OpenMed/multicare-articles huggingface dataset:
Para Kala-Azar Dermal Leishmaniasis: A Case Report
Authors: Md Moniruzzaman, S K Jakaria Been Sayeed, Md Abdur Rahim, Rashedul Hassan, Md Mujibur Rahman
Journal: Cureus (2023)
Keywords: leishmania donovani, liposomal amphotericin b, para kala-azar, post kala-azar dermal leishmaniasis, visceral leishmaniasis
MeSH terms: Case Reports

Rarely, post-kala-azar dermal leishmaniasis (PKDL) may coexist with visceral leishmaniasis (VL). The concomitant PKDL and VL are referred to as Para-kala-azar dermal Leishmaniasis. We report a case of Para kala-azar dermal leishmaniasis in a chronic Hepatitis-B virus-infected patient who presented with an abdominal lump and multiple maculopapular skin lesions and is resistant to sodium stibogluconate but successfully treated with liposomal Amphotericin-B.
Pulmonary embolism revealing idiopathic membranous glomerulonephritis
Authors: A Hamzaoui, O Harzallah, R Klii, L Njim, S Mahjoub
Journal: Case Rep Med (2010)
MeSH terms: Case Reports

We describe a case of a 55-year-old man who presented with pulmonary embolism and who was found to have nephrotic syndrome due to idiopathic membranous nephropathy. There are no other signs of nephrotic syndrome such as edema.
Case report: The diagnostic challenge of primary cardiac intimal sarcoma
Authors: Naili Ye, Lan Lan, Huijuan Hu, Jinping Liu, Haibo Xu
Journal: Front Cardiovasc Med (2023)
Keywords: cmr, cardiovascular magnetic resonance, intimal sarcoma, multimodality imaging, myxoma
MeSH terms: Case Reports

Primary cardiac intimal sarcoma, an extremely rare cardiac tumor subtype, is often mis-diagnosed owing to its rarity and non-specific clinical and radiological features. We report a case of cardiac intimal sarcoma mimicking atrial myxoma in which the clinical presentation and multimodality imaging are described in detail, and diagnostic challenges are highlighted.
Severe Acral Necrosis Complicating Thrombotic Microangiopathy in Two Toddlers
Authors: H Nassih, Z Lazrak, S Younous
Journal: Case Rep Pediatr (2020)
MeSH terms: Case Reports

Acral ischemia/necrosis is one of the rarest but most dreadful complications of thrombotic microangiopathy in pediatric patients. It is more reported with thrombotic thrombocytopenic purpura than with hemolytic and uremic syndrome. Even with anticoagulant therapy, it is often irreversible, leading to amputation.
Recurrent C. difficile in a Patient with IgG Deficiency
Authors: Asad Jehangir, Kyle Bennett, Shoaib Bilal Fareedy, Andrew Rettew, Bilal Shaikh, Anam Qureshi, Qasim Jehangir, Richard Alweis
Journal: Case Rep Gastrointest Med (2015)

IgG deficiency can predispose to recurrent pyogenic infections. The association of IgG deficiency with Clostridium difficile infection has been infrequently reported in the literature. We present a case of a middle-age woman with multiple hospitalizations for recurrent C. difficile in a short span of time which prompted consideration of a possible fecal transplant. On evaluation, she was found to have low total IgG, with subclass analysis revealing low IgG1 and IgG3. She was started on monthly infusions of immunoglobulins and one year after her last episode of C. difficile she has not had any recurrence. The role of immunoglobulin infusion in the treatment of recurrent C. difficile is controversial, with some studies revealing no clear evidence of benefit. Our case report suggests that the patients who have underlying IgG deficiency may benefit from immunoglobulin, as this can significantly reduce the incidence of recurrent infections and hence save the healthcare costs.
Bacteraemia and Associated Complications on Imaging as a Clue to Colorectal Malignancy
Authors: Jan Van Offenwert, Patrick Gillardin
Journal: J Belg Soc Radiol (2022)
Keywords: streptococcus gallolyticus, bacteraemia, colorectal malignancy, pseudo-aneurysm, rectal tumour
MeSH terms: Case Reports

Streptococcus gallolyticus (SG) - among other bacterial infections - is associated with colorectal malignancy and adenoma. It is reported that patients with SG bacteraemia have a concomitant colorectal tumour in 25-80% of cases. We present a case of a patient with complications of this septicaemia associated with a rectal adenocarcinoma, as an example of this important radiological and clinical correlation. Teaching Point: Always screen for primary colorectal malignancy in a patient with malignancy-associated bacterial infection.
The Protocol of Fixed Reconstruction for Severely Worn Teeth Combined with Anterior Deep Bite
Authors: Ya-Wen Zhao, Rong Gao, Hui-Qiang Sun
Journal: Case Rep Dent (2017)
MeSH terms: Case Reports

Full mouth reconstruction is one of the most effective methods to restore severe worn teeth that have suffered reduced vertical dimension. Although the use of the overlay splint restoration for a trial period allowing the patient to adapt to an increased vertical dimension is the recognized method, the specific protocol from the transitional splint to the fixed reconstruction is yet to be established. This case report describes a 50-year-old female patient who has severely worn teeth combined with an anterior deep bite and chewing pain. The protocol of the treatment process is described.
Orthopedic Considerations in the Pedestrian versus Motor Vehicle Accident Polytrauma Patient
Authors: Jason Samona, Robert Colen
Journal: Case Rep Orthop (2012)
MeSH terms: Case Reports

Pedestrian versus motor vehicle accidents (PVMVAs) are a common cause of morbidity and mortality around the globe. Past models of PVMVAs assume lower-extremity vehicle contact as the initiating event, with a subsequent predicted injury sequence consisting of a lower extremity injury followed by injury to the body, head, and upper extremities. The term "fatal triad" was first coined by Farley, which described concomitant injuries to the skull, pelvis, and extremity fractures. Over the years, this once well-accepted model of injury has been under scrutiny by numerous orthopedic researchers, and it has lost credibility. This case presentation glaring reveals that the patient incurred which is referred to as the "fatal triad", in contrast to the commonly circulated thoughts of biodynamic mechanisms of PVMVA fractures. More research in this arena is warranted. This lack of information contributes to the morbidity and mortality associated with such devastating injuries. The overlying theme displayed in the data analyzed in this paper demonstrates the vital importance of the orthopedic surgeon in the management of the PVMVA patient. No matter the particular mechanism of injury, occurrence, or agreed-upon treatment protocol, the role of the orthopedic physician is instrumental to the wellbeing of the PVMVA trauma patient.
Tendon transfer in hand trauma: a case report
Authors: Hossein Saremi, Ali Karbalaeikhani
Journal: Trauma Mon (2013)
Keywords: amputation, avulsion, tendon transfer
MeSH terms: Case Reports

In this report we describe our encounter of a case of hand trauma referred to our center presenting with incomplete left thumb amputation at metacarpal level with extensor pollicis longus (EPL) and flexor pollicis longus (FPL) tendon avulsion from the tenomuscular junction. After metacarpal bone fixation the ulnar digital artery was anastomosed and the digital nerves were coapted. Transfer of extensor indicis proprius (EIP) to EPL and side-to-side suturing of the FPL to the deep flexor tendon of the index finger were performed.
Marfan syndrome: a case report and pictorial essay
Authors: Poobalan Naidoo, Naresh Ranjith, Zuzile Zikalala, Scott Mahoney, Kevin Ho
Journal: Pan Afr Med J (2018)
Keywords: connective tissue disease, marfan syndrome, radiological and vascular anomalies
MeSH terms: Marfan Syndrome / diagnosis, Case Reports, Adolescent, Humans, Male, Marfan Syndrome / physiopathology, South Africa

We report a case of Marfan syndrome (MFS) in a South African patient, which is extraordinary because of the large constellation of clinical, radiological and vascular anomalies in a single patient. A literature search from 1950 to date did not show a similar report of such extensive clinical characteristics of MFS.
A Case of Polyarteritis Nodosa Presenting as Rapidly Progressing Intermittent Claudication of Right Leg
Authors: Chathuranga Lakmal Fonseka, Sampath Rukshani Galappaththi, Dayakshi Abeyaratne, Nirmali Tissera, Lalith Wijayaratne
Journal: Case Rep Med (2017)
MeSH terms: Case Reports

Background:
Polyarteritis nodosa (PAN) is a medium vessel vasculitis which causes significant morbidity and mortality. Usually, it presents with constitutional symptoms with angiographic evidence of aneurysms or segmental stenosis of arteries of mesenteric or renal vasculature. It is exceedingly uncommon for PAN to present with symptomatic progressive intermittent claudication.
Case presentation:
We describe a 60-year-old male who presented with rapidly progressive intermittent claudication of his right leg. He did not have any significant atherosclerotic risk factors. He had recent onset hypertension and loss of weight. He also had mononeuropathy of right common peroneal nerve and livedo reticularis rash. With negative autoimmune markers and suggestive histology in deep punch skin biopsy and angiographic evidence of segmental stenosis of femoral and renal arteries, we diagnosed PAN. We treated him with aggressive immunosuppressants and vascular bypass surgery of right femoral vessels; he showed a good response.
Conclusion:
Rapidly progressive unilateral intermittent claudication could be a very rare, but noteworthy presentation of PAN. With suggestive histology and exclusion of other comorbidities aggressive immunosuppressants should be instituted. Vascular bypass surgery for critical ischaemia of the limbs is an option that could be considered for limb-threatening disease.
Ustekinumab-induced autoimmune hepatitis: a case report
Authors: Ali Said Samah, Tennenbaum Ruth, Kallel Roua, Vitte René Louis
Journal: Pan Afr Med J (2023)
Keywords: ustekinumab, autoimmune hepatitis, case report, drug-induced hepatitis
MeSH terms: Colitis, Hepatitis, Autoimmune / diagnosis, Hepatitis, Autoimmune / drug therapy, Hepatitis, Autoimmune / etiology, Case Reports, Humans, Immunosuppressive Agents / adverse effects, Ustekinumab / adverse effects, Ustekinumab, Immunosuppressive Agents

Ustekinumab is a fully human monoclonal antibody that binds to interleukin (IL)-12/23. Ustekinumab-related liver injury (UST) is rare. There is limited data available on the potential for ustekinumab-liver interaction. We report the case of a patient from our institution followed for colitis ulcerative who developed autoimmune hepatitis (AIH) during treatment with ustekinumab. The diagnosis of autoimmune hepatitis was retained on the simplified criteria for autoimmune hepatitis. Therapeutic management consisted of stopping ustekinumab and starting corticosteroids and immunosuppressants, with regression of cytolysis at 2 months. The purpose of the article is to alert readers and encourage them to report similar cases for better knowledge of the drug.
IgA nephropathy in a laboratory worker that progressed to end-stage renal disease: a case report
Authors: Bokki Min, Gyuree Kim, Taesun Kang, Chungsik Yoon, Sung-Il Cho, Domyung Paek
Journal: Ann Occup Environ Med (2016)
Keywords: dichloromethane, end-stage renal disease, iga nephropathy, laboratory worker, occupational exposure, organic solvent, toluene
MeSH terms: Case Reports

Background:
IgA nephropathy (IgAN) is the most common form of glomerulonephritis, a principal cause of end-stage renal disease (ESRD) worldwide. The mechanisms of onset and progression of IgAN have not been fully revealed, and epidemiologic studies have yielded diverging opinions as to the role of occupational exposure to organic solvents in the initiation or worsening of IgAN. As the authors encountered a laboratory worker with IgAN that progressed to ESRD, we present a case report of IgAN progression due to dichloromethane exposure along with a review of literature.
Case presentation:
A 41-year-old male laboratory worker began to experience gross painless hematuria after two years of occupational exposure to toluene. Although clinical follow-up was initiated under the impression of IgAN based on clinical findings, the patient continued to work for four more years in the same laboratory, during which he was in charge of laboratory analysis with direct exposure to a high concentration of dichloromethane without proper protective equipment. During that time, his renal function rapidly worsened and finally progressed to ESRD 10 years after the first clinical symptoms. The result of exposure assessment through reenactment of his work exceeded the occupational exposure limit for dichloromethane to a considerable degree.
Conclusions:
The causal association between occupational solvent exposure and IgAN is still unclear; therefore, this case report could be used as a basis to support the relevance of occupational solvent exposure to IgAN and/or its progression. Early intervention as well as close monitoring of laboratory workers exposed to various organic solvents is important to prevent or delay the progression of glomerulonephritis to ESRD in the occupational setting.
Resistance Exercise Training in McArdle Disease: Myth or Reality?
Authors: Aleksandra Pietrusz, Renata S Scalco, Ros Quinlivan
Journal: Case Rep Neurol Med (2018)
MeSH terms: Case Reports

McArdle disease is a metabolic myopathy mainly characterised by symptom onset during physical activities or isometric muscle contraction. Resistance (also termed strength) training is a type of physical exercise focusing on the use of resistance (e.g., lifting weights) to induce muscular contraction, which builds muscle mass and strength. Historically people with McArdle disease were advised to avoid resistance exercises and any other form of physical activity involving high mechanical loads such as prolonged isometric contraction. Paradoxically, a clinical trial exploring the benefits of strength training in this patient population was published. The theory supporting strength training relied on the use of the ATP molecule and the creatine phosphate (ATP-phosphocreatine system) as energy sources for skeletal muscles. Here, we report two patients with McArdle disease who performed weight training at local gyms. A single set of repetitions lasted for maximum 10 seconds with minimum of 30 seconds of rest period in between sets of exercises. Benefits of this type of training included improvement in quality of life and amelioration of McArdle disease symptoms. We provide further safety evidence of this type of exercise in people with McArdle disease. We emphasise the importance of using a specific protocol developed for people affected by this condition.
A rare case of term viable secondary abdominal pregnancy following rupture of a rudimentary horn: a case report
Authors: Bhandary Amritha, Thirunavukkarasu Sumangali, Ballal Priya, Shedde Deepak, Rai Sharadha
Journal: J Med Case Rep (2009)

Introduction:
Abdominal pregnancy is a rare event, but one that represents a grave risk to the health of the pregnant woman. An abdominal pregnancy is defined as an ectopic pregnancy that implants in the peritoneal cavity. Early abdominal pregnancy is self-limited by hemorrhage from trophoblastic invasion with complete abortion of the gestational sac that leaves a discrete crater. Advanced abdominal pregnancy is a rare event, with high fetal and maternal morbidity and mortality.
Case presentation:
This is a case report of a 22-year-old primigravida with an abdominal pregnancy from a ruptured rudimentary horn. She was diagnosed as a case of term pregnancy with placenta previa with a transverse fetal lie and cervical fibroid and was prepared for an elective cesarean section. Intra-operatively, a live term female baby was extracted from the peritoneal cavity and it turned out to be an abdominal pregnancy from a ruptured rudimentary horn of a unicornuate uterus, which is a very rare condition. Mother and baby were in good condition after such a catastrophic event.
Conclusion:
This case illustrates a rare obstetric condition which can be a severe catastrophic condition leading to maternal mortality and morbidity. It is imperative for every obstetrician to have in mind the possibility of abdominal pregnancy, although rare, especially in pregnant patients with persistent abdominal pain and painful fetal movements.
A case of fulminant sepsis caused by Capnocytophaga canimorsus after a dog bite
Authors: Piotr Woźniak, Robert Szymczak, Agata Piotrowska
Journal: IDCases (2020)
Keywords: canimorsus, capnocytophaga, dog bite, sepsis, septic shock
MeSH terms: Case Reports

Many species of microorganisms of various human pathogenicity have been identified in the oral cavities of dogs and cats. One of them is Capnocytophaga canimorsus, a Gram-negative bacterium of the Flavobacteriacae family, with unique abilities to forage sugars from host tissues and avoid the host immune response. Although C. canimorsus may be isolated from the oral cavities of most dogs and cats, severe human infection is very rare according to studies (0.67 cases/million/year). A canine or feline bite is the most common source of infection. At the highest risk are asplenic or functionally asplenic patients as well as individuals with cirrhosis or a history of alcohol abuse. We report a fatal case of C. canimorsus sepsis in a patient with a spleen.
Case report: Fully endoscopic microvascular decompression for trigeminal neuralgia
Authors: Haotian Jiang, Dewei Zou, Pan Wang, Longwei Zeng, Jie Liu, Chao Tang, Gang Zhang, Xiaorong Tan, Nan Wu
Journal: Front Neurol (2023)
Keywords: endoscopy, functional neurosurgery, microvascular decompression, suboccipito-retrosigmoid approach, trigeminal neuralgia
MeSH terms: Case Reports

Microvascular decompression is safe, effective, and micro-invasive. Due to these advantages, it has become the mainstream treatment for trigeminal neuralgia, glossopharyngeal neuralgia, and hemifacial spasm. Initially, microvascular decompression was performed under a microscope, which limited the light source and visualization capabilities. With the development of endoscopic technology, the endoscope has been used in microvascular decompression, which further improved the visualization range and light source properties. The purpose of the present study was to investigate the efficacy of fully endoscopic microvascular decompression for the treatment of trigeminal neuralgia. In total, three patients with trigeminal neuralgia who underwent fully endoscopic microvascular decompression were evaluated. After surgery, the facial pain of all patients was significantly relieved. In addition, there were no obvious postoperative complications and no recurrence after 6 months of follow-up. These excellent surgical outcomes indicate that fully endoscopic microvascular decompression is an effective and safe method for the treatment of trigeminal neuralgia. Furthermore, it also shows that the endoscope presents advantages for use in microvascular decompression.
Infliximab for the treatment of intravenous immunoglobulin resistant Kawasaki disease complicated by coronary artery aneurysms: a case report
Authors: Robert J Brogan, Despina Eleftheriou, James Gnanapragasam, Nigel J Klein, Paul A Brogan
Journal: Pediatr Rheumatol Online J (2009)

This case report describes an 8 year old boy with IVIG resistant Kawasaki disease complicated by severe bilateral coronary artery aneurysms successfully treated with infliximab, a monoclonal antibody against tumour necrosis factor alpha.
Extraluminal colonic carcinoma invading into kidney: a case report and review of the literature
Authors: J Nelson, K Rinard, A Haynes, S Filleur, T Nelius
Journal: ISRN Urol (2011)
MeSH terms: Case Reports

Renal metastasis from primary colon cancer is very rare, comprising less than 3% of secondary renal neoplasms. There are just 11 cases reported in the medical literature of colonic adenocarcinoma metastatic to the kidney. Of these cases, none occurred via direct invasion. We report a unique case of a 51-year-old female with extraluminal colonic adenocarcinoma which directly invaded into the kidney. Additionally, we investigate the causal relationship between the site of invasion and a previous stab injury by reviewing the role of the peritoneum and Gerota's fascia in preventing the spread of metastatic cancer into the perirenal space. Due to the rarity of this event, we present this case including a review of the existing literature relative to the diagnosis and treatment.
Small bowel diverticulum complicated by enterocutaneous fistula and abdominal wall abscess - Case report
Authors: Mutlaq A Almalki, Waed Y Yaseen, Mohammed Baatiyyah
Journal: Int J Surg Case Rep (2019)
Keywords: abdominal wall abscess, enterocutaneous fistula, small bowel diverticulum

Introduction:
Small bowel diverticular disease is uncommon, representing 1-2% of general population. The ileum diverticulum is very rare, especially if it is complicated by enterocutaneous fistula with abdominal wall abscess.
Presentation of the case:
Here, we report a case of small bowel diverticulum, ileum diverticulum with enterocutaneous fistula in a 65-year man presented with lower abdominal pain and an irreducible swelling for 5 days.
Dissection:
Diverticulosis has no exact cause, but theoretically the diverticula result from peristalsis abnormalities, intestinal dyskinesia, or high segmental intraluminal pressures. Complications of small intestinal diverticulum include bleeding, diverticulitis and its complication (e.g. fistula formation, and intra-abdominal abscess) [5].
Conclusion:
This is considered rare and serious complication of small bowel diverticulum could occur if diagnosis is delayed.
Policy for prevention of a retained sponge after vaginal delivery
Authors: David J Garry, Sandra Asanjarani, Donna M Geiss
Journal: Case Rep Med (2012)
MeSH terms: Case Reports

Background. Policies for sponge count are not routine practice in most labor and delivery rooms. Ignored or hidden retained vaginal foreign bodies has potentially significant health care morbidity. Case. This was a case of a retained vaginal sponge following an uncomplicated spontaneous vaginal delivery. Delivery room policy resulted in the discovery of the sponge on X-ray when an incorrect sponge count occurred and physical exam did not find the sponge. Conclusion. This emphasizes the use of protocols to enhance patient safety and prevent medical error.
Primary Necrosis of the Ligamentum Teres Hepatis: A Rare Cause of Acute Abdominal Pain
Authors: Rui Yang, Ying Zhao, Qingyu Ji
Journal: J Belg Soc Radiol (2023)
Keywords: ct, acute abdominal pain, ligamentum teres hepatis, primary necrosis
MeSH terms: Case Reports

Primary necrosis of the ligamentum teres hepatis (PNLTH) is an extremely rare disease which presents with acute abdominal pain. It has easily been misdiagnosed due to lack of clinical manifestations. Early recognition of PNLTH is crucial for treatment while CT is a good methed to diagnose and differential diagnose PNLTH. Teaching Point: Primary necrosis of the ligamentum teres hepatis (PNLTH) is an extremely rare disease characterized with acute abdominal pain, while computed tomography is the recommended technique to diagnose and differential diagnose this disease.