OpenMed/multicare-articles huggingface dataset:
The findings on the CEUS of diffuse large B cell lymphoma in abdomen: A case report and literature review
Authors: Yu-Qing Zhang, Xin-Yue Wang, Ying Huang
Journal: Front Oncol (2023)
Keywords: positron emission tomography- computed tomography (pet- ct), contrast-enhanced ultrasound (ceus), non-hodgkin’s lymphoma, time-intensity curve (tic), ultrasound
MeSH terms: Case Reports

Background:
PET-CT is the first choice for the imaging diagnosis of intraperitoneal lymphomas. Contrast-enhanced ultrasound (CEUS) is rare in the diagnosis of intraperitoneal nodal lymphoma.
Case summary:
A 62-year-old man was admitted for examination with "right upper abdominal pain". Ultrasound was used to refer to the masses in the hilar region, spleen, and anterior sacral region respectively. The masses were all hypoechoic, and blood flow signals could be detected by CDFI. Laboratory tests of CA125 were within normal limits. CEUS examination was performed on the three masses respectively. The three masses showed different perfusion patterns. Thickened vessels appeared around the mass in the hilar region, a peripheral centrally directed perfusion pattern was observed in the splenic mass, and blood supply vessels appeared in the center of the presacral mass with a significant filling defect. They all showed a contrast pattern with rapid clearance and hypoenhancement compared with the surrounding areas. Ultrasound guided needle biopsy revealed non-Hodgkin's lymphoma, diffuse large B-cell lymphoma, non-germinal center origin. After biopsy, the patient was treated with R-CHOP regimen for chemotherapy, and the tumor disappeared by routine ultrasound review after 5 cycles of chemotherapy.
Conclusion:
To the best of our knowledge, this report is the first to describe the findings of CEUS in intraperitoneal nodal lymphoma. CEUS has various manifestations in intraperitoneal nodal lymphoma. Future studies are still needed to explore the diagnostic features of CEUS in intraperitoneal nodal lymphoma.
Recurrence of prostate cancer with cutaneous metastasis after radical prostatectomy
Authors: Parth Patel, Jay Patel, Sameer Siddiqui
Journal: Case Rep Urol (2015)

While cutaneous metastases are already extremely rare in primary metastatic prostatic adenocarcinoma, cutaneous manifestations in recurrent prostate cancer have rarely been described prior to this report. Here we present the case report of a 93-year-old male who underwent radical prostatectomy but eventually suffered from a previously undescribed recurrence of prostatic adenocarcinoma with distant cutaneous metastases to proximal right lower leg.
Complete and removable partial prosthesis for a child with hypohidrotic ectodermal dysplasia
Authors: Bhavesh D Trivedi, Rupinder Bhatia
Journal: Int J Clin Pediatr Dent (2013)
Keywords: complete denture, esthetic and functionality, hypodontia, hypohidrotic ectodermal dysplasia, removable partial denture
MeSH terms: Case Reports

Young children with hypodontia caused by hypohidrotic ectodermal dysplasia (HED) not only have difficulties in mastication and speech but can also sense that their appearance is different from others. Enabling children with HED to look like their peers through the use of well-fitting and functioning complete and removable partial dentures with age appropriate teeth will greatly assist in their transitioning in to their school years and add to their psychological well-being. Although denture construction requires multiple patient appointments and good co-operation, dentist also should educate and encourage parents and patient to tackle the difficulties that may come across during denture construction. In this present case the child, a 4-year-old, required a complete denture in the lower arch and removable partial denture in upper arch to achieve functionality and enhanced esthetics. How to cite this article: Trivedi BD, Bhatia R. Complete and Removable Partial Prosthesis for a Child with Hypohidrotic Ectodermal Dysplasia. Int J Clin Pediatr Dent 2013;6(1):71-74.
Case report: Hepatic inflammatory pseudotumor-like follicular dendritic cell sarcoma: A rare case and minireview of the literature
Authors: Fan Ding, Chao Wang, Chi Xu, Hui Tang
Journal: Front Med (Lausanne) (2022)
Keywords: case report, follicular dendritic cell, hepatic, inflammatory pseudotumor, sarcoma
MeSH terms: Case Reports

Inflammatory pseudotumor (IPT)-like follicular dendritic cell sarcoma (FDCS) is a rare neoplasm referred to as the FDCS variant. Here we report a 66-year-old female patient suffering from hepatic IPT-like FDCS and summarize IPT-like FDCS reported in the literature. The patient presented with obvious abdominal pain without significant laboratory abnormalities and subsequently underwent surgical resection of a hepatic lesion. Postoperative pathological results demonstrated a vascular tissue-rich neoplasm (7.0-cm maximum diameter). The tumor cells expressed CD21 and CD35, and in situ hybridization detected Epstein-Barr virus-encoded RNA (EBER). Metastasis or recurrence was not detected during the 7-year follow-up.
Growing teratoma syndrome: a rare case report and review of the literature
Authors: Nirmala Kampan, Trika Irianta, Arifuddin Djuana, Lim Pei Shan, Mohd Hashim Omar, Ahmad Zailani Hatta Mohd Dali
Journal: Case Rep Obstet Gynecol (2012)
MeSH terms: Case Reports

Growing teratoma syndrome is rare and usually it occurs in the younger aged group. The use of chemotherapy following initial surgical resection will yield the diagnosis following tumour enlargement. Complete resection is usually curative and renders better prognosis.
Melioidosis presenting with mediastinal lymphadenopathy masquerading as malignancy: a case report
Authors: Kavitha Saravu, Chiranjay Mukhopadhyay, Vandana Kalwaje Eshwara, Barkur Ananthakrishna Shastry, Kundapura Ramamoorthy, Sushma Krishna, Vishwanath Sathyanarayanan
Journal: J Med Case Rep (2012)

Introduction:
Melioidosis, endemic in Thailand and in the Northern Territory of Australia is an emerging infectious disease in India which can present with varied forms. A case of melioidosis, presenting as a rare anterior mediastinal mass which can masquerade as malignancy or tuberculosis, is described here. With treatment, our patient initially showed an increase in the size of mediastinal node and development of new submandibular node.. To the best of our knowledge, this phenomenon has not been documented in the literature and the same is highlighted in this case report.
Case presentation:
A 43-year-old Asian man with diabetes presented with fever, loss of appetite, weight loss for one month and painful swelling below his left mandible for five days. An examination revealed an enlarged left submandibular lymph node and bilateral axillary lymph nodes. A chest X-ray showed mediastinal widening. Computed tomography of his thorax showed a lobulated heterogeneously enhancing anterior mediastinal mass encasing the superior vena cava suggestive of malignancy. An excision biopsy of the lymph node showed granulomas suggestive of tuberculosis but bone marrow culture and lymph node aspirate culture grew Burkholderia pseudomallei. He was treated with parenteral ceftazidime and amoxicillin-clavulanic acid. During the course of treatment, he developed an enlargement of the submandibular lymph node on the opposite side. It gradually subsided with the continuation of therapy orally with a combination of cotrimoxazole and doxycycline for six months. A repeat computed tomography chest scan showed resolution of the mediastinal mass.
Conclusion:
Melioidosis can present as a mediastinal mass that mimics tuberculosis or malignancy. During the initial phase of treatment of melioidosis, the appearance of new lymph nodes or an increase in the size of the existing lymph nodes does not mean treatment failure. Inexperienced clinicians may consider this as treatment failure and may switch treatment. To the best of our knowledge, this is the first report documenting this phenomenon in melioidosis cases.
Absent Foveal Pit, Also Known as Fovea Plana, in a Child without Associated Ocular or Systemic Findings
Authors: Laura Hernandez-Moreno, Natacha Moreno Perdomo, Tomas S Aleman, Karthikeyan Baskaran, Antonio Filipe Macedo
Journal: Case Rep Ophthalmol Med (2018)
MeSH terms: Case Reports

The purpose of this report is to describe a case of bilateral foveal hypoplasia in the absence of other ophthalmological or systemic manifestations. We characterize the case of a 9-year-old Caucasian male who underwent full ophthalmologic examination, including functional measures of vision and structural measurements of the eye. Best corrected visual acuity was 0.50 logMAR in the right eye and 0.40 logMAR in the left eye. Ophthalmoscopy revealed a lack of foveal reflex that was further investigated. Optical coherence tomography (OCT) confirmed the absence of foveal depression (pit). OCT images demonstrated the abnormal structure of retina in a region in which we expected a fovea; these findings were decisive to determine the cause of reduced acuity in the child.
Death after an accidental fall of a 101 year old hospitalized patient. Medico-legal implication of falling in geriatrics
Authors: Claudio Terranova, Fabrizio Cardin, Bruno Martella, Bruno Amato, Carmelo Militello
Journal: BMC Surg (2012)
MeSH terms: Accidental Falls / prevention & control, Patient Safety / legislation & jurisprudence, Patient Safety / standards, Case Reports, Aged, 80 and over, Fatal Outcome, Female, Geriatrics / legislation & jurisprudence, Geriatrics / standards, Hospitalization, Humans, Italy, Liability, Legal

Background:
The case presented by the authors gives the opportunity to discuss the medico-legal issues related to lack of prevention of falls in elderly hospitalized patients.
Case presentation:
A 101 year old Caucasian female was admitted to a surgery division for evaluation of abdominal pain of uncertain origin. During hospitalization, after bilateral bed rails were raised, she fell and reported a femoral fracture. Before surgical treatment of the fracture, scheduled for the day after injury, the patient reported a slight reduction in hemoglobin. She received blood transfusion but her general condition suddenly worsened; heart failure was observed and pulseless electrical activity was documented. The patient died 1 day after the fall. Patient relatives requested a judicial evaluation of the case.The case was studied with a methodological approach based on the following steps: 1) examination of clinical records; 2) autopsy; 3) evaluation of clinicians' behavior, in the light of necroscopic findings and a review of the literature.
Conclusions:
The case shows that an accurate evaluation of clinical and environmental risk factors should be always performed at the moment of admission also in surgery divisions. A multidisciplinary approach is always recommended also with the involvement of the family members. In some cases, as in this one a fall of the patient is expectable but not always avoidable. Physical restraint use should be avoided when not necessary and used only if there are no practical alternatives.
Municipal water quantities and health in Nunavut households: an exploratory case study in Coral Harbour, Nunavut, Canada
Authors: Kiley Daley, Heather Castleden, Rob Jamieson, Chris Furgal, Lorna Ell
Journal: Int J Circumpolar Health (2014)
Keywords: canadian arctic, inuit, built environment, communicable diseases, domestic water, overcrowded housing, public health, water security
MeSH terms: Drinking Water / analysis, Public Health, Water Pollution / prevention & control, Water Purification / methods, Water Quality, Water Supply / analysis, Research Support, Non-U.S. Gov't, Family Characteristics, Female, Health Surveys, Humans, Interviews as Topic, Male, Nunavut, Qualitative Research, Drinking Water

Background:
Access to adequate quantities of water has a protective effect on human health and well-being. Despite this, public health research and interventions are frequently focused solely on water quality, and international standards for domestic water supply minimums are often overlooked or unspecified. This trend is evident in Inuit and other Arctic communities even though numerous transmissible diseases and bacterium infections associated with inadequate domestic water quantities are prevalent.
Objectives:
Our objective was to explore the pathways by which the trucked water distribution systems being used in remote northern communities are impacting health at the household level, with consideration given to the underlying social and environmental determinants shaping health in the region.
Methods:
Using a qualitative case study design, we conducted 37 interviews (28 residents, 9 key informants) and a review of government water documents to investigate water usage practices and perspectives. These data were thematically analysed to understand potential health risks in Arctic communities and households.
Results:
Each resident receives an average of 110 litres of municipal water per day. Fifteen of 28 households reported experiencing water shortages at least once per month. Of those 15, most were larger households (5 people or more) with standard sized water storage tanks. Water shortages and service interruptions limit the ability of some households to adhere to public health advice. The households most resilient, or able to cope with domestic water supply shortages, were those capable of retrieving their own drinking water directly from lake and river sources. Residents with extended family and neighbours, whom they can rely on during shortages, were also less vulnerable to municipal water delays.
Conclusions:
The relatively low in-home water quantities observed in Coral Harbour, Nunavut, appear adequate for some families. Those living in overcrowded households, however, are accessing water in quantities more typically seen in water insecure developing countries. We recommend several practical interventions and revisions to municipal water supply systems.
Eroded adjustable gastric band migration causing gastric obstruction and perforation in a pregnant lady
Authors: Maram Alawad, Muhammad Abukhater, Khalid Al-Mohaimeed
Journal: Int J Surg Case Rep (2020)
Keywords: bariatric surgery, case report, complications, gastric band, gastro-gastrostomy, pregnancy
MeSH terms: Case Reports

Background:
The laparoscopic adjustable gastric band is the least invasive bariatric surgery, which has the advantage of preserving the anatomy of the gastrointestinal tract. In the last two decades, the laparoscopic adjustable gastric band (LAGB) has largely been replaced by other surgical techniques for weight loss because of its high inseparable complications. Although a popular surgical technique at the time of its introduction in 1993, LAGB nowadays reports for not more than 5.5% of all bariatric procedures. The estimated overall long term complication rates of LAGB are ranging from 0.1% to 28%.
Objective:
In this report, we review one of the cases that are considered as an anecdotic event that might follow one of the bariatric procedures.
Methods:
We reported a pregnant lady who undergoes gastric banding 12 years ago. presented with progressively increasing colicky epigastric pain, nausea, and vomiting. The investigations show gastric obstruction and perforation secondary to eroded gastric band and migration.
Results:
The management was completed by the elimination of the gastric band proceed with central gastrectomy plus gastro-gastrostomy with an excellent outcome for the patient and her baby.
Conclusion:
This case highlights an absolutely rare serial complication, that may happen even when the patient presents with a vague complaint. Intraoperative findings can determine the way of management to achieve suitable results. Lastly; we encourage the young Women who underwent or planning for bariatric surgery to do a careful follow-up.
The Relationship between Multiple Myeloma with Renal Failure and Metastatic Calcification
Authors: Takanori Fukuta, Takayuki Tanaka, Yoshinori Hashimoto, Hiromi Omura
Journal: Case Rep Hematol (2018)
MeSH terms: Case Reports

While cases of multiple myeloma (MM) with metastatic calcification have been reported, the mechanisms for this calcification have yet to be explained. We observed a case of MM in a patient with end-stage renal failure who developed vascular and pulmonary calcification. A 51-year-old male was diagnosed with Bence-Jones type MM and required maintenance hemodialysis. He was treated with bortezomib-dexamethasone, vincristine-doxorubicin-dexamethasone, the M2 protocol, and lenalidomide-dexamethasone (Rd) therapy. During the sixth cycle of Rd therapy, he complained of pain in both lower legs. Well-demarcated ulcers with severe pain had developed on the right lower leg, both exterior thighs, and penis. We found that the patient's serum intact parathyroid hormone level was elevated, while it had previously been permissively controlled. Computed tomography scan showed widespread centrilobular opacities of the bilateral lungs and high-density lesions along small blood vessels in the trunk and all four extremities. Histological calcifications were identified in small blood vessels and the alveolar walls. The risk of metastatic calcification in MM appears to be associated with renal failure, but not with MM itself.
Unexpected Gastrointestinal Tract injury years following Laparoscopic Adjustable Gastric Banding
Authors: Subhi Mansour, Giuseppe Borzellino, Yoram Kluger, Safi Khuri
Journal: Int J Surg Case Rep (2020)
Keywords: bariatric surgery, case report, laparoscopic adjustable gastric band, life threatening complications, severe pressure effect
MeSH terms: Case Reports

Introduction:
Band migration is a late complication of Laparoscopic Adjustable Gastric Banding insertion, although rare it could be life threatening presenting as peritonitis secondary to gastro-intestinal tract injuries. A case of an unexpected extension of severe gastro-intestinal tract injuries secondary to intra-gastric migration and distal band dislocation is reported.
Presentation of case:
A 53 years old male, with a history of laparoscopic gastric banding 15 years before and known erosion of the band into the gastric lumen was admitted for abdominal pain and raised serum amylase. Imaging revealed dislocation of the band down to the jejunum. Endoscopy and exploratory surgery showed severe decubitus pressure on the gastric antrum up to the duodenum as well as on the pancreas due to rod-like effect of the gastric band catheter and multiple sites of perforation on distal duodenum and small bowel proximal to the band, which migrated within the lumen until 90 cm distal to the Treitz ligament. Extended distal gastrectomy and resection of distal duodenum and small bowel extended to the proximal affected small bowel were necessary. Digestive tract was restored by a gastro-jejunostomy and duodeno-jejunostomy in a Roux-En-Y configuration with duodenal stump closure on tube duodenostomy. A post-operative leakage from the duodenal stump was treated conservatively and the patient was discharged on post-operative day 21.
Discussion:
Erosion and migration of the band within the digestive lumen is one of the less frequent late complications occurring after LAGB, furthermore, the amount of extensive damage reported in this case presentation has yet to be reported in literature.
Conclusion:
Migration of the band should be considered in the differential diagnosis of abdominal complain in patients with adjustable gastric banding. Such a complication could be severe, and lesions may have unexpected extension requiring complex surgical approach.
Chronic Myeloid Leukemia in a Patient Receiving Tofacitinib: A Case Report and Literature Review
Authors: Georgio Medawar, Joseph Chahrouri, Rabih Said
Journal: Case Rep Rheumatol (2019)
MeSH terms: Case Reports

Background:
Tofacitinib is a new oral Janus kinase inhibitor that has shown promising clinical benefit in various rheumatologic diseases. However, many concerns related to the development of malignancies have been reported with its use.
Case presentation:
A 43-year-old female patient received tofacitinib for refractory rheumatoid arthritis (RA). Two years after 5 mg bid daily dosing, the patient developed chronic myelogenous leukemia (CML), for which she received imatinib and tofacitinib was discontinued. She then remained in remission for rheumatoid arthritis and within the expected milestone outcome for her CML.
Conclusion:
This is the first reported case of CML after the use of tofacitinib. This event is of particular interest knowing the possible benefits tofacitinib carries in the treatment of CML demonstrated in a few studies.
Unusual Talaromyces marneffei and Pneumocystis jirovecii coinfection in a child with a STAT1 mutation: A case report and literature review
Authors: Qin Yang, Chendi Yu, Yue Wu, Ke Cao, Xiaonan Li, Weiguo Cao, Lichao Cao, Shenrui Zhang, Ying Ba, Yuejie Zheng, Hezi Zhang, Wenjian Wang
Journal: Front Immunol (2023)
Keywords: pneumocystis jirovecii, stat1, talaromyces marneffei, coinfection, metagenome next-generation sequencing
MeSH terms: Coinfection, Pneumocystis carinii / genetics, Talaromyces / genetics, Review, Case Reports, Research Support, Non-U.S. Gov't, Child, Humans, Infant, Male, Mutation, STAT1 Transcription Factor / genetics, STAT1 protein, human, STAT1 Transcription Factor, Talaromyces marneffei

Talaromyces marneffei and Pneumocystis jirovecii are the common opportunistic pathogens in immunodeficient patients. There have been no reports of T. marneffei and P. jirovecii coinfection in immunodeficient children. Signal transducer and activator of transcription 1 (STAT1) is a key transcription factor in immune responses. STAT1 mutations are predominately associated with chronic mucocutaneous candidiasis and invasive mycosis. We report a 1-year-2-month-old boy diagnosed with severe laryngitis and pneumonia caused by T. marneffei and P. jirovecii coinfection, which was confirmed by smear, culture, polymerase chain reaction and metagenome next-generation sequencing of bronchoalveolar lavage fluid. He has a known STAT1 mutation at amino acid 274 in the coiled-coil domain of STAT1 according to whole exome sequencing. Based on the pathogen results, itraconazole and trimethoprim-sulfamethoxazole were administered. This patient's condition improved, and he was discharged after two weeks of targeted therapy. In the one-year follow-up, the boy remained symptom-free without recurrence.