OpenMed/multicare-articles huggingface dataset:
A 19-year-old male with palpitations
Authors: Shailendra Upadhyay, Shweta Upadhyay
Journal: J Emerg Trauma Shock (2008)
Keywords: arrhythmogenic right ventricular dysplasia, epsilon waves, palpitations
MeSH terms: Case Reports

A 19-year-old male presented to the emergency department (ED) following intermittent episodes of palpitations. Classical "epsilon waves" noted on his initial electrocardiogram prompted an evaluation for arrhythmogenic right ventricular dysplasia (ARVD). The diagnosis was confirmed with magnetic resonance imaging of the heart and stress test. A prompt recognition and management of this condition in the ED helped prevent significant mortality that may be associated with ARVD.
Evidence of Cerebellar Involvement in the Onset of a Manic State
Authors: Michela Lupo, Giusy Olivito, Libera Siciliano, Marcella Masciullo, Marco Molinari, Mara Cercignani, Marco Bozzali, Maria Leggio
Journal: Front Neurol (2018)
Keywords: mri, bipolar disorder, cerebellum, mania, mood
MeSH terms: Case Reports

We described the cerebello-cerebral functional connectivity in a subject who developed a manic state after a cerebellar lesion. Whole brain investigation, performed by means of an advanced MRI examination, evidenced an isolated lesion involving the left lobules VI, VIIa (crus I), and IX and the posterior area of the vermis. The cerebello-cerebral functional connectivity analysis detected a pattern of altered connectivity in specific areas of the prefrontal-striatal-thalamic circuits that are typically altered in bipolar subjects during the manic state. Specifically, a pattern of hypo-connectivity was found between the cerebellum and cerebral regions known to be implicated in emotion modulation and social interaction. Conversely, a pattern of hyper-connectivity was found between the cerebellum and posterior cerebral cortical regions that are involved in sensorimotor functions. The present study represents the first evidence that dysregulation of cerebral networks consequent to a cerebellar lesion is at the root of bipolar disorder, at least the manic state, and provides a new framework for interpreting cerebellar modulation in the regulation of mood in specific psychiatric conditions.
Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease
Authors: Michael Coles, Victoria Madray, Pearl Uy
Journal: Case Rep Gastrointest Med (2020)
MeSH terms: Case Reports

Acute esophageal necrosis (AEN), or colloquially named "black esophagus," is a rare clinical condition often associated with ischemic injury to the esophagus secondary to splanchnic vasoconstriction during hypotensive episodes. We present a case of a 78-year-old man with extensive cardiovascular disease who was initially admitted for gallstone pancreatitis and possible cholangitis. His hospital course was complicated by possible sepsis secondary to aspiration pneumonia and hematemesis secondary to acute ischemic esophageal necrosis as noted on upper endoscopy. Interestingly, the patient only had a transient episode of hypotension (approximately 35 minutes) not requiring vasopressor support, which improved with fluid resuscitation, and endoscopic retrograde cholangiopancreatography (ERCP) done 3 days prior showed normal esophageal mucosa. Clinicians should be aware of the possibility of acute esophageal necrosis as a potential etiology of gastrointestinal (GI) bleed in patients with cardiovascular disease and sepsis.
Pelvic Hydatid Cyst with Hydroureteronephrosis: A Rare Case Report
Authors: Amir Mohammad Salehi, Hossain Salehi, Ensiyeh Jenabi
Journal: Case Rep Infect Dis (2021)
MeSH terms: Case Reports

Hydatid cyst is a parasitic disease caused by Echinococcus granulosus or Echinococcus multilocularis. Humans are accidentally infected with the parasite. The cyst is usually found in the liver and lungs and rarely occurs in other body parts. The present article describes a rare case of pelvic hydatid cyst in a young man who presented with nausea, vomiting, and right abdominal pain. Two large cystic masses were discovered during a CT scan in the patient's pelvic region, resulting in right urinary tract hydroureteronephrosis. Additionally, the antibody index was used to confirm the presence of a primary hydatid cyst.
Scintigraphic and radiological correlative and confirmative features obviating invasive biopsy in Caffey's disease
Authors: M Ranadheer, Santhi Bhushan Murari, N Sujith, Jayanthi, Pushpalatha Sudhakar, Vvs Prabhakar Rao
Journal: Indian J Nucl Med (2010)
Keywords: 99m tc mdp skeletal scintigraphy, caffey's disease, chronic osteomyelitis
MeSH terms: Case Reports

Caffey's disease is not a common clinical occurrence; it often poses problems in diagnosis due to its close resemblance to osteomyelitis. Initial plain radiographic diagnosis is sometimes fraught with the limitation of not being able to differentiate it from chronic osteomyelitis. Skeletal scintigraphy is sensitive in localizing the disease activity to the radiological features of the affected regions and the characteristic location of the lesions helps make the diagnosis without resorting to biopsy and further workup.
Repeated floating elbow injury after high-energy trauma
Authors: Olimpio Galasso, Massimo Mariconda, Giorgio Gasparini
Journal: Strategies Trauma Limb Reconstr (2011)
Keywords: difficult hardware removal, floating elbow injury, open reduction and internal fixation, recurrence of fractures

The floating elbow is an uncommon injury occurring both in children and in adults. Two reports of rare variants of floating elbow injury have been published, but to the best of our knowledge, no recurrence of this injury has been described. We present a complex pattern of floating injury, occurring in the same limb 3 years after a floating elbow lesion, which included supracondylar fracture of the humerus and associated ipsilateral midshaft fracture of forearm bones. Satisfactory outcomes were finally obtained. This clinical case illustrates the importance of carefully assessing floating elbow injuries when they occur to optimize the surgical strategies and the adequate timing of the treatment. A comprehensive literature review of the floating elbow injuries is here reported.
Electronic supplementary material:
The online version of this article (doi:10.1007/s11751-011-0102-7) contains supplementary material, which is available to authorized users.
Intrauterine upper limb ischemia: an unusual presentation of fetal thrombophilia-a case report and review of the literature
Authors: Samer Abdelrazeq, Abdullatif Alkhateeb, Hani Saleh, Haitham Alhasan, Hatem Khammash
Journal: Case Rep Pediatr (2013)

Upper limb ischemia presenting in neonatal period is extremely rare. Moreover, presenting newborn with evidence of intrauterine upper limb vascular occlusion is even rarer. It needs prompt intervention to restore perfusion and avoid morbidity. We present a newborn with right upper limb brachial artery thrombosis causing ischemia that was noted at birth and appeared later to be homozygous for factor V Leiden and glycoprotein IIIa with no other identifiable risk factors. In this report, we present the case, its successful medical management, proper counseling, and review of the literature. We recommend investigating the neonates and their parents for thrombophilia mutations when they present with unusual vascular occlusion site as newborns.
Severe Sepsis Associated with Lemierre's Syndrome: A Rare but Life-Threatening Disease
Authors: Audrey Tawa, Raphaëlle Larmet, Yannick Malledant, Philippe Seguin
Journal: Case Rep Crit Care (2016)

Background. The incidence of Lemierre's syndrome has increased in the past decade. This posttonsillitis complication may be life threatening. Case Presentation. A 19-year-old patient was admitted to Surgical Intensive Care Unit of a French University Hospital for high fever, low blood pressure, and haemoptysis following a sore throat episode. Blood analysis revealed a thrombopenia, an acute renal failure, and an elevated lactate serum. Fusobacterium necrophorum was found in blood cultures. Computed tomography of the neck and lungs confirmed the diagnosis of Lemierre's syndrome: pleural effusions, bilateral lung infiltrates, and an internal jugular vein thrombosis. Fluid administration and antibiotic treatment were quickly initiated. Patient left the unit four days after his admission without any organ dysfunction. Conclusion. Lemierre's syndrome may lead to multiorgan dysfunction and should be rapidly identified.
Management of sternal segment dislocation in a child with closed reduction
Authors: Omer Soysal, Osman Cemil Akdemir, Sedat Ziyade, Murat Ugurlucan
Journal: Case Rep Med (2012)
MeSH terms: Case Reports

Trauma may lead to sternal fracture or dislocation. Dislocation of a sternal segment in the childhood period is very rare as for sternal fractures in children. There are only six case reports regarding the issue in the literature. Additionally, there is not an established consensus for the treatment of the pathology. In this paper we present traumatic dislocation of a sternal body segment in a 10-year-old child who was successfully managed conservatively by closed reduction together with the review of the literature. Surgical treatment is not necessary especially in acute cases. Pathology may be treated with closed reduction. Callus formation usually supports the dislocated part of the sternum in time.
Case Report: Cytologic Description of Somatotroph Pituitary Adenoma in a Cat
Authors: Flavio H Alonso, Kevin D Niedringhaus, Mariah G Ceregatti, Marisa A Maglaty
Journal: Front Vet Sci (2022)
Keywords: brain, central hypothyroidism, diabetes mellitus, histopathology, hypophysis
MeSH terms: Case Reports

This case report describes for the first time the cytologic characteristics of a hormonally secreting pituitary adenoma in a cat. An 8-year-old female spayed domestic long-haired cat was referred with a previous diagnosis of hypersomatotropism and secondary diabetes mellitus 7 months prior. Clinical signs included weight loss, polyphagia, polyuria, and polydipsia. Serum insulin-like growth factor-1 was 340 nmol/L (RI: 12-92), and CT scan revealed a hypophyseal mass, and a presumptive diagnosis of acromegaly was made. A transsphenoidal hypophysectomy was performed. A fragment of the pituitary gland was subjected to a squash preparation and cytology revealed a neuroendocrine neoplasm characterized by anisokaryosis and prominent nucleoli. Additional cytologic findings included cell cohesiveness, indistinct cytoplasmic borders, nuclear crowding, molding, and fragmentation. A diagnosis of adenoma was based on a lack of histopathologic or imaging evidence of invasion. A week later, during post-surgical hospitalization, the patient worsened and died. Histopathology from a necropsy procedure revealed fibrinosuppurative meningitis as a post-surgical complication. Pituitary adenomas might have an aggressive cytologic appearance, despite a lack of histopathologic invasion or dissemination.
A Rare Differential Diagnosis of a Nasal Tumor: Case Report and Literature Review
Authors: S Burkart, U Schoenenberger
Journal: Case Rep Otolaryngol (2015)

Vascular leiomyomas or angioleiomyomas are rare tumors that can be found in the nasal cavity. The etiology of angioleiomyoma remains poorly understood and there are several hypotheses to explain the origin of sinonasal leiomyoma. We here describe the clinical and histological findings in a case study along with the feasibility of surgical treatment using a radiofrequency instrument. In particular, we describe the case of an adult patient with recurrent epistaxis because of a nasal angioleiomyoma and the performed treatment in the form of complete surgical excision. Radiological imaging is a helpful tool to give an indication of the extension of the tumor, as well as for the proper planning of the surgical approach. Either MRI or CT scans are found to be best suited for this purpose. This case report recommends the complete surgical excision of the angioleiomyoma, by either an endoscopic or an open procedure. This can be safely performed using a radiofrequency instrument as shown in this case with no recurrence during a follow-up of 12 months.
Management of a post-coital recto vaginal fistula at the Douala Gyneco-Obstetric and Pediatric Hospital: a case report
Authors: Alphonse Nyong Ngalame, Armand Talom Kamga, Rakya Inna, Darolles Wekam Mwadjie, Emile Telesphore Mboudou
Journal: Pan Afr Med J (2020)
Keywords: management, post-coital, recto vaginal fistula
MeSH terms: Coitus / physiology, Rectovaginal Fistula / etiology, Rectovaginal Fistula / surgery, Case Reports, Adult, Anesthesia, Spinal, Cameroon, Female, Gynecologic Surgical Procedures, Hospitals, Maternity, Hospitals, Pediatric, Humans, Rectovaginal Fistula / diagnosis, Treatment Outcome

Recto vaginal fistula can be secondary to various and multiple causes. However, intercourse is an exceptional cause. The objective of this work is to expose its clinical, therapeutic and prognostic particularities. We report the case of rectovaginal fistula in a 29-year-old patient, following consensual sex. She underwent posterior colpoperineorraphy under spinal anesthesia, with a favorable outcome. Post-coital recto vaginal fistula is a stigmatizing pathology responsible for polymorphic complications. Prompt care can improve quality of life and the obstetrical prognosis of the patient.
Eosinophilic Granulomatosis with Polyangiitis (EGPA): A case report with atypical presentation
Authors: Khalid Mahmood, Nauman Ismat Butt, Fahmina Ashfaq, Sabeen Aftab
Journal: Pak J Med Sci (2023)
Keywords: anca-associated vasculitis, eosinophilia, eosinophilic granulomatosis with polyangiitis, pulmonary vasculitis
MeSH terms: Case Reports

A 72-year-old asthmatic gentleman with a history of recurrent sinusitis and chronic bronchitis presented with shortness of breath and progressively worsening hypoxemic respiratory failure. His CT chest demonstrated airspace disease bilaterally with ground-glass opacifications. He had peripheral eosinophilia with raised inflammatory markers but negative work up of infection. On further investigation, ANA was positive, titer 1:160, speckled pattern and both pANCA and cANCA were present. The patient was diagnosed with Eosinophilic Granulomatosis with Polyangiitis (EGPA) and started on intravenous steroids and cyclophosphamide. A rare multi-organ vasculitis, EGPA is hallmarked by asthma, sinusitis and eosinophilia. In initial stages vasculitic involvement is not usually seen thereby making EGPA a diagnostic challenge.
A Case of Oxalate Nephropathy in a Known Diabetic Patient following Acute Alcoholic Pancreatitis
Authors: John Odhiambo, Hanika Patel, Anderson Mutuiri, Fazal Yakub, Ahmed Sokwala
Journal: Case Rep Nephrol (2022)
MeSH terms: Case Reports

This was a case of a 39-year-old gentleman known to have diabetes mellitus since February 2021 on insulin glargine (Lantus) 16 units nocte and sitagliptin/metformin 50/500 mg once a day who presented to a tertiary teaching hospital in Kenya in May 2021 with a three-week history of vomiting and diarrhea. He had been previously admitted to a different facility with acute alcoholic pancreatitis. His examination was nonremarkable except for mild dehydration and pallor. He had moderate metabolic acidosis and deranged renal function. Prior to this, his creatinine was normal. As part of the evaluation for the rapid deterioration of renal function, a kidney biopsy performed revealed oxalate nephropathy. He was started on renal replacement therapy with hemodialysis.
Vitamin D deficiency promoting non-24 h sleep-wake disorder: a case report
Authors: Richard Friedrich Radlberger, Alexander Baden Kunz
Journal: Front Neurol (2023)
Keywords: case report, non 24 h sleep–wake disorder, seasonal affective disorder (sad), vitamin b and folic acid, vitamin d
MeSH terms: Case Reports

We report a case of an emmetropic woman with excessive daytime sleepiness in alternation with insomnia consistent with the diagnosis criteria of a non-24 h sleep-wake disorder. After being refractory to the usual non-pharmacologic and pharmacologic treatment, we detected a deficiency of vitamin B12, vitamin D3, and folic acid. Substitution of these treatments led to a return of a 24 h sleep-wake rhythm though this remained independent from the external light-dark cycle. The question arises whether the vitamin D deficiency could be regarded as an epiphenomenon or whether there is an up-to-date unknown connection to the inner zeitgeber.
Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review
Authors: Yuko Saito, Susumu Ookawara, Hisataka Uchima, Takeshi Ishida, Masafumi Kakei, Hitoshi Sugawara
Journal: Case Rep Med (2017)
MeSH terms: Case Reports

A 54-year-old Japanese man noticed painful swelling and redness of his left leg. He was admitted for treatment of cellulitis, which was accompanied with increased anti-streptolysin O and anti-streptokinase titers in his clinical course. After Piperacillin/Tazobactam administration, the skin lesion resolved. However, the patient then developed arthritis, palpable purpura, and intermittent abdominal pain, later found to be secondary to a severe duodenal ulcer. He was diagnosed with cellulitis-associated anaphylactoid purpura and was given prednisolone, which dramatically improved his symptoms. The anaphylactoid purpura was likely caused by Streptococcus-induced cellulitis, which was successfully treated with prednisolone. Association between these diseases is rare.
Odontogenic fibromyxoma of maxilla: a rare case report
Authors: G Siva Prasad Reddy, B Surya Kumar, Radhika Muppa, Shravan Kumar Regonda, Harish Kumar Tvs
Journal: Case Rep Dent (2013)

Fibromyxoma is a rare odontogenic tumour which is benign, but locally aggressive. The etiology of these tumours is unknown, but because of its limitation to the teeth bearing areas and occasional presence of odontogenic epithelial fragments within the tumour which suggest that it is of odontogenic origin. It is a slow growing painless tumour that frequently occurs in second and third decades of life. Females are more commonly affected than males. The tumour can cause gradual expansion of the cortical plates and cause loosening and displacement of teeth, although root resorption may be rare. The surgical treatment of these tumours consists of complete enucleation or radical excision. The aim of this paper is to present the rarity of a fibromyxoma of the maxilla.
Intracranial Squamous Cell Carcinoma Arising From a Cerebellopontine Angle Epidermoid Cyst Remnant Four Decades After Partial Resection
Authors: Joshua A Cuoco, Cara M Rogers, Christopher M Busch, Lisa S Apfel, John J Entwistle, Eric A Marvin
Journal: Front Oncol (2019)
Keywords: brain neoplasm, cerebellopontine angle, epidermoid cyst, malignant degeneration, malignant transformation, neuro-oncology, squamous cell carcinoma
MeSH terms: Case Reports

Intracranial epidermoid cysts are benign lesions that typically remain asymptomatic; however, although histopathologically benign, these cysts can rarely undergo malignant transformation into squamous cell carcinoma. Primary intracranial squamous cell carcinoma carries a poor prognosis as optimal treatment modalities remain unclear due to their low incidence. Here, we present a case of a cerebellopontine angle epidermoid cyst remnant that underwent malignant transformation into squamous cell carcinoma 40 years after partial resection. To our knowledge, this case establishes the longest time interval to date for an intracranial epidermoid cyst to undergo malignant transformation. We also review the relevant literature and discuss recent retrospective clinical studies that have analyzed the effect of multimodal treatment approaches on survival outcomes in patients with these lesions.
Exercise induced left bundle branch block treated with cardiac rehabilitation: a case report and a review of the literature
Authors: Nathan S Anderson, Alexies Ramirez, Ahmad Slim, Jamil Malik
Journal: Case Rep Vasc Med (2014)

Exercise induced bundle branch block is a rare observation in exercise testing, accounting for 0.5 percent of exercise tests. The best treatment of this condition and its association with coronary disease remain unclear. We describe a case associated with normal coronary arteries which was successfully treated with exercise training. While this treatment has been used previously, our case has a longer followup than previously reported and demonstrates that the treatment is not durable in the absence of continued exercise.
Piperacillin-induced immune hemolysis presenting with tachycardia and cardiac arrest
Authors: Ghan-Shyam Lohiya, Lilia Tan-Figueroa, Vamsi Krishna
Journal: Case Rep Med (2011)
MeSH terms: Case Reports

A 20-year-old nonverbal patient with profound developmental disabilities was treated with intravenous piperacillin-tazobactam for respiratory infection. After 8 days, he became afebrile with normal pulmonary status, but his pulse remained inexplicably rapid (114/minute). Investigations revealed severe normochromic normocytic hemolytic anemia (hemoglobin: 40 g/L, reticulocytes: 9.4%, nucleated erythrocytes: 5%). While being hospitalized, patient experienced sudden cardiac arrest from which he was successfully resuscitated. He had no blood loss or intrinsic heart disease to explain the acute anemia or cardiac arrest. He had uneventfully received piperacillin-tazobactam on 7 occasions during the preceding 5 years for >50 days. Patient was treated with intravenous crystalloids, methylprednisolone and transfusion of 3 units of packed erythrocytes. Piperacillin-tazobactam was discontinued. A direct antiglobulin test was positive for immunoglobulin G and complement. Antibody to piperacillin was detected in patient's serum by the "immune-complex" method confirming "piperacillin-induced immune hemolytic anemia (PIHA)". On discharge (day 15), patient's hemoglobin improved to 115 g/L (baseline: 131 g/L). Vigilant clinical and hematological monitoring for anemia is indicated in piperacillin-treated patients, particularly in those unable to verbalize their discomfort. Repeated piperacillin exposure may sensitize and predispose patients to PIHA.
Embryonal Rhabdomyosarcoma of the Biliary Tree as a Differential in a Paediatric Patient Presenting with Biliary Dilatation: Not Always a Choledochal Cyst
Authors: Tara Prasad Tripathy, Yashwant Patidar, Karamvir Chandel, Annapoorani Varadarajan, Vikrant Sood, Shalini Thapar Laroia
Journal: Acta Med Litu (2022)
Keywords: biliary rhabdomyosarcoma, choledochal cyst, diffusion weighted imaging, difuzijos svertinis tyrimas, tulžies pūslės akmenys, tulžies rabdomiosarkoma
MeSH terms: Case Reports

Rhabdomyosarcoma is a soft tissue malignant musculoskeletal tumour and is the most prevalent soft-tissue sarcoma in the paediatric population. Although, Embryonal RMS of the biliary tree is a rare entity, however, it is the most common cause of paediatric malignant obstructive jaundice. We present a 4-year-old child who had symptoms of obstructive jaundice and palpable liver. The non-contrast magnetic resonance imaging and magnetic resonance cholangiopancreatography (MRCP) features were consistent with choledochal cyst. However, contrast enhanced computed tomography and PET CT images revealed biliary RMS as the differential diagnosis. Percutaneous biopsy followed by histopathology confirmed the diagnosis of embryonal biliary RMS. Since embryonal rhabdomyosarcoma is uncommonly recorded in the literature and can mimic the appearance of a choledochal cyst, this case report emphasises the necessity of keeping embryonal RMS as a differential in paediatric cases of obstructive jaundice.
Single balloon enteroscopy for endoscopic retrograde cholangiography in a patient with hepaticojejunostomy after liver transplant
Authors: Marta Di Pisa, Roberto Miraglia, Riccardo Volpes, Salvatore Gruttadauria, Mario Traina
Journal: Gastroenterol Res Pract (2010)
MeSH terms: Case Reports

We report a case of a post-transplant patient with hepaticojejunostomy in whom we used a single balloon enteroscopy to access the biliary tree. This procedure seems to be safe and feasible for approaching the biliary anastomosis by means of the overtube and fixation of the small bowel by the balloon.