OpenMed/multicare-articles huggingface dataset:
Infants Born to Mothers With a New Coronavirus (COVID-19)
Authors: Yan Chen, Hua Peng, Lin Wang, Yin Zhao, Lingkong Zeng, Hui Gao, Yalan Liu
Journal: Front Pediatr (2020)
Keywords: covid-19 infected mothers, china, clinical course, newborns, vertical transmission
MeSH terms: Case Reports

A novel viral respiratory disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is responsible for an epidemic of the coronavirus disease 2019 (COVID-19) in cases in China and worldwide. Four full-term, singleton infants were born to pregnant women who tested positive for COVID-19 in the city of Wuhan, the capital of Hubei province, China, where the disease was first identified. Of the three infants, for who consent to be diagnostically tested was provided, none tested positive for the virus. None of the infants developed serious clinical symptoms such as fever, cough, diarrhea, or abnormal radiologic or hematologic evidence, and all four infants were alive at the time of hospital discharge. Two infants had rashes of unknown etiology at birth, and one had facial ulcerations. One infant had tachypnea and was supported by non-invasive mechanical ventilation for 3 days. One had rashes at birth but was discharged without parental consent for a diagnostic test. This case report describes the clinical course of four live born infants, born to pregnant women with the COVID-19 infection.
Severe Cardiorespiratory and Neurologic Symptoms in a Neonate due to Mepivacaine Intoxication
Authors: Maurike de Groot-van der Mooren, Sabine Quint, Ingmar Knobbe, Doug Cronie, Mirjam van Weissenbruch
Journal: Case Rep Pediatr (2019)
MeSH terms: Case Reports

Local anesthesia with mepivacaine is used for vaginal deliveries and for minor surgeries of the vagina and perineum as repair of an episiotomy or perineal laceration. Neonatal intoxication caused by local anesthesia with mepivacaine for maternal episiotomy has been rarely reported. We present a case of a term female infant with unexplained cardiorespiratory distress and several neurologic findings, including seizures, one hour after birth. Electrocardiogram showed a second-degree atrioventricular block and a left-bundle branch block. Blood measures in the patient revealed a high mepivacaine level following local anesthesia for maternal episiotomy. Because of the increasing practice of local anesthesia, high awareness for neonatal intoxication and further research in safe elimination therapy in neonates is needed.
Left ventricular non-compaction in a patient with ankylosing
Authors: Mehrnoush Toufan, Leili Pourafkari, Nader D Nader
Journal: J Cardiovasc Thorac Res (2016)
Keywords: ankylosing spondylitis, aortic valve, noncompaction cardiomyopathy
MeSH terms: Case Reports

A 58 years old male with a long-standing history of HLA-B27 positive ankylosing spondylitis presented with increasing fatigue and dyspnea on exertion. He had left ventricular dysfunction and enlargement, flail right coronary leaflet of aortic valve with severe eccentric aortic insufficiency along with left ventricular non-compaction in echocardiography. The most common cardiac manifestations of ankylosing spondylitis are aortic insufficiency and conduction disturbances. Involvement of myocardium, in the form of dilated cardiomyopathy and restrictive cardiomyopathy, has also been reported. This case presents a very rare association of ankylosing spondylitis with non-compaction cardiomyopathy.
An unusual presentation of anetoderma: a case report
Authors: Shahin Aghaei, Manouchehr Sodaifi, Fatemeh Sari Aslani, Nazila Mazharinia
Journal: BMC Dermatol (2004)
MeSH terms: Elastic Tissue / pathology, Skin Diseases / diagnosis, Case Reports, Adolescent, Cryotherapy, Hand, Humans, Leg, Male, Skin Diseases / pathology, Skin Diseases / therapy

Background:
Anetoderma is a benign condition with focal loss of dermal elastic tissue resulting in localized areas of flaccid or herniated saclike skin. Currently, anetoderma is classified as either primary (idiopathic), or secondary anetoderma (which is associated with a variety of skin conditions, penicillamine use, or neonatal prematurity). Lesions appear on the upper arms, trunk, and thighs.
Case presentation:
We report a 14-year-old boy, which was noticed to have had multiple, white, non-pruritic areas on the acral sites of upper and lower extremities for two years. In physical examination, the patient had normal mental development. Skin lesions consisted of scattered, white to skin-colored papules, less than 1 cm in diameter, and with central protrusion, with distribution on dorsal part of the index finger, forearms, distal portion of thighs and calves. Lesions were detected neither on the trunk nor the proximal areas of extremities. There are no sensory changes associated with the lesions. Otherwise, his general health was good. He did not have any medication consumption history. Family history was negative. Laboratory examinations were within normal limits. Skin biopsy from one of his lesions was done, that confirmed the diagnosis of anetoderma.
Conclusions:
In summary, we report a case of anetoderma on unusual sites of the skin. We could not find similar reports of anetoderma developing on distal extremities without involvement of the upper trunk and proximal arms, in the medical literature.
Rhino-orbital Mucormycosis as a complication of severe COVID-19 pneumonia
Authors: Mohammed A Alamin, Mohammed Abdulgayoom, Sushil Niraula, Elabbass Abdelmahmuod, Ashraf O Ahmed, Mohammed I Danjuma
Journal: IDCases (2021)
Keywords: black fungus, covid-19, mucormycosis, rhizopus, sars-cov2
MeSH terms: Case Reports

Mucormycosis has multiple clinical phenotypes, which are more common in immunocompromised patients, especially those with diabetes mellitus. Debilitating rhino-orbital-cerebral and pulmonary infections by far represent the most typical clinical phenotypes associated with these fungi. Mucormycosis is an uncommon infection; however, there have been isolated sporadic tiny outbreaks around the world. With the substantial increase in COVID-19 cases in India, there is a parallel increase in the number of cases of Mucormycosis. A few reports raising unusual concomitant mucormycosis in COVID-19 patients have raised a possible association between the two diseases. We report a 59-year-old male with an established history of uncontrolled diabetes mellitus admitted to the hospital with severe COVID-19 pneumonia (severity ascertained according to WHO classification) treated with steroids and discharged home following full recovery. However, one week later, he presented with right eye ophthalmoplegia and complete loss of vision, which was subsequently established as orbital Mucormycosis. This case highlights the need for heightened awareness of this atypical secondary infection (especially systemic mycosis) in patients recovering from COVID-19 infection.
Stercoral perforation of the colon: a mortal consequence of chronic constipation in the elderly (a case report)
Authors: Bouali Mounir, Lafkih Oussama, Abbad El Andaloussi Zineb, El Bakouri Abdelilah, El Hattabi Khalid, Bensardi Fatima-Zahra, Fadil Abdelaaziz
Journal: Pan Afr Med J (2021)
Keywords: constipation, case report, fecal impaction, perforation
MeSH terms: Colon / injuries, Constipation / complications, Intestinal Perforation / etiology, Shock, Septic / etiology, Case Reports, Aged, 80 and over, Chronic Disease, Colon / surgery, Colostomy, Fatal Outcome, Humans, Intestinal Perforation / surgery, Male, Peritonitis / etiology

The stercoral perforation is a mortal condition. It affects elderly patients who have a long history of chronic and severe constipation as well as constitutes a surgical emergency whose prognosis, often grim, depends on the early diagnosis and treatment. We report the case of a stercoral colon perforation which occurred in an 89-year-old patient. The clinical symptomatology was that of an acute peritonitis evolving for four days. The diagnosis was only made intraoperatively and the surgical gesture was a resection of the involved left colon segment and Bouilly Volkmann colostomy. The consequences were unfortunately marked by a resistant septic shock resulting in the death of the patient on the 1st postoperative day. The diagnosis of stercoral colon perforation, which is often difficult and delayed, must be known by all physicians who manage an increasingly older patient population.
Coronary artery ectasia in a patient with myocardial infarction
Authors: M L Jesuraj, D Mukerjee, A V Jesuraj, R Singh, B Agarwal
Journal: Cardiovasc J Afr (2011)
MeSH terms: Anterior Wall Myocardial Infarction / etiology, Coronary Aneurysm / etiology, Mucocutaneous Lymph Node Syndrome / complications, Case Reports, Adult, Coronary Aneurysm / diagnostic imaging, Coronary Aneurysm / pathology, Coronary Angiography, Dilatation, Pathologic, Humans, Male, Mucocutaneous Lymph Node Syndrome / diagnostic imaging, Mucocutaneous Lymph Node Syndrome / pathology, Severity of Illness Index

We report on a case of triple-vessel coronary artery ectasia (CAE) in a young patient. This patient presented with anterior wall myocardial infarction (MI) with post-infarct angina. His coronary angiogram revealed coronary artery ectasia involving the left anterior descending, circumflex and right coronary arteries.
Endovascular Treatment of Venous Bypass Graft Pseudoaneurysm with the New Solaris Self-Expanding Covered Stent
Authors: Enrique M San Norberto, Liliana A Fidalgo-Domingos, Noelia Cenizo, Álvaro Revilla, James H Taylor, Carlos Vaquero
Journal: Case Rep Vasc Med (2020)
MeSH terms: Case Reports

Nonanastomotic pseudoaneurysm formation after vascular reconstruction is a rarely encountered problem. Covered stent graft constitutes a minimal approach. To our knowledge, the present study constitutes the first case of implantation of Solaris stent graft in Europe. A 69-year-old man with severe cardiac dysfunction presented a pseudoaneurysm of a popliteal to popliteal artery reversed saphenous vein bypass graft. The patient was successfully treated by the percutaneous placement of a Solaris self-expanding covered stent. The postimplantation arteriogram demonstrated exclusion of the pseudoaneurysm, complete apposition of the stent, and adequate runoff. No complications occurred, and the patient was discharged from the hospital one day later receiving 75 mg of clopidogrel. Endovascular exclusion by covered stent deployment offers a safe, rapid, and minimally invasive alternative to open surgical resection in patients with lower limb venous graft pseudoaneurysm. The Solaris covered stent provides a new catheter-based device with adequate navigability and exceptional accurate delivery system.
Schwannoma of the Posterior Tibial Nerve Presenting as Tarsal Tunnel Syndrome: A Case Report with Emphasis on the Role of Microscope during Surgery
Authors: Raja Bhaskara Rajasekaran, Rajasekaran Shanmuganathan
Journal: Case Rep Orthop (2018)
MeSH terms: Case Reports

Schwannoma is a benign, noninvasive tumour of the peripheral nerve sheath with rare occurrence in the extremities. We present a case of a schwannoma in the posterior tibial nerve which presented with symptoms suggestive of tarsal tunnel syndrome. The patient was managed with surgical excision of the tumour under microscope, and the diagnosis was confirmed by histopathology. Such a presentation is rare, and our case report adds light regarding the management of such cases.
Scedosporiosis in a Combined Kidney and Liver Transplant Recipient: A Case Report of Possible Transmission from a Near-Drowning Donor
Authors: Rachael Leek, Erika Aldag, Iram Nadeem, Vikraman Gunabushanam, Ajay Sahajpal, David J Kramer, Thomas J Walsh
Journal: Case Rep Transplant (2016)

Scedosporium spp. are saprobic fungi that cause serious infections in immunocompromised hosts and in near-drowning victims. Solid organ transplant recipients are at increased risk of scedosporiosis as they require aggressive immunosuppression to prevent allograft rejection. We present a case of disseminated Scedosporium apiospermum infection occurring in the recipient of a combined kidney and liver transplantation whose organs were donated by a near-drowning victim and review the literature of scedosporiosis in solid organ transplantation.
Bilateral stellate neuroretinitis revealing a pheochromocytoma
Authors: Samar Younes, Meriem Abdellaoui, Fadoua Zahir, Idriss Benatiya, Hicham Tahri
Journal: Pan Afr Med J (2015)
Keywords: stellate neuroretinitis, macular star, optic disc edema, pheochromocytoma
MeSH terms: Adrenal Gland Neoplasms / complications, Adrenal Gland Neoplasms / diagnosis, Pheochromocytoma / complications, Pheochromocytoma / diagnosis, Retinitis / etiology, Case Reports, Adrenal Gland Neoplasms / surgery, Adrenalectomy, Adult, Diagnosis, Differential, Female, Fundus Oculi, Humans, Papilledema / diagnosis, Papilledema / etiology, Papilledema / surgery, Pheochromocytoma / surgery, Retinitis / diagnosis, Retinitis / surgery, Vision, Low / diagnosis, Vision, Low / etiology

Neuroretinitis (NR) is an inflammatory disorder characterized by optic disc edema and subsequent formation of a macular star. We present a case of a 33 year old woman patient admitted for a progressive bilateral visual loss since two weeks. Fundus examination showed bilateral stellate neuroretinitis. Physical examination revealed a malignant hypertension of 210/150 mmHg. Magnetic resonance imaging identified a left suprarenal mass, whereas urinary catecholamine level was abnormally high which supported a diagnosis of pheochromocytoma. The patient underwent a laparoscopic left suprarenal adrenalectomy after successful control of blood pressure. histopathologic examination confirmed the diagnosis of pheochromocytoma. Visual acuity was restored and the retinal alterations disappeared 7 months after surgery.
Recurrent pterygo-palatal angiofibroma with intracranial extension: case report
Authors: Fatima Zahra Abboud, Moulay Ali Youssoufi, Sofia Zoukal, Touria Bouhafa, Khalid Hassouni
Journal: Pan Afr Med J (2020)
Keywords: angiofibroma, imrt, pterygo-maxillary, radiotherapy
MeSH terms: Angiofibroma / diagnosis, Head and Neck Neoplasms / diagnosis, Palatal Neoplasms / diagnosis, Case Reports, Angiofibroma / pathology, Angiofibroma / therapy, Epistaxis / etiology, Head and Neck Neoplasms / pathology, Head and Neck Neoplasms / therapy, Humans, Magnetic Resonance Imaging, Male, Nasal Obstruction / etiology, Neoplasm Recurrence, Local, Palatal Neoplasms / pathology, Palatal Neoplasms / therapy, Tomography, X-Ray Computed, Young Adult

We report the case of a patient with recurrent pterygo-palatal angiofibroma and its treatment. A 21-year-old male patient had a long history of recurrent epistaxis with progressive nasal obstruction. He was diagnosed with an angiofibroma centered in the right pterygo-palatine fossa. Initially, he underwent surgical excision with removal of the entire tumor. The evolution was clinically good with no signs of recurrence on the cervico-facial scan of control (CT). Nine months after, he presented a reappearance of epistaxis. A cervico-facial MRI was performed and showed a recurrence of the tumor process, which this time was considered inextirpable, hence the decision to opt for radiotherapy with intensity modulated radiation therapy (IMRT). He has improved clinically with a clear reduction in tumor mass on CT scan. This technique represents an interesting alternative to overcome anatomical complexity of the region, cover the tumor and preserve the organs at risk.
An Unusual Suspect Causing Hypoxemic Respiratory Failure
Authors: Masooma Aqeel, Bjorn Batdorf, Horatiu Olteanu, Jayshil J Patel
Journal: J Investig Med High Impact Case Rep (2017)
Keywords: ards, antisynthetase syndrome, hypoxemia, lymphoma, respiratory failure

Introduction: Antisynthetase syndrome (ASS) is characterized by the presence of anti-Jo-1 antibodies in conjunction with clinical findings of fever, polymyositis-dermatomyositis, and interstitial lung disease (ILD). Inflammatory myopathies carry a high risk of malignancy, but this association is less well outlined in ASS. We present the case of a patient with ASS who developed non-Hodgkin's lymphoma with acute hypoxemic respiratory failure. Case Presentation: A 44-year-old female with ASS presented with acute hypoxemic respiratory failure. She was empirically treated with broad-spectrum antibiotics for a health care-associated pneumonia; however, she failed to improve. Chest computed tomography revealed extensive bilateral ground glass opacities as well as extensive mediastinal and axillary lymphadenopathy. Infectious workup was negative. A surgical lung biopsy revealed peripheral T-cell lymphoma (PTCL). The patient was started on chemotherapy with complete resolution of hypoxemic respiratory failure. Conclusions: Malignancy is very rare in the setting of ASS; and our case illustrates the unique presentation of PTCL in ASS. In addition, lung involvement in PTCL is variable (incidence ranging from 8% to 20%); and in this case, bilateral multifocal consolidation was biopsied and proven to be PTCL involving the lungs. This case highlights the rare noninfectious conditions that can present as acute hypoxemic respiratory failure in the setting of ASS.
Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism
Authors: Yoshihiro Kotoura, Yasuhiro Fujiwara, Tatsuro Hayashida, Koji Murakami, Satoshi Makio, Yuichi Shimizu, Yoshinobu Oka, Wook-Choel Kim, Taku Ogura, Toshikazu Kubo
Journal: Case Rep Orthop (2017)
MeSH terms: Case Reports

Slipped capital femoral epiphysis (SCFE) is a common disease of adolescent and the epiphysis is positioned more posteromedially in relation to the femoral neck shaft with varus SCFE; however, posterolateral displacement of the capital epiphysis, valgus SCFE, occurs less frequently. We report a case of valgus SCFE in a 17-year-old boy with hypopituitarism. After falling down, he experienced difficulty in walking. The radiographs were inconclusive; however three-dimensional computed tomography images showed lateral displacement of the epiphysis on the right femoral head. Valgus SCFE was diagnosed. The patient underwent in situ pinning of both sides. In situ pinning on the left side was performed as a prophylactic pinning because of endocrine abnormalities. At the 1-year follow-up, he could walk without any difficulty and there were no signs of pain. The epiphysis is commonly positioned more posteromedially in relation to the femoral neck shaft with most SCFE, but, in this case, the epiphysis slipped laterally. Differential diagnosis included femoral neck fracture (Delbet-Colonna type 1); however, this was less likely due to the absence of other clinical signs. Therefore, we diagnosed the patient as SCFE. When children complain of leg pain and limp, valgus SCFE that may not be visualized on anteroposterior radiographs needs to be considered.
Lupus nephritis in a patient with sickle cell disease
Authors: Vinay Minocha, Fauzia Rana
Journal: Case Rep Hematol (2013)

Introduction. The diagnosis of systemic lupus erythematosus (SLE) in patients with sickle cell disease (SCD) can be difficult to establish because the musculoskeletal, central nervous system, and renal manifestations are similar in both diseases. In the presented case, we highlight the diagnostic challenge that can evolve in patients with a concurrence of both diseases and we establish the importance of early recognition and treatment of lupus nephritis in patients with SCD. Case Presentation. We present a case of a 31-year-old African American female with sickle-C disease (hemoglobin SC) who was admitted to our hospital with complaints of periumbilical abdominal pain associated with intractable nausea and vomiting, abdominal distension, and worsening lower extremity edema. Urine studies revealed nephrotic range proteinuria and the immunological investigations were consistent with lupus. A renal biopsy revealed focal proliferative lupus nephritis. Conclusion. It is important to consider the presence of a coexisting autoimmune disease in a patient with sickle hemoglobinopathy who displays an atypical and multisystem presentation that is unresponsive to conventional therapies. When a significant kidney disease is present, a renal biopsy is critical in identifying the etiology of a renal abnormality in the setting of coexisting SLE and SCD.
Case report: Laparoscopic nissen-sleeve gastrectomy in a young adult with incidental finding of Morgagni-Larrey hernia
Authors: Rossella Palma, Francesco Angrisani, Antonella Santonicola, Paola Iovino, Vittorio Maria Ormando, Roberta Maselli, Luigi Angrisani
Journal: Front Surg (2023)
Keywords: morgagni-larrey hernia, diaphragmatic hernia, hiatal hernia, obesity, sleeve gastrectomy
MeSH terms: Case Reports

Laparoscopic sleeve Gastrectomy (LSG) is the most performed bariatric procedure worldwide but it is associated with an increased incidence of de-novo or recurrent GERD. Recently a new technique consisting in LSG with associated fundoplication has been described. Morgagni-Larrey hernia is very rare and there is a lack of evidences on its correct surgical treatment. There are only rare cases of a MLH incidental diagnosis in patients submitted to bariatric surgery. We present our experience of Morgagni-Larrey Hernia (MLH) incidentally found intraoperatively in a patient with Gastroesophageal Reflux Disease (GERD) with Hiatal Hernia (HH) undergoing a bariatric surgical procedure.
A case report of anorectal malignant melanoma in the transitional zone
Authors: Minh Thao Nguyen, Van Mao Nguyen, Van Huy Tran, Anh Vu Pham
Journal: Int J Surg Case Rep (2020)
Keywords: anorectal melanoma, case report, transitional zone
MeSH terms: Case Reports

Introduction:
Anorectal malignant melanoma is an uncommon and highly malignant disease with a greater incidence in females. Many patients were misdiagnosed as hemorrhoids, benign polyps, and rectal cancer. They were often diagnosed in an advanced stage. Wide local excision and abdominoperineal resection are the main treatments of rectal melanoma.
Presentation of case:
A case report is a 77-year-old man who has blood in the stool for 4 months without clinical examination. He admitted to the emergency room with sudden syndromes that related to bowel perforation. Rectal examination detected a large anorectal polyp. Computer tomography showed free air and fluid in the peritoneal cavity. He was received laparoscopic surgery and found the fishbone penetrated the sigmoid colon without polyp resection. The polyp was treated by local excision a few days later. The histology examination was a primary malignant melanoma. Due to the pigmented lesion that remained from the resected polyp's root, the abdominoperineal resection was performed as a radical treatment.
Discussion:
Diagnosis of anorectal malignant melanoma is difficult because of atypical signs, that are confused with bleeding hemorrhoids especially an amelanotic melanoma. Treatment is controversial, including surgery, radiotherapy, chemotherapy, and target therapy. A present case is an option in radical surgery.
Conclusion:
Anorectal melanoma is a rare disease with poor results and prognosis. A lack of large-data leads to a missing evidence-based guideline in this disease. Early-staging diagnosis and surgical treatment help patients improve their overall survival.