OpenMed/multicare-articles huggingface dataset:
Superior and Inferior Ophthalmic Vein Thrombosis in the Setting of Lung Cancer
Authors: Nawal Habib, Kimberly Lessard
Journal: Case Rep Oncol Med (2018)
MeSH terms: Case Reports

Superior ophthalmic vein thrombosis is extremely rare and is often associated with orbital inflammation/infection, systemic/local tumors, hypercoagulable states, autoimmune conditions, and rarely carotid cavernous fistula. Clinical features include abrupt onset of painful proptosis, chemosis, ophthalmoplegia, and diminished visual acuity. Prompt diagnosis and treatment are essential to prevent permanent blindness. Management options for this medical emergency include antibiotics, steroids, and/or anticoagulation. We present a case of superior ophthalmic vein thrombosis with left cavernous sinus thrombosis in the setting of newly diagnosed malignancy.
Cardiac angiosarcoma-associated membranoproliferative glomerulonephropathy
Authors: Lokesh Shahani, Michael Beckmann, Srikanth Vallurupalli
Journal: Case Rep Med (2011)
MeSH terms: Case Reports

Primary cardiac angiosarcoma is a rare cardiac tumor. The initial clinical course is often asymptomatic, and metastatic disease is present in a majority of affected patients at diagnosis. We present a patient who presented with a hemorrhagic pericardial effusion. No malignant cells were evident on cytological examination. He subsequently developed membranoproliferative glomerulonephritis requiring hemodialysis. Metastatic cardiac angiosarcoma was diagnosed 5 months later. To our knowledge, this is the first reported case of paraneoplastic membranoproliferative glomerulopathy associated with cardiac angiosarcoma.
IVIG Associated Aseptic Meningitis in a Renal Transplant Patient
Authors: Tamara Wanigasekera, Rachel J Grainger, Donal J Sexton, Colm Magee
Journal: Case Rep Transplant (2017)
MeSH terms: Case Reports

The management of antibody-mediated rejection in renal transplant recipients involves plasmapheresis with IVIG. Aseptic meningitis is a rare adverse effect of IVIG therapy and is a diagnosis of exclusion. We report a case of a renal transplant patient who developed IVIG associated aseptic meningitis in the context of management of antibody-mediated rejection, four years after transplantation.
Stress Cardiomyopathy (Takotsubo syndrome) Following Accidental Methadone Poisoning; Report of Two Pediatric Cases
Authors: Khatereh Dehghani, Mohammad Shojaie, Amir Hossein Pourdavood, Mohammad Khajouei
Journal: Arch Acad Emerg Med (2019)
Keywords: methadone, cardiomyopathy, case reports, pediatrics, toxicity
MeSH terms: Case Reports

Methadone poisoning has become more common in the pediatric population due to extensive use of methadone maintenance therapy (MMT). It is associated with decreased level of consciousness, coma, respiratory distress and cardiac intoxication. The cardiac complications have been reported to be QT prolongation, torsade de pointes, coronary artery disease, arrhythmia, stress cardiomyopathy and death. We herein report two pediatric patients with accidental methadone poisoning who developed stress cardiomyopathy and cardiac failure. The first case was a 4-yaer-old girl and the second one was an 18-month-old girl both being accidentally poisoned with methadone syrup and were brought with decreased level of consciousness. Both were diagnosed to suffer from congestive heart failure based on echocardiography. However, the first case passed away despite appropriate treatment, while the second one survived the condition and was discharged with good condition and was symptom free at 6-month follow-up.
Treatment of a Patient with Borderline Personality Disorder Based on Phase-Oriented Model of Eye Movement Desensitization and Reprocessing (EMDR): A Case Report
Authors: Nahid Momeni Safarabad, Ali-Asghar Asgharnejad Farid, Banafsheh Gharraee, Mojtaba Habibi
Journal: Iran J Psychiatry (2018)
Keywords: borderline personality disorder, dissociative symptoms, eye movement desensitization and reprocessing
MeSH terms: Case Reports

Objective: This study aimed at reporting the effect of the 3-phase model of eye movement desensitization and reprocessing in the treatment of a patient with borderline personality disorder. Method: A 33-year-old female, who met the DSM-IV-TR criteria for borderline personality disorder, received a 20-session therapy based on the 3-phase model of eye movement desensitization and reprocessing. Borderline Personality Disorder Checklist (BPD-Checklist), Dissociative Experience Scale (DES-II), Beck Depression Inventory-II-second edition (BDI-II), and Anxiety Inventory (BAI) were filled out by the patient at all treatment phases and at the 3- month follow- up. Results: According to the obtained results, the patient's pretest scores in all research tools were 161, 44, 37, and 38 for BPD-Checklist, DES-II, BDI-II, and BAI, respectively. After treatment, these scores decreased significantly (69, 14, 6 and 10 respectively). So, the patient exhibited improvement in borderline personality disorder, dissociative, depression and anxiety symptoms, which were maintained after the 3-month follow-up. Conclusion: The results supported the positive effect of phasic model of eye movement desensitization and reprocessing on borderline personality disorder.
Autoimmune pancreatitis mimicking carcinoma of the head of the pancreas: a case report
Authors: Mohammad-Reza Ghadir, Farshad Sheikhesmaili, Fatemeh Attari, Reza Safdari, Amirhossein Ghanooni, Maryam Vaez-Javadi
Journal: J Med Case Rep (2012)

Introduction:
We report on a case of autoimmune pancreatitis presenting as pancreatic head cancer, which is extremely rare in Iran. Currently, on the PubMed database, no such cases exist.
Case presentation:
A 70-year-old Iranian man presented with recurrent abdominal pain, jaundice and elevated bilirubin and alkaline phosphatase levels. An abdominal computed tomography scan revealed a heterogeneous presence in the pancreatic head as well as dilated intra- and extrahepatic bile ducts. A common bile duct stent had been inserted. Our patient was subsequently diagnosed with pancreatic head cancer.Due to his continued recurrent abdominal pain, our patient returned to the hospital. His levels of bilirubin, alkaline phosphatase and tumor markers were all normal but his immunoglobulin G4 and antinuclear antibodies were extremely high. A biopsy of the pancreatic head heterogeneity by endoscopic ultrasonography was performed.Pathologic samples showed fibrosis associated with lymphoplasmacytic infiltration and no evidence of malignancy. A diagnosis of autoimmune pancreatitis was confirmed, the bile duct stent removed, and an appropriate treatment plan was undertaken.
Conclusion:
Autoimmune pancreatitis should be considered in suspected cases of pancreatic cancer. In these instances, a biopsy of the pancreas will help to differentiate between the two and prevent complications due to disease progression as well as unnecessary surgery.
Case report: Infective endocarditis caused by Streptococcus sinensis: The first case in mainland China and literature review
Authors: Yingmiao Zhang, Jing Wang, Yu Zhan, Ruizhi Tang, Hui Wang, Tian Qin, Zhongxin Lu
Journal: Front Cardiovasc Med (2022)
Keywords: 16s rrna sequence, streptococcus sinensis, case report, emerging pathogen, infective endocarditis
MeSH terms: Case Reports

Streptococcus sinensis was originally described as a causative agent for infective endocarditis in three Chinese patients from Hong Kong in 2002. Subsequently, several cases were reported outside Hong Kong, indicating that it is an emerging pathogen worldwide. We isolated a closely related strain in a young patient diagnosed with infective endocarditis in mainland China. In this paper, we reviewed the course of infection and provided a comprehensive comparison of its clinical characteristics with the reported cases.
Intraoperative optical coherence tomography (I-OCT) assisted passage of the encircling element during retinal detachment surgery
Authors: Ashish Markan, Nikita Gupta, Basavaraj Tigari, Ramandeep Singh, Mohit Dogra
Journal: GMS Ophthalmol Cases (2022)
Keywords: encircling element, microscope integrated oct, retinal detachment surgery, scleral sutures, vitreoretina fellows
MeSH terms: Case Reports

Objective: To describe the role of microscope integrated optical tomography (Mi-OCT) in passage of the encircling element during retinal detachment surgery. Materials and methods: Mi-OCT was switched on while passing scleral anchoring sutures to secure the encircling element. The depth of the suture tract was seen in real time while the needle was passed through the sclera. The amount of scleral intend achieved was assessed using Mi-OCT at the end of the surgery. Results: The depth of needle tract through the sclera and the amount of scleral indentation achieved while tying the sutures could be successfully analyzed using Mi-OCT. Conclusion: Mi-OCT can be used as an adjunct while training vitreoretinal fellows and trainees in surgical procedures like passage of scleral sutures for anchoring the encircling element.
Percutaneous treatment of a aorto-caval fistula in a old high risk patient
Authors: Antonio Rapacciuolo, Maria Carmen De Angelis, Elisa di Pietro, Roberto Puglia, Ettore Di Tommaso, Danilo Ruggiero, Bruno Amato, Gabriele Iannelli
Journal: BMC Surg (2012)
MeSH terms: Aortic Diseases / surgery, Arteriovenous Fistula / surgery, Blood Vessel Prosthesis Implantation / methods, Endovascular Procedures / methods, Vena Cava, Inferior / abnormalities, Case Reports, Aged, 80 and over, Aorta, Abdominal / abnormalities, Aorta, Abdominal / surgery, Humans, Male, Risk, Vena Cava, Inferior / surgery

Background:
To remark the feasibility of endovascular treatment of an aorto-caval fistula in a old high risk patient with "hostile" abdomen for previous surgeries.
Methods:
In September 2009 a 81-years-old patient was admitted in emergency at our department because of abdominal pain and massive oedema of the lower extremities associated to dyspnoea (New York Heart Association (NYHA) functional class III). A CT scan showed an aorto-caval fistula involving the abdominal aorta below the renal arteries. This abnormal communication was likely due to the previous abdominal surgeries, was complicated by occlusion of the inferior vena cava at the diaphragm and was responsible for the massive oedema of the lower extremities. Because of unstable conditions and hostile abdomen the patient was considered unfit for conventional surgery and an endovascular approach was planned. After unsuccessful attempt by positioning of an Amplatzer vascular ring into the fistula, a Medtronic covered stent-grafts were implanted from the renal arteries to the both common iliac arteries. The patient had an impressive improvement characterized by a 18 Kg weight loss and a complete restoration of the functional capacity (from NYHA class III to NYHA class I) associated to a complete resolution of the lower extremities oedema as confirmed at the a month-CT-scan.
Conclusion:
Endovascular surgery of aorto-caval fistula represents a good option in alternative to conventional surgery mostly in old high risk patient.
Mohs micrographic surgery for dermatofibrosarcoma protuberans of the vulva
Authors: K Doufekas, T J Duncan, K M Williamson, S Varma, D Nunns
Journal: Obstet Gynecol Int (2009)
MeSH terms: Case Reports

Introduction. Dermatofibrosarcoma Protuberans (DFSP) is a rare cutaneous tumour of low/intermediate malignant potential, which occasionally arises on the vulva. Historically, the treatment has been wide local excision (WLE). Mohs micrographic surgery (MMS) is now recommended to ensure precise margin control. MMS to treat DFSP of the trunk and extremities is well documented. However, no report to date has described its use in vulval DFSP. Case History. A 39 year old woman presented with a longstanding nodule in the left labium majus. Histology after surgical removal showed an incompletely excised DFSP. MMS was undertaken with primary closure of the defect. Three years following treatment there is no evidence of recurrence. Discussion. The local recurrence rate of DFSP after WLE ranges from 0-75%. Finger-like projections from DFSP into surrounding tissue often results in incomplete excision. Representative vertical sections used in WLE assess less than 1% of the total tumour margin. MMS uses systematic horizontal sectioning. 100% of the tumour margin is microscopically examined. MMS is now advocated to ensure precise margin control.
Acute respiratory distress syndrome after onyx embolization of arteriovenous malformation
Authors: Isaac Tawil, Andrew P Carlson, Christopher L Taylor
Journal: Crit Care Res Pract (2011)
MeSH terms: Case Reports

Purpose. We report a case of a 60-year-old male who underwent sequential Onyx embolizations of a cerebral arteriovenous malformation (AVM) which we implicate as the most likely etiology of subsequent acute respiratory distress syndrome (ARDS). Methods. Case report and literature review. Results. Shortly after the second Onyx embolization procedure, the patient declined from respiratory failure secondary to pulmonary edema. Clinical entities typically responsible for pulmonary edema including cardiac failure, renal failure, iatrogenic volume overload, negative-pressure pulmonary edema, and infectious etiologies were evaluated and excluded. The patient required mechanical ventilatory support for several days, delaying operative resection. The patient met clinical and radiographic criteria for ARDS. After excluding other etiologies of ARDS, we postulate that ARDS developed as a result of Onyx administration. The Onyx copolymer is dissolved in dimethyl sulfoxide (DMSO), a solvent excreted through the lungs and has been implicated in transient pulmonary side effects. Additionally, a direct toxic effect of the Onyx copolymer is postulated. Conclusion. Onyx embolization and DMSO toxicity are implicated as the etiology of ARDS given the lack of other inciting factors and the close temporal relationship. A strong physiologic rationale provides further support. Clinicians should consider this uncommon but important complication.
Graft-versus-host disease complicated with small bowel obstruction in children: A case report
Authors: Yizhong Wang, Jiangbin Liu, Bingxin Jiang, Chenling Yuan, Licai Chen, Ting Zhang, Zhibao Lv
Journal: Front Oncol (2022)
Keywords: bowel obstruction, child, graft-versus-host disease, hematopoietic cell transplantation, leukemia
MeSH terms: Case Reports

Graft-versus-host disease (GvHD) is a severe complication following hematopoietic cell transplantation (HCT). The clinical manifestations of GvHD can affect multiple systems. Although gastrointestinal (GI) GvHD is common, GI obstruction complications are rare. Here, we present a case of GI-GvHD after HCT for acute myeloid leukemia (AML) in a young girl from China. The patient suffered from watery diarrhea, which progressed to bloody diarrhea 40 days after HCT. She experienced prolonged and repeated mucous or bloody stool after the withdrawal of cyclosporine and the gradual reduction in methylprednisolone. The plain abdominal radiography and computed tomographic (CT) scan showed apparent bowel wall thickening and intestinal stenosis 10 months after HCT. Finally, the patient underwent surgery to remove the small intestinal stenosis at the age of 26 months. The patient recovered with the help of appropriate medical therapies and nutritional support during hospitalization. She remained stable, and there was no recurrence of GI symptoms 16 months after the surgery. In summary, surgery may be an optimal treatment for GvHD patients with persistent bowel obstruction and failure of appropriate immunosuppressive therapies.
Long-term remission after multiple bone metastases following cervical cancer: A case report
Authors: Hiroshi Tsubamoto, Kayo Inoue, Yuji Ukita, Yoshihiro Ito, Riichiro Kanazawa
Journal: Gynecol Oncol Case Rep (2013)
Keywords: bisphosphonate, bone metastases, cervical cancer, chemotherapy

•Multiple bone metastases following cervical cancer was completed resolved.•Metastatic lesions were present within a previously irradiated zone of primary external radiation.•Concurrent chemotherapy and bisphosphonate administration is promising.
Granulocytic sarcoma of the small bowel, greater omentum and peritoneum associated with a CBFβ/MYH11 fusion and inv(16) (p13q22): a case report
Authors: Paloma Alvarez, Carmen A Navascués, Carlos Ordieres, María Pipa, Iván F Vega, Pablo Granero, José A Alvarez, Manuel Rodríguez
Journal: Int Arch Med (2011)

Introduction:
Granulocytic sarcoma (GS) is an extramedullary disease which is composed of immature myeloid cells or myeloblasts and usually occurs in association with acute myeloid leukemia (AML), as an initial presentation or a relapse. GS has been associated with various cytogenetic abnormalities, particularly with the t(8;21) translocation and less frequently the inv(16) type.
Case presentation:
We present a rare case of GS of the small bowel, greater omentum and peritoneum, which caused obstruction, in a patient with AML associated with a CBFβ/MYH11 fusion gene and an inv(16) (p13q22). In this patient there was only mild myeloid hyperplasia in bone marrow aspiration but molecular analysis identified a CBFβ-MYH11 fusion and inv(16) (p13;q22).
Conclusion:
Because of its nonspecific clinical and radiologic findings, this entity can be misdiagnosed and can mimic other solid neoplasms, making it a diagnostic challenge. In a GS with no or minimal morphological changes in bone marrow aspiration it is very important to perform a cytogenetic analysis to benefit from the diagnosis and therapeutic strategy.
Acute Hepatitis A and Hepatitis B Coinfection in a Young Female: A Case Report and Literature Review
Authors: Narges Lashkarbolouk, Behnaz Khodabakhshi, Mahdi Mazandarani
Journal: Case Rep Infect Dis (2023)
MeSH terms: Case Reports

Background:
Hepatitis is one of the common infectious diseases that can infect patients in various forms. Based on their characteristics and clinical features, they can cause irreparable complications in patients. Coinfections and superinfections between its variant have been reported, but the coinfection of acute HAV and HBV is rarely reported. Case Presentation. In this case report, we presented a case with severe malaise, nausea, vomiting, generalized jaundice, and a history of recent tattooing and travel to the HAV endemic area. In our evaluation, she had a positive HBsAg, HBeAg, anti-HBs IgM, anti-HAV IgM, and negative result in HCV antibody, HIV antibody, and anti-HAV IgG. The coinfection of HAV/HBV was confirmed for her.
Conclusion:
Physicians should differentiate hepatitis A and hepatitis B superinfection or coinfection, based on history and laboratory testing, to prevent complications with appropriate treatment.
A novel surgical technique for cervical laminoplasty in patients with multilevel cervical spondylotic myelopathy: A case report and literature review
Authors: Xinyi Huang, Daming Liu, Yipeng Yang, Haiyang Qiu, Zhensheng Ma, Wei Lei, Yang Zhang
Journal: Front Surg (2023)
Keywords: alternating side, axial neck pain, cervical laminoplasty, multilevel spondylotic myelopathy, novel surgical technique
MeSH terms: Case Reports

Cervical laminoplasty is a posterior-based surgical decompression technique for the treatment of multilevel cervical spondylotic myelopathy (CSM) that may improve the preservation of cervical mobility, spinal canal structure, and natural lordosis. Although this procedure is considered to be comparatively safe, with fewer complications than those seen with laminectomy, several postoperative problems have been noted, including axial neck pain, C5 nerve palsy, and failed resolution of radiculopathy. Hence, various modifications have been made to improve the safety and effectiveness of this technique. Here, we report the case of a 74-year-old man with multilevel CSM who underwent posterior cervical laminoplasty in the C3-C7 segments using a novel surgical technique, termed alternating-side cervical laminoplasty. Preoperative and postoperative assessments, including visual analog scale, modified Japanese Orthopaedic Association, neck disability index scores, and imaging data, were collected and analyzed. The results of a 5-year follow-up indicated that the patient recovered well, with no development of axial neck pain. This is the first report of this modified open-door laminoplasty, which we propose may be a better surgical option for preventing postoperative axial neck pain in patients with multilevel CSM. Additionally, opening the laminae on the alternating sides during laminoplasty could provide a flexible approach to complete decompression on different radiculopathy sides.
Taenia solium in the Anterior Chamber: Surgical Management of a Rare Case of Live Free-Floating Parasite
Authors: Amrit Banstola, Sweta Singh, Sarita Maharjan, Gyanendra Lamichhane, Anadi Khatri
Journal: Case Rep Ophthalmol Med (2021)
MeSH terms: Case Reports

Ocular cysticercosis is a preventable cause of blindness. It is a parasitic infestation caused by Cysticercus cellulosae-which is the larval form of Taenia solium. In 1829, Soemmering reported the first case of a live anterior chamber cysticercosis. In the following, we report a rare case of a 13-year-old male who presented with a live adult Taenia solium in the anterior chamber without any systemic features and its successful management.
Cytomegalovirus-Specific T Cells from Third-Party Donors Successfully Treated Refractory Cytomegalovirus Retinitis after Unrelated Umbilical Cord Blood Transplantation
Authors: Na Li, Guangyu Sun, Lihua Zhu, Kang Ding, Huilan Liu, Xiaoyu Zhu, Baolin Tang, Wen Yao, Xiang Wan, Liangquan Geng, Ping Qiang, Kaidi Song, Changcheng Zheng, Zimin Sun, Juan Tong
Journal: J Immunol Res (2022)
MeSH terms: Cord Blood Stem Cell Transplantation / adverse effects, Cytomegalovirus Retinitis / etiology, Cytomegalovirus Retinitis / therapy, Hematopoietic Stem Cell Transplantation / adverse effects, Case Reports, Adult, Cytomegalovirus, Humans, Male, T-Lymphocytes, Young Adult

Umbilical cord blood (UCB) transplants (UCBTs) are becoming increasingly common in the treatment of a variety of hematologic and nonhematologic conditions. The T cells from UCB are naïve T cells, which have not yet been exposed to antigens and therefore do not contain T cells with specific immune functions against viruses. Cytomegalovirus (CMV) infections occur in more than 80% of patients after UCBT compared to other types of transplantation. Anti-CMV medications are currently restricted, with ganciclovir, foscarnet, and valganciclovir being the most common in China; however, with limited efficacy and considerable side effects, all these drugs are susceptible to viral resistance. In recent years, cytomegalovirus-specific T cells (CMVST) have advanced the treatment of viral infections in immunodeficient patients. CMVST usually uses the same donor as hematopoietic stem cell transplantation. CMVST should be administered to UCBT patients because of the absence of donors after UCBT. In China, there is no report on the use of CMVST to treat CMV infection after UCBT, and foreign reports are also limited. This paper reported a 20-year-old male patient with acute myeloid leukemia who developed cytomegalovirus retinitis (CMVR) after umbilical cord blood transplantation. After ineffective viral treatment, he was treated with a third-party donor CMVST and was successfully transformed into CMV nucleic acid negative.