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BMJ Case Reports

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https://www.readbyqxmd.com/read/28942417/cerebriform-nevus
#1
Kundan Mishra, Aditya Jandial, Alka Khadwal, Pankaj Malhotra
No abstract text is available yet for this article.
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942416/acne-keloidalis-nuchae-clinical-and-dermoscopic-features
#2
Chourouk Chouk, Noureddine Litaiem, Mariem Jones, Faten Zeglaoui
No abstract text is available yet for this article.
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942415/confusion-and-abdominal-symptoms-following-a-rugby-tackle
#3
Demetris Ioannides, Madeleine Davies, Stefan Kluzek
A 19-year-old man was sent to the emergency department following a pitch-side assessment for suspected concussion, unexplained upper abdominal tenderness and vomiting, following a high-impact tackle during a rugby match. A Focussed Assessment with Sonography for Trauma (FAST) scan performed in the emergency department suggested intra-abdominal free fluid, and subsequent head and abdominal CT imaging showed no intracranial lesion but confirmed a significant haemoperitoneum due to large splenic tear and bleeding...
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942414/severe-unicuspid-aortic-valve-stenosis-vacterl-association
#4
Mohamad Soud, Homam Moussa Pacha, M Chadi Alraies
No abstract text is available yet for this article.
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942413/aftermath-of-induced-inflammation-acute-periaortitis-due-to-nivolumab-therapy
#5
Ashish K Roy, Harshavardhan R Tathireddy, Moni Roy
No abstract text is available yet for this article.
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942412/phace-syndrome-in-a-child-with-segmental-ih-of-face
#6
Carolina Vasconcelos Guimarães, Inês Candeias, Ana Pinheiro, Felicidade Trindade
No abstract text is available yet for this article.
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942411/dog-bites-and-diabetic-peripheral-neuropathy-a-dangerous-combination
#7
Mussa Mensa, Jonathan James Cubitt, Muhammad Javed, Thomas Bragg
All animal bites have the potential to cause significant infection. In the UK, dogs are the most common source of bites. Incidence of hospital attendances attributable to dog bites has risen over the last decade. Patient groups at particular risk of bites and/or complications of infection include those at extremes of age, immunosuppressed and patients with diabetes. We report the case of a patient with diabetic peripheral neuropathy, who was admitted on two separate occasions with unprovoked bites to his toes whilst asleep, by his pet dog...
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942410/when-all-else-fails-supervised-treatment-in-outpatient-for-schizophrenia-stops
#8
Huey Jing Renee Tan
This was about a case of a patient requiring admission to psychiatry ward twice a year for relapse schizophrenia due to medication non-compliance. Medication adherence was previously monitored by her husband. However, following the death of her husband, she stopped treatment. The lack of insight and poor family support further contributed to her relapse. She presented with positive and negative symptoms of schizophrenia during her relapse, neglecting her hygiene and oral intake. She was also found to have anaemia as a result of poor diet when she was in relapse...
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942409/a-rare-highly-aggressive-tumour-lymphoepithelioma-like-thymic-carcinoma
#9
Joanne Michelle Dumlao Gomez, Gulrana Syed, Michael Lawrenz Ferreras Co, Mohamed Bayoumi, Richard Abrams
Lymphoepithelioma-likethymic carcinoma is a rare neoplasm that presents with compressive symptoms or as an incidental radiological finding of an anterior mediastinal mass. It is an aggressive carcinoma with a high rate of invasion, metastasis and recurrence. Its diagnosis usually carries a poor prognosis largely due to propensity for late diagnosis. To date, guidance for treatment remains limited. This is a case of lymphoepithelioma-like thymic carcinoma in a young male adult who presented initially with back pain...
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942408/asymptomatic-pyogenic-liver-abscesses-secondary-to-fusobacterium-nucleatum-and-streptococcus-vestibularis-in-an-immunocompetent-patient
#10
Hamish Houston, Kartik Kumar, Salman Sajid
A 66-year-old male patient presented with symptoms and signs of L4/5 radiculopathy. He was found to be anaemic with elevated inflammatory markers and deranged hepatic enzymes. Imaging revealed lumbar canal stenosis and the presence of pyogenic liver abscesses from which Fusobacterium nucleatum and Streptococcus vestibularis were isolated. The hepatic abscesses were attributed to asymptomatic diverticular perforation. Multiple coexisting incidental infections were discovered, including oesophageal candidiasis, Helicobacter pylori, stool cultures positive for Strongyloides stercoralis, and sputum cultures positive for Enterobacter cloacae, Escherichia coli and Mycobacterium avium Extensive investigations for possible underlying immunosuppression were negative...
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942407/endoscopic-surgical-management-of-a-large-morel-lavall%C3%A3-e-lesion
#11
Andrew Walls, Samuel E McMahon, Jonathan MacDonald, Jonathan Bunn
The Morel-Lavallée lesion is a closed degloving injury that usually occurs following high-energy trauma. We present a case demonstrating endoscopic management of this lesion. A 44-year-old man fell from scaffolding. Initial assessment demonstrated no significant injury. An ultrasound scan 2 days post injury revealed a large fluid collection along the lateral right thigh. This subsequently became infected and did not respond to antibiotic therapy.Due to the extent of the lesion, we were reluctant to perform a traditional open drainage...
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942406/rapidly-enlarging-lipoma
#12
Timea Kosztyuova, Tang Ngee Shim
Lipoma is a common subcutaneous tumour composed of fat tissue. It may occur as a sporadic solitary lesion or as multiple lesions. They often grow very slowly. They vary between 2 and 10 cm in size. There are rarely any subjective symptoms. Lipomas do not usually require treatment unless they are big enough to be symptomatic. We reported a 75-year-old man with a rapidly enlarging and ulcerated mass on his right upper thigh.
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942405/congenital-melanocytic-nevus-mimicking-a-turban-tumour-in-an-18-year-old-filipino-male
#13
Maria Elinor Grace Sison, Eileen Cubillan, Bernard U Tansipek
Congenital melanocytic nevi (CMN) are nevi that are present at birth or arise within the first few weeks of life. They are often found on the trunk, head and neck and extremities. We report herein an unusual presentation of a CMN as a cerebriform tumour presenting as secondary cutis verticis gyrata on the scalp of an 18-year-old Filipino male.
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942404/successful-treatment-using-rituximab-in-a-patient-with-refractory-polymyositis-complicated-by-scleroderma-renal-crisis
#14
Kyoko Innami, Tomoyuki Mukai, Shoko Kodama, Yoshitaka Morita
Corticosteroids are the first-line treatment for patients with inflammatory myopathies. Myositis can be a clinical feature of scleroderma (polymyositis-scleroderma overlap syndrome), and treatment of this syndrome is a challenge for clinicians because moderate to high doses of corticosteroids are considered a risk factor for development of acute kidney injury in affected patients. We report here the case of a 56-year-old woman with scleroderma who developed polymyositis and was successfully treated with rituximab...
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942403/case-of-methaemoglobinaemia-caused-by-tree-oils-and-kerosene
#15
Kartik Gupta, Milind Jha, Ranveer S Jadon, Rita Sood
We report a case of a young man who allegedly consumed 100 mL of an indigenous pesticide which is used for the killing of rats in households in India. The constituents were azadirachtin oil (40%), tea oil (15%), pine oil (25%) and kerosene oil (20%). He presented to us with shortness of breath and altered sensorium and was found to have fMetHb (fraction of methaemoglobin) level of 80%, which has been postulated to have a fatal outcome. He responded to a low dose of methylene blue along with intravenous vitamin C and the level of fMetHb came down to 20% within 1 hour...
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942402/the-entrapped-twin-a-case-of-fetus-in-fetu
#16
Rashide Yaacob, Annisa Zainal Mokhtar, Dyg Zahratul Hamrak Abang Jamari, Norliana Jaafar
Fetus-in-fetu (FIF) is a rare entity in which malformed parasitic twin grows inside the body of its twin. It is most commonly presented with mass in the abdomen. We present a case of a 15-year-old boy who presented with abdominal mass since infancy. Radiological investigations are suggestive of FIF. Intraoperatively, malformed fetus in a sac was found and excised. Postoperatively the patient recovers well and was put on follow-up.
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942401/fulminant-myocardial-bleeding-another-clinical-course-of-vascular-ehlers-danlos-syndrome
#17
Masahide Tokue, Hidehiko Hara, Kenji Kurosawa, Masato Nakamura
Vascular Ehlers-Danlos Syndrome (vEDS) is a dominantly inherited connective tissue disorder characterised by colon rupture and arterial aneurysm, dissection and rupture. A patient was diagnosed with vEDS after a spontaneous colon rupture when he was brought to our institute because of sudden chest pain. An ECG revealed wide regional ST elevation, which was initially suggestive of acute myocarditis. On the second day, haemodynamics suddenly deteriorated because of a rapid accumulation of bloody pericardial effusion, and the patient died...
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942400/extreme-bony-pelvic-deformity-in-a-renal-transplant-patient
#18
Alexander Henry Moffat, Priyesh Chauhan, Surabhi Choudhary, Tarekegn Geberhiwot
A 35-year-old female renal transplant recipient was referred to the metabolic bone clinic because of a 15 cm loss of height. She was noted to have thoracic kyphosis and vertebral X-ray confirmed a wedge fracture of the eighth thoracic vertebra. She was managed accordingly but on subsequent follow-up mentioned in passing that her gynaecologist had been unable to obtain a cervical smear for routine screening. This led to further questioning, and the patient reported intermittent urinary stress incontinence, feelings of vaginal fullness and severe dyspareunia...
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942399/nasofrontal-dermoid-sinus
#19
Jorge Rodrigues, Sérgio Caselhos, Alexandre Mexedo, Rui Fonseca
No abstract text is available yet for this article.
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28942398/disseminated-herpes-zoster-causing-acute-respiratory-distress-syndrome-in-an-immunocompetent-patient
#20
David M Rudinsky, Kim Jordan
Disseminated cutaneous varicella herpes zoster with visceral involvement is rare and seen almost exclusively in immunocompromised patients. We describe an unusual case of fulminant herpes zoster (HZ) in a healthy, immunocompetent 37-year-old woman. She initially presented to an urgent care centre with a classic HZ rash localised to her neck, and upper respiratory symptoms and was treated with prednisone and cephalexin. Within 1 week, the rash became diffuse and her clinical status rapidly deteriorated with development of severe acute respiratory distress syndrome...
September 23, 2017: BMJ Case Reports
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