OpenMed/multicare-articles huggingface dataset:
Solid to cystic: A case report of imaging findings of atypical lung metastases
Authors: Tanusha Sewchuran
Journal: SA J Radiol (2019)

The imaging spectrum of pulmonary metastases varies greatly, with solid and partly cavitating nodules being the most common. When imaging the oncology patient, specifically follow-up imaging post-treatment, the radiological aim is to assess for disease regression and thus treatment response, usually with resolution of these nodules. We report an interesting case series of a patient with primary endometrial carcinoma presenting with pulmonary metastases. This imaging series eloquently depicts the temporal evolution of the metastatic solid pulmonary nodules to cavitating nodules and finally to thin-walled cysts. Baseline imaging in this scenario is vital to exclude pre-existing cystic lung disease. The progression of solid pulmonary metastases to simple cysts is an uncommon therapy-related consequence, but an important entity to recognise, not only as an indicator of good treatment response, but also to evaluate for potential life-threatening complications such as spontaneous pneumothoraces.
Ovarian Fibrosarcoma: Clinicopathologic Considerations about the Intraoperative and Post-Surgical Procedures
Authors: Angel García Jiménez, Josep Castellví, Assumpció Pérez Benavente, Isabela Díaz de Corcuera Frutos, Santiago Ramón Y Cajal
Journal: Case Rep Med (2009)
MeSH terms: Case Reports

Primary ovarian fibrosarcomas are very uncommon neoplasms. Since the diagnostic criteria were established in 1981, less than one hundred cases have been reported. This diagnosis can be difficult to establish and other similar appearing mesenchymal processes must be ruled out. In every case this diagnosis is under consideration. Multiple sections of the specimen and immunohistochemical stains will be necessary to support this diagnosis. The difficulty of recognition in frozen section in the majority of the situations implies that the diagnosis should be deferred to the definitive study of the permanent sections with immunohistochemical studies. There exists a histological resemblance between a primary ovarian fibrosarcoma and actively mitotic fibroma. In some cases, it can be impossible to separate exactly these two entities. We report a well-differentiated ovarian fibrosarcoma, with less than 1-2 mitosis x10 HPF and low-grade cytological atypia, similar to active mitotic fibromas, developing liver metastasis one year later. Despite having distant metastasis, some cases with long survival rates have been reported in patients who received chemotherapy after surgery; so that the adjuvant chemotherapy should be considered, especially in young females.
Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries
Authors: Siddhant Dogra, Asha M Mahajan, Albert Jung, Michael Attubato, Muhamed Saric, Alan Shah
Journal: Case Rep Cardiol (2020)
MeSH terms: Case Reports

Coronary artery disease (CAD) is a known potential complication of thoracic radiation treatment that typically affects the proximal segments of the coronary arteries, requiring coronary artery bypass grafting (CABG). We present a case of acute coronary syndrome occurring in a 57-year-old man with prior thoracic radiation therapy following resection of a chest wall chondrosarcoma. Coronary angiogram demonstrated significant areas of stenosis in the left main coronary artery (LMCA) and ostial left anterior descending (LAD) coronary artery. The patient was also found to have atretic bilateral internal mammary arteries as a consequence of his radiation therapy, rendering them unsuitable as grafts. Percutaneous coronary intervention (PCI) was thus performed with a successful outcome. To our knowledge, this is the first case of radiation-induced CAD of the LMCA with atretic internal mammary arteries treated successfully with PCI.
Pseudomonas aeruginosa as an Etiologic Agent of Nephrolithiasis in Deep Water Divers
Authors: Victoria Y Bird, Ryan Chastain-Gross, Raymond Sutkowski, Vincent G Bird, Paulas Vyas, Ryan Joseph
Journal: J Endourol Case Rep (2017)
Keywords: p-valve, diving, infection, urinary stone
MeSH terms: Case Reports

Background: A number of occupations and professions may be associated with unique hazards relevant to urologic care. Case Presentation: We relate the presentation, care, and the occupational hazard of urinary tract infection (UTI), presenting as cystitis and pyelonephritis, with stone formation in a scuba diver. The patient voiced concern that his diving suit malfunction was related to his UTI and stone disease. We review the risk of UTI in the diving environment. We also report the development of infection-related stone in this case. Our evaluation included consultation with an expert in diving and associated equipment. Conclusion: Careful installation of P-valves in dry suits, proper maintenance, and monitoring for leakage improved post-dive hygiene, and proper maintenance of P-valve tubing and diving equipment may decrease the incidence of these complications described. Urologists treating UTI and stone disease should be aware of this occupation-related hazard.
Left inferior epigastric artery injury in COVID-19 patient. Case report and literature review
Authors: Ifrat Bakirov, Gultakin Bakirova, Yousef Albalawi, Ayed Y Asiri, Fahad Faqihi, Ilkin Bakirli, Dema Hammami, Hasan Bakirli, Najmeddin M Mandow
Journal: Int J Surg Case Rep (2020)
Keywords: covid-19, case report, computed tomography, inferior epigastric artery, laparotomy, rectus sheath haematoma
MeSH terms: Case Reports

Introduction:
Management of COVID-19 pneumonia cases is a medical challenge. However, the situation becomes worse if the patient has coexisting morbidities or newly developed complications. The study is about managing rectus sheath haematoma (RSH) in a patient with COVID-19 pneumonia.
Presentation of case:
The patient was a 75-year-old male, presenting with bilateral COVID-19 pneumonia, with pulmonary embolism complications. Therapeutic anticoagulation by subcutaneous Clexane injection was administered. A left rectus haematoma was observed, and the patient fell and underwent haemorrhagic shock. Laparotomy was done for the evacuation of the haematoma.
Discussion:
Contrast-enhanced computed tomography (CECT) is an essential tool for diagnosing RSH, identifying the source of bleeding, type of haematoma, and compression of the urinary system.
Conclusion:
Surgical management of RSH in COVID-19 patients is superior to interventional radiology during the rush pandemic period.
Community Health Representative Workforce: Integration across systems and teams to address the social determinants of indigenous health and wellbeing
Authors: Samantha Sabo, Louisa O'Meara, Janet Yellowhair, Joyce Hamilton, J T Neva Nashio, Brook Bender, Fernando Flores Jr, Marianne Bennett, Rema Metts, Isabella Denton, Kim Russell
Journal: Front Public Health (2023)
Keywords: covid-19, community health representatives, community health workers, health systems, indigenous health and wellbeing, patient centered approaches, primary care
MeSH terms: COVID-19 / epidemiology, Public Health, Research Support, N.I.H., Extramural, Research Support, U.S. Gov't, P.H.S., Community Health Workers, Humans, Pandemics, Social Determinants of Health, Workforce

Tribally employed, Community Health Representatives (CHRs) serving Indigenous and American Indian and Alaskan Native (AIAN) peoples are culturally and linguistically embedded community leaders, with the unique ability to serve as the link and intermediary between community members and systems. Unique to the CHR workforce scope of practice is the expectation for high level integration within the medical and social service care team. This explicit role outlined in the scope of work sets an expectation for both CHR and care teams to deliver integrated patient, family, and systems level care coordination and case management. This paper aims to build from our previous manuscript published in Volume 1 of the special issue Community Health Workers Practice from Recruitment to Integration. In that Volume, we explored through a Community Case Study CHR Managers' perspectives on the challenges and opportunities for full CHR integration into health systems and teams serving AIAN. In this paper, we offer new information about the current CHR and CHR Managers' involvements and perceived level of integration within health care teams and the broader public health systems addressing the social and structural determinants of health. We approach this topic considering the COVID-19 pandemic and how CHRs and CHR Programs were included and not included in tribal pandemic response efforts.
Enhanced acupuncture therapy for radiotherapy-related neuropathic pain in patients with gynecologic cancer: a report of two cases and brief review
Authors: Zhou Dan-Feng, Rong Jian-Cheng, Zheng Shu-Zhen, Zhang Kun, Yang Hong-Zhi, Yang Lian-Sheng, Tang Chun-Zhi
Journal: Front Neurol (2023)
Keywords: acupuncture, cancer, case report, neuropathic pain, radiotherapy
MeSH terms: Case Reports

As radiation therapy is increasingly utilized in the treatment of cancer, neuropathic pain (NP) is a common radiotherapy-related adverse effect and has a significant impact on clinical outcomes negatively. However, despite an improved understanding of neuropathic pain management, pain is often undertreated in patients with cancer. Herein, we reported two cases with radiotherapy-related neuropathic pain (RRNP) who presented a positive reaction to acupuncture. Patient 1 (a 73-year-old woman) with gynecologic cancer complained of burning and electric shock-like pain in the lower limb after radiotherapy. With the accepted combination of acupuncture and drugs, the pain was alleviated completely in 8 weeks. Patient 2 (a 64-year-old woman) accepted acupuncture in the absence of medication because of her inability to tolerate the adverse events of anticonvulsant drugs. She achieved remission of pain 4 weeks later. The results of this study showed that acupuncture might be promising for controlling the RRNP in patients with cancer, especially who were intolerant or unresponsive to medications.
Sailing Across the Atlantic: An Exploration of the Psychological Experience Using Arts-Based Research
Authors: Anita Pipere, Kristīne Mārtinsone, Laura Regzdiņa-Pelēķe, Ingūna Grišķeviča
Journal: Front Psychol (2020)
Keywords: adventure tourism, arts-based methods, diary, freehand drawings, psychological experience, transatlantic sailing

The reported study pursues the bidimensional objective, namely, (1) to grasp the essence of the psychological experience of a transatlantic journey and (2) to observe the potential of arts-based research for the enhancement of the well-being of sailors. The sample consisted of three males and one female - Latvian citizens, aged 36-68 years, with higher education and different sailing experience. In the context of a case study grounded on arts-based research methods, the freehand drawings of self-portraits or something important during the day were obtained using individual diaries containing daily reports on the sailing experience. After the journey, individual drawings prompted interviews organized for each participant. The results were triangulated with data from the logbook. In their drawings, participants focused more on the environment rather than on self-representation, that is, telling the story about "here and now" in terms of specific time (journey), place (boat), and their relationship with nature, as well as dealing with problems during the trip. The psychological experience of transoceanic sailing matched the three general dimensions (dynamics, context, and content of experience) of the conceptual framework constructed for this study. The three dimensions of experience were equivalently represented in research data; however, only dynamics and context were fully delineated in all theoretical subcategories. As to the potential of arts-based research for the enhancement of sailors' well-being, the findings show both direct and indirect evidence concerning their psychological and existential well-being. Further research is still needed to confirm the findings on a broader scale and in other contexts.
Diagnosis and management of coronavirus disease-associated immune thrombocytopenia: a case series
Authors: Fatma Yılmaz Aydın, Vehbi Demircan
Journal: Rev Soc Bras Med Trop (2021)
MeSH terms: COVID-19, Purpura, Thrombocytopenic, Idiopathic, Thrombocytopenia / diagnosis, Thrombocytopenia / etiology, Thrombocytopenia / therapy, Case Reports, Humans, SARS-CoV-2

Data on health problems and fatal complications associated with coronavirus disease (COVID-19) have consistently been reported. Although immune thrombocytopenia has been associated with multiple viral infections, only few studies have shown its association with COVID-19. Here, we have reported a case series of two cases pertaining to patients diagnosed with COVID-19-associated immune thrombocytopenia, elaborating on the clinical course, management, and response to treatment.
An Unusual Association between Neurofibromatosis Type 1 and Diffuse B Cell Lymphoma
Authors: Anas Bizanti, Ariege Bizanti, Ahmad Al-Abdouh, Mohammed Mohammed, Maria Pardi
Journal: Case Rep Oncol Med (2021)
MeSH terms: Case Reports

Neurofibromatosis type 1 (NF-1) is known to be associated with increased risk of malignancy by at least fourfold. Malignant lymphomas are rare in adults with NF-1. Hereby, we present a 75-year-old male with NF-1 complaining of weakness, nausea, and vomiting associated with abdominal pain. Three months prior to presentation, he had suffered a motor vehicle accident (MVA) resulting in multiple rib fractures that was seen in chest X-ray. For the following three months, he had intermittent chest pain, but it was attributed to the recent rib fracture. During this admission, the severity of chest pain worsened and the associated vomiting inclined further investigation; including CT imaging and bone biopsy, it was revealed to be a rare case of diffuse B cell lymphoma in a patient with NF-1. However, we believe the recent MVA caused an anchoring bias in making a prompt diagnosis. In addition, the appearance of the neurofibroma, resulted in suboptimal physical examination, and hence, there was a delay in reaching the diagnosis. We will discuss here the presentation of this case, to highlight the rare association and to increase awareness of when encountering a challenging diagnosis.
Fibrodysplasia ossificans progressiva in Hong Kong-A case report series
Authors: Joshua Chun Ki Chan, Evelyn Eugenie Kuong, Joyce Pui Kwan Chan, Ho Ming Luk, Jasmine Lee Fong Fung, Joanna Yuet-Ling Tung, Brian Hon Yin Chung
Journal: Front Pediatr (2023)
Keywords: acvr1, fop, hong kong, case report, fibrodysplasia ossificans progressiva
MeSH terms: Case Reports

Fibrodysplasia ossificans progressiva (FOP) is an ultra-rare condition. The diagnosis could be challenging due to its rarity and non-specific presenting symptoms. However, early diagnosis and appropriate management help in preserving patients' function and quality of life. Herein, we report the diagnostic journeys and clinical courses of 8 patients with FOP in Hong Kong and illustrate the challenges involved.
Congenital Bronchobiliary Fistula: A Case Report and Literature Review
Authors: Zhen Bing, Rui Chen, Pengchao Xing, Yueyi Ren, Kefeng Hou
Journal: Front Pediatr (2021)
Keywords: bronchoscope, congenital bronchobiliary fistula, endobronchial blocker, fistulography, thoracoscopic surgery
MeSH terms: Case Reports

Congenital bronchobiliary fistula (CBBF) is a rare disease. Children with CBBF mostly have atypical clinical manifestations that can be easily missed. We report a case of a child with CBBF who was diagnosed with fistulography with the help of an endobronchial blocker and a fiberoptic bronchoscope. The CBBF was successfully removed by thoracoscopic surgery.
Congenital hairy polyp associated with cleft palate-a rare entity
Authors: Gokul S, Veda Hegde, Kaveri Hallikeri
Journal: Int J Clin Pediatr Dent (2009)
Keywords: hairy polyp, cleft palate, dermoid, lipoma, teratoma
MeSH terms: Case Reports

Hairy polyps are common congenital benign lesions of oroand nasopharynx containing elements of both ectodermal and mesodermal origin. However, their occurrence in palate is quite rare. Here we present a case of hairy polyp associated with palatal cleft in an eight months old female infant. We discuss the clinicopathological features, etiology, proposed theories related to its formation and its significance.
First Case Report of Maturity-Onset Diabetes of the Young Type 4 Pedigree in a Chinese Family
Authors: Mingqun Deng, Xinhua Xiao, Liyuan Zhou, Tong Wang
Journal: Front Endocrinol (Lausanne) (2019)
Keywords: chinese, mody4, pdx1, obese, pancreatic exocrine dysfunction
MeSH terms: Case Reports

Maturity-onset diabetes of the young (MODY) is the most common monogenetic diabetes, which is easily misdiagnosed. We describe the first Chinese MODY4 family with a novel mutation, indicating that MODY4 cannot be excluded in early-onset obese diabetes, and pancreatic exocrine dysfunction could be present in MODY4.
Retroperitoneal Fibrosis after Chronic Abscesses of Silicone Fluid Fillers in a Case of Gluteal Augmentation
Authors: Hana S Alahmari, Abdurhaman S Alarfaj, Tariq E Aljohani
Journal: Case Rep Med (2020)
MeSH terms: Case Reports

Filler injection or implantation is a progressing revolutionary subject. Although the widely available kinds in many implications are considered safe, post filler adverse events are not uncommon. These reactions range from mild reactions such as edema or erythema to detrimental reactions such as recurrent infected granuloma or vascular occlusion, which are predominantly related to non-FDA approved materials. Here, we presented a patient with a significant history of gluteal augmentation using unlicensed silicone who developed extensive retroperitoneal fibrosis complicated by deep venous occlusions and obstructive uropathy.
Primary central nervous system lymphoma presenting as multiple space-occupying lesions in advanced human immunodeficiency virus infection
Authors: Sara Zafar, Maria Javed, Neesha Rockwood, Farhat Kazmi
Journal: SA J Radiol (2017)
MeSH terms: Case Reports

A 31-year-old man presented with seizures and cerebellar symptoms on a background of weight loss and lethargy. He was found to be infected with human immunodeficiency virus (HIV) and following radiological imaging, was commenced on treatment for presumed cerebral toxoplasmosis. Due to a lack of response, both clinically and on interval imaging, a positron-emission tomography-computed tomography and brain biopsy were undertaken, which demonstrated high-grade primary central nervous system lymphoma (PCNSL). Awareness amongst both clinicians and radiologists of the multifarious patterns of intra-cranial involvement in patients with HIV is, therefore, of utmost importance, as the treatment and prognosis of these entities are entirely different.
Case report: Five patients with myocarditis after mRNA COVID-19 vaccination
Authors: Hiroki Murase, Yiqing Zhu, Keiya Sakaida, Hayato Mizuno, Hiromitsu Mori, Hideyuki Iwayama, Noriyuki Suzuki, Noriko Nagai, Akihisa Okumura
Journal: Front Pediatr (2022)
Keywords: diagnosis, electrocardiogram, mrna covid-19 vaccination, myocarditis, troponin i
MeSH terms: Case Reports

Objectives:
To describe clinical features and laboratory data of myocarditis after the mRNA COVID-19 vaccine in children.
Methods:
We reviewed patients younger than 18 years of age, who visited our hospital because of myocarditis within 1 week after BNT162b2 from June 2021 to January 2022.
Results:
We identified five male patients aged 12-16 years who presented to our hospital with myocarditis within 2-3 days after the second dose of BNT162b2 COVID-19 vaccination between June 2021 and January 2022. All patients experienced chest pain, and fever, pain other than chest pain, and shortness of breath were present in two, three, and two patients, respectively. The serum troponin I level was increased in all patients except one, and electrocardiogram (ECG) showed ST elevation in all patients. Echocardiography revealed pericardial effusion and decreased ejection fraction in three and one patients, respectively. In accordance with the Japanese guidelines for myocarditis, the patients were treated with colchicine and aspirin. Chest pain improved within a few days with no hemodynamic instability. The patients were discharged with no sequelae.
Conclusions:
ST changes on ECG and elevated troponin I levels may aid the diagnosis of myocarditis after mRNA COVID-19 vaccination.
Successful conservative management of symptomatic bilateral dorsal patellar defects presenting with cartilage involvement and bone marrow edema: MRI findings
Authors: Thomas C Kwee, Heleen Sonneveld, Maarten Nix
Journal: Skeletal Radiol (2016)
Keywords: bilateral, cartilage, dorsal patellar defect, edema, mri, x-ray
MeSH terms: Bone Marrow Diseases / diagnostic imaging, Bone Marrow Diseases / therapy, Cartilage, Articular / diagnostic imaging, Edema / therapy, Magnetic Resonance Imaging / methods, Patella / diagnostic imaging, Case Reports, Adolescent, Cartilage, Articular / pathology, Conservative Treatment / methods, Edema / diagnostic imaging, Humans, Male, Treatment Outcome

The dorsal patellar defect is a relatively rare entity that involves the superolateral quadrant of the patella. It is usually considered to represent a delayed ossification process, although its exact origin remains unclear. Because of its usually innocuous nature and clinical course, invasive interventions are generally deemed unnecessary, although curretage has been successfully performed on symptomatic cases. This case report presents a rather unusual case of symptomatic bilateral dorsal patellar defects with cartilage involvement and widespread surrounding bone marrow edema as demonstrated by magnetic resonance imaging (MRI). Both cartilage involvement and bone marrow edema should be considered part of the spectrum of associated MRI findings that can be encountered in this entity. Furthermore, the presented case shows that symptomatic dorsal patellar defects can be treated conservatively with success and that (decrease of) pain symptoms are likely related to (decrease of) bone marrow edema.
Cutaneous Fusariosis in a Patient with Job's (Hyper-IgE) Syndrome
Authors: Ahmed M Altibi, Radhika Sheth, Ayman Battisha, Vivek Kak
Journal: Case Rep Infect Dis (2020)
MeSH terms: Case Reports

Fusarium is a filamentous fungus that is ubiquitous in nature and can cause severe opportunistic infections in immunocompromised hosts. The association between Fusarium and hyper-IgE syndrome is exceedingly rare and has only been documented in a single report previously. A 44-year-old male, working as marijuana grower, with prior diagnosis of hyper-IgE syndrome and recurrent infections presented with enlarging right knee ulcer that did not respond to antimicrobial treatment. The patient was diagnosed with cutaneous fusariosis, confirmed with punch biopsy and positive wound cultures. The patient was managed with extended antifungal therapy (i.e., posaconazole) and surgical debridement resulting in remarkable improvement with wound healing leaving a pale scar. Fusarium should be considered in differential for cutaneous and invasive fungal infections in presence of cutaneous manifestations. Exposure to Cannabis plants is a noticeable risk factor. Multimodal approach involving systemic antifungals and wound debridement is essential for favorable outcome. Posaconazole was demonstrated to be a highly efficacious antifungal choice.