OpenMed/multicare-articles huggingface dataset:
Pulmonary tuberculosis: a differential diagnostic priority in unprovoked deep venous thrombosis patients with haemoptysis
Authors: Nahid Azdaki, Seyedali Moezi, Marjan Farzad
Journal: Pan Afr Med J (2018)
Keywords: deep vein thrombosis, haemoptysis, pulmonary tuberculosis
MeSH terms: Hemoptysis / etiology, Tuberculosis, Pulmonary / diagnosis, Venous Thrombosis / etiology, Case Reports, Diagnosis, Differential, Hemoptysis / diagnosis, Humans, Lower Extremity, Male, Tuberculosis, Pulmonary / complications, Venous Thrombosis / diagnosis, Young Adult

Deep vein thrombosis (DVT) is a common cause of death worldwide. Several factors are associated with increased risk of DVT. In this report a case of deep venous thrombosis (DVT) of the lower limb and its link with underlying pulmonary tuberculosis is described in a young male patient with haemoptysis.
Successful ventricular tachycardia radioablation in a patient with previous chemical pleurodesis: A case report
Authors: Chiara Pavone, Roberto Scacciavillani, Maria Lucia Narducci, Francesco Cellini, Gemma Pelargonio, Gianluigi Bencardino, Francesco Perna, Francesco Spera, Gaetano Pinnacchio, Tommaso Sanna, Vincenzo Valentini, Filippo Crea
Journal: Front Cardiovasc Med (2022)
Keywords: case report, chemical pleurodesis, epicardial ventricular tachycardia ablation, stereotactic arrhythmia radioablation, ventricular tachycardia
MeSH terms: Case Reports

Introduction:
Stereotactic arrhythmia radioablation (STAR) is a novel technique for the ablation of ventricular tachycardia in patients with contraindications to standard procedures, i.e., radiofrequency ablation.
Case presentation:
We report the case of a 73-year-old man with non-ischemic dilated cardiomyopathy and recurrent VT episodes. Electroanatomic mapping showed VT prevalently of epicardial origin, but direct epicardial access through subxyphoid puncture could not be performed due to pleuropericardial adhesions from a past history of chemical pleurodesis. STAR was performed, with no VT recurrence at 6 months follow-up.
Conclusions:
Previous experiences with STAR have demonstrated its importance in the management of patients with refractory VT in whom other ablation strategies were not successful. Our case report highlights the use of STAR as a second choice in a patient with an unfavorable VT anatomical location and technical limitations to an optimal radiofrequency ablation. Moreover, it confirms STAR's effectiveness in the ablation of complex transmural lesions, which are more often associated with non-ischemic structural heart disease.
Recurrent Multifocal Mycoplasma orale Infection in an Immunocompromised Patient: A Case Report and Review
Authors: Jeffrey Ketchersid, Jake Scott, Thomas Lew, Niaz Banaei, Shanthi Kappagoda
Journal: Case Rep Infect Dis (2020)
MeSH terms: Case Reports

A young woman with mixed connective tissue disease complicated by erosive arthritis, secondary hypogammaglobulinemia due to rituximab, and a history of many infectious complications developed multiple nonhealing wounds, polyarticular joint pain, and leukocytosis. Radiographic studies demonstrated multiple scattered areas of osteomyelitis and complex abscesses. Purulent fluid drained from multiple sites did not yield a microbiologic diagnosis by standard culture technique, but Mycoplasma orale was ultimately identified using 16 S ribosomal RNA gene amplification and sequencing. We describe this unique case and review the literature.
Histologically malignant solitary fibrous tumour of the anterior thoracic wall: a case report and review of the literature
Authors: Maria Archontaki, Dimitris P Korkolis, Niki Arnogiannaki, Stelios Hatzijiannis, Panagiotis Dendrinos, Christos Megapanos, Dimitris Kassotakis, Georgios Kokkalis
Journal: Case Rep Med (2010)
MeSH terms: Case Reports

Solitary fibrous tumour (SFT) is a rare oncological entity that most often arises in the pleura. Over the past 10 years, the tumour has been described at numerous extrapleural locations. We present the case of a 42-year-old female Caucasian patient with an extrapleural SFT located at the anterior thoracic wall for 22 years, with atypical histological characteristics and clinical features of malignancy. Management consisted of a wide surgical resection, plastic reconstruction, and postoperative radiotherapy. Although extrapleural SFT usually behaves as a benign soft tissue tumour, it can also present with a more aggressive local behavior, including locoregional recurrence or metastasis. In that case, a multidisciplinary approach is required for accurate diagnosis and proper management.
Extraventricular neurocytoma of the sellar region: case report and literature review
Authors: Jie Wang, Dong-Lei Song, Li Deng, Shu-Yan Sun, Chun Liu, De-Shan Gong, Yin Wang, Qi-Wu Xu
Journal: Springerplus (2016)
Keywords: diagnosis, extraventricular neurocytoma, prognosis, sellar region, treatment

Introduction:
The extraventricular neurocytoma of the sellar region (EVNSR) is a rare disease, it is difficult to make exact diagnosis of and operate on patients. Retrospectively analysed the clinical manifestations, image features, therapy methods and outcomes among patients with EVNSR, to investigate the epidemiological characteristics, image features, diagnosis, treatment and prognosis.
Case description:
A 25-year-old man man with 7-month worsening vision of left eye, was confirmed EVNSR after subtotally resection from the neurosurgical department of Deji hospital.
Discussion and evaluation:
Nine cases of EVNSR were reported from this article and elsewhere. Ages of these patients were ranging from 25 to 66 (with an average of 45.67). The male-female ratio was 1-2. All EVNSR patients had visual damage. Images showed the tumors were in the sellar and suprasellar regions. Preoperatively, all patients were misdiagnosed as other diseases: such as pituitary tumor, craniopharyngioma, and meningioma. For tumor removal treatment, five patients received transpterional approach, one received subfrontal approach and three received transnostril-transsphenoidal approach. EVNSR was confirmed by pathological tests. The tumor was completely removed in one patient. During the 12-24 month postoperative follow up period, the recurrence or metastasis of the tumor was found in two patients.
Conclusions:
EVNSR is a rare disease. It occurs mostly in middle-aged women. EVNSR is likely to be misdiagnosed as pituitary adenoma preoperatively. The histological examination would help confirm the diagnosis. Using transpterional approach to remove tumor will help the prognosis, especially among patients with normal pituitary function. Both postoperative radiotherapy and long-term follow-up are recommended.
Application of skin electrical conductance of acupuncture meridians for ureteral calculus: a case report
Authors: Wu-Chou Lin, Yung-Hsiang Chen, Jian-Ming Xu, Der-Cherng Chen, Wen-Chi Chen, Chao-Te Lee
Journal: Case Rep Nephrol (2011)
MeSH terms: Case Reports

Renal colic is a common condition seen in the emergency department (ED). Our recent study showed that measures of electrical conductance may be used as supplementary diagnostic methods for patients with acute renal colic. Here, we describe the case of a 30-year-old male subject with a left ureteral calculus who presented with frequency and normal-looking urine. He had already visited the outpatient department, but in vain. Normal urinalysis and nonobstructive urogram were reported at that time. Two days later, he was admitted to the ED because of abdominal pain in the left lower quadrant. The urinalysis did not detect red blood cells. Ultrasonography did not indicate hydronephrosis. The meridian electrical conductance and index of sympathovagal balance were found to be abnormal. High level of electrical conductance on the left bladder meridian was found. An unenhanced helical computed tomography was scheduled to reveal a left ureterovesical stone. Ureteroscopic intervention was later uneventfully performed, and the patient's pain was relieved. The follow-up measurements showed that the meridian parameters had returned to normal one month after treatment. This case suggests that bladder meridian electrical conductance might be used as a supplemental method for ureteral calculus diagnosis.
Synchronous multifocal osteosarcoma: case report and literature review
Authors: Verity A Currall, John H Dixon
Journal: Sarcoma (2006)
MeSH terms: Case Reports

Background. Multifocal osteosarcoma is usually described as the occurrence of the tumour at two or more sites in a patient without pulmonary metastases and may be synchronous or metachronous. Case report. A previously well 21-year old male, who presented with a swollen, painful right knee with no history of trauma, was found to have a high-grade osteosarcoma of the distal tibia and proximal femur. He underwent resection and prosthetic replacement of the distal femur and proximal tibia and remains well 19 months after diagnosis. Discussion. Multifocal osteosarcoma is a rare condition with a poor prognosis. There is debate about whether it represents multiple primary tumours or metastatic disease.
Surgical revascularization for severe spasm in the left main coronary artery
Authors: Kayo Sugiyama, Masanobu Fujimoto, Hirotaka Watanuki, Katsuhiko Matsuyama
Journal: Clin Case Rep (2023)
Keywords: carotid artery hypoplasia, coronary artery spasm, endothelial damage
MeSH terms: Case Reports

A 46-year-old woman who presented with severe stenosis with endothelial damage caused by recurrent spasm in the left main coronary artery received medical therapy. However, she developed severe coronary artery spasm, resulting in circulatory collapse, which was successfully treated with coronary artery bypass grafting.
Visceral leishmaniasis: a differential diagnosis to remember after bone marrow transplantation
Authors: Margarida Dantas Brito, Fernando Campilho, Rosa Branca, Carlos Pinho Vaz, Cristina Silva, Teresa Sousa, Carlos Mendes, António Campos
Journal: Case Rep Hematol (2014)

Leishmania infection in immunocompromised hosts is reported in the literature, mostly concerning human immunodeficiency virus infected patients. It is not well characterized in the context of stem cell transplantation. We report a rare case clinical case of visceral leishmaniasis after allogeneic bone marrow transplantation. A 50-year-old Caucasian male was referred to allogeneic bone marrow transplantation with a high-risk acute lymphoblastic B leukemia in first complete remission. Allogeneic SCT was performed with peripheral blood stem cells from an unrelated Portuguese matched donor. In the following months, patient developed mild fluctuating cytopenias, mostly thrombocytopenia (between 60 and 80∗10(9)/L). The only significant complaint was intermittent tiredness. The common causes for thrombocytopenia in this setting were excluded-no evidence of graft versus host disease, no signs of viral or bacterial infection, and no signs of relapsed disease/dysplastic changes. The bone marrow smear performed 12 months after transplantation revealed an unsuspected diagnosis: a massive bone marrow infiltration with amastigotes.
Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report
Authors: Wei Jiang, Genshan Zhang, Haijie Li, Xiangshang Xu, Lingwei Jia, Xuelai Luo, Zhixin Cao
Journal: Open Med (Wars) (2023)
Keywords: case report, colorectal cancer, gastric cancer, laparoscopic surgery, multiple primary malignant tumors
MeSH terms: Case Reports

Synchronous gastrointestinal multiple primary tumors including gastric, colonic, and rectal cancers are rare. Moreover, it was a challenge to find an appropriate procedure without negatively impacting the overall outcome. We described the case of a 63-year-old woman who presented with a 4 month history of upper abdominal pain, acid regurgitation, and anemia. Gastroscopy with biopsy suggested early cancer of gastric antrum. Abdominal contrast-enhanced computerized tomography and colonoscopy revealed ascending colon and rectum tumors. She had no family history of malignancy. Endoscopic submucosal dissection was performed for gastric cancer, and the pathological result presented that it was poorly differentiated and invaded into deep submucosa. The laparoscopy-assisted radical surgery combined with distal gastrectomy, right hemicolectomy, and anterior resection of rectum was performed for these three tumors via eight ports and a 7 cm midline upper-abdominal incision. No other perioperative complications were encountered except postoperative ileus. The patient was discharged on the 12th postoperative day. The pathological results revealed gastric cancer (T1N0M0), right colonic cancer (T3N1M0), and rectal cancer (T2N0M0), indicating complete surgical resection. We reported that our laparoscopic approach for synchronous triple primary gastrointestinal malignant tumors was feasible and minimally invasive.
Isolated Ventricular Noncompaction Cardiomyopathy Presenting as Recurrent Syncope
Authors: Sukhdeep Bhogal, Vatsal Ladia, Puja Sitwala, Kais AlBalbissi, Timir Paul
Journal: Case Rep Med (2016)
MeSH terms: Case Reports

Isolated ventricular noncompaction (IVNC) occurs because of interruption of trabecular morphogenesis in the myocardium leading to ventricular noncompaction. Patients present with heart failure or with systemic complications secondary to thromboembolism or arrhythmias. High index of suspicion is necessary for early diagnosis. We present a case of 48-year-old male with unexplained recurrent syncope who was eventually diagnosed with IVNC.
Case Report: Anti-N-Methyl-D-Aspartate Receptor Encephalitis in an Elderly Patient With Primary Sjögren's Syndrome
Authors: Xia Li, Rui Kong, Qiuju Liao, Jing Ye, Yi Zhao
Journal: Front Neurol (2021)
Keywords: alzheimer's disease, anti-n-methyl-d- aspartate receptor, autoimmune encephalitis, cognitive dysfunction, primary sjögren's syndrome
MeSH terms: Case Reports

Neurological manifestations of primary Sjögren's syndrome (SS) are diverse involving the peripheral and central nervous system. Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis, as the most prevalent autoimmune encephalitis, was rarely reported to be complicated with primary SS. Herein, we present an elderly patient with a 15-year history of primary SS presenting with progressive cognitive dysfunction due to anti-NMDAR encephalitis that was once misdiagnosed as primary degenerative dementia. Early recognition of anti-NMDAR encephalitis and initiation of treatment with steroids and immunosuppressant gained a favorable outcome. Our findings enhance the awareness that autoimmune encephalitis should be taken into account in the patients with primary SS presenting with progressive cognitive impairment.
Ruptured intracranial mycotic aneurysm in infective endocarditis: a natural history
Authors: Isabel Kuo, Theodore Long, Nathan Nguyen, Bharat Chaudry, Michael Karp, Nerses Sanossian
Journal: Case Rep Med (2010)
MeSH terms: Case Reports

Mycotic aneurysms are a rare cause of intracranial aneurysms that develop in the presence of infections such as infective endocarditis. They account for a small percentage of all intracranial aneurysms and carry a high-mortality rate when ruptured. The authors report a case of a 54-year-old man who presented with infective endocarditis of the mitral valve and acute stroke. He subsequently developed subarachnoid hemorrhage during antibiotic treatment, and a large intracranial aneurysm was discovered on CT Angiography. His lesion quickly progressed into an intraparenchymal hemorrhage, requiring emergent craniotomy and aneurysm clipping. Current recommendations on the management of intracranial Mycotic Aneurysms are based on few retrospective case studies. The natural history of the patient's ruptured aneurysm is presented, as well as a literature review on the management and available treatment modalities.
Three's Company: Coexistence of Silicosis, Scleroderma, and Sjogren Syndrome in a Single Patient
Authors: Alexis Ziebelman, Shir Raibman-Spector, Omer Gendelman
Journal: Case Rep Rheumatol (2022)
MeSH terms: Case Reports

We describe a patient who presented with silicosis, scleroderma, and Sjogren syndrome all at the same time. The diagnoses in this case are all associated with continuous exposure to crystalline silica at the patient's workplace. The following report discusses this unique presentation.
Mixed-type intraductal papillary mucinous neoplasm: Tailored surgical planning - case report
Authors: Thiago Bassaneze, Alberto Youssef Laham, Luiz Guilherme Lisboa Gomes, Bruna Queiroz Coelho, Carlos Augusto Real Martinez
Journal: Int J Surg Case Rep (2020)
Keywords: case report, immunohistochemistry, mucin-2, pancreatic intraductal neoplasm, pancreatic neoplasm, pancreaticoduodenectomy
MeSH terms: Case Reports

Introduction:
With the greater availability of imaging exams, the diagnosis of intraductal papillary mucinous neoplasms (IPMNs) has increased recently. However, there are still questions about adequate management approaches for this disease, especially regarding the best therapeutic strategy. The objective is to describe the case of a patient with mixed-type (MT) IPMN successfully treated by a tailored surgical plan that adopted duodenopancreatectomy and imaging to monitor the remaining lesions of the tail and body of the pancreas.
Presentation of case:
A 65-year-old asymptomatic man underwent ultrasonography of the abdomen and was diagnosed with a cystic tumor, measuring 3.0 × 2.5 cm, located on the head of the pancreas. Magnetic resonance cholangiopancreatography (MRCP) showed dilation of the main pancreatic duct and multiple cystic lesions scattered throughout the entire parenchyma. The patient underwent duodenopancreatectomy; postoperatively, he did not have complications and was discharged on the 6th postoperative day. The histopathological panel confirmed the presence of MT-IPMN of the intestinal pattern. The patient is currently well four years after surgery and is undergoing semiannual MRCP examinations to follow up the remaining lesions.
Discussion:
MT-IPMNs represent 28-41% of all IPMNs. Among all subtypes, MT-IPMNs are the most challenging in terms of choosing the ideal therapeutic strategy. These lesions are the most difficult to treat because they can be multifocal and compromise different locations of the pancreatic parenchyma.
Conclusion:
MRI findings, Ca19.9 serum level and negative family history of pancreatic neoplasia were indications for the surgical choice for the MT- IPMN presented in this case.
Case report: Significant liver atrophy due to giant cystic pheochromocytoma
Authors: Qingbo Feng, Hancong Li, Guoteng Qiu, Zhaolun Cai, Jiaxin Li, Yong Zeng, Jiwei Huang
Journal: Front Oncol (2022)
Keywords: case report, giant cystic pheochromocytoma, literature review, liver atrophy, surgery
MeSH terms: Case Reports

Introduction:
Pheochromocytoma is a neuroendocrine tumor originating from chromaffin cells in the adrenal medulla. Giant pheochromocytomas with a maximum diameter of over 20 cm are particularly rare.
Case presentation:
We present a case of giant cystic pheochromocytoma in a 64-year-old woman who was found to have a right abdominal mass during an ultrasound examination, which is the largest pheochromocytoma ever documented in China. Meanwhile, obvious atrophy of the right lobe of the liver was found in preoperative CT and during the operation. Our literature review identified 20 cases with a diameter of over 20 cm. The average age at diagnosis was 51.7 (range 17-85), and 35% of cases did not exhibit classic symptoms.
Conclusion:
Giant pheochromocytoma is an uncommon neoplasm. It can be discovered late due to a lack of clinical manifestations. Diagnosis is dependent on imaging recognition together with catecholamine secretion. Surgical resection is the only curative treatment for such tumors.
Recognizing presentations of pemphigoid gestationis: a case study
Authors: Sadie Henry
Journal: Case Rep Obstet Gynecol (2014)

Introduction. Pemphigoid gestationis (PG) is an autoimmune blistering disease that occurs in approximately 1 in 50,000 pregnancies. Failing to recognize PG may lead to inadequate maternal treatment and possible neonatal complications. Case Report. At 18 weeks of gestation, a 36-year-old otherwise healthy Caucasian G4P1 presented with pruritic papules on her anterior thighs, initially treated with topical steroids. At 31 weeks of gestation, she was switched to oral steroids after her rash and pruritus worsened. The patient had an uncomplicated SVD of a healthy female infant at 37 weeks of gestation and was immediately tapered off steroid treatment, resulting in a severe postpartum flare of her disease. Discussion. This case was similar to reported cases of pruritic urticarial papules followed by blisters; however, this patient had palm, sole, and mucous membrane involvement, which is rare. Biopsy for direct immunofluorescence or ELISA is the preferred test for diagnosis. Previous case reports describe severe postdelivery flares that require higher steroid doses. Obstetrical providers need to be familiar with this disease although it is rare, as this condition can be easily confused with other dermatoses of pregnancy. Adequate treatment is imperative for the physical and psychological well-being of the mother and infant.
Atraumatic Subdural Hematoma in a Third-Trimester Gravid Patient
Authors: D C Traficante, A Marin, A Catapano
Journal: Case Rep Emerg Med (2016)

Acute atraumatic subdural hematoma is a rare occurrence and there exist few case studies which describe suspected cases and causes for this condition. We present a case of a 36-year-old female at 32-week gestation who initially presented to the emergency department for evaluation of lower extremity cellulitis but had acute neurologic change while being in the ED. Computed tomography revealed a right subdural hematoma with midline shift and mass effect. The primary cause for the patient's subdural hematoma is unknown; however, this patient had several risk factors for developing an atraumatic subdural hematoma.
The Role of KRAS Mutational Analysis to Determine the Site of Origin of Metastatic Carcinoma to the Lung: A Case Report
Authors: Ahmad Alkhasawneh, Hui-Jia Dong, Chen Liu, Carmen Allegra, Robert W Allan
Journal: Case Rep Pathol (2012)

Metastatic carcinomas involving the lung are a common specimen encountered in surgical pathology. These metastases may have different morphologic, and architectural patterns and may mimic primary pulmonary adenocarcinoma, especially the intra-alveolar (lepidic) pattern of spread which may simulate a primary pulmonary bronchioloalveolar carcinoma (adenocarcinoma in situ). We present the case of a metastatic pancreatic adenocarcinoma that morphologically mimicked bronchioloalveolar carcinoma of the lung in that the tumor had an exclusive intra-alveolar pattern of spread and had an immunophenotype that was noninformative as to the site of origin (cytokeratin 7+, cytokeratin 20-, TTF-1-). In this case, we used KRAS gene mutation analysis to support that the lung carcinoma represented a metastatic pancreatic carcinoma as they both possessed identical codon 12 KRAS mutations. We show that this method may be a useful way to prove site of origin of metastatic carcinoma-particularly if standard morphologic or immunohistochemical analysis is not definitive.