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Clinical Case Reports

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https://www.readbyqxmd.com/read/28096995/response-to-ibrutinib-in-chronic-lymphocytic-leukemia-improves-in-quality-with-time
#1
Stefano Molica, Guido Carillio, Caterina Battaglia
Unlike chemoimmunotherapy regimens, which are given for a defined period, ibrutinib, a first-in-class Bruton's kinase inhibitor, allows most patients with CLL to remain on treatment for an extended period. Our experience, supported by sequential CT scan images, suggests that long-term ibrutinib promotes a high response rate that improves in quality with time.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096994/multiple-liver-abscesses-and-bacteremia-caused-by-streptococcus-constellatus-infection-a-case-report
#2
Nobuhiro Akuzawa, Takashi Hatori, Yonosuke Kitahara, Masahiko Kurabayashi
The Streptococcus milleri group (SMG) comprises commensal mucosal bacteria. Pyogenic liver abscesses due to hematogenous SMG infection are rare but can be observed even in healthy patients. In such cases, physicians should consider the existence of primary lesions that allow penetration of the SMG.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096993/like-father-like-daughter-inherited-cutis-aplasia-occurring-in-a-family-with-marfan-syndrome-a-case-report
#3
Yasmin Florence Khodeja Islam, Charles A Williams, Jennifer Jane Schoch, Israel David Andrews
We present the case of a newborn with co-occurrence of Marfan syndrome and aplasia cutis congenita (ACC) and a family history significant for Marfan syndrome and ACC in the father. This case details a previously unreported mutation in Marfan syndrome and describes a novel coinheritance of Marfan syndrome and ACC.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096992/development-of-myasthenia-gravis-8-years-after-interstitial-lung-disease-associated-with-antisynthetase-anti-ej-antibody-syndrome
#4
Takashi Ishiguro, Naho Kagiyama, Eriko Kawate, Kyuto Odashima, Yotaro Takaku, Kazuyoshi Kurashima, Noboru Takayanagi
Patients with antisynthetase-positive interstitial lung disease (ILD) alone sometimes develop myositis during follow-up, but myasthenia gravis (MG) overlapping on antisynthetase syndrome is unusual. A 56-year-old woman with ILD and anti-EJ antibody treated for 8 years developed MG. Physicians should consider myositis and MG when patients develop muscle symptoms during follow-up.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096991/premature-pubarche-in-a-child-with-abnormal-3%C3%AE-hydroxysteroid-dehydrogenase-function-and-klinefelter-syndrome-the-intriguing-relationship-between-androgen-deficiency-and-excess
#5
Michele Gortakowski, Rushika Conroy, Luisa Aguiar, Holley Allen
Disorders of androgen excess may coexist with disorders of androgen deficiency, such as Klinefelter syndrome, and can create diagnostic and therapeutic challenges.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096990/extensive-cutaneous-metastases-of-pancreatic-adenocarcinoma-a-case-report-and-review-of-the-literature
#6
Ioannis Kotsantis, Panagiota Economopoulou, Konstantinos Dritsakos, Nikolaos Oikonomopoulos, Marios Bakogeorgos, Cleopatra Rapti, Nikolaos Kentepozidis
Herein, we present the case of a patient with pancreatic cancer and nonumbilical cutaneous metastasis. Patients with pancreatic adenocarcinomas can develop extensive cutaneous metastases involving not only abdominal skin but also other unusual sites such as the scrotum.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096989/successful-treatment-of-severe-baclofen-toxicosis-initially-refractory-to-conventional-treatment
#7
Christine M Fox, Meredith L Daly
After ingesting a dose of baclofen thought to be lethal, a patient with severe neurologic signs was successfully managed despite initially being refractory to treatment. Patients with persistent neurologic abnormalities may still have an excellent prognosis despite lack of initial response. Additionally, we present a potential case of benzodiazepine withdrawal.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096988/successful-outcome-of-three-patients-with-sickle-cell-disease-and-fat-embolism-syndrome-treated-with-intensive-exchange-transfusion
#8
Paul Greaves, Vivek Mathew, Catherine Peters, Susan Rowe, Roger J Amos, Dimitris A Tsitsikas
Fat embolism syndrome (FES) is a rare complication of sickle-cell disease (SCD) associated with extremely high mortality rates. It affects predominantly non-SS patients and those with previously mild disease. Rapid institution of exchange transfusion with an aim to reduce HbS to very low levels as soon as FES is suspected can be life-saving.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096987/therapeutic-plasma-exchange-a-second-line-treatment-for-brodifacoum-poisoning-following-an-anaphylactoid-reaction-to-vitamin-k
#9
Ying Deng, Li Qiu
Vitamin K1 is the first-line therapy to brodifacoum poisoning. Anaphylactoid reactions may occur anytime during intravenous administration of vitamin K1 injection. Vitamin K1 must be ceased when anaphylactoid reactions emerge, and therapeutic plasma exchange could be a second-line option.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096986/extracorporeal-membrane-oxygenation-rescue-in-adolescent-with-bronchiolitis-obliterans-organizing-pneumonia-like-wegener-s-granulomatosis
#10
Lars Falk, Lars Mikael Broman
We report a 17-year-old woman with bronchiolitis obliterans-organizing pneumonia (BOOP)-like granulomatosis with polyangiitis developing severe airway obliterations. Pending age, phase and grade of autoimmune treatment, and offering ECMO treatment may be crucial for survival but occasionally preface futility. ECMO-treated patient with BOOP-like GPA has never been described before.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096985/radioactive-seed-localization-of-renal-cell-carcinoma-in-a-patient-with-von-hippel-lindau-disease
#11
Christina Marie Schiøttz Hassing, Tove Filtenborg Tvedskov, Niels Kroman, Thomas Levin Klausen, Sissal Djurhuus, Linnea Langhans
This report describes the case of a patient, who had successful radioactive seed localization (RSL) performed to improve the identification and excision of a renal cell carcinoma. RSL is a new method of preoperative localization, which can ease the surgical procedure, minimize tissue trauma, and ultimately benefit the patient.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096984/chryseobacterium-indologenes-a-possible-emergent-organism-resistant-to-carbapenem-antimicrobials-after-stem-cell-transplantation
#12
Osamu Imataki, Makiko Uemura
A 64-year-old female was diagnosed with adult T-cell leukemia/lymphoma. She then underwent an unrelated allogeneic bone marrow transplantation with a reduced-intensity regimen. She achieved engraftment followed by HHV-6 encephalopathy. This was complicated by Chryseobacterium indologenes pneumonia. Chryseobacterium indologenes is now a possible emergent organism resistant to carbapenem after transplantation.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096983/pde3-inhibition-with-enoximone-as-first-line-therapy-for-severe-persistent-pulmonary-hypertension-of-the-newborn-during-neonatal-transport-a-case-report
#13
Robin van der Lee, Barbara Peels, Corine Koopman-Esseboom
Severe Persistent pulmonary hypertension of the newborn (PPHN) can be effectively treated with a PDE3 inhibitor as first-line treatment during neonatal transport when iNO is not readily available. Starting iNO as soon as possible is strongly advised because of the complementary actions of both therapeutics.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096982/the-birth-and-rise-of-a-craniopharyngioma-the-radiological-evolution-of-an-incidental-craniopharyngioma-detected-on-serial-mri-during-medical-treatment-of-a-macroprolactinoma
#14
Stefano Mariotti, Marco Losa, Pietro Mortini, Luca Saba
This case demonstrates the rare coexistence of a prolactinoma with craniopharyngioma and documents its radiological growth. This case suggests that patients with pituitary neoplasms should be followed closely and although prolactinomas can often be managed medically, a coexistent other lesion may require surgery for histological assessment and to reduce mass effect.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096981/experience-of-mowat-wilson-syndrome-prenatal-diagnosis-for-a-chinese-family
#15
Qian Jiang, Xiaoxiao Zhang, Yinan Ma, Qi Li, Chunhua Zheng, Yuchun Yan, Zhen Zhang, Ping Xiao, Lin Su, Wei Cheng, Hong Pan, Long Li
Mowat-Wilson syndrome (MWS) is a complex developmental disorder. We report the first prenatal diagnosis provided for a family in mainland China after identifying the causal mutation for the proband. Special focus on MWS-related organs during prenatal ultrasound scan is described which is extremely important for genetic counseling of parents.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28096980/genetic-and-prenatal-findings-in-two-japanese-patients-with-schinzel-giedion-syndrome
#16
Nozomi Hishimura, Michiko Watari, Hiroki Ohata, Naho Fuseya, Sadae Wakiguchi, Tomoharu Tokutomi, Kouji Okuhara, Nobuhiro Takahashi, Susumu Iizuka, Hiroshi Yamamoto, Takashi Mishima, Satoko Fujieda, Ryoji Kobayashi, Kazutoshi Cho, Yukiko Kuroda, Kenji Kurosawa, Hidefumi Tonoki
We report two Japanese patients with Schinzel-Giedion syndrome. When polyhydramnios is observed, additional fetal findings such as overlapping fingers, hydrocephalus, hydronephrosis, and very characteristic facial appearance comprising high, prominent forehead, hypertelorism, and depressed nasal root may suggest Schinzel-Giedion syndrome.
January 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/27980770/contrast-enhanced-transoral-carotid-ultrasonography-for-the-evaluation-of-a-long-stenotic-lesion-in-the-internal-carotid-artery
#17
Yuta Hagiwara, Tomohide Yoshie, Takahiro Shimizu, Hana Ogura, Masashi Akamatsu, Takayuki Fukano, Tatsuro Takada, Shinji Nogoshi, Toshihiro Ueda, Yasuhiro Hasegawa
Contrast-enhanced transoral carotid ultrasonography (CETOCU) is a novel modality for imaging the distal extracranial internal carotid artery, which is not possible with conventional carotid ultrasonography. We present a representative case that demonstrates the usefulness of CETOCU.
December 2016: Clinical Case Reports
https://www.readbyqxmd.com/read/27980769/median-arcuate-ligament-syndrome-case-presentation-and-video-illustrated-laparoscopic-management
#18
Antoine El Asmar, Ziad El Rassi
Laparoscopic release of the median arcuate ligament, to relieve symptomatic compression of the celiac trunk, is the ideal approach when performed in a specialized center, by a surgeon with the adequate experience in advanced laparoscopic surgery.
December 2016: Clinical Case Reports
https://www.readbyqxmd.com/read/27980768/double-pylorus-two-sides-to-one-story
#19
Shifa Umar, Mohammad Bilal
It is important to recognize that "congenital" double pylorus is a benign condition, so that extensive work-up can be avoided. Also, endoscopists should be aware of the double pylorus and demonstrate extra caution during endoscopic retrograde cholangiopancreatography (ERCP).
December 2016: Clinical Case Reports
https://www.readbyqxmd.com/read/27980767/hemoglobin-sc-smear-recorded-with-a-smartphone
#20
Nikolaos A Trikalinos, Harvey I Katzen
Taking photographs of microscope slides generally requires expensive equipment and a lot of effort. We demonstrate a technique to take clear, focused pictures of microscope slides with a smartphone. This could facilitate exchange of information between providers, allow for quick second opinions, and improve patient care.
December 2016: Clinical Case Reports
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