OpenMed/multicare-articles huggingface dataset:
Delayed Presentation of Submucosal Retained Toothbrush from Self-Inflicted Injury in Patient with Schizophrenia
Authors: Caleb H Creswell, Tony L Kille, Matthew R Hoffman, Tabassum Kennedy, Seth H Dailey
Journal: Case Rep Emerg Med (2017)
MeSH terms: Case Reports

Foreign body ingestion occurs in not only children but also adults, particularly those with history of neurologic disease, alcohol use, or psychiatric disease. We present the case of a 40-year-old male with schizophrenia who presented to the emergency room with a long history of pharyngeal foreign body sensation which had recently progressed to include trismus, odynophagia, and dyspnea. Flexible laryngoscopy demonstrated fullness of the right posterior pharyngeal wall and computed tomography (CT) showed a linear opaque foreign body extending from the level of the oropharynx to the thyroid ala. Further history elicited that he stabbed himself in the pharynx two years prior with a toothbrush following a command hallucination. The toothbrush was removed uneventfully via an external approach. The patient was discharged with psychiatry follow-up. This case is unusual due to the submucosal location of the foreign body and the length of retention. It demonstrates the atypical nature which patients with comorbid psychiatric illness may present following foreign body injury and the use of an external surgical approach for the removal of a retained foreign body based on CT reconstruction.
Late Onset Streptococcus agalactiae Meningitis following Early Onset Septicemia: A Preventable Disease?
Authors: Kam Lun Hon, King Hang Chan, Pak Long Ko, King Woon So, Alexander K C Leung
Journal: Case Rep Pediatr (2017)
MeSH terms: Case Reports

We report a neonate who presented with early onset Streptococcus agalactiae or group B streptococcus (GBS) septicemia within 24 hours of birth. After discharge at day 14, she went on to develop late onset GBS meningitis at 36 days of age. The infant was treated with intravenous antibiotics on both occasions and eventually discharged home with no apparent sequelae. We address issues associated with GBS infection in infancy including the demographics, risk factors, and the risk of late onset GBS meningitis following an early onset GBS infection. The major source of GBS in early onset GBS disease is maternal birth canal GBS colonization. On the other hand, nosocomial cross-infection is an important source of GBS in late onset disease. Penicillin remains the current treatment of choice for GBS infection. Given the rapid onset and progression within hours of birth and lack of an effective solution for preventing late onset GBS, administration of an effective GBS vaccine in pregnancy could provide a sensible and cost-effective solution in all settings.
A Case of False-Positive Mycobacterium tuberculosis Caused by Mycobacterium celatum
Authors: Edward Gildeh, Zaid Abdel-Rahman, Ruchira Sengupta, Laura Johnson
Journal: Case Rep Infect Dis (2016)

Mycobacterium celatum is a nontuberculous mycobacterium shown to cause symptoms similar to pulmonary M. tuberculosis. Certain strains have been shown to cross-react with the probes used to detect M. tuberculosis, making this a diagnostic challenge. We present a 56-year-old gentleman who developed signs and symptoms of lung infection with computed tomography scan of the chest showing right lung apex cavitation. Serial sputum samples were positive for acid-fast bacilli and nucleic acid amplification testing identified M. tuberculosis ribosomal RNA, resulting in treatment initiation. Further testing with high performance liquid chromatography showed a pattern consistent with M. celatum. This case illustrates the potential for M. celatum to mimic M. tuberculosis in both its clinical history and laboratory testing due to the identical oligonucleotide sequence contained in both. An increasing number of case reports suggest that early reliable differentiation could reduce unnecessary treatment and public health intervention associated with misdiagnosed tuberculosis.
Complex biventricular pacing - a case series
Authors: Emily Catherine Hodkinson, Keith Morrice, William Loan, Jacob Nicholas, Engwooi Chew
Journal: Indian Pacing Electrophysiol J (2014)
Keywords: biventricular pacing

It is established that cardiac resynchronisation therapy (CRT) reduces mortality and hospitalisation and improves functional class in patients with NYHA class 3-4 heart failure, an ejection fraction of ≤ 35% and a QRS duration of ≥ 120ms. Recent updates in the American guidelines have expanded the demographic of patients in whom CRT may be appropriate. Here we present two cases of complex CRT; one with a conventional indication but occluded central veins and the second with a novel indication for CRT post cardiac transplant.
Plagiocephaly and brachycephaly treatment with cranial orthosis: a case report
Authors: Gerd Schreen, Carolina Gomes Matarazzo
Journal: Einstein (Sao Paulo) (2013)
MeSH terms: Craniosynostoses / therapy, Orthotic Devices, Plagiocephaly / therapy, Case Reports, Cephalometry, Humans, Infant, Male, Reference Values, Reproducibility of Results, Time Factors, Treatment Outcome

The number of cranial deformities has increased considerably since international efforts of pediatricians to recommend parents putting their babies to sleep in the supine position as a strategy to reduce sudden death syndrome of the newborn. On the one hand, this program has demonstrated very efficient results at reducing deaths and, on the other hand, such recommendation has increased the incidence of cranial asymmetries. In addition, infants are kept too long in one position, much of this due to abusive use of strollers, baby carriers, car seats, swings and other devices. Among resulting asymmetries, the most frequently found are plagiocephaly (parallelogram shaped skull, with posterior unilateral flattening with the opposite frontal area also flattened) and brachycephaly (occipital bilateral flattening). The present study is a case report of a patient with brachycephaly associated with deformational plagiocephaly treated with cranial orthosis. The same physician clinically evaluated the patient before and after treatment using photographic recording and a laser scanning device, which allows the accurate measurement of variables determining asymmetries. It became clear during treatment that there was significant improvement in cranial symmetry documented by decrease in the cephalic index, diagonal difference and volume gain in the quadrant that was flattened. The authors conclude that orthotic therapy is a safe and effective therapeutic modality for position cranial asymmetries.
Dentigerous Cyst associated with Horizontally Impacted Mandibular Second Premolar
Authors: Rahul Mishra, Abhay Mani Tripathi, Monika Rathore
Journal: Int J Clin Pediatr Dent (2014)
Keywords: dentigerous cyst, impaction, odontogenic infections, surgical pedodontics
MeSH terms: Case Reports

Dentigerous Cyst/developmental cyst of benign odontogenic origin are ones that surround the crown of impacted, embedded, unerupted or developing teeth. Dentigerous cyst is second most common cyst of the oral cavity after radicular cyst. They are usually solitary in occurrence and mostly associated with the mandibular third molars. Dentigerous cysts involving impacted second premolars are rarely reported in the literatures. We present a rare case of dentigerous cyst in a 12-year-old female patient associated with an impacted mandibular second premolar. How to cite this article: Mishra R, Tripathi AM, Rathore M. Dentigerous Cyst associated with Horizontally Impacted Mandibular Second Premolar. Int J Clin Pediatr Dent 2014;7(1): 54-57.
Primary small cell neuroendocrine carcinoma of the urinary bladder with coexisting high-grade urothelial carcinoma: a case report and a review of the literature
Authors: Marilyn Bui, Walid E Khalbuss
Journal: Cytojournal (2005)

Primary neuroendocrine carcinomas of the urinary bladder are rare. Here, we report a case of an 82-year-old man who presented with hematuria and was found to have an ulcerated lesion in the bladder. A diagnosis of small neuroendocrine cell carcinoma with coexisting minor high-grade urothelial components was rendered. In this report, the clinical, cytological, histological, and immunohistochemical features of this case are described, and a review of the literature about this neoplasm is presented. The differential diagnoses of small cell tumor in urinary bladder washing specimens are discussed.
Arterial tortuosity syndrome: A rare entity
Authors: Ashutosh Marwah, Sejal Shah, P V Suresh, Sunita Maheshwari
Journal: Ann Pediatr Cardiol (2008)
Keywords: arterial tortuosity syndrome, tortuous pulmonary arteries
MeSH terms: Case Reports

We present a 5 month old baby who was referred for an incidental detection of a murmur and was found to have tortuous pulmonary arteries with multiple peripheral pulmonary stenoses and bilateral inguinal hernia pointing towards the diagnosis of arterial tortuosity syndrome.
Multifocal dysembryoplastic neuroepithelial tumour with intradural spinal cord lipomas: report of a case
Authors: Richard D White, Avinash K Kanodia, Esther M Sammler, John N Brunton, Craig A Heath
Journal: Case Rep Radiol (2011)
MeSH terms: Case Reports

We report a case of temporal lobe epilepsy and incomplete Brown-Sequard syndrome of the thoracic cord. Computed tomography and magnetic resonance (MR) imaging showed multiple supratentorial masses with the classical radiological appearances of multifocal dysembryoplastic neuroepithelial tumour (DNET). Spinal MR imaging revealed intradural lipomas, not previously reported in association with multifocal DNET. Presentation and imaging findings are discussed along with classification and natural history of the tumour.
A Rational Approach to Sinus Augmentation: The Low Window Sinus Lift
Authors: Terry Zaniol, Alex Zaniol
Journal: Case Rep Dent (2017)
MeSH terms: Case Reports

Sinus augmentation is a well-known approach to treating alveolar bone ridge atrophy in the posterior maxilla. The preparation of the lateral window is crucial. Its size, design, and position in the vestibular sinus wall may affect the intra- and postsurgical complication rates and affect the intrasurgical activity of both surgeons and assistants. The present paper describes a rational technique that also exploits the guided surgery approach for design and preparation of a lateral window for sinus augmentation, the Low Window Sinus Lift. To illustrate the use of this approach, a case is presented in which the 50-year-old patient had the left maxillary first molar extracted, followed two months later by sinus augmentation and placement of three implants. One year after delivery of the definitive prosthesis, all three implants were successful, and the prosthesis was fully functional. Controlled studies should be undertaken to assess whether this technique provides significant advantages compared to other sinus augmentation approaches.
Cutaneous sinus formation is a rare complication of thyroid fine needle aspiration biopsy
Authors: Gülhan Akbaba, Muhyettin Omar, Murat Polat, Önder Özcan, Ahmet Korkut Bellı, Murat Şahan, Neşat Çullu
Journal: Case Rep Endocrinol (2014)

Fine needle aspiration biopsy (FNAB) is essential in the diagnosis and management of thyroid nodules. In this paper, we report a rare complication, cutaneous sinus formation, after diagnostic FNAB guided by palpation. Sixty-three-year-old female patient was admitted with the complaints of hoarseness and discharge from the anterior neck wall which were present for the last 6 months. The patient underwent a near total thyroidectomy 17 years ago. Recurrent nodular goiter was detected six months before and a diagnostic FNAB guided by palpation was performed. Two weeks later the patient had wound discharge and hoarseness. Physical examination of the patient revealed a sinus, which was located superior to the thyroidectomy incision. A 1 cm nodule was palpated in the left side of her neck. A cervical ultrasonography (USG) showed a 9 × 7 mm nodule in the remnant thyroid and a 9.5 × 3.5 mm fistulized fluid collection. The patient underwent sinus tract and remnant thyroid removal. This case report presents a cutaneous sinus formation deriving from the granulation tissue, probably due to the silk suture reaction in the previous surgery, by the FNAB guided by palpation procedure. We suggest USG guided FNAB to achieve more accurate and safe diagnosis in evaluating the thyroid nodules.
Case Report: Experience and Lesson From Postpartum Ruptured Abdominal Aortic Aneurysm
Authors: Yumei Wang, Di Tian, Liu Yang, Qian Zhang, Guangyao Qin, Xinghui Liu
Journal: Front Med (Lausanne) (2022)
Keywords: abdominal aortic aneurysm, case report, neurofibromatosis, postpartum, pregnancy
MeSH terms: Case Reports

With rapid progression and extremely high mortality brought by the ruptured aneurysm, abdominal aortic aneurysm is one of the most dangerous diseases in the field of vascular surgery. The incidence of abdominal aortic aneurysms in pregnant women is low. Because of the insidious nature of the disease, it is not easily recognized and can be easily misdiagnosed by obstetricians, which can lead to serious adverse outcomes. In this study, we aim to draw attention to this disease and raise awareness among obstetricians about this disease in pregnant women by retrospectively analyzing a rescue case of ruptured abdominal aortic aneurysm after delivery. By reporting the experience and lessons learned from this case, we aim to improve preoperative diagnosis and treatment rates, reduce missed diagnosis, and improve the prognostic outcome of patients.
Melphalan Culprit or Confounder in Acute Encephalopathy during Autologous Hematopoietic Stem Cell Transplantation?
Authors: Diógenes Alayón-Laguer, Melissa Alsina, Jose L Ochoa-Bayona, Ernesto Ayala
Journal: Case Rep Transplant (2012)
MeSH terms: Case Reports

We report a case of a female patient with Durie-Salmon stage 3A/ISS stage I IgG kappa multiple myeloma (MM) who developed encephalopathy after high-dose melphalan and hematopoietic stem cell transplant (HSCT). The most common etiologies for encephalopathy such as infection, narcotic medications, metabolic-electrolyte disturbance, stroke, and central nervous system (CNS) hemorrhages were ruled out. The patient recovered from the altered mental status spontaneously. The possibilities of melphalan-induced encephalopathy versus critical-state delirium versus hypercytokinemia induce encephalopathy were contemplated.
Systemic Cystic Angiomatosis Mimicking Metastatic Cancer: A Case Report and Review of the Literature
Authors: Vivek Kumar, Trishala Meghal, Yanyu Helen Sun, Yiwu Huang
Journal: Case Rep Med (2017)
MeSH terms: Case Reports

Systemic cystic angiomatosis is a rare benign disorder due to the maldeveloped vascular and lymphatic system with less than 50 cases reported in literature so far. We report here a case of systemic cystic angiomatosis (SCA) with multisystem involvement affecting the neck, thyroid, thoracic cavity, and skeletal system. The patient initially presented in her 4th decade of life with isolated lymphangioma in the neck requiring surgery. However, she experienced full-blown manifestations of SCA in her 6th decade which closely mimicked metastatic cancer. The diagnosis of SCA could only be established after multiple biopsies. The radiological and histological features of SCA with its course over 31 years in this patient have been described.
Restoring aesthetics and function in a young boy with hypomature amelogenesis imperfecta: a case report
Authors: Engin Ağaçkiran, Emin Caner Tümen, Sema Celenk, Behiye Bolgül, Fatma Atakul
Journal: ISRN Dent (2011)
MeSH terms: Case Reports

Amelogenesis imperfecta has been described as a complex group of inherited conditions that disturbs the developing enamel structure and exists independent of any related systemic disorder. It is a rare dental disease but represents a great restorative challenge for dentists. A 12-year-old boy presented with sensitive, discolored, and mutilated teeth and decreased vertical dimension of occlusion. Direct composite resin restorations were applied to all teeth to modify the occlusion, to restore mild crowding, and to improve aesthetics. The 24-month recall examination revealed no pathology associated with the rehabilitation, and the patient's aesthetic and functional expectations were satisfied. The rehabilitation included multiple anterior and posterior composite resins to eliminate tooth sensitivity, improve the aesthetics and occlusion, and restore function.
Highly Aggressive CD4-Positive Mast Cell Leukaemia (Leukaemic Variant) Associated with Isolated Trisomy 19 and Hemophagocytosis by Neoplastic Mast Cells: A Case Report with Challenging Experience and Review
Authors: Dina Sameh Soliman, Ahmad Al-Sabbagh, Feryal Ibrahim, Amna Gameil, Mohamed Yassin, Halima El-Omri
Journal: Case Rep Hematol (2019)
MeSH terms: Case Reports

Background:
Mast cell leukaemia is a unique disease among hematopoietic neoplasms, being one of the rarest leukaemia subtypes. In addition, its prompt diagnosis is usually challenging. This is due to its heterogeneity in clinical presentations and cytomorphological and immunophenotypical features together with potential associations with other hematologic neoplasms which can complicate the condition and delay accurate diagnosis. To the best of our knowledge, this is the first case report of CD4-positive mast cell leukaemia.
Case presentation:
A 39-year-old male presented with acute onset of fever, abdominal pain, and generalized body aches of two-week duration. Peripheral blood smear showed circulating blasts (13%) with coarsely basophilic granulation. Bone marrow (BM) aspirate showed extensive infiltration with immature mast cells of blast-like morphology with trilineage dysplasia and evident hemophagocytic activity exhibited by histiocytes and neoplastic mast cells. BM biopsy was diffusely infiltrated with many atypical mast cells positive for CD45, CD117, mast cell tryptase, CD25, and CD4 with partial positivity for CD7 and CD30. Cytogenetics showed an abnormal karyotype: 47, XY, +1947, XY, +19[13]/46, XY[9]. Molecular analysis revealed a KIT D816V mutation consistent with a diagnosis of systemic mastocytosis, mast cell leukaemia.
Conclusion:
The expression of T-cell associated markers by abnormal mast cells is well documented; however, CD4 and CD7 expression have not previously been described in association with mast cell leukaemia. Coexpression of CD2, CD4, CD7, and CD30 by the mast cells particularly in skin lesions may provoke misinterpretation as a cutaneous T-cell neoplasm. To the best of our knowledge, this is the first report of CD4-positive mast cell leukaemia. Moreover, hemophagocytic mast cell leukaemia is a very rare morphologic variant, and possible correlation between this finding and expression of CD4 by neoplastic mast cells is a topic for further investigation.
Case Report: Lipoprotein Glomerulopathy Complicated by Atypical Hemolytic Uremic Syndrome
Authors: Lara Kollbrunner, Patricia Hirt-Minkowski, Javier Sanz, Elena Bresin, Thomas J Neuhaus, Helmut Hopfer, Andreas W Jehle
Journal: Front Med (Lausanne) (2021)
Keywords: apolipoprotein e, atypical hemolytic uremic syndrome, case report, complement factor-h related 1, lipoprotein glomerulopathy, nephrotic syndrome, thrombotic microangiopathy
MeSH terms: Case Reports

Lipoprotein glomerulopathy (LPG) is a rare inherited disease caused by mutations in the APOE gene, encoding apolipoprotein E (apoE). Atypical hemolytic uremic syndrome (aHUS) is a thrombotic microangiopathy (TMA) characterized by overactivation of the alternative complement pathway. Here we report the case of a 21-year-old man with LPG who developed aHUS. A functional complement assay demonstrated an overactivation of the complement system. Complementary genetic analysis revealed a homozygous aHUS risk allele for complement factor-H related 1 (CFHR1), CFHR1*B. To the best of our knowledge, this is the first report of an aHUS in a patient with LPG.
Passage of an Anterior Odontoid Screw through Gastrointestinal Tract
Authors: L Leitner, C I Brückmann, M M Gilg, G Bratschitsch, P Sadoghi, A Leithner, R Radl
Journal: Case Rep Med (2017)
MeSH terms: Case Reports

Purpose. Anterior screw fixation has become a popular surgical treatment method for instable odontoid fractures. Screw loosening and migration are a rare, severe complication following anterior odontoid fixation, which can lead to esophagus perforation and requires revision operation. Methods. We report a case of screw loosening and migration after anterior odontoid fixation, which perforated the esophagus and was excreted without complications in a 78-year-old male patient. Results. A ventral dislocated anterior screw perforated through the esophagus after eight years after implantation and was excreted through the gastrointestinal (GI) tract. At a 6-month follow-up after the event the patient was asymptomatic. Conclusion. Extrusion via the GI tract is not safe enough to be considered as a treatment option for loosened screws. Some improvements could be implemented to prevent such an incident. Furthermore, this case is a fine example that recent preoperative imaging is mandatory before revision surgery for screw loosening.
Rifampicin for Treatment of Cholestatic Pruritus Caused by Drug-Induced Acute Liver Injury as Assessed by the RUCAM Classification
Authors: Ali R Ahmadi, Maria Chicco, Marcel van den Berge
Journal: Case Reports Hepatol (2020)
MeSH terms: Case Reports

A male bodybuilder of 39 years of age developed severe pruritus, nausea, and jaundice after injecting anabolic steroids purchased on the black market. The patient had no history of liver disease and no risk factors for viral hepatitis. Extensive laboratory testing, radiographic imaging, and liver biopsy excluded a majority of potential pathologies. The patient was diagnosed with drug-induced acute liver injury and secondary acute renal failure most likely caused by testosterone purchased on the black market. The pruritus caused insomnia and significant psychological distress. Treatment was initiated with cholestyramine and naltrexone for one week with no effect on the pruritus. Subsequently, all medications were stopped, and rifampicin was started. Pruritus resolved after starting rifampicin, and liver and kidney function improved rapidly and normalized within 5 months.
Trefoil System for the Treatment of Mandibular Edentulism: A Case Report with 30 Months Follow-Up
Authors: Andrea E Borgonovo, Simone L M Galbiati, Dino Re
Journal: Case Rep Dent (2020)
MeSH terms: Case Reports

The purpose of this work is to describe a clinical case of full-arch mandible rehabilitation with a fixed prosthesis on three implants. The chosen protocol is the Trefoil system by Nobel (Nobel Biocare, Zurich, Switzerland) that allows to realize a mandibular fixed rehabilitation on three particularly designed fixtures through the use of prefabricated surgical guides and a preassembled bar on which the prosthesis is built. Both surgical and prosthetic procedures were completed without complications, and after 30 months, the rehabilitations are in good health conditions. The patient is able to maintain a good level of hygiene and is satisfied with the work from an aesthetic and functional point of view.
Immune Thrombocytopenia in a Child with Neuroblastoma
Authors: Hasan Tarkan Ikizoglu, Inci Ayan, Fatma Tokat, Tulay Tecimer, Gonca Topuzlu Tekant
Journal: Case Rep Pediatr (2017)
MeSH terms: Case Reports

Thrombocytopenia is a frequent finding in patients with solid tumors. It is usually caused by bone marrow infiltration or by myelosuppression due to anticancer therapy; however immune thrombocytopenia (ITP) associated with solid tumors is rare. Neuroblastoma is the most common extracranial solid tumor in children. Here we report the case of a two-year-nine-month-old patient with adrenal neuroblastoma who presented with ITP. Paraneoplastic ITP was considered in the differential diagnosis. Bone marrow infiltration and other causes of thrombocytopenia were excluded and the patient was treated with intravenous immunoglobulin and tumor resection. Platelet count increased rapidly after surgery and complete remission of ITP was achieved.