmal nocturnal dyspnea is novel.
Organ Preservation in a Case of Retroperitoneal Ganglioneuroma: A Case Report and Review of Literature
Authors: Santosh Kumar, Shivanshu Singh, Abhishek Chandna
Journal: Case Rep Surg (2016)

The retroperitoneum is a closed space harbouring vital organs including the great vessels, kidneys and adrenal glands, ureters, and the ascending and descending colon. Surgical management of retroperitoneal pathologies may need multiorgan resection in order to achieve complete surgical resection while preservation of surrounding organs should be attempted, especially in case of benign tumors. We present a case of 15-year-old girl with an 11 × 6 × 5 cm retroperitoneal ganglioneuroma displacing the right kidney, renal vein, and ureter and abutting the IVC which was excised in toto preserving the right kidney and ureter with careful dissection around the great vessels. We also attempt to review the various surgical options available while dealing with these benign retroperitoneal tumors which are often detected incidentally and usually surround important retroperitoneal organs and vessels.
Neurologic Manifestations as Initial Clinical Presentation of Familial Hemophagocytic Lymphohistiocytosis Type2 Due to PRF1 Mutation in Chinese Pediatric Patients
Authors: Wei-Xing Feng, Xin-Ying Yang, Jiu-Wei Li, Shuai Gong, Yun Wu, Wei-Hua Zhang, Tong-Li Han, Xiu-Wei Zhuo, Chang-Hong Ding, Fang Fang
Journal: Front Genet (2020)
Keywords: familial hemophagocytic lymphohistiocytosis type-2, mutation, neurological manifestations, pediatric patients, perforin 1
MeSH terms: Case Reports

Familial hemophagocytic lymphohistiocytosis Type 2 (FHL2) associated central nervous system (CNS) involvement is less understood in children, especially when considering neurologic manifestations as part of the initial presentation. We conducted a retrospective review of the clinical manifestations and genetic abnormality of four Han Chinese children with FHL2 who were patients at the neurology department of Beijing Children's Hospital from November 2015 to October 2018. These four patients initially manifested CNS symptoms in their disease presentation, and all four patients were misdiagnosed as having ademyelinating disease, such as acute disseminated encephalomyelitis and multiple sclerosis. Given these misdiagnoses, it is important that general physicians and pediatricians maintain awareness of the possibility of FHL2 as a differential diagnosis. These four cases included neurologic manifestations including seizures, ataxia, spasticity, gait disorder, and coma. Bilateral abnormal signals in the cerebrum, including in white matter, gray matter, and junctions were discovered. Enhanced magnetic resonance imaging (MRI) in these patients showed spot or ring enhancement and/or hemorrhage. These patients all possessed a compound heterozygote mutation PRF1 gene. Whole exome sequencing analysis revealed seven different mutations (three novel mutations) spread over the PRF1 gene and a heterozygous missense mutation c.1349C > T [p.T450M] that was present in two patients. Three novel mutations, c.634T > C[p.Y212H], c.1083_1094del[p.361_364del], and c.1306G > T [p.D436Y], were discovered and through in silico analysis were discovered to be deleterious. Neurologic manifestations were the initial symptoms of FHL2 in these patients in addition to the expected leukopenia and hepatosplenomegaly. Whole exome sequencing of PRF1 for patients with similar presentations would facilitate prompt and accurate diagnosis and treatment.
All Signs Point to Cancer: A Case of Cryptic Miliary Tuberculosis in the Setting of Concomitant Cancer
Authors: Victoria Cress, Sue Min Sophia Kwon, Michael T Ulrich
Journal: Case Rep Infect Dis (2021)
MeSH terms: Case Reports

Dissemination of tuberculosis (TB) is known as miliary tuberculosis. When miliary tuberculosis lacks classic radiographic and clinical features, it can be labeled cryptic miliary tuberculosis and may mimic metastatic cancer. This unusual presentation of an already atypical form of TB often delays diagnosis. We present a case of a 58-year-old female who presented with presumed metastatic carcinoma, who was ultimately diagnosed with both primary breast cancer and disseminated TB. This case emphasizes the need for a high index of suspicion for miliary tuberculosis in patients with presumed or proven malignancy.
Investing in human development and building state resilience in fragile contexts: A case study of early nutrition investments in Burkina Faso
Authors: Chris Desmond, Kathryn Watt, Palwendé R Boua, Candice Moore, Agnes Erzse, Hermann Sorgho, Karen Hofman, Toussaint Roumba, Halidou Tinto, Kate A Ward, INPreP group
Journal: PLOS Glob Public Health (2023)

Maternal and early malnutrition have negative health and developmental impacts over the life-course. Consequently, early nutrition support can provide significant benefits into later life, provided the later life contexts allow. This study examines the limits of siloed investments in nutrition and illustrates how ignoring life-course contextual constraints limits human development benefits and exacerbates inequality, particularly in fragile contexts. This case study focuses on Burkina Faso, a country with high rates of early malnutrition and a fragile state. We modelled the impact of scaling up 10 nutrition interventions to 80% coverage for a single year cohort on stunting, nationally and sub-nationally, using the Lives Saved Tool (LiST), and the consequent impact on earnings, without and with a complementary cash-transfer in later life. The impact on earnings was modelled utilising the well-established pathway between early nutrition, years of completed schooling and, consequent adult earnings. Productivity returns were estimated as the present value of increased income over individuals' working lives, then compared to estimates of the present value of providing the cost of nutrition interventions and cash-transfers. The cost benefit ratio at the national level for scaled nutrition alone is 1:1. Sub-nationally the worst-off region yields the lowest ratio < 0.2 for every dollar spent. The combination of nutrition and cash-transfers national cost benefit is 1:12, still with regional variation but with great improvement in the poorest region. This study shows that early nutrition support alone may not be enough to address inequality and may add to state fragility. Taking a life-course perspective when priority-setting in contexts with multiple constraints on development can help to identify interventions that maximizing returns, without worsening inequality.
Two Lip Carcinomas following Allogeneic Hematopoietic Stem Cell Transplantation: A Case Report and Literature Review
Authors: Nouha Dammak, Latifa Berrezouga, Manel Njima, Ines Lahouel, Mehdi Khemiss, Mohamed Ben Khelifa
Journal: Int J Dent (2021)

Background:
Secondary solid cancers are severe complications in patients who have undergone allogeneic hematopoietic stem cell transplantation (AHSCT) for malignant and nonmalignant lymphohematopoietic diseases.
Objective:
The aim of this work was to report a case of two lip carcinomas following AHSCT and to warn doctors about the importance of regular check-ups of patients who have received HSCT. Observation. A 57-year-old man was referred by the dermatology department for the management of exophytic budding lesions on the lower lip evolving since 5 months. The patient was in complete remission following allogeneic bone marrow transplantation for acute myeloid leukemia since five years. Clinical and histological findings confirmed the diagnosis of a squamous cell carcinoma of the two lesions.
Conclusion:
It is of paramount importance to seek an oral squamous cell carcinoma in the presence of persistent lesions in HSCT recipients.
Primary hydatid cyst of the gallbladder: an unusual localization diagnosed by magnetic resonance imaging (MRI)
Authors: Rabii Noomene, Anis Ben Maamer, Ahmed Bouhafa, Noomen Haoues, Abdelaziz Oueslati, Abderraouf Cherif
Journal: Pan Afr Med J (2013)
Keywords: cholecystectomy, gallbladder, magnetic resonance imaging (mri), primary hydatid disease
MeSH terms: Cholecystitis / diagnosis, Echinococcosis / diagnosis, Magnetic Resonance Imaging, Case Reports, Abdominal Pain / etiology, Adult, Cholecystectomy, Cholecystitis / complications, Cholecystitis / parasitology, Cholecystitis / surgery, Diagnostic Imaging / methods, Echinococcosis / complications, Echinococcosis / surgery, Endemic Diseases, False Negative Reactions, Female, Humans, Nausea / etiology, Tunisia

Hydatid disease is endemic in Tunisia and has been considered as one of the most common surgical pathology. Several localizations have been described, but hydatidosis of the liver is the most frequent clinical entity. Primary hydatid cyst of the gallbladder is very rare. We report in this observation a new case of primary hydatid cyst of the gallbladder diagnosed by Magnetic Resonance Imaging (MRI).
Two Siblings With Recurrent Fevers: The Path to Mevalonate Kinase Deficiency Diagnosis
Authors: Joana Pereira-Nunes, Cristina Ferreras, Ana Grangeia, Francisca Aguiar, Mariana Rodrigues, Iva Brito
Journal: Cureus (2023)
Keywords: autoinflammatory syndrome, hyperimmunoglobulin d syndrome, immunoglobulin d, mevalonate kinase gene, urinary mevalonic acid
MeSH terms: Case Reports

Systemic autoinflammatory diseases (SAIDs) are a group of disorders that constitute a rare cause of recurrent fevers. Recurrent fevers are defined as periodic febrile episodes lasting from days to weeks, separated by symptom-free intervals of variable duration. They present multiple etiologies, representing a diagnostic challenge. Mevalonate kinase deficiency (MKD) is a genetic SAID, a rare hereditary recurrent fever syndrome (HRF) caused by pathogenic variants in the mevalonate kinase (MVK) gene. It is characterized by the early onset of periodic fever flares, frequently associated with joint, gastrointestinal, skin, and lymph node involvement. Although elevated serum immunoglobulin D (IgD) levels were previously considered an MKD's hallmark, normal values do not exclude it. High serum immunoglobulin A (IgA) is frequent. An acute-phase response and elevated urinary mevalonic acid (UAV) excretion during flares may aid in the diagnosis. Genetic testing is an essential tool to confirm the diagnosis. The authors report two siblings presenting with early infancy onset of recurrent febrile illness and characteristic associated symptoms, one of which was initially misdiagnosed with periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome. MKD diagnoses were only established at 12 and nine years old, respectively, after the identification of the same two MVKgene variants. The diagnosis in the eldest favored the earlier recognition of MKD in the youngest. Owing to its wide spectrum of manifestations, with many being nonspecific and/or shared with other more frequent entities, a significant proportion of MKD patients present a long delay until its final establishment. These cases illustrate the MKD diagnosis and management's difficulties, reinforcing the importance of a careful clinical history and HRF awareness for its prompt diagnosis and appropriate precocious referral.
Muscle ruptures in posterior hip dislocation-a case report
Authors: Florian Alexander Huber, Lena Hirtler, Franz Kainberger
Journal: BJR Case Rep (2017)
MeSH terms: Case Reports

Posterior hip dislocations are the most common luxation types of the hip joint and a well-known and well-described condition. However, we report a case of posterior hip luxation with a series of posttraumatic muscular disorders that were difficult to identify and have not been described previously in scientific literature. We performed clinical and radiological follow-up of an individual for a period of over 19 months post trauma. Informed consent for the anonymized publication of this case was received from the patient. The presented patient is a 20-year-old female, athletic individual in generally good health condition. Our patient suffered from a posterior hip dislocation after a skiing accident on an iced slope. Posttraumatic follow-up was performed owing to persistent moderate hip pain. The patient underwent several experts' consultations as well as two MRI examinations at 2 months and 19 months after the skiing trauma. Both of the MRIs showed several ruptured parts of the periarticular musculature. At the second MRI, additional compensatory hypertrophy of the piriformis muscle was detected. This report clearly illustrates the importance of profound anatomical knowledge of the surrounding structures of the hip joint, especially as the high psychological strain on the patient could have been reduced by a swifter and appropriate diagnosis.
Case Report: Use of PET/CT to Guide Treatment in a Cat With Presentation Consistent With Hodgkin's-Like Lymphoma
Authors: Carolyn L Chen, Matthew R Cook, Megan E Brown, Sarah Lumbrezer-Johnson, Eric T Hostnik, Janis M Lapsley, Phillip Lerche, Vincent A Wavreille, Maria I Menendez, Michael V Knopp, Sarah C Linn, Christopher Premanandan, Laura E Selmic
Journal: Front Vet Sci (2021)
Keywords: hodgkin's, pet/ct, chemotherapy, fluorodeoxiglucose f18, lymphadenopathy, lymphoma
MeSH terms: Case Reports

An 8-year-old male neutered Domestic Long Hair cat was presented for a cervical swelling that was suspected to be an enlarged left retropharyngeal lymph node. In the absence of other lymphadenopathy, this was initially suspected to be Hodgkin's-like lymphoma. A positron emission tomography-computed tomography (PET/CT) scan was performed using 2-deoxy-2-[18F]-fluorodeoxyglucose (18F-FDG) to assess for evidence of disease in other locations to guide treatment. Multifocal increased radiopharmaceutical uptake was identified, indicating disease in multiple organs. High-grade lymphoma was confirmed on tissue biopsy. As such, systemic cytotoxic chemotherapy was recommended instead of lymph node extirpation surgery. The cat received a modified CHOP chemotherapy protocol and attained a temporary partial remission. After 2 months of treatment, the cat stopped responding to chemotherapy and was eventually euthanized due to a relapse of disease and decreased quality of life. This case describes the utility of PET/CT to guide treatment in a cat with a presentation consistent with Hodgkin's-like lymphoma.
Exceptional laceration of flexor digitorum tendons proximal to a severe palmar hand wound: a case report with literature review
Authors: Badr Ennaciri, Mustapha Mahfoud, Ahmed El Bardouni, Mohamed Saleh Berrada
Journal: Pan Afr Med J (2015)
Keywords: flexor tendons, kessler suture, hand wound
MeSH terms: Accidents, Occupational, Hand Injuries / surgery, Lacerations / surgery, Tendon Injuries / surgery, Case Reports, Review, Adult, Debridement / methods, Farmers, Foreign Bodies / surgery, Hand Injuries / pathology, Hand Injuries / rehabilitation, Humans, Lacerations / pathology, Male, Suture Techniques, Tendon Injuries / pathology

Hand wounds are common, poor functional outcomes are marked because of sequelae inherent to posttraumatic and postoperative complications. Suitable surgery repair in emergency can ensure best results. Classically, tendon's injuries occur near the injured area and their repair depend on traumatized zone, sutures techniques, associated lesions and surgeon's abilities. We report a case of a farmer who has sustained of a severe hand wound due to blades of a combine harvester. Clinical examination showed exceptional laceration of 2(nd) and 3(rd) flexor digitorum tendons from musculo-tendinous junction, without any lesion in their palmar section. We proceeded; after extensive debridement, abundant lavage and removal of foreign body; to modified Kessler sutures using PDS 4.0 followed by dorsal splint for protecting tendons repair, and progressive rehabilitation program. Final result was interesting after 12 weeks. Thinking to tendon laceration is important, when manipulating machines with rotational movements.