journal
https://read.qxmd.com/read/39014508/whole-genome-sequencing-of-multidrug-resistant-escherichia-coli-causing-urinary-tract-infection-in-an-immunocompromised-patient-a-case-report
#1
JOURNAL ARTICLE
Mohammed Yahya Ahmed, Babbiker Mohammed Taher Gorish, Esraa Mohammed Alhaj, Mayasir Abd Elmoniem Abd Elrhim, Shimaa Saifaldeen Siddig, Hisham N Altayb
BACKGROUND: Escherichia coli is a major human pathogen responsible for a broad range of clinical illnesses. It has been linked to endemic and epidemic nosocomial diseases caused by multidrug-resistant pathogens in Sudan as well as throughout the globe. CASE PRESENTATION: A 76-year-old African woman arrived at Saad Rashwan Medical Centre complaining of backaches and discomfort during urination. Throughout the preceding 5 years, the patient had recurrent urinary tract infections...
July 17, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/39010207/diffuse-large-b-cell-lymphoma-in-the-uterus-with-unexpected-manifestations-a-case-report
#2
JOURNAL ARTICLE
Kenana Tawashi, Tuka Hamasho, Mustafa Al-Hussien, Ameen Ammar
BACKGROUND: Lymphoid neoplasm is a common disease, arising from lymphoid cells. It is divided into Hodgkin lymphoma and non-Hodgkin lymphoma. Non-Hodgkin lymphoma can be intranodular or extranodular, which happens in 25% of primary cases. The most common locations of extranodular non-Hodgkin lymphoma are the skin and gastrointestinal tract. The genital tract is a rare location; most lymphomas arise from the cervix and vagina, while the uterine corpus is an extremely rare location. In our case, the patient was diagnosed with primary extranodular non-Hodgkin lymphoma in different locations of her genital tract...
July 16, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/39010205/palinacousis-in-amyloidosis-exploring-the-hallucinatory-phenomenon-in-brain-pathology-a-case-report
#3
JOURNAL ARTICLE
João Martins-Correia, Luísa Sousa
BACKGROUND: Hereditary transthyretin amyloidosis, caused by transthyretin gene mutations, progresses with systemic impact and often presents peripheral neuropathy. Recent research reveals central nervous system involvement, marked by leptomeningeal amyloid accumulation and transient focal neurological episodes displaying cortical dysfunction. CASE PRESENTATION: A 47-year-old Caucasian man with hereditary transthyretin amyloidosis presented with motor aphasia, right hemiparesis, fever, and an altered state of consciousness...
July 16, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/39010154/dexmedetomidine-as-a-total-intravenous-anesthetic-in-pediatric-patients-undergoing-cleft-lip-and-palate-surgery-a-case-series
#4
JOURNAL ARTICLE
Corry Quando Yahya, Lucky Andriyanto, Yantoko Azis Priyadi
BACKGROUND: Surgery for pediatric cleft lip and palate repair often utilizes high-dose opioids and inhaled anesthesia, thereby causing postoperative complications such as desaturation and/or severe agitation after anesthesia. These complications are detrimental to the child and medical personnel and cause tremendous psychologic stress to parents. Our aim is to decrease these complications through dexmedetomidine, an alpha-2 receptor agonist with anxiolytic, sympatholytic, and analgetic properties...
July 16, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/39004746/challenges-in-the-diagnosis-and-treatment-of-pure-non-gestational-uterine-choriocarcinoma-in-a-child-a-case-report
#5
JOURNAL ARTICLE
Faisol Darmawan, Aditya Rifqi Fauzi, Rogatianus Bagus Pratignyo, Pieri Kumaladewi, Andrini Esha Rahmadanty, Andreas Niko Santhony, Hanggoro Tri Rinonce, Gunadi
BACKGROUND: Diagnosing non-gestational uterine choriocarcinoma in children is challenging because of its rarity and nonspecific imaging findings. Herein, we report a case of non-gestational uterine choriocarcinoma in a child, which was unexpectedly found during exploratory laparotomy and confirmed by histopathological findings. However, the tumor did not respond to chemotherapy. CASE PRESENTATION: A 4-year-old Indonesian female patient was brought into the emergency unit with chief complaint of vaginal bleeding...
July 15, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/39003491/intracranial-dissemination-of-klebsiella-pneumoniae-originating-from-pulmonary-infection-a-case-report
#6
JOURNAL ARTICLE
Ghazaleh Jamalipoursufi, Ali Hajihashemi, Shokouh Sadeghizade, Mahsa Geravandi
BACKGROUND: Metastatic brain abscesses caused by Klebsiella pneumoniae are extremely rare but life-threatening conditions. To depict a unique case of the middle-aged hypertensive man with an unusual presentation of metastatic brain abscesses originating from a pleural abscess caused by Klebsiella pneumoniae and subsequently leading to loss of consciousness (LOC). CASE REPORT: A 52-year-old Iranian man with a history of hypertension presented to the emergency department with a five-day history of worsening cough, high-grade fever, shortness of breath, chest pain, fatigue, and a productive cough...
July 14, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38997782/multiple-lung-abscesses-and-cold-agglutinin-syndrome-following-coronavirus-disease-2019-a-case-report
#7
JOURNAL ARTICLE
Masaharu Aga, So Okubo, Toshiki Ikeda, Yuko Higashi, Yusuke Hamakawa, Suguru Matsuzaka, Kazuhito Miyazaki, Yuri Taniguchi, Yuki Misumi, Yoko Agemi, Yukiko Nakamura, Tsuneo Shimokawa, Yoshinobu Aisa, Hiroaki Okamoto
BACKGROUND: Cold agglutination syndrome is a subtype of autoimmune hemolytic anemia. The condition is referred to as "cold" because the antibodies become active and induce hemolysis at cold temperatures, typically 3-4 °C, which is not always the case in other kinds of autoimmune hemolytic anemia. Whereas primary cold agglutination syndrome may occur in the absence of underlying conditions, secondary cold agglutination syndrome is associated with the presence of underlying infections, including coronavirus disease 2019...
July 13, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38997777/doing-a-double-take-when-transthoracic-echocardiography-fails-for-mitral-valve-annuloplasty-ring-endocarditis-with-streptococcus-pyogenes-a-case-report
#8
JOURNAL ARTICLE
Jonathan K Schilling, Robert Tungate, Pranav M Patel, Jack Sun, Antonio H Frangieh
BACKGROUND: This case highlights several complications of a late and rare presentation of culture-negative Streptococcus pyogenes endocarditis of a previously repaired mitral valve with an annuloplasty ring including recurrent cardioembolic strokes, which was initially missed on transthoracic echocardiography. CASE PRESENTATION: A 66-year-old Caucasian female with prior mitral valve prolapse status post mitral valve annuloplasty and left atrial appendage occlusion, followed by two strokes, presented with supraventricular tachycardia that resolved spontaneously...
July 13, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38992780/bezold-s-abscess-an-uncommon-complication-of-otitis-media-and-cholesteatoma-a-case-report
#9
JOURNAL ARTICLE
Alexandra J Toloczko, Thomas S Davis, Mayada H Issa
BACKGROUND: Mastoiditis frequently occurs in children as they are more susceptible to middle ear infections, but infrequently occurs in adults. A rare complication that results from mastoiditis and an obstructing cholesteatoma is a Bezold's abscess, of which there are less than 100 reported cases in literature to date. CASE PRESENTATION: Here, we present a case of a 72-year-old Caucasian man who has had no history of prior ear infections and was found to have a cholesteatoma and advanced acute coalescent mastoiditis complicated by a Bezold's abscess...
July 12, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38992699/mucinous-tubular-and-spindle-renal-cell-carcinoma-revealed-by-a-trauma-of-the-kidney-a-case-report
#10
JOURNAL ARTICLE
Kays Chaker, Mahdi Marrak, Nader Gharbia, Alia Zehani, Yassine Ouanes, Yassine Nouira
BACKGROUND: Mucinous tubular and spindle cell carcinoma is a rare renal tumor. It has been recognized as a distinct entity in the 2004 World Health Organization tumor classification. Since then, several dozen of these tumor have been reported with additional complementary morphologic characteristics, immunohistochemical profile, and molecular genetic features that have further clarified its clinicopathologic aspects. CASE PRESENTATION: We report the case of a 52-year-old male African patient who was found to have a mucinous tubular and spindle renal cell carcinoma on a nephrectomy specimen for a severe kidney trauma...
July 12, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38987857/stereotactic-body-radiation-therapy-for-multiple-lung-cancers-in-a-patient-with-six-primary-cancers-a-case-report
#11
JOURNAL ARTICLE
Naoko Ishida, Kenji Nagata, Jyunki Fukuda, Yasuo Oguma, Tomonori Hirashima, Kenichi Minami, Yasumasa Nishimura, Yukinori Matsuo
BACKGROUND: Surgery is the standard care for patients with early-stage lung cancer, and stereotactic body radiation therapy is an option for those who are medically inoperable or refuse surgery. Medical developments in diagnostic and therapeutic strategies would prolong prognosis of patients with cancer. The number of patients with multiple cancers has also increased. Duplex primary malignant neoplasms are the most common, and triple or more primary malignant neoplasms were extremely rare...
July 11, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38987800/a-double-cyp27a1-gene-mutation-in-spinal-cerebrotendinous-xanthomatosis-in-a-patient-presenting-with-spastic-gait-a-case-report
#12
JOURNAL ARTICLE
Je Hong Min, Yoon Seob Kim, Myeong Jin Son, In Soo Joo
BACKGROUND: Cerebrotendinous xanthomatosis (CTX, OMIM #213700) is a rare inherited metabolic disease caused by the mutation in the CYP27A1 gene. Spinal CTX is a rare clinical subgroup of CTX which lacks typical symptoms seen in classical CTX. Here we report a spinal CTX case revealed double mutation of CYP27A1 gene. CASE PRESENTATION: A 42-year-old Asian man visited our hospital with spastic gait started at 35. Physical examination showed bilateral masses on his Achilles tendons and were identified as xanthoma on ankle magnetic resonance imaging (MRI)...
July 11, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38982525/zinc-fever-in-a-painter-and-varnisher-a-case-report
#13
JOURNAL ARTICLE
Kerstin Belting, Christian Eisenhawer, Rolf Merget, Thomas Brüning, Christian Monsé
BACKGROUND: Zinc fever is well described in medical literature, particularly in workers after handling zinc-containing materials at high temperatures e.g., in the welding of hot-dip galvanized steel sheets. It is not known whether zinc fever also occurs at low temperatures. CASE PRESENTATION: We present the case of a 33-year-old Caucasian atopic painter and varnisher with work-related dyspnea, sweating, as well as multiple occurrences of fever. He was sent to Institute for Prevention and Occupational medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA) for the evaluation of isocyanate asthma, but an inhalative challenge with hexamethylene diisocyanate was negative...
July 10, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38982521/extraskeletal-osteosarcoma-infiltrating-pancreas-spleen-gastric-and-left-kidney-a-case-report
#14
JOURNAL ARTICLE
Wifanto Saditya Jeo, Shintia Christina, Nathaniel Jason Zacharia, Khalikul Razi
BACKGROUND: Extraskeletal osteosarcoma is an extremely rare malignancy that accounts for 1% of soft tissue sarcoma and 4.3% of all osteosarcoma. Extraskeletal osteosarcoma can develop in a patient between the ages of 48 and 60 years. The incidence of extraskeletal osteosarcoma is slightly higher in male patients than in females. CASE PRESENTATION: A 50-year-old Caucasian male patient presented with a 6-month history of intermittent lower-left back pain that limits his activity...
July 10, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38982482/central-nervous-system-involvement-in-chronic-lymphocytic-leukemia-a-case-report-and-review-of-literature
#15
REVIEW
Li-Yuan Qin, Ye Geng, Jian-Feng Mu, Wen-Jun Wang, Cai-Xia Zhang, Yi-Nan Gao, Jian-Xia He
BACKGROUND: Central nervous system involvement in chronic lymphocytic leukemia rarely occurs, and there is no standard therapy for central nervous system involvement in chronic lymphocytic leukemia. This article aims to analyze the diagnosis and treatment of central nervous system involvement in chronic lymphocytic leukemia. CASE PRESENTATION: It reports two cases of central nervous system involvement in chronic lymphocytic leukemia describing the clinical course, therapy, and prognosis...
July 10, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38978093/red-ear-syndrome-a%C3%A2-case-series%C3%A2-and-review-of-the-literature
#16
REVIEW
Grace M Callan, Frederick Freitag, Amir Soheil Tolebeyan
BACKGROUND: Red Ear Syndrome is a burning sensation and erythema of the ear, associated with a various number of disorders including migraine, trigeminal neuralgia, autoimmune disorders etc. Theories for RES pathophysiology have developed from current understandings of comorbid conditions. Characterizing the underlying mechanism of RES is crucial for defining effective treatments. CASE PRESENTATION: Three caucasian patients, ages 15, 47, and 67 years, with migraine, one with erythromelalgia are reported in this manuscript...
July 9, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38978087/thyroid-tuberculosis-mimicking-multinodular-goiter-a-case-report
#17
JOURNAL ARTICLE
Endeshaw Asaye Kindie, Tigist Hailu Belachew, Lidetu Temeche Habte, Samuel Addisu Abera, Addisu Minaye Dejen, Sileshi Ayele Abebe, Yohannis Derbew Molla
BACKGROUND: Mycobacterium tuberculosis is the second most common infectious cause of death in adults worldwide. The ability of this organism to efficiently establish latent infection has enabled it to spread to nearly one-third of individuals worldwide. Approximately 8 million new cases of active tuberculosis disease occur each year, leading to about 1.7 million deaths. The disease incidence is magnified by the concurrent epidemic of human immunodeficiency virus infection. A total of 1...
July 9, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38978082/precise-reconstruction-of-the-aortic-valve-using-glutaraldehyde-treated-autologous-pericardium-in-new-formula-a-case-report
#18
JOURNAL ARTICLE
Feridoun Sabzi, Aghigh Heydari, Atefeh Asadmobini
BACKGROUND: The current study presents a novel and precise surgical technique for complete reconstruction of the aortic valve using glutaraldehyde-treated autologous pericardium in a patient with aortic valve disease and endocarditis. The technique aims to provide a more effective and reproducible method for aortic valve repair, with the goal of improving outcomes and quality of life for patients with aortic valve disease. CASE PRESENTATION: A 35-year-old Iranian male with aortic valve disease and endocarditis underwent aortic valve reconstruction surgery...
July 9, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38973008/diffuse-pulmonary-arteriovenous-malformation-presenting-with-secondary-polycythemia-and-headaches-a-case-report
#19
JOURNAL ARTICLE
Salaar Ahmed, Amna Irfan Ansari, Abdullah Saeed Khan, Javaid Ahmed Khan
BACKGROUND: Pulmonary arteriovenous malformations are a relatively uncommon medical condition, affecting roughly 1 in every 2500 individuals. Of those suffering from pulmonary arteriovenous malformations, 80% have an underlying genetic condition: hereditary hemorrhagic telangiectasia. CASE PRESENTATION: We present the case of a 20-year-old Pakistani male with a history of persistent slower-onset frontal headaches that increased in severity within the course of the day...
July 8, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38971794/an-unexpected-case-of-an-adnexal-hydatid-cyst-in-a-pregnant-woman-a-case-report
#20
JOURNAL ARTICLE
Ana-Maria Brezeanu, Dragoș Brezeanu, Vlad-Iustin Tica
BACKGROUND: Cystic echinococcosis, also known as hydatid disease, is a chronic and endemic illness caused by infection with a parasite called Echinococcus granulosus. In Romania, this disease has an incidence rate of 5.6 per 100,000 individuals, which is the highest in the Dobrogea region. The liver is the most affected site, accounting for 68.8% of cases, followed by the lungs at 17.2%. While cases of hydatid disease in the genital organs are rare, occurring at an incidence rate of only 0...
July 7, 2024: Journal of Medical Case Reports
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