OpenMed/multicare-articles huggingface dataset:
Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross Clamping
Authors: Hussam Abou-Al-Shaar, Khaled J Zaza, Muhammad Anees Sharif, Samer Koussayer
Journal: Case Rep Med (2017)
MeSH terms: Case Reports

The authors report the successful repair of a Crawford type III thoracoabdominal aortic aneurysm (TAAA) with a thrombosed infrarenal component using a modified hybrid technique without aortic clamping in a high-risk patient. A 64-year-old male with a history of hypertension, diabetes, and severe chronic obstructive pulmonary disease presented with acute on chronic backache and bilateral short distance claudication. A computerized tomography scan demonstrated a large, nonleaking Crawford type III TAAA with thrombosed infrarenal component of the aneurysm. In addition, both common iliac arteries were occluded with the chronic thrombus. A single-stage, modified hybrid procedure involving an aortobifemoral bypass without aortic clamping, debranching of right renal, superior mesenteric, and celiac arteries as well as an endovascular repair of the thoracic aneurysm was performed. Unfortunately, despite a technically sound repair, the patient died postoperatively from a massive pulmonary embolism. TAAA with a thrombosed infrarenal aorta and bilateral common iliac arteries can be repaired using a single-stage modified hybrid procedure without aortic clamping in high-risk patients who cannot tolerate thoracotomy and aortic cross clamping.
Malignant fibrous histiocytoma of the breast: a case report
Authors: Dimosthenis Miliaras, Emmanouel Konstantinides
Journal: Case Rep Pathol (2012)
MeSH terms: Case Reports

This paper concerns a case of Malignant Fibrous Histiocytoma (MFH) of the Breast in a 73-years-old woman. A lump was found in her right breast, measuring 1.7 cm in diameter. Surgical excision followed, and pathology revealed a highly atypical spindle cell tumor. Immunohistochemistry along the histological features, excluded the possibility of carcinoma, malignant phyllodes tumor, or another type of pure sarcoma. There was no history of previous irradiation in the region. MFH is among the rarest types of sarcoma of the breast, and most of the times behaves aggressively. Excision with wide, free-of-tumor margins is the most effective treatment, when feasible.
Case report: Minimally invasive removal of a dislodged thoracoamniotic shunt with an integral cystoscope in a preterm infant
Authors: Lichao Zhu, Yanze Wang, Honghao Song, Xiaoqing Wang, Mingang Zhang, Feng Guo
Journal: Front Pediatr (2023)
Keywords: case report, cystoscope, fetal pleural effusion, thoracoamniotic shunt dislodgement, thoracoscopy
MeSH terms: Case Reports

Introduction:
Fetal pleural effusion is a rare condition that is associated with significant mortality. Although the insertion of fetal thoracoamniotic shunts can improve perinatal outcomes, there are several associated complications, such as intrathoracic dislodgement of the shunts. The optimal neonatal treatment for retained shunts remains uncertain.
Case description:
A male infant was born at 32 weeks of gestation. He had antenatal hydrothorax that was detected at 27 weeks of gestation and was managed by intrauterine thoracoamniotic shunting. However, the shunt catheter dislodged into the fetal chest, which caused reaccumulated pleural effusion and respiratory distress requiring ventilatory support after birth. After the patient's condition stabilized, minimally invasive removal of the retained catheter was performed on day 17 of life using an integral pediatric cystoscope via a 3-mm thoracic incision. The procedure took approximately 5 min. The postoperative course was uneventful, and the patient, who was discharged 39 days postnatally, is thriving at the 6-month follow-up.
Conclusions:
We present a novel and effective approach to the management of an intrathoracic shunt using an integral cystoscope. This approach may offer a valuable alternative to traditional thoracoscopy in the neonatal period.
Neurological Complications following Blood Transfusions in Sickle Cell Anemia
Authors: Hana Alharbi, Nayaab Khawar, Jolanta Kulpa, Anne Bellin, Simona Proteasa, Revathy Sundaram
Journal: Case Rep Hematol (2017)
MeSH terms: Case Reports

In Sickle Cell Anemia (SCA) patient blood transfusions are an important part of treatment for stroke and its prevention. However, blood transfusions can also lead to complications such as Reversible Posterior Leukoencephalopathy Syndrome (RPLS). This brief report highlights two cases of SCA who developed such neurological complications after a blood transfusion. RLPS should be considered as the cause of neurologic finding in patients with SCA and hypertension following a blood transfusion.
Spontaneous Splenic Rupture Complicating Severe P. falciparum Infection: A Case Report and Literature Review
Authors: Eltaib Saad, Elamin Elsamani, Walid Abdelrahman
Journal: Case Rep Infect Dis (2019)
MeSH terms: Case Reports

Spontaneous rupture of the spleen in malarial infection or malarial splenic rupture (MSR) is a rare but life-threatening condition complicating severe malarial infection in tropics and subtropics, and hence it deserves special attention. A high index of clinical suspicion is warranted for the early diagnosis as delayed or missed diagnosis can be potentially fatal. We report on a 32-year-old male who was diagnosed with severe Plasmodium falciparum infection and presented with an acute abdomen due to spontaneous splenic rupture. He was managed conservatively and had a successful outcome. The epidemiology, pathophysiology, clinical presentation, and management of MSR were briefly discussed in this report.
Spatial heterogeneity of neighborhood-level water and sanitation access in informal urban settlements: A cross-sectional case study in Beira, Mozambique
Authors: Courtney Victor, Denisse Vega Ocasio, Zaida A Cumbe, Joshua V Garn, Sydney Hubbard, Magalhaes Mangamela, Sandy McGunegill, Rassul Nalá, Jedidiah S Snyder, Karen Levy, Matthew C Freeman
Journal: PLOS Water (2022)

Rapid urbanization, resulting in population growth within informal settlements, has worsened exclusion and inequality in access to water and sanitation (WASH) services in the poorest and most marginalized communities. In this study, we describe the heterogeneity in water service satisfaction and WASH access in low-income, peri-urban neighborhoods of Beira, Mozambique, and examine whether this heterogeneity can be explained by distance to water distribution mains. Using spatial statistics and regression analyses, we identify spatial heterogeneity in household WASH access, as well as consumer-reported satisfaction with water services (services, pressure, quality, and sufficient quantity). We find that as distance from the water main increased, both access to an improved water source at the household and satisfaction with water pressure decreases, and water supply intermittency increases, controlling for household density and socioeconomic status. The odds of a household having access to a water source at the household or on the compound decreases with every 100-meter increase in distance from a water main pipe (odds ratio [OR] 0.87, 95% confidence interval [CI]: 0.82, 0.92). Satisfaction with water services also decreases with every 100-meter increase in distance from a water main pipe (OR: 0.80; 95% CI: 0.69, 0.94). Days of availability in the past week decreases by a factor of 0.22 for every 100-meter increase in distance from the water main (95% CI: -0.29, -0.15). Findings from this study highlight the unequal household access to water and sanitation in urban informal settlements, even within low-income neighborhoods. Describing this heterogeneity of access to water services, sanitation, and satisfaction-and the factors influencing them-can inform stakeholders and guide the development of infrastructural solutions to reduce water access inequities within urban settings.
Barium Appendicitis 6 Weeks After Upper Gastrointestinal Imaging
Authors: Gang Shen, Kang Sun, Zhe Fan
Journal: Front Pediatr (2020)
Keywords: barium appendicitis, barium sulfate, child, complication, upper gastrointestinal imaging
MeSH terms: Case Reports

Barium sulfate is widely used for gastroenterology imaging. Retention of barium in the appendix, where it acts as an appendicolith, thereby leading to obstruction and inflammation. Barium-associated appendicitis is a very rare complication of upper gastrointestinal imaging (UGI), especially in children. We present a case involving an 8-year-old girl who was diagnosed with acute appendicitis due to a barolith and required a laparoscopic appendectomy 6 weeks after UGI. After UGI, patients should be informed regarding possible retention of barium in the appendix, which can cause acute appendicitis. Then, a laparoscopic appendectomy was performed successfully. We should be cautious of this potential risk to prevent complications with early intervention in children.
Catheter-related bloodstream infection due to Acinetobacter ursingii in a hemodialysis patient: case report and literature review
Authors: Arsanios Martin Daniel, Diana Garzón, Andrés Vivas, Tíĵaro Merchán Viviana, Diego Alejandro Cubides-Diaz, Yesid Mantilla Fabian
Journal: Pan Afr Med J (2021)
Keywords: acinetobacter infection, bacteremia, case report, catheter related infection, hemodialysis
MeSH terms: Acinetobacter / isolation & purification, Acinetobacter Infections / diagnosis, Bacteremia / diagnosis, Catheter-Related Infections / diagnosis, Case Reports, Review, Acinetobacter Infections / microbiology, Acute Kidney Injury / therapy, Aged, Bacteremia / microbiology, Catheter-Related Infections / microbiology, Humans, Male, Renal Dialysis / adverse effects, Renal Dialysis / methods, Acinetobacter ursingii

Acinetobacter ursingii is an anaerobic gram negative opportunistic coccobacillus, rarely isolated in bacteremic patients. It is mainly found in immunocompromised and severely ill patients with no identifiable source of infection. When isolated into the bloodstream, it usually displays resistance to at least two antimicrobial agents. To date only seven cases of bacteremia due to this microorganism have been reported in adults, of which, this accounts for the second one associated to renal replacement therapy and the first case of a documented catheter-related bloodstream infection (CRBSI) in a patient with a hemodialysis catheter. A 78-year-old male presented into the emergency department with acute kidney injury requiring hemodialysis, later developing bacteremia due to Acinetobacter ursingii.
Melioidosis: A Rare Cause of Liver Abscess
Authors: Peter Franz M San Martin, Catherine S C Teh, Ma Amornetta J Casupang
Journal: Case Reports Hepatol (2016)

Case Presentation. This is a case of a 44-year-old male, farmer, known to be diabetic, presenting with two-week history of vague abdominal pain associated with high grade fever. Abdominal CT scan showed localized liver abscess at segment 8 measuring 7.5 × 6.8 × 6.1 cm. Patient subsequently underwent laparoscopic ultrasound guided pigtail insertion for drainage of abscess. Culture studies showed moderate growth of Burkholderia pseudomallei in which the patient completed seven days of IV Meropenem. On follow-up after 12 weeks of oral Sulfamethoxazole/Trimethoprim, taken twice a day, the patient remained asymptomatic with no residual findings based on the abdominal ultrasound. Discussion. Diagnosis of melioidosis, a known "great masquerader," relies heavily on culture studies. Consensus with regard to the management of liver abscess caused by Burkholderia pseudomallei has not yet been established due to the rarity of cases. Surgical intervention through either a percutaneous or open drainage has shown good outcomes compared to IV antibiotics alone. In Philippines, the possibility of underreporting is highly plausible. This write-up serves not only to report a rare presentation of melioidosis but also to add to the number of cases reported in the country, possibly indicative of disease emergence.
Mobile "doctors" and their medical diagnosis in rural Southern Nigeria. Truth or deception? A public health case report
Authors: Chukwuemeka Anthony Umeh, Stella Chioma Onyi, Hycienth Peterson Ahaneku
Journal: Pan Afr Med J (2014)
Keywords: mobile doctors, nigeria, herbal medical practitioners, traditional healers
MeSH terms: Medicine, African Traditional, Public Health, Quackery, Rural Health Services, Case Reports, Deception, Female, Humans, Male, Middle Aged, Nigeria

Mobile "doctors" are traditional herbal medical practitioners who move from one rural community in Nigeria to another diagnosing disease using a digital thermometer and stethoscope before selling their herbal drugs to the patients. Are their diagnosis correct or just a deception? This reports looks at three cases of mobile doctors ' diagnosis of patients in rural southern Nigeria.
Collision Carcinoma Involving Small Cell Neuroendocrine Carcinoma and Squamous Cell Carcinoma of the Ureter: A Case Report and Review of the Literature
Authors: Sheng Xu, Lei Xu, Peng Cao, Shiyun Yao, Tingming Wu, Xinming Hu, Hualei Chen, Jun Gu, Xianping Che
Journal: Front Oncol (2021)
Keywords: collision carcinoma, neuroendocrine carcinoma, small cell, squamous cell carcinoma, ureteral
MeSH terms: Case Reports

Background:
Small cell neuroendocrine carcinoma (SCNEC) of the ureter is a rare tumour, accounting for less than 0.5% of all ureteral tumours. SCNEC tumours are highly aggressive and patients have a poor prognosis. Ureteral SCNEC colliding with other pathological types of tumours is extremely rare. In this paper, we present the case of a patient with ureteral small cell carcinoma colliding with squamous cell carcinoma and review the literature regarding the clinicopathological features, treatment and prognosis of thus tumour. To the best of our knowledge, this is the second identified case of ureteral SCNEC colliding with SCC.
Case presentation:
A 64-year-old male patient presented with a history of 1 month of gross haematuria and 3 months of left flank pain. CT urography revealed a soft tissue mass in the upper ureter, which was slightly enhanced on contrast-enhanced CT. Nephroureterectomy was performed after the patient was diagnosed with a tumour in the left ureter. Microscopy and immunohistochemical examination confirmed the mass to be a SCNEC collision with SCC. Two months after the surgery, the patient received adjuvant chemotherapy (cisplatin/etoposide). After 14 months of follow-up, no local recurrence or distant metastasis was found.
Conclusion:
Ureteral collision carcinoma with SCNEC predominantly occurs in Asian individuals, is difficult to diagnose preoperatively and is highly invasive. The current management of ureteral collision carcinoma is a comprehensive treatment based on surgery.
Hematoma-induced Twiddler-like phenomenon as a presentation of DBS hardware failure: Case report
Authors: Marshall T Holland, Abraham Alvarado-Gonzalez, Joshua K Wong, Leonardo Brito de Almeida, Aparna Wagle Shukla, Wissam Deeb, Addie Patterson, Michael S Okun, Kelly D Foote
Journal: Front Hum Neurosci (2023)
Keywords: twiddler's syndrome, deep brain stimulation, impulse generator, neurostimulator failure, pocket hematoma
MeSH terms: Case Reports

Deep brain stimulators (DBS) may fail for a multitude of reasons. We present a 79-year-old Parkinson's disease patient who suffered a DBS failure following impulse generator (IPG) replacement surgery due to the IPG flipping within an expanded capsular pocket. This creation of the pocket was unintentional, and the pocket formed around an undiagnosed postoperative hemorrhage. The syndrome could be considered "Twiddler-like" because it resulted in device flipping. There were, however, many characteristic differences between our case and classical Twiddler's syndrome. DBS neurostimulator failure due to hematoma induced device flipping should be suspected when device interrogation is impossible or there are abnormally high impedances across multiple DBS lead contacts. A plain film X-ray series should be ordered and can be useful in providing radiological evidence of device flipping. In cases like ours the extensive braiding encountered in Twiddler's syndrome may be absent. Anchoring the IPG to a deep fascial layer as well as the use of an antimicrobial pouch are two methods that may be employed to prevent or to treat this complication.
Whole course of treatment of autoimmune progesterone dermatitis that had spontaneously resolved during pregnancy: A case report and review of the literature
Authors: Yepei Huang, Sha Ye, Xiaoyan Bao, Ru Yang, Jian Huang
Journal: Front Immunol (2022)
Keywords: cyclic urticaria, etonogestrel implant, menstrual cycle, pregnancy, progesterone, progesterone hypersensitivity
MeSH terms: Dermatitis / diagnosis, Dermatitis / drug therapy, Dermatitis / etiology, Progesterone / adverse effects, Case Reports, Review, Autoimmune Diseases, Contraceptive Agents, Female, Humans, Mifepristone / therapeutic use, Pregnancy, Contraceptive Agents, Mifepristone, Progesterone, Autoimmune progesterone dermatitis

Anaphylaxis due to autoimmune progesterone dermatitis is a rare but severe allergic disease in women. The clinical manifestations of APD are diverse, and a proper understanding of the disease can help even diagnose and treat it. A case of autoimmune progesterone dermatitis related in our department is reported as follows. She developed a rash with severe pruritus that was highly consistent with her menstrual cycle without any trigger 10 years ago. Laboratory tests were unremarkable. But all the symptoms disappeared during her pregnancy and resurfaced after the miscarriage. Two years ago, after a positive progesterone intradermal test confirmed the diagnosis of PH, she was given mifepristone, contraceptives(OCPs), and skin embedding treatment, and her symptoms improved.
Unusual Presentation of Multisystemic Inflammatory Syndrome
Authors: Farah Alnoor Ebrahim, George Moturi, Newnex Mongare, Reena Shah
Journal: Case Rep Med (2022)
MeSH terms: Case Reports

COVID-19 pneumonia in children presents with very mild symptoms through an entity of multisystem inflammatory syndrome and can result in a life-threatening hyperinflammatory condition, with involvement of at least four organ systems and a marked inflammatory state. We present an 18-year-old high school student who presented with a sore throat, macular rash, abdominal pain, diarrhea, fevers, and joint pains. He presented with acute kidney injury and confusion with multiple tests and was eventually diagnosed with multisystem inflammatory syndrome in children (MIS-C).
Case Report: Innate Immune System Challenge Unleashes Paraneoplastic Neurological Autoimmunity
Authors: Mingqin Zhu, Yuetao Ma, Anastasia Zekeridou, Vanda A Lennon
Journal: Front Neurol (2020)
Keywords: pamps, cancer immunotherapy, neural autoantibodies, onconeural peptides, paraneoplastic autoimmune neurological disorders
MeSH terms: Case Reports

Paraneoplastic autoimmune neurological disorders reflect tumor-initiated immune responses against onconeural antigens. Symptoms and signs can affect the central and/or peripheral nervous systems, neuromuscular junction or muscle, and typically evolve subacutely before an underlying neoplasm is discovered. We describe four patients whose neurological symptoms were precipitated by potent innate immune system challenges: bladder instillation of BCG, tick bite and an "alternative cancer therapy" with bacterial extracts and TNF-α. We hypothesize that a tumor-initiated autoimmune response (evidenced by autoantibody profiles), pre-dating the immune system challenge, was unmasked or amplified in these patients by cytokines released systemically from innate immune cells activated by microbial pathogen-associated molecular patterns (PAMPs). The resultant upregulation of cognate onconeural peptides as MHC1 protein complexes on neural cell surfaces would render those cells susceptible to killing by CD8+ T cells, thus precipitating the patient's neurological symptoms.
Atypical autism in a boy with double duplication of 22q11.2: implications of increasing dosage
Authors: Breanne Dale, Bonnie MacKinnon Modi, Sanne Jilderda, Beth McConnell, Ny Hoang, Pooja Swaroop, Jhoan Falcon, Bhooma Thiruvahindrapuram, Susan Walker, Stephen W Scherer, D James Stavropoulos, Irene E Drmic, Melissa T Carter
Journal: NPJ Genom Med (2017)
MeSH terms: Case Reports

Duplication of chromosome 22q11.2 (LCR A-D) has been reported at higher frequencies in clinical samples than the general population, but phenotypes vary widely. Triplication (4 copies) is rare, but studying the associated phenotype may provide insight into dosage-sensitivity of the genes in this chromosomal interval. We describe a proband with a triplication, specifically a "double duplication" (two copies per chromosome) of the 22q11.2 region, while his parents and two siblings each have a single duplication (3 copies). The proband had a heart malformation, dysmorphic features, and learning and socialization deficits, whereas the other family members did not. This family illustrates that while duplication of the 22q11.2 may not be sufficient to cause clinically significant neurodevelopmental or health-related phenotypes, triplication of the same region may result in a phenotype characterized by a mild neurodevelopmental disorder, facial dysmorphism, and possibly cardiac anomalies.
A Rare Case of Uterine Leiomyosarcoma with Metastasis to the Thyroid Gland
Authors: Gabriel Irizarry-Villafañe, Nadyeschka Rivera-Santana, Michelle Mangual-García, Alex González-Bóssolo, Rafael Trinidad-Hernández, Miosotis García-Maldonado, Víctor Carlo-Chévere
Journal: Case Rep Endocrinol (2020)
MeSH terms: Case Reports

Uterine leiomyosarcomas are aggressive tumors associated with a poor prognosis. These neoplasms have high metastatic potential, more frequently affecting the lungs, liver, and peritoneum. There are very few cases of metastasis to the thyroid described in the literature. We present the case of a 47-year-old female diagnosed with uterine leiomyosarcoma metastatic to the thyroid gland. In this case report, we want to emphasize the utility of ancillary studies to help differentiate a leiomyosarcoma from anaplastic thyroid carcinoma since cytologic evaluation alone can be challenging.