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International Medical Case Reports Journal

Hossein Karami, Hadi Darvishi-Khezri, Mehrnoush Kosaryan, Rosetta Akbarzadeh, Mojdeh Dabirian
Introduction: Pulmonary arterial hypertension (PAH) is relatively prevalent in patients with thalassemia. PAH treatment is necessary as the prevalence of Doppler-estimated PAH and the resultant mortality is high in such patients. Materials and methods: This study aimed at evaluating the effect of bosentan therapy on patients with thalassemia suspected of PAH. Based on pulsed Doppler echocardiography, all the cases were suspected of severe PAH. Consequently, bosentan was initiated at a dose of 62...
2019: International Medical Case Reports Journal
Kentaro Oka, Taro Sugase, Tetsu Akimoto, Takuya Murakami, Izumi Nagayama, Miwa Kaneko, Maki Asakura, Ken Ohara, Osamu Saito, Daisuke Nagata
We herein report the case of a 36-year-old woman with Kartagener syndrome (KS), which is an autosomal recessive disorder defined by a triad of bronchiectasis, sinusitis, and situs inversus, with complications of asymptomatic microhematuria and proteinuria. She was finally diagnosed with biopsy-proven immunoglobulin (Ig) A nephropathy. KS constitutes a subgroup of primary ciliary dyskinesia (PCD) characterized by structural and/or functional ciliary abnormalities resulting in sinopulmonary involvement with varying severity...
2018: International Medical Case Reports Journal
Utkarsh Ojha, Vinod Ojha
Background: Renal cell carcinoma (RCC) arises from the renal epithelium and accounts for more than 90% of kidney cancers. RCC has a diverse range of clinical manifestations. The classical triad of loin pain, hematuria and abdominal mass is only present in 4%-17% of cases. Here, we demonstrate a unique case of RCC presenting as upper gastrointestinal (GI) symptoms without any specific GI involvement. Case presentation: A 49-year-old man, presented with ongoing severe heartburn, nausea and vomiting for 5 months...
2018: International Medical Case Reports Journal
Asima Bajwa, Travis Peck, Ashvini K Reddy, Peter A Netland, Yevgeniy Shildkrot
Purpose: To evaluate the long-term efficacy of the 0.70 mg dexamethasone (DEX) intravitreal implant in patients with birdshot chorioretinopathy (BSCR). Methods: Retrospective descriptive case series of BSCR patients treated with DEX implant (DEX implant 0.70 mg, DEX). Patients receiving treatment between September 2013 and November 2016 with a minimum follow-up (FU) of 12 months were included. The outcomes of primary interest were vision-related functioning, Snellen visual acuity, ocular inflammation status, presence or absence of vasculitis, change in central macular thickness, and development of glaucoma and/or cataract...
2018: International Medical Case Reports Journal
Manuel Ap Vilela, Roberta K Menna Barreto, Pedro K Menna Barreto, Juliana Mf Sallum, Vanessa S Mattevi
Objective: To describe, in a multimodal way, a new RHO gene mutation with lysine-for-asparagine substitution in autosomal dominant retinitis pigmentosa. Methods: Case report. Retrospective data analysis. Results: The mutation is located within codon 15 of exon 1 of the RHO gene. A single base-pair transversion lead to a specific lysine-for-asparagine substitution ( Asn15Lys ). Hypoacusis, myopia, dyschromatopsis and diffuse retinitis pigmentosa were detected...
2018: International Medical Case Reports Journal
Leonie van den Broek, Jutte van der Werff-Ten Bosch, Pieter-Jan Cortoos, Susanne van Steijn, Machiel van den Akker
Neonatal neutropenia is regularly seen with variable etiology. We describe a breastfed infant with maternal medication use as a probable cause of neonatal neutropenia. An 8 days old exclusively breastfed female infant of Arab-Berber descent was referred to our hospital because of an infection of the umbilicus. Complete blood count showed a picture of severe isolated neutropenia. After initiating intravenous antibiotic treatment, the infection quickly resolved, but the isolated neutropenia persisted. Bone marrow aspiration indicated severe congenital neutropenia...
2018: International Medical Case Reports Journal
Ai Kozaki, Hiroshi Nakamura, Toshu Inoue
Aim: To evaluate the efficacy of transcutaneous triamcinolone acetonide (TA) injection for the treatment of upper eyelid retraction and swelling in thyroid eye disease (TED) patients. Patients and methods: This is a case series. Three euthyroid TED patients with features of both upper eyelid retraction and swelling were recruited. TED signs appeared within 6 months prior to treatment. Next, 0.5 mL of TA (40 mg/mL) was transcutaneously injected targeting the orbital fat around the levator palpebrae superioris (LPS) muscle...
2018: International Medical Case Reports Journal
Titik Nuryastuti, Nusaibah Umaroh, Rizka Humardewayanti Asdie, Ika Puspita Sari, Ahmad Musthafa
Melioidosis, an infectious disease caused by Burkholderia pseudomallei , has recently gained importance as an emerging infectious disease in Indonesia. Reports of this infection in Indonesia are limited, although cases have been reported in Makassar, South Sulawesi. We report a case of cutaneous melioidosis caused by pan-drug-resistant, moderate biofilm-producer strain of B. pseudomallei in a diabetic patient. To the best of our knowledge, this is the first case of melioidosis caused by multidrug resistant and biofilm-former strain of B...
2018: International Medical Case Reports Journal
Alessandra Balestra, Hekuran Bytyci, Caroline Guillod, Antonio Braghetti, Luigia Elzi
Tularemia is a zoonosis caused by the infection of Francisella tularensis (a gram-negative aerobic bacterium). Transmission to other animals or humans usually occurs through insect or tick bites, direct contact with a contaminated environment (mud or water), infected animals - mainly lagomorphs - or by ingesting undercooked meat or inhaling contaminated dust (hay or soil). This paper discusses the case of a 32-year-old man, who came to our Emergency Room presenting with persistent fever, inguinal lymphadenopathy, and an ulcer on his left lower limb on a linear morphoea lesion that had been there for some time...
2018: International Medical Case Reports Journal
Oladapo A Adewuya, Rasaaq A Adebayo, Adeola I Ajibade, Gbenga J Odunlami, Anthony O Akintomide, Suraj A Ogunyemi, Olufemi E Ajayi, Adebola O Adetiloye, Adeleye D Omisore, Oladipo A Olanipekun, Adeyinka O Owolabi, Ifeoluwa Amjo, Olumide A Akinyele, Abayomi O Bamgboje, Michael O Balogun
Background: Mixed connective tissue disease (MCTD; also known as Sharp's syndrome) is a rare autoimmune inflammatory disorder characterized by high titer of U1 ribonucleoprotein (U1RNP) antibody and clinical and serological overlap of systemic lupus erythematosus, systemic sclerosis, and polymyositis. The diagnosis is based on clinical and serological factors in criteria such as Alarcon-Segovia, Khan, Kusakawa, and Sharps. Cardiac disease can be a complication of connective tissue disease (CTD)...
2018: International Medical Case Reports Journal
Ali Ismail Swaid
Background: Congenital saccular cyst of the larynx is a very rare cause of respiratory obstruction in the neonatal period and in older children. It can be a potentially life-threatening condition. It can also present less dramatically later in childhood as a voice disorder. Early diagnosis and treatment are very important to avoid the high mortality associated with undiagnosed cases. Subjects and method: I report here two cases of laryngeal saccular cyst with different clinical scenarios...
2018: International Medical Case Reports Journal
Abate Yeshidinber Weldetsadik, Yemisrach Mekonnen Asfaw, Atnafu Mekonnen Tekleab
Isolated unilateral absence of the pulmonary artery is a rare anomaly with congenital absence of the left or right pulmonary artery in the absence of other cardiac malformation, and diagnosis is usually made during adolescence. We report a 4-year old male child with isolated absence of the right pulmonary artery, who presented with recurrent chest infection and wheezing since infancy.
2018: International Medical Case Reports Journal
Tetsuyuki Suetsugu, Tsutomu Yasukawa, Akiyoshi Uemura, Masahiko Higaki, Yuichiro Ogura
We experienced a case of sympathetic ophthalmia in a fellow eye after vitrectomy for subretinal hemorrhage related to polypoidal choroidal vasculopathy. A 60-year-old male consulted us for polypoidal choroidal vasculopathy with subretinal hemorrhage in his left eye. The recurrence of massive subretinal hemorrhage refractory to repeated pars plana vitrectomies leads to phthisis bulbi. Two months later, multiple serous retinal detachments were observed in his right eye. Positive human leukocyte antigen-DR4 and the uveitis were helpful in distinguishing between sympathetic ophthalmia and age-related macular degeneration...
2018: International Medical Case Reports Journal
Naser Gharebaghi, Miramir Aghdashi, Seyed Arman Seyed Mokhtari
Kawasaki disease (KD) is characterized with an acute systemic vasculitis of the medium- and small-sized vessels. This disease mainly involves children within the age of 6 months to 5 years and it is often self-limited and patients seem to recover well; however, it may lead to devastating and fatal cardiovascular complications such as coronary artery aneurysm. Thus, early diagnosis and appropriate management of this disease have a significant effect on improving the prognosis and preventing its serious complications...
2018: International Medical Case Reports Journal
Tetsuya Muto, Shigeki Machida
Purpose: Many treatments, such as conservative management or penetrating keratoplasty, exist for corneal wasp sting. Here, we report a case of paper wasp sting of the cornea treated by anterior chamber wash immediately following admission, which soon resolved the inflammation. Case: A healthy 9-year-old boy who had been stung by a paper wasp on his left eye 2 days prior to presentation at Dokkyo Medical University Saitama Medical Center was found to have corneal opacity accompanied by ciliary injection...
2018: International Medical Case Reports Journal
Selina Taylor, Maureen Khan, Shams Zaidi, Umair Alvi, Yaqoot Fatima
Introduction: The clinical and pathological correlation between hand-foot-mouth disease (HFMD) and ocular complications has not yet been established. However, individual case reports indicate a trend that may be the emergence of a new burden of the previous self-limiting virus. This virus is particularly prevalent in childcare centers and poses an infectious disease risk for this workplace. Objectives: The primary objective of this case report is to describe an unusual clinical record of a patient who developed central serous retinopathy while unwell with HFMD...
2018: International Medical Case Reports Journal
Tanyatuth Padungkiatsagul, Anuchit Poonyathalang, Panitha Jindahra, Piyaphon Cheecharoen, Kavin Vanikieti
Background: Horner syndrome refers to a set of clinical presentations resulting from disruption of sympathetic innervation to the eye and adnexa. Classically, the clinical triad consists of ipsilateral blepharoptosis, pupillary miosis, and facial anhidrosis. Ocular sympathetic denervation may signify life-threatening causes. Timely investigation and accurate diagnosis are essential in patients with oculosympathetic denervation. Case presentation: A 33-year-old Asian man with a heavy smoking habit presented with a 3-week history of left ptosis and no other complaints...
2018: International Medical Case Reports Journal
P Singh, A Chedid, S K Deuchler, T Kohnen, M Müller, F H Koch
Purpose: There are little or no published data comparing the outcomes of ILUVIEN® (0.19 mg fluocinolone acetonide [FAc]) and OZURDEX® (0.7 mg dexamethasone [DEX]) implants in patients with diabetic macular edema (DME), and this case sought to compare their outcomes. Methods: This case was extracted from a monocentric audit involving a pool of 25 patients (33 eyes) with DME and treated with a single FAc implant between October 2013 and December 2016. This case, a 61-year-old male with a pseudophakic lens, is from a patient that had received 4 intravitreal injections of a DEX implant prior to FAc implant and then was monitored for 3 years until re-treatment with a second FAc implant...
2018: International Medical Case Reports Journal
Matthew L Ritz, Christopher Bailey, Katherine Overstreet, Andrew Gorlin
Singultus (hiccups lasting longer than 48 hours) is a described complication following epidural steroid injections, sacroiliac joint injections, and facet joint injections. The underlying etiology is not completely understood, but it is a condition that can be distressing to patients. Our case presentation involves a 62-year-old male presenting for cervical epidural steroid injection. He subsequently developed persistent hiccups that resolved after medical therapy. When approaching these patients, it is critical to evaluate for potentially life-threatening etiologies before progressing down a treatment algorithm...
2018: International Medical Case Reports Journal
Koji Kanda, Kei Takayama, Toshio Enoki, Masaru Takeuchi
Objective: Penicillium species are abundant, generally saprophytic, and widely distributed in the environment. On rare occasions, they cause endophthalmitis in immunocompromised patients or in immunocompetent patients with uncontrolled diabetic mellitus or immunosuppressive agents. We report a case of endophthalmitis caused by Penicillium species in an immunocompetent patient without any disorders. Case presentation: A 67-year-old woman presented with ocular pain, hyperemia, and blurred vision in her right eye...
2018: International Medical Case Reports Journal
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