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Autopsy & Case Reports

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https://www.readbyqxmd.com/read/27818960/vocal-fold-mobility-alteration-reversed-after-thyroidectomy
#1
Aline Paterno Miazaki, Vergilius José Furtado Araújo-Filho, Lenine Garcia Brandão, Vergilius José Furtado de Araujo-Neto, Leandro Luongo Matos, Claudio Roberto Cernea
The involvement of the inferior or recurrent laryngeal nerve (RLN) in mobility derangement of the vocal folds occurs more frequently due to thyroid malignancy invasion. Although uncommon, the same derangement, which is caused by benign thyroid entities, is also described and reverts to normality after a thyroidectomy in up to 89% of cases. In these cases, the pathogenesis of the vocal cord mobility disturbance is attributed to the direct compression of the RLN by massive thyroid enlargement. The authors describe three cases of patients presenting unilateral vocal cord palsy, which, before surgery, was diagnosed by laryngoscopy concomitantly with large and compressive goiter...
July 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27818959/amlodipine-induced-gingival-overgrowth-in-a-child-after-liver-transplant
#2
André Guollo, Ana Paula Molina Vivas, Rodrigo Nascimento Lopes, Gilda Porta, Fábio Abreu Alves
Drug-induced gingival overgrowth (GO) has been associated with phenytoin, cyclosporine, and calcium channel blocker therapies. This study reports the case of an 11-year-old girl who was referred for evaluation of GO, which had occurred over the last 6 months. Her medical history included a liver transplant due to biliary atresia 3 years ago, immunosuppressive therapy, and hypertension, which is why she was started on a daily intake of amlodipine. The intraoral examination showed generalized GO, and the treatment consisted of a gingivectomy...
July 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27818958/giant-keratocystic-odontogenic-tumor-a-challenging-diagnosis
#3
Rachna Kaushik, Kumar Pushpanshu, Silky Rajesh Punyani, Vineet Raj
The keratocystic odontogenic tumor, although a benign lesion, is peculiarly aggressive with a high recurrence rate. Its involvement with the maxillary antrum is atypical. We report the unusual case of a 20-year-old male patient with an extensive antral tumor associated with an impacted third molar, which was initially misdiagnosed as a dentigerous cyst. Clinical, radiographic, and histopathologic aspects were analyzed to provide useful information for the correct diagnosis, treatment, and prognosis within a multidisciplinary approach...
July 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27818957/myelolipoma-of-the-posterior-mediastinum-in-a-patient-with-chronic-dyserythropoietic-anemia
#4
Cristiano Claudino Oliveira, Gilmar Felisberto, Viviane Hellmeister Camolese, Erica Nishida Hasimoto, Daniele Cristina Cataneo, Antônio José Maria Cataneo, Julio De Faveri
Myelolipoma (ML) is an uncommon benign mesenchymal neoplasia composed of mature adipose and hematopoietic tissues of uncertain etiology. Less than 3% of MLs occur in the mediastinal topography. The main differential diagnosis involves extramedullary hematopoiesis; therefore, pathological evaluation is essential for the definitive diagnosis. The authors report the case of a 50-year-old man diagnosed with congenital dyserythropoiesis and secondary hemosiderosis, who presented a posterior mediastinal tumor. The tumor was resected...
July 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27818956/misdiagnosis-of-streptococcus-gallolyticus-endocarditis
#5
Rodrigo Tzovenos Starosta, Raquel Rivero, Francine Hehn de Oliveira, Eron Lopes, Marcelle Reesink Cerski
Death certificate inaccuracy is of major concern both in the public health domain and in individual health care, since it may yield untruthful data on the incidence, prevalence, and lethality of medical entities, and may hamper prophylactic measures among those who share, with the deceased, the common genetic, environmental, or behavioral risk factors. An effective way to settle this haziness relies on the increase of autopsy performance, increasing manifold the exactitude as well as facing surprising diagnoses...
July 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27818955/rupture-of-an-ascending-aortic-aneurysm-as-a-cause-of-sudden-death
#6
Cristielle Peres de Freitas, Carla Andrade Petrini, Ramon Souza Goes Araújo, Luiz Guilherme Cernaglia Aureliano Lima, Patrícia Picciarelli de Lima, Amaro Nunes Duarte-Neto
An 84-year-old female patient was brought to the emergency department in cardiac arrest. Cardiopulmonary resuscitation maneuvers were performed but were unsuccessful. The patient had a past medical history of systemic arterial hypertension with target-organ lesions, including stroke and myocardial infarction. The autopsy was carried out, and the most striking finding was cardiac tamponade due to the rupture of an ascending aortic aneurysm at the site of a complex atheromatous plaque. Rupture is the most serious complication of a thoracic aneurysm and must be considered in the differential diagnosis of sudden death...
July 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27818954/sudden-death-in-infective-endocarditis
#7
Jussara Bianchi Castelli, Germana Almeida, Rinaldo Focaccia Siciliano
The case fatality rate of infective endocarditis (IE) is high and is associated with varying causes. Among them, acute myocardial infarction due to an embolism in a coronary artery is rare; the incidence of this complication in the setting of IE is reported to be up to 1.5%. We report a case of sudden death in a 22-year-old woman diagnosed with systemic lupus erythematosus who was referred to the Cardiology Center for the treatment of mitral valve incompetence due to IE. She was hemodynamically stable with antibiotic therapy and vasoactive drugs, despite severe mitral valve regurgitation...
July 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27818953/fatal-hemoperitoneum-due-to-segmental-arterial-mediolysis
#8
Aloísio Felipe-Silva, Fernando Peixoto Ferraz de Campos, João Augusto Dos Santos Martinês
Spontaneous hemoperitoneum due to vascular injury is a life-threatening condition mostly associated with aortic or splanchnic arterial disease, which stems from atherosclerotic, inflammatory, or infectious origin. However, in 1976, Slavin and Gonzales described a nonatherosclerotic arterial disease that may render aneurysmal formation predominantly in the splanchnic arterial bed. The clinical presentation is diverse, but abdominal pain and shock prevail. We report the case of a middle-aged man who presented a hemoperitoneum due to a middle colic artery aneurysm rupture and died after undergoing a surgical treatment attempt...
July 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27818952/periprostatic-venous-thrombosis
#9
Eduardo Paulino, Pedro Lobo Alcântara Neves, Luiz Otávio Savassi Rocha
No abstract text is available yet for this article.
July 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27818951/are-pathologists-becoming-mere-technicians
#10
EDITORIAL
Larry Nichols
No abstract text is available yet for this article.
July 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27547745/inner-tubing-technique-used-for-the-treatment-of-anastomotic-aneurism
#11
Márcio Teodoro da Costa Gaspar, Bruno Vinicius Hortences de Mattos, Milena Cristina Dias Sofia, Grace Carvajal Mulatti, Alex Lederman
The authors report the case of a 66-year-old male patient diagnosed with a pseudoaneurysm of the distal aorto-aortic anastomosis treated with the inner tubing technique. The patient had been operated on 1 year before when he had an aortic prosthesis implanted as treatment for a ruptured abdominal aortic aneurysm. The inner tubing technique was developed to facilitate the treatment in bifurcated vascular lesions, where endovascular conventional prosthesis is not available.
April 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27547744/extensive-epidermoid-cyst-of-the-submental-region
#12
Estevam Rubens Utumi, Juliane Pirágine Araujo, Irineu Gregnanin Pedron, Frederico Yonezaki, Gustavo Grothe Machado, André Caroli Rocha
Epidermoid cysts are malformations that are rarely observed in the submental region. Imaging has an important role in surgical planning according to the size and location of the cyst in relation to geniohyoid and mylohyoid muscles. This article reports the case of a 15-year-old female patient complaining of submental swelling. The differential diagnosis included infection, tumor, ranula, and abnormalities during embryonic development. The lesion was surgically excised using an extra-oral approach. The histopathological examination revealed a cyst wall lined with stratified squamous epithelium with the presence of several horny scales consistent with the diagnosis of an epidermoid cyst...
April 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27547743/simultaneous-genital-ulcer-and-meningitis-a-case-of-ebv-infection
#13
Hassan Rahhal, Jairo Tavares Nunes, Leonardo da Costa Lopes, Aleksander Snioka Prokopowitsch
The Epstein-Barr virus (EBV) is associated with a broad spectrum of diseases, mainly because of its genomic characteristics, which result in different latency patterns in immune cells and infective mechanisms. The patient described in this report is a previously healthy young man who presented to the emergency department with clinical features consistent with meningitis and genital ulcers, which raised concern that the herpes simplex virus was the causative agent. However, the polymerase chain reaction of cerebral spinal fluid was positive for EBV...
April 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27547742/a-huge-ovarian-mucinous-cystadenoma-causing-virilization-preterm-labor-and-persistent-supine-hypotensive-syndrome-during-pregnancy
#14
Suna Kabil Kucur, Canan Acar, Osman Temizkan, Aysim Ozagari, Ilay Gozukara, Atif Akyol
Mucinous cystadenoma (MC) of the ovary is an unilateral, multilocular cystic benign epithelial tumor. Supposed to be hormone responsive, MC reaches huge sizes during pregnancy. Aortocaval compression is common during pregnancy, especially when the pregnant woman is in the supine position. However, the compression recovers with a change in position. The authors report the first case of a huge mucinous cystadenoma of the ovary complicating pregnancy and causing virilization, premature labor, and persistent supine hypotensive syndrome...
April 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27547741/indeterminate-cell-histiocytosis-successfully-treated-with-phototherapy
#15
Maria Claudia Nogueira Zerbini, Mirian Nacagami Sotto, Fernando Peixoto Ferraz de Campos, Andre Neder Ramires Abdo, Juliana Pereira, José Antônio Sanches, Jade Cury Martins
First described in 1985, intermediate cell histiocytosis is a rare disorder of the cutaneous dendritic cell group with a varied clinical presentation and evolution. The pathologic substrate is constituted by the proliferation of indeterminate cells (ICs) that are immunophenotypically characterized by the positivity of CD1a, CD68, and faint/focal S100, plus the negativity for CD207 (langerin). The authors present the case of a healthy elderly woman who presented generalized dome-shaped reddish cutaneous nodules over her trunk, neck, face, and extremities over a period of 18 months...
April 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27547740/fatal-pancreatic-pseudocyst-co-infected-by-raoultella-planticola-an-emerging-pathogen
#16
Fernando Peixoto Ferraz de Campos, Tiago Borges Guimarães, Silvana Maria Lovisolo
Raoultella planticola is an aerobic Gram-negative bacterium belonging to the Enterobacteriaceae family. Initially identified in the 1980s, its pathogenic potential was further recognized when the first case of bacteremia was reported. Since then, only a few infections caused by this pathogen have been described. Although considered an opportunistic agent, fatal outcomes are associated with the infection by this pathogen, since it is more prevalent among the patients with immunodeficiency. The authors report the case of a middle-aged man diagnosed with end-stage renal disease and alcoholic pancreatitis, who was admitted to the emergency department with septic shock...
April 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27547739/gonococcal-endocarditis-an-ever-present-threat
#17
Fernando Peixoto Ferraz de Campos, Vitor Sérgio Kawabata, Márcio Sommer Bittencourt, Silvana Maria Lovisolo, Aloísio Felipe-Silva, Ana Paula Silva de Lemos
The incidence of severe complications of the Neisseria gonorrhoeae infection has presented variations over recent decades since the advent of penicillin. Gonococcal endocarditis (GE) still remains an ever-present threat afflicting the society's poor and sexually active young population. This entity frequently requires surgical intervention and usually exhibits a poor outcome. The interval between the onset of symptoms and the diagnosis does not usually exceed 4 weeks. One of the characteristics of GE is a proclivity for aortic valve involvement with large vegetation and valve ring abscess formation...
April 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27547738/amyloidosis-an-unusual-cause-of-portal-hypertension
#18
Vilma Takayasu, Lorena Silva Laborda, Raquel Bernardelli, Henrique Trombini Pinesi, Marilia Polo Minguete E Silva, Viviane Chiavelli, Angélica Braz Simões, Aloisio Felipe-Silva
Amyloidosis comprises a group of diseases that occurs in five to nine cases per million patients per year worldwide irrespective of its classification. Although the hepatic involvement in primary amyloidosis is frequent, the clinical manifestations of liver amyloidosis are mild or even absent. The authors report the case of an aged man who complained of diffuse abdominal pain and marked weight loss and presented clinical signs of hepatopathy. Clinical workup revealed portal hypertension with ascites, hemorrhoids, and esophageal varices...
April 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27547737/cardiac-myxoma
#19
Vera Demarchi Aiello, Fernando Peixoto Ferraz de Campos
No abstract text is available yet for this article.
April 2016: Autopsy & case reports
https://www.readbyqxmd.com/read/27547736/a-glimpse-at-the-future
#20
György Miklós Böhm
No abstract text is available yet for this article.
April 2016: Autopsy & case reports
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