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Clinical Case Reports

Anza B Memon, Kimberly A Playfoot
This teaching case of tongue myokymia offers clear electromyographic findings of myokymic discharges on two different sweeps. Radiation-induced tongue myokymia should be considered in the differential diagnosis for motor neuron disease (MND).
June 2017: Clinical Case Reports
Ihtesham A Qureshi, Mohtashim A Qureshi, Alberto Maud
In our patient with Steele-Richardson-Olszewski syndrome presenting with apraxia of eyelid opening, there is a possibility to be readily confused with conditions presenting in similar pattern such as blepharospasm and eyelid ptosis. Therefore, it is essential to correlate the clinical findings with electromyographic recordings and dopamine transporter scan (DaT).
June 2017: Clinical Case Reports
Naveed Ali, Nidhi Karia, Richard Goldhahn
Leukocytoclastic vasculitis (LCV) is a cutaneous small vessel vasculitis characterized by cutaneous manifestations in the form of palpable purpura, and rarely bullae, vesicles, and ulcerations. Although rare, cephalosporins such as cefazolin, should be recognized to have a potential to trigger LCV.
June 2017: Clinical Case Reports
Jamshid Farahati, Johanna Elliott, Sabrina Höppner, Linda Stein, Elena Gilman, Dietmar Kumm, Thomas Grodotzki
Currently, there is no protocol for the detection of intra-articular distribution of Er-169 citrate after radiosynovectomy. We propose post-therapeutic imaging using scintigraphy and cobalt-57 pen-marker autoradiography. This technique evaluates the efficacy of the radiosynovectomy and patient safety and could be utilized for dosimetric protocol.
June 2017: Clinical Case Reports
Ezekiel Wong Toh Yoon, Kazuki Nishihara
Classical lymphadenopathies, such as Virchow's node (left supraclavicular lymph node metastasis) and Irish node (left axillary lymph node metastasis), are important findings that may indicate the presence of gastric cancer and other gastrointestinal malignancies.
June 2017: Clinical Case Reports
Christianne Bourlon, Cesar Vargas-Serafín, Xavier López-Karpovitch
Nontuberculous mycobacteria infrequently cause disseminated infections in immunocompetent hosts. However, they are increasingly being recognized in immunocompromised patients. We present the case of a 40-year-old HIV-positive male presenting with lymphadenopathies and pancytopenia in whom disseminated infection, with bone marrow involvement by Mycobacterium genavense (M. genavense) was diagnosed.
June 2017: Clinical Case Reports
George Samanidis, Constantinos Contrafouris, Theofani Antoniou, Konstantinos Perreas
Dose the fractured guide wire should be removed during or after percutaneous coronary interventions? In case when the patients have unstable hemodynamic status the fractured guide wire should be removed with percutaneous or surgical method. Antiplatelet drug administration should be considered after procedure to prevention of the coronary artery thrombosis.
June 2017: Clinical Case Reports
Emmanouel Papadakis, Ilias Vournas, Meletios A Kanakis
Left atrial myxoma could be a rare cause of cardiac arrest as this mass could impinge on the mitral orifice causing left ventricular inflow tract obstruction.
June 2017: Clinical Case Reports
Wen-Jung Chang, Wen-Yi Chiu
The ingestion of a foreign body is a common occurrence. Psychiatric patients and prisoners may swallow objects on purpose. Occasionally emergent exploratory laparotomy may be indicated if the diagnosis is uncertain, and emergent removal of the foreign body may be needed to prevent substantial risk of serious complications including perforation, fistula, or gastrointestinal bleeding.
June 2017: Clinical Case Reports
Lawrence Lau, Viktoriya Mozolevska, Iain D C Kirkpatrick, Davinder S Jassal, Roopesh Kansara
Our case highlights that cardiac lymphoma may mimic amyloid infiltration of the myocardium on cardiac magnetic resonance (CMR), and is a particularly challenging diagnosis in the setting of transformed Waldenström's macroglobulinemia. Heightened suspicion and early diagnosis of cardiac lymphoma is paramount as chemotherapy has been demonstrated to portent an increased survival rate.
June 2017: Clinical Case Reports
Alparslan Merdin, Jale Yıldız, Mehmet Sinan Dal, Merih Kızıl Çakar, Ali Hakan Kaya, Emre Tekgündüz, Fevzi Altuntaş
Multiple myeloma is a plasma cell disease, whereas CLL (Chronic Lymphocytic Leukemia) affects mature B-cell lymphocytes. Even though the coexistence of those two conditions is extremely rare, as both cell types differentiate from the same multipotent stem cells, the clinician should evaluate patients carefully not to misdiagnose such a concomitancy.
June 2017: Clinical Case Reports
Kentaro Yoshida, Fumie Fujisawa, Hiroshi Kojima, Noriyuki Takeyasu
Cardiogenic shock can occur due to compression of the four pulmonary veins and the left atrium by a mediastinal tumor. Steroid infusion can be a temporary alternative therapy before obtaining a definite diagnosis and performing an intervention with stents to dilate the pulmonary veins.
June 2017: Clinical Case Reports
Yumi Okuyama, Akira Baba, Hiroya Ojiri, Tsuneya Nakajima
Exostosis in external auditory canal is common among surfers. Common symptoms are decreased hearing or loss of hearing, ear infection, and/or plugging sensation. Repeated exposure to cold water is a key clinical history to suspect this condition. Based on symptoms and existence of infection, surgical removal of the exostosis is recommended.
June 2017: Clinical Case Reports
Nazareno Smerieri, Italo Barbieri, Matteo Fumagalli, Davide Luppi, Andrea Lanaia, Stefano Bonilauri
The report suggests that, when the patient's history, clinical examination, and findings do not lead to a clear diagnosis in case of an acute abdomen, a laparoscopic approach, that has both, diagnostic and therapeutic value, is advised.
June 2017: Clinical Case Reports
Ryota Kakizaki, Taiki Tojo, Yoshiyasu Minami, Toshimi Koitabashi, Reiko Woodhams, Takao Shimohama, Masahiro Ishii, Junya Ako
Major aortopulmonary collateral arteries branching from coronary arteries may cause coronary steal. The careful follow-up is needed irrespective of symptoms because increasing physical activities and oxygen demand along with the age may induce myocardial ischemia. Transcatheter intervention by well-trained physician would be a treatment option in patients with myocardial ischemia.
June 2017: Clinical Case Reports
Ruiwei Guo, Lixia Yang
The successful use of autologous skin to management may provide a useful and widely applicable method for dealing with the troublesome complication of guidewire-induced coronary perforation.
June 2017: Clinical Case Reports
Dina F Ahram, Yasser Al-Sarraj, Rowaida Z Taha, Saba F Elhag, Fouad A Al-Shaban, Hatem El-Shanti, Marios Kambouris
15q deletions have been described in association with intellectual disability and autism spectrum disorder (ASD). Previous reports have supported the role of 15q24 low copy repeats (LCRs) in mediating alternatively sized genomic rearrangements. Based on our reported finding of a 15q24 deletion coinciding with two LCR regions in a patient with epilepsy and ASD, we recommend that patients with 15q24 deletions be evaluated for ASD for early institution of therapy.
June 2017: Clinical Case Reports
Senan John Yasar, Vivian Irene Ravn Berg, Asim Ahmad, Donald Doll
The relevance of this case lies in the extensive diagnostic workup that can be avoided with proper laboratory evaluation of relatively unsophisticated tests.
June 2017: Clinical Case Reports
Shokoufeh Hajsadeghi, Siavash Kooranifar, Nafise Ansarinejad, Alireza Sadeghipour, Aida Iranpour, Alireza Aziz Ahari
Pulmonary artery sarcoma is a rare tumor with varying presentations including pericardial effusion and pulmonary metastasis. Single-nucleotide polymorphism array is a novel method that can be used to define tumor genome and be used as a guidance to choose the proper treatment regimen.
June 2017: Clinical Case Reports
Tadashi Hoshiyama, Keiichi Ashikaga, Kenichi Tsujita, Yoshisato Shibata
We present a case of postcardiac injury syndrome with pericardial effusion following cardiac resynchronization therapy implantation which was treated by only colchicine. Although treatment using colchicine is not as common as NSAIDs or steroids, colchicine seems to be an effective and safe treatment option for the syndrome.
June 2017: Clinical Case Reports
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