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International Medical Case Reports Journal

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https://www.readbyqxmd.com/read/29970968/macular-ganglion-cell-complex-measurement-in-bilateral-retrobulbar-optic-neuropathy-without-a-relative-afferent-pupillary-defect
#1
Masatoshi Haruta, Hiroyuki Ohshima, Ryoji Yamakawa
Purpose: This study aimed to demonstrate the clinical usefulness of measuring the macular ganglion cell complex (GCC) for the early detection of axonal loss in eyes with bilateral retrobulbar optic neuropathies. Patients and methods: We retrospectively reviewed the medical records of three patients with bilateral toxic, ischemic, or infiltrative retrobulbar optic neuropathy. Results: No relative afferent pupillary defect was detected in any patients...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29950906/atypical-presentation-of-critical-left-main-disease-in-an-hiv-infected-patient
#2
Rajeev Seecheran, Valmiki Seecheran, Sangeeta Persad, Taarik Dookie, Naveen Anand Seecheran
Coronary artery disease is currently one of the leading causes of mortality in patients with HIV. Severe left main disease (LMD) occurs in ~6% of the HIV-infected patients. We describe a case report of an atypical presentation of silent critical LMD in an HIV-infected patient who underwent a low-risk exercise stress test. The cardiovascular disease team should be vigilant for this latent phenomenon, specifically within this subpopulation despite the high Duke treadmill score.
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29950905/eight-ball-hyphema-after-laser-iridotomy-in-a-patient-with-undiagnosed-hypocellular-myelodysplastic-syndrome
#3
Sira Arunmongkol, Yanin Suwan, Wasu Supakontanasan, Suthaphat Nilphatanakorn, Chaiwat Teekhasaenee
Introduction: We report a rare case of unexpected gross hyphema in the right eye (OD) and eight-ball hyphema in the left eye (OS) from a bilateral laser iridotomy in an acute primary angle-closure patient. We also demonstrated the effectiveness of the inferior full-thickness trabeculectomy with daily intracameral air injection as an alternative treatment in eight-ball hyphema. Case report: An 81-year-old Thai female presented with gross hyphema grade II OD and eight-ball hyphema with blood-stained cornea OS after laser iridotomy...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29881313/perforated-tuberculous-appendicitis-a-rare-case-report
#4
Alemayehu Gonie, Kebebe Bekele
Background: Gastrointestinal tuberculosis (TB) accounts for 3% of extrapulmonary TB. Tuberculous appendicitis is a rare type of abdominal TB and is seen in only 0.1%-0.3% of cases. Diagnosis is usually made after histopathologic examination of the appendectomy specimen. In Ethiopia, there had been no previous report of perforated appendicular TB, and to our knowledge, this is the first case report of a patient with perforated tuberculous appendicitis to be presented. Case report: A 22-year-old male patient presented with complaints of severe abdominal cramp, periumbilical pain, nausea, 2 episodes of nonbilious vomiting, as well as high-grade fever...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29872353/anaphylactic-reactions-due-to-pantoprazole-case-report-of-two-cases
#5
Pramendra Prasad Gupta, Rabin Bhandari, Deebya Raj Mishra, Krishna Kumar Agrawal, Rupak Bhandari, Sunil Jirel, Gyanendra Malla
Background: Drug-induced hypersensitivity reaction is of great clinical significance in therapeutics. The objective of this reporting of two cases is to show that anaphylaxis reaction can occur with pantoprazole. Case summaries: A 38-year-old female reported to the emergency ward in a critical condition, with a history of periorbital edema, edema of the skin, pruritus, nausea, vomiting, and difficulty breathing 20 minutes after ingestion of a pantoprazole 40 mg tablet...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29861645/dynamic-left-ventricular-dyssynchrony-and-severe-mitral-regurgitation-caused-by-exercise-should-we-go-beyond-the-guidelines
#6
Emilie Laflamme, François Philippon, Kim O'Connor, Jean-François Sarrazin, Vincent Auffret, Vincent Chauvette, Michelle Dubois, Pierre Voisine, Sébastien Bergeron, Mario Sénéchal
Guidelines for cardiac resynchronization therapy (CRT) have been established, but there may be a subgroup of patients not identified in these guidelines who may benefit from this therapy. We report a patient with a dynamic left ventricular dyssynchrony and severe mitral regurgitation caused by exercise successfully treated with CRT. Exercise testing should be considered in patients with left ventricular ejection fraction <35% and QRS <130 ms with severe heart failure symptoms that are unexplained by rest echocardiography evaluation in order to rule out ischemia and/or dynamic left ventricular dyssynchrony...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29805269/photoleukocoria-with-smartphone-photographs
#7
Víctor Manuel Asensio-Sánchez, Lucía Díaz-Cabanas, Alba Martín-Prieto
A 3-year-old boy was referred with suspected leukocoria in the right eye, detected in all smartphone photographs taken by his parents. His medical and family history was unremarkable. The visual acuity was 20/20 in both eyes. Eye examination revealed full motility and normal pupils. The ocular fundi and ultrasonography appeared normal. The child was looking to the left side in his photographs, away from the camera, and illuminating the nasal retina. In this circumstance, the optic nerve head acts as a diffuse reflector, reflecting the light out of the eye through the pupil...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29805268/generalized-peritonitis-after-spontaneous-rupture-of-pyonephrosis-a-case-report
#8
Desalegn Markos Shifti, Kebebe Bekele
Background: Peritoneal fistulization of a pyonephrosis is an extremely rare event which invariably leads to generalized peritonitis. This is a very rare case report on generalized peritonitis after spontaneous rupture of pyonephrosis. Case presentation: A 28-year-old male patient from the rural part of Bale zone, Ethiopia, was admitted to Goba Referral Hospital with high-grade fever, diffused abdominal pain and abdominal distension. Initially, he experienced colicky and intermittent pain that made him stay at home for 2-3 days...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29760571/multiple-extrafoveal-macular-holes-following-internal-limiting-membrane-peeling
#9
Nazimul Hussain, Sandip Mitra
Objective: Internal limiting membrane (ILM) peeling has been the standard of treatment for macular holes. Besides, causing retinal nerve fiber layer surface abnormality, postoperative extrafoveal multiple retinal holes is a rare phenomenon following ILM peeling. We report an unusual complication of eight extrafoveal macular holes occurring following ILM peeling. Case presentation: A 60-year-old male presented with complaints of decreased and distorted vision in the right eye...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29760570/plasma-rich-in-growth-factors-eye-drops-to-treat-secondary-ocular-surface-disorders-in-patients-with-glaucoma
#10
Ronald M Sánchez-Avila, Jesus Merayo-Lloves, Maria Laura Fernández, Luis Alberto Rodríguez-Gutiérrez, Pedro Pablo Rodríguez-Calvo, Andres Fernández-Vega Cueto, Francisco Muruzabal, Gorka Orive, Eduardo Anitua
Purpose: To evaluate the efficacy and safety of plasma rich in growth factors (PRGF) eye drops in patients with glaucoma with secondary ocular surface disorders (OSDs) due to surgeries and topical hypotensive drugs use. Materials and methods: A retrospective case-series study design was used including six patients (eight eyes) diagnosed with glaucoma who received surgical (nonpenetrating deep sclerectomy and/or trabeculectomy) and medical treatments (hypotensive eye drops) to control intraocular pressure (IOP) and who developed secondary OSDs, unresponsive to conventional treatments...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29731668/papilloma-and-sebaceous-gland-hyperplasia-of-the-lacrimal-caruncle-a-case-report
#11
Maria Miura-Karasawa, Hiroshi Toshida, Toshihiko Ohta, Akira Murakami
Objective: To report a case of coincidence of sebaceous gland hyperplasia and papilloma with detection of human papillomavirus-51 in the apical portion by in situ hybridization. Case presentation: A 75-year-old man noted discomfort at the inner canthus of his left eye when he blinked. A tumor of the lacrimal caruncle was identified and resected. The base of the tumor had a smooth surface and was whitish. In addition, a "navel-like structure" was seen, and the findings strongly suggested sebaceous gland hyperplasia of the lacrimal caruncle...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29695936/invasive-meningococcal-disease-without-meningitis-a-forgotten-diagnosis
#12
Saqib Walayat, Nooreen Hussain, Abdullah H Malik, Elsa Vazquez-Melendez, Bhagat S Aulakh, Teresa Lynch
Neisseria meningitidis , a Gram-negative diplococcus, is an uncommon cause of pneumonia. There have been only about 344 cases reported worldwide from 1906 to 2015. To our knowledge, there have been only 3 cases reported in the USA in the past 2 decades. We present a case of a 72-year-old male with a past medical history of severe COPD, obstructive sleep apnea, and stage I lung cancer status post-stereotactic body radiation therapy 1 year ago, who was admitted with a 6-day history of productive cough with yellowish sputum, shortness of breath, extreme myalgias, and fatigue...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29674851/gastrointestinal-obstruction-caused-by-solidification-and-coagulation-of-enteral-nutrition-pathogenetic-mechanisms-and-potential-risk-factors
#13
Grazia Leonello, Antonio Giacomo Rizzo, Viviane Di Dio, Antonio Soriano, Claudia Previti, Grazia Giulia Pantè, Claudio Mastrojeni, Sebastiano Pantè
Enteral nutrition (EN) is preferred in order to provide nutrition and reduce catabolism in critically ill patients. Recent studies suggest that the use of EN is successful and complications are rare. However, an underestimated mechanical complication of tube feedings seen in critically ill patients is the coagulation and solidification of the EN causing gastrointestinal obstruction. This report describes two clinical cases (1.23% of all cases seen at our clinic) of obstruction and perforation of the small bowel secondary to the solidification of EN...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29670408/acute-hepatitis-e-in-a-renal-transplantation-recipient-a-case-report
#14
Mitsutoshi Shindo, Hiroaki Takemae, Takafumi Kubo, Masatsugu Soeno, Tetsuo Ando, Yoshiyuki Morishita
Hepatitis E is caused by infection with the hepatitis E virus (HEV). HEV is transmitted orally via HEV-contaminated food or drink. Hepatitis E usually shows mild symptoms and is self-limiting in the general population; however, it may progress to chronic hepatitis in immunosuppressed patients such as recipients of organ transplantation. However, a few cases of acute hepatitis E have been reported in organ transplantation recipients. We herein report a case of acute hepatitis E in a 31-year-old male renal transplant recipient...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29670407/first-episode-psychosis-as-the-initial-presentation-of-multiple-sclerosis-a-case-report
#15
Athena Enderami, Rose Fouladi, Seyed Hamzeh Hosseini
Background: Multiple sclerosis (MS) is an inflammatory disease that affects the central nervous system (CNS). MS with episode of psychosis is a rare entity, and to the best of our knowledge, no case has been reported from Iran till date. Case presentation: We report a case of MS with first-episode psychosis in a 27-year-old single man with no history of psychiatric disorder or drug abuse. The patient developed neurological symptoms after 3 months and was finally diagnosed as a case of MS...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29662328/hyporeninemic-hypoaldosteronism-in-a-patient-with-diabetes-mellitus-an-unforgettable-case-report
#16
Naziha Chelaghma, Samson O Oyibo
A 58-year-old man presented with a 3-year history of chronic and intermittent hyperkalemia requiring recurrent attendances to the emergency department for urgent treatment. His medical history included secondary diabetes mellitus following a bout of acute pancreatitis and a previous splenectomy for a spontaneous splenic rupture. He also had a history of prolonged use of non-steroidal anti-inflammatory drugs for back pain and painful neuropathy. He was not on any medication or diet that would cause a raised serum potassium level and his renal function was normal...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29618940/langerhans-cell-histiocytosis-with-hemorrhagic-uveitis-and-exudative-retinal-detachment
#17
Ranju Kharel Sitaula, Anadi Khatri
Bilateral intraocular involvement in Langerhans cell histiocytosis (LCH) is uncommon. A 15-year-old boy presented with painless decreased vision in right and painful left red eye of 2 weeks duration. Visual acuity was 20/500 and 20/200, respectively. A fixed dilated pupil with exudative retinal detachment was present in the right eye and hemorrhagic iris nodules with hyphema and hypopyon were seen in the left eye. Intraocular pressure was 12 and 31 mmHg, respectively, in each eye. Ocular symptoms were preceded by fever with multiple skin rashes, subcutaneous nodules, and lymph node enlargement...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29606893/first-in-man-intravenous-implantation-of-stromal-vascular-fraction-in-psoriasis-a-case-study
#18
Kristin Comella, Michelle Parlo, Rosemary Daly, Kellie Dominessy
Background: Stromal vascular fraction (SVF) is a mixture of adipose-derived stem cells/mesenchymal stem cells, endothelial/progenitors, pericytes, fibroblasts, and other cells obtained from fat tissue. A small sample of fat or adipose tissue can be obtained under local anesthesia using a cannula. After an enzymatic digestion and centrifugation, the adipocytes (fat cells) are removed to obtain an SVF. Here, we describe the rationale and, to our knowledge, the first clinical implementation of SVF intravenously in a patient with severe psoriasis...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29563843/fatal-cerebral-hemorrhage-in-a-tetraplegic-patient-due-to-autonomic-dysreflexia-triggered-by-delay-in-emptying-urinary-bladder-after-unsuccessful-intermittent-catheterization-by-carer-lessons-learned
#19
Subramanian Vaidyanathan, Bakulesh M Soni, Peter L Hughes, Tun Oo
Introduction: Over-distension of urinary bladder in a high spinal cord injury patient is a triggering factor for autonomic dysreflexia. Removing triggering factors is vital to prevent autonomic dysreflexia. Case presentation: A 36-year-old tetraplegic patient, who was managed by intermittent catheterizations performed by caregivers, developed recurrent autonomic dysreflexia during a week due to: 1) carers not performing intermittent catheterizations every night; 2) infrequent catheterizations during the day, leading to distension of urinary bladder...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29563842/recurrent-pterygium-treatment-using-mitomycin-c-double-amniotic-membrane-transplantation-and-a-large-conjunctival-flap
#20
Yu Monden, Fumi Hotokezaka, Ryoji Yamakawa
Purpose: The aim of this study was to evaluate the clinical outcomes of surgery for recurrent pterygia using mitomycin C (MMC), double amniotic membrane transplantation (AMT), and a large conjunctival flap. Patients and methods: This retrospective case series included 31 eyes in 31 patients with recurrent pterygia. All patients underwent pterygium excision, application of MMC, double AMT, and placement of a large conjunctival flap. Outcome measures were visual acuity, astigmatism, and recurrence...
2018: International Medical Case Reports Journal
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