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Clinical Case Reports

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https://www.readbyqxmd.com/read/28174656/fever-of-unknown-origin-due-to-intrahepatic-wooden-toothpick
#1
Giuseppe Currò, Salvatore Lazzara, Andrea Cogliandolo, Saverio Latteri, Giuseppe Navarra
Ingestion of foreign bodies is a common clinical problem, but intrahepatic migration is an exceptional occurrence. Clinical history is not helpful. Abdominal ultrasonography and CT are fundamental to exclude surgical causes of fever of unknown origin. Laparoscopic segmental liver resection is recommendable to avoid generalized peritonitis.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174655/a-forgotten-nasogastric-feeding-tube-that-refuses-to-get-out
#2
Michail Galanopoulos, Athanasios Tsigaridas, Lazaros Varytimiadis, Apostolis Papaefthymiou, Lazaros Kalampalikis, Spyridon Ladias, Gerassimos J Mantzaris
Nasogastric tubes (NGT) are extensively used and generally harmless, yet loop formation and malpositioning are often reported especially when using thin NGT for enteral feeding which placed blindly; therefore, diligent follow-up of NGT is required with confirmation of right placement, changing it to PEG if long use of NGT needed.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174654/breast-cancer-with-extensive-bone-metastasis-mimicking-myeloma
#3
Ya-Ting Hsu, Kung-Chao Chang
Punched-out lesions in skull film usually elicit consideration of myeloma. However, some other diseases cause similar clinical presentations. We describe an uncommon presentation of breast cancer, which mimics multiple myeloma. Therefore, in a broad spectrum of clinical settings, physicians should always consider differential diagnosis and await for definitive pathological diagnosis.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174653/eagle-syndrome
#4
Akira Baba, Yumi Okuyama, Hiroya Ojiri, Tsuneya Nakajima
Although rare, Eagle syndrome should be always considered in the differential diagnosis in patients with chronic orofacial pain refractory to conventional treatments. Treatment is surgery and exeresis of the styloid process via a transoral or cervical approach depending on clinical and radiological features.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174652/collapsed-membranes-within-pelvic-cyst-what-is-the-diagnosis
#5
Seyed Ali Dehghan Manshadi, Omid Rezahosseini, Sadegh Saberi, Faeze Salahshour, Shahrzad Mahdavi Izadi
Collapsed membranes and daughter cysts are pathognomonic for hydatid cysts on imaging. The comma-shaped lesions, visible within the hydatid cyst in sagittal view of MRI, are collapsed membranes. Although primary hydatid cyst of pelvic cavity is rare, clinicians should remember to include hydatid cysts in differential diagnosis of pelvic cysts.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174651/radical-vulvectomy-with-a-bilateral-pudendal-flap-in-the-treatment-of-a-vulvar-cancer-relapse
#6
Begoña Díaz de la Noval
One of the main risk factors for relapse in vulvar cancer after lymph-node metastases is free surgical margins. In the case of a relapse, radical vulvectomy with perineal reconstruction is the first choice. Perineal reconstruction is usually indicated in relapse and unusual for a first surgery, except extensive damage 1, 2, 3, 4, 5.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174650/copper-deficiency-related-bone-marrow-changes-secondary-to-long-term-total-parenteral-nutrition
#7
Thein Hlaing Oo, Shimin Hu
Total parenteral nutrition can be complicated by the marrow sea-blue histiocytes as well as copper deficiency-related bone marrow changes. Cytoplasmic vacuoles in the erythroid and myeloid precursors raise the possibility of copper deficiency anemia. If the diagnosis is delayed, the clinical course can be complicated by neurologic deficits.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174649/ambiguous-subdural-collection
#8
Jonathan Nakhla, Niketh Bhashyam, Reza Yassari
Prostate cancer metastasis to the dura is a rare occurrence. Metastasis to the dura can present as signs and symptoms of worsening mental status or neurological deficit. Therefore, malignant metastasis should be considered in a patient presenting with history of prostate cancer and worsening metal status without evidence of trauma.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174648/infective-endocarditis-and-infected-aneurysm-caused-by-streptococcus-dysgalactiae-subsp-equisimilis-a-case-report
#9
Naoki Watanabe, Shuji Bandoh, Tomoya Ishii, Kiyoshi Negayama, Norimitsu Kadowaki, Kyoko Yokota
Endocarditis caused by Streptococcus dysgalactiae subsp. equisimilis (SDSE) is rare. Infected aneurysm is one of the most serious complications of infective endocarditis. However, no reports have described SDSE-related infected aneurysm. We herein report a successfully treated case of SDSE-associated infective endocarditis with an infected aneurysm.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174647/the-art-of-vaginal-breech-birth-at-term-on-all-fours
#10
Hajo I J Wildschut, Hinke van Belzen-Slappendel, Suze Jans
Despite a shift in clinical practice favouring cesarean section for breech presentation, adequate skills are still needed for a safe vaginal breech birth. This case report illustrates the physiological mechanism of vaginal breech birth. The accompanying pictures are a testimony to the "hands-off" approach and could be used for educational purposes.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174646/agenesis-of-the-dorsal-pancreas-associated-with-mucinous-adenocarcinoma-and-cystic-teratoma-a-case-report-and-literature-review
#11
Elias Saikaly, Antoine El Asmar, Fahim Abi Fadel, Mona Aoun, Ziad El Rassi
Dorsal agenesis of the pancreas is a rare congenital anomaly. Fifty-eight cases were reported from 1913 till 2015, nine of which were associated with tumors. We present the 10th case, the first to be associated with pancreatic mucinous adenocarcinoma and cystic teratoma, successfully managed by Whipple procedure and total pancreatectomy.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174645/a-novel-mutation-in-the-oar-domain-of-the-arx-gene
#12
Alejandra Tapie, Natalia Pi-Denis, Jorge Souto, Alejandra Vomero, Gabriel Peluffo, María Boidi, Martín Ciganda, Nicolás Curbelo, Victor Raggio, Leda Roche, Lucía Pastro
Mutations in ARX gene should be considered in patients with mental disability or/and epilepsy. It is an X-linked gene that has pleiotropic effects. Here, we report the case of a boy diagnosed with Ohtahara syndrome. We performed the molecular analysis of the gene and identified a new missense mutation.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174644/interstitial-deletion-of-chromosome-1-1p21-1p12-in-an-infant-with-congenital-diaphragmatic-hernia-hydrops-fetalis-and-interrupted-aortic-arch
#13
Masitah Ibrahim, Matthew Hunter, Lucy Gugasyan, Yuen Chan, Atul Malhotra, Arvind Sehgal, Kenneth Tan
We report a case of an infant with congenital diaphragmatic hernia (CDH) and hydrops fetalis who died from hypoxic respiratory failure. Autopsy revealed type B interrupted aortic arch (IAA). Microarray revealed a female karyotype with deletion of chromosome 1p21.1p12. There may be an association between 1p microdeletion, CDH, and IAA.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174643/romiplostim-therapy-as-a-second-line-treatment-before-splenectomy-for-refractory-immune-thrombocytopenia-in-a-cirrhotic-patient-with-iatrogenic-cushing-syndrome-secondary-to-corticosteroids
#14
Teresa Casanovas Taltavull, Maria Carmen Peña-Cala
Our case report discusses the usefulness of administering romiplostim as a second-line treatment before splenectomy in a cirrhotic patient with immune thrombocytopenia who developed corticosteroid-induced Cushing's syndrome. Corticosteroids were tapered and consequently withdrawn. The patient made a full recovery postsplenectomy.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174642/prolonged-qt-interval-and-cardiac-arrest-after-a-single-dose-of-amiodarone-in-a-woman-with-turner-s-syndrome
#15
Dorte Guldbrand Nielsen, Jens Cosedis Nielsen, Christian Trolle, Claus Højbjerg Gravholt, Niels Holmark Andersen
Low-dose QT-prolonging drugs may have detrimental effects on women with Turner's syndrome. Preventive measures would be to use potential QT-prolonging drugs with precaution and ensure that both before and during treatment, ECGs are evaluated and drug treatment stopped if the QT interval increases.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174641/gross-dependent-lower-limb-lymphoedema
#16
Mairead Marion Hennessy, Gavin Connor O'Brien
Gross-dependent lower limb lymphoedema is an unusual condition which can be painful particularly if ulceration occurs. Focused history and clinical examination in addition to appropriate radiological investigation aid in the diagnosis. It is difficult to treat and requires a multidisciplinary team including vascular surgeons, dermatologists and clinical nurse specialists. The primary treatment option is compression bandaging.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174640/treatment-and-repair-of-uterine-scar-dehiscence-during-cesarean-section
#17
Masaaki Sawada, Shinya Matsuzaki, Ruriko Nakae, Tadashi Iwamiya, Aiko Kakigano, Keiichi Kumasawa, Yutaka Ueda, Masayuki Endo, Tadashi Kimura
The incidence of cesarean section (c-section) has increased worldwide. Because the major risk factor for uterine scar dehiscence (USD) is a previous c-section, the rate of this complication has also increased. Its clinical significance and management strategies are unclear. Here, we discuss USD particularly pertaining to its surgical treatment.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174639/a-rare-cftr-mutation-associated-with-severe-disease-progression-in-a-10-year-old-hispanic-patient
#18
Katherine Soe, M Myrtha Gregoire-Bottex
Cystic fibrosis is a life-shortening multisystem genetic disease. While readily tested, few tests analyze rare gene mutations prevalent among ethnic minorities. This case of a Hispanic child with a rare CF-causing c.233dupT mutation and severe disease emphasizes the need for broad CFTR mutation analyses and genotyping particularly in minority populations.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174638/juvenile-dermatomyositis-in-a-4-year-old-kenyan-girl
#19
Marlous L Grijsen, Deborah Mchaile, Inge Geut, Raimos Olomi, Maitseo Nwako, Luis Requena, William P Howlett, Daudi R Mavura, Marieke C J Dekker
To our knowledge, this is the first case report of juvenile dermatomyositis (JDM) in Tanzania. It demonstrates that the characteristic cutaneous findings of JDM may easily be overlooked, especially on dark skin, and the difficulty of clinical management in resource-constrained settings.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28174637/severe-tricuspid-regurgitation-due-to-valvular-entrapment-of-an-inferior-vena-cava-stent
#20
Kirstin Hesterberg, Ashok Babu, Maria Frank, Shea Hogan, Mori J Krantz
Endovascular venous stenting is increasingly performed for a variety of conditions. Inferior vena cava stent migration has been reported up to 6 months after placement; stent migration 6 months after implantation is uncommon. To our knowledge, this is only the second reported case of late stent migration with valve entrapment 1.
February 2017: Clinical Case Reports
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