Σάββατο, 23 Μαρτίου 2019

Medical Cases

Evaluation of a Novel Blue-Colored Ophthalmic Viscoelastic Device Applied during Phacoemulsification in Eyes with Pseudoexfoliation Syndrome
Recently, a new development in the field of ophthalmic viscoelastic devices (OVDs) has been introduced. The blue-colored OVD Pe-Ha-Blue® PLUS combines the viscoelastic properties of OVD together with trypan blue for better visualization during surgery. The objective of this case series is to investigate whether the use of a blue-colored OVD during cataract surgery in patients with pseudoexfoliation syndrome (PXF) and narrow pupils (miosis) has advantages over the use of a clear standard OVD in combination...
Case Reports in Ophthalmology
Thu Mar 21, 2019 11:08
Combined Single-Step Procedure for Correction of Silent Sinus Syndrome
Silent sinus syndrome (SSS) is a rare condition characterized by enophthalmos and hypoglobus that is generally not related to trauma or surgery. We present a 30-year-old man who noticed facial asymmetry during the previous month and was referred to our oculoplastic clinic. His examination revealed right hypoglobus and a 2-mm right enophthalmos. The diagnosis of right SSS was confirmed by orbital and paranasal computed tomography scan. The patient had no otolaryngological symptoms and visual acuity...
Case Reports in Ophthalmology
Tue Mar 19, 2019 12:15
Gasping for a Diagnosis
Foreword. In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information by sharing relevant background and reasoning with the reader (regular type). The authors' commentary follows. Stage. A 42-year-old man…
Clinical Cases
Thu Mar 07, 2019 02:00
Case 7-2019: A 73-Year-Old Woman with Swelling of the Right Groin and Fever
Presentation of Case. Dr. Alexandria K. Maurer (Medicine): A 73-year-old woman with a history of chronic lymphocytic leukemia (CLL) was admitted to this hospital because of right inguinal lymphadenopathy, fever, and drenching night sweats. The patient had been in her usual state of health and had…
Clinical Cases
Thu Feb 28, 2019 02:00
Case 6-2019: A 29-Year-Old Woman with Nausea, Vomiting, and Diarrhea
Presentation of Case. Dr. John A. Weems (Medicine): A 29-year-old woman was evaluated at a primary care clinic affiliated with this hospital because of nausea, vomiting, and diarrhea. The patient had been in her usual state of good health until the day before presentation, when nausea, vomiting,…
Clinical Cases
Thu Feb 21, 2019 02:00
Case 5-2019: A 48-Year-Old Woman with Delusional Thinking and Paresthesia of the Right Hand
Presentation of Case. Dr. Cary S. Crall (Psychiatry): A 48-year-old woman presented to the emergency department of this hospital with tingling of the right hand. One hour before presentation, the patient felt an acute "prickling and tingling" sensation diffusely on the right palm while she was…
Clinical Cases
Thu Feb 14, 2019 02:00
Three different polymorphisms of the DPYD gene associated with severe toxicity following administration of 5-FU: a case report
Dihydropyrimidine dehydrogenase deficiency secondary to polymorphisms in the DPYD gene can lead to significant toxicity associated with the administration of fluoropyrimidine chemotherapy.
Journal of Medical Case Reports - Latest Articles
Fri Mar 22, 2019 02:00
Acute intravascular hemolysis due to naphthalene toxicity: a case report
Naphthalene (mothball) is a commonly used deodorizer in the Indian subcontinent, including Sri Lanka. Though it is freely available around this country, poisoning has never been reported in the literature. Ing...
Journal of Medical Case Reports - Latest Articles
Fri Mar 22, 2019 02:00
Successful bailout procedure for acute popliteal artery occlusion associated with EXOSEAL® vascular closure device: a case report
Vascular closure devices have been widely used to achieve rapid hemostasis after percutaneous catheterization procedures via the common femoral artery. The EXOSEAL vascular closure device is a device that can ...
Journal of Medical Case Reports - Latest Articles
Thu Mar 21, 2019 02:00
Continuous electrocardiogram changes preceding phenotypic expression for 8 years in an athlete with hypertrophic cardiomyopathy: a case report
Hypertrophic cardiomyopathy is one of the most common causes of sudden cardiac death in young athletes. Performing, comparing, and monitoring serial electrocardiograms over time can help to detect potential ca...
Journal of Medical Case Reports - Latest Articles
Thu Mar 21, 2019 02:00
Scleroderma renal crisis with coexisting segmental arterial mediolysis presenting as intraperitoneal bleeding: a case report
Segmental arterial mediolysis is a rare nonarteriosclerotic and noninflammatory vascular disease that may cause intraperitoneal bleeding. Scleroderma renal crisis is a rare complication of systemic sclerosis, ...
Journal of Medical Case Reports - Latest Articles
Wed Mar 20, 2019 02:00
Rare presentation of renal cell cancer as dysphagia: a case report
Metastasis from distal solid organs to the esophagus is very rare. Renal cell cancer with esophageal metastasis is extremely rare. We present the first case report of undiagnosed renal cell cancer presenting a...
Journal of Medical Case Reports - Latest Articles
Tue Mar 19, 2019 02:00
Langerhans cell histiocytosis presenting as eosinophilic granuloma of the bilateral forearms in an 8-year-old girl: a case report
Langerhans cell histiocytosis previously known as histiocytosis X is a rare disease of children and young adults with a very broad clinical spectrum. In children, its annual incidence is estimated between 0.2–...
Journal of Medical Case Reports - Latest Articles
Tue Mar 19, 2019 02:00
Localized multiple malignant epithelioid peritoneal mesotheliomas arising from the hepatoduodenal ligament and diaphragm: a case report
Malignant peritoneal mesothelioma is a rare aggressive tumor of the peritoneum. We report a rare case of resection of multiple localized malignant peritoneal mesotheliomas.
Journal of Medical Case Reports - Latest Articles
Mon Mar 18, 2019 02:00
Removal of intraconal bullet through endoscopic transnasal surgery with image-guided navigation system 8 months after injury: a case report
Lodgment of a bullet within the orbit is uncommon. The decision to remove these objects poses a challenge to surgeons due to a high risk of complications. Currently, endoscopic transnasal surgery with navigato...
Journal of Medical Case Reports - Latest Articles
Sun Mar 17, 2019 02:00
Micronodular thymoma with lymphoid stroma diagnosed 10 years after the first operation: a case report
Micronodular thymoma with lymphoid stroma is a rare subtype of thymoma. Here we report a case of micronodular thymoma with lymphoid stroma that was completely resected after incomplete resection 10 years earlier.
Journal of Medical Case Reports - Latest Articles
Sat Mar 16, 2019 02:00
Secondary aortoenteric fistula possibly associated with continuous physical stimulation: a case report and review of the literature
Secondary aortoenteric fistula is a rare but fatal complication after reconstructive surgery for an aortic aneurysm characterized by abdominal pain, fever, hematochezia, and hematemesis, and the mortality rate...
Journal of Medical Case Reports - Latest Articles
Fri Mar 15, 2019 02:00
Chronic persistent Horner's syndrome in trigeminal autonomic cephalalgia subtypes and alleviation with treatment: two case reports
The trigeminal autonomic cephalalgias are a group of primary headache syndromes marked by severe head pain and associated cranial autonomic symptoms which can include a full or partial Horner's syndrome. Rarel...
Journal of Medical Case Reports - Latest Articles
Thu Mar 14, 2019 02:00
Severe clinical immunodeficiency in a patient with human immunodeficiency virus infection and relatively high CD4 counts: a case report
The coexistence of neuromeningeal cryptococcosis and Kaposi's sarcoma is not surprising in a patient with human immunodeficiency virus infection and a low CD4 count, although it is rarely described. However, w...
Journal of Medical Case Reports - Latest Articles
Thu Mar 14, 2019 02:00
Risperidone-related bilateral cystoid macular edema: a case report
A report of the second known case of bilateral cystoid macular edema in a patient taking risperidone.
Journal of Medical Case Reports - Latest Articles
Wed Mar 13, 2019 02:00
Early surgical intervention for patients with possible clinically silent somatotroph adenoma: a case series
Clinically silent somatotroph adenoma is characterized by elevated serum growth hormone but without the clinical symptoms of acromegaly, and it is considered rare. The natural history is not well understood, p...
Journal of Medical Case Reports - Latest Articles
Wed Mar 13, 2019 02:00
A modified preauricular and transmandibular approach for surgical management of osteosarcoma of the mandibular condyle within the masticator space and infratemporal fossa: a case report
Osteosarcomas of the head and neck region are rare entities that comprise
Journal of Medical Case Reports - Latest Articles
Tue Mar 12, 2019 02:00
Meningitis in a patient with neutropenia due to Rothia mucilaginosa: a case report
Rothia mucilaginosa is a Gram-positive bacterium occurring as a commensal in the oral cavity and upper respiratory tract. Although rarely pathogenic in an immunocompetent host, it can cause severe opportunistic i...
Journal of Medical Case Reports - Latest Articles
Tue Mar 12, 2019 02:00
A 47-year-old woman with nuclear protein in testis midline carcinoma masquerading as a sinus infection: a case report and review of the literature
Nuclear protein in testis midline carcinoma is a rare, highly metastatic undifferentiated carcinoma that typically arises in midline structures and is characterized by having a fusion involving the nuclear pro...
Journal of Medical Case Reports - Latest Articles
Mon Mar 11, 2019 02:00
A novel treatment of hyperinsulinemic hypoglycemia induced by insulin antibodies with alkali administration: a case report
Insulin autoimmune syndrome is a rare cause of hyperinsulinemic hypoglycemia characterized by autoantibodies to human insulin without previous insulin use. We report a case of a patient with hyperinsulinemic h...
Journal of Medical Case Reports - Latest Articles
Mon Mar 11, 2019 02:00
Irinotecan and vincristine for the treatment of refractory desmoplastic small round cell tumor in a developing country: a case report
Desmoplastic small round cell tumor is an extremely rare and aggressive cancer that affects mainly adolescents and young adults. Despite multiple therapeutic strategies, most patients have resistant disease wi...
Journal of Medical Case Reports - Latest Articles
Sun Mar 10, 2019 02:00
Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report
A giant congenital cervical teratoma is often highly vascularized; thus, in addition to a life-threatening airway occlusion at birth it comprises a high risk for significant and lethal blood loss during resect...
Journal of Medical Case Reports - Latest Articles
Sun Mar 10, 2019 02:00
Congenital absence of lingual frenum in a non-syndromic patient: a case report
The lingual frenum is a fold of mucous membrane connecting the ventral tongue to the floor of the mouth. In general, lingual frenum serves multiple roles; its main function is to support the tongue and aid in ...
Journal of Medical Case Reports - Latest Articles
Sun Mar 10, 2019 02:00
Recurrent acute coronary syndrome in a patient with right coronary artery ectasia: a case report
Coronary artery ectasia is characterized by an abnormal dilatation of the coronary arteries. Coronary artery ectasia is observed in 3–8% of patients undergoing coronary angiography and sometimes leads to acute...
Journal of Medical Case Reports - Latest Articles
Sat Mar 09, 2019 02:00
Gastric adenocarcinoma causing biliary obstruction without ductal dilatation: a case report
Gastric adenocarcinoma is a known complication of partial gastrectomy. Jaundice from gastric adenocarcinoma usually occurs in the setting of hepatic nodal or parenchymal metastasis. This case demonstrates an u...
Journal of Medical Case Reports - Latest Articles
Sat Mar 09, 2019 02:00
Necrosis of the small intestine leading to a diagnosis of polyarteritis nodosa: a case report
Polyarteritis nodosa is a disease that presents with necrotizing vasculitis in small and medium-sized arteries. It may occur in various organs, but approximately half of cases have gastrointestinal involvement...
Journal of Medical Case Reports - Latest Articles
Sat Mar 09, 2019 02:00
Periprosthetic knee infection by Mycobacterium bovis and Candida guilliermondii in the context of a zoonosis: a case report and review of the literature
Periprosthetic joint infections are a major challenge for treating physicians. Musculoskeletal infections with Mycobacterium bovis are extremely rare, with an assumed incidence of 0.08–0.1%. Consequently, peripro...
Journal of Medical Case Reports - Latest Articles
Fri Mar 08, 2019 02:00
Ureteral tumor in an ectopic duplex system: a case report
Ureteral ectopia is a rarely observed anomaly. It may be totally asymptomatic. An association with a duplex system is exceptional. Diagnostic and therapeutic approaches are challenging. Carcinologic surgery mu...
Journal of Medical Case Reports - Latest Articles
Fri Mar 08, 2019 02:00
Crohn's disease in a developing African mission hospital: a case report
A case is reported of innocuous intestinal obstruction requiring surgical intervention that was confirmed to be Crohn's disease histopathologically in a resource-constrained rural mission hospital in Cameroon.
Journal of Medical Case Reports - Latest Articles
Thu Mar 07, 2019 02:00
Small cell carcinoma of the kidney: a case report and analysis of data from the Surveillance, Epidemiology, and End Results registry
Primary small cell carcinoma of the kidney is an extremely rare neoplasm. The clinical features of small cell carcinoma of the kidney are not well established due to its rarity and scarcity of case reports. We...
Journal of Medical Case Reports - Latest Articles
Thu Mar 07, 2019 02:00
Calcified mucinous adenocarcinoma of the stomach metastatic to the iris: a case report
Gastric cancer has a wide spectrum of clinical features, imaging manifestations, and pathology. Punctate calcifications in gastric cancer are infrequent but are usually found in mucinous adenocarcinoma. Howeve...
Journal of Medical Case Reports - Latest Articles
Thu Mar 07, 2019 02:00
Delayed diagnosis of a cesarean scar pregnancy: a case report
Cesarean scar pregnancy is rare but may be related to early uterine rupture and may result in massive hemorrhage. Nowadays, most cesarean scar pregnancies are diagnosed early and can be managed properly. Howev...
Journal of Medical Case Reports - Latest Articles
Thu Mar 07, 2019 02:00
Combined surgery and radiotherapy as curative treatment for tracheal adenoid cystic carcinoma: a case report
Adenoid cystic carcinoma of the trachea is a rare tumor, characterized by slow growth and low rate of local and distant metastasis. When achievable, complete surgical resection represents the optimal treatment...
Journal of Medical Case Reports - Latest Articles
Wed Mar 06, 2019 02:00
Chorea-ballism as a dominant clinical manifestation in heteroplasmic mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes syndrome with A3251G mutation in mitochondrial genome: a case report
Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes, the most common maternally inherited mitochondrial disease, can present with a wide range of neurological manifestations including both ...
Journal of Medical Case Reports - Latest Articles
Wed Mar 06, 2019 02:00
Alexandros Sfakianakis
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
6948891480

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