journal
https://read.qxmd.com/read/38503690/extended-spectrum-beta-lactamase-escherichia-coli-diabetic-foot-osteomyelitis-causing-sausage-toe-deformity-successful-therapy-with-ertapenem-in-the-outpatient-setting
#21
JOURNAL ARTICLE
Georgios S Papaetis, Elena A Dionysiou, Ifigenia S Charalambous, Panagiotis T Doukanaris
BACKGROUND Diabetic foot osteomyelitis is a high-morbidity and debilitating complication of diabetic foot ulcers that contributes to significantly worse quality of life in the affected population and higher cost of healthcare services. One of the clinical presentations of diabetic foot osteomyelitis is the 'sausage' toe deformity, which affects the phalanges (local soft tissue infection and underlying bony changes). This deformity is highly suggestive of the presence of osteomyelitis. Unfortunately, during recent years, the emergence of antibiotic-resistant bacteria have created great difficulties in choosing appropriate empirical antibiotics for the treatment of diabetic foot infections...
March 8, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38501248/rosai-dorfman-disease-presenting-as-a-right-atrial-mass-with-involvement-of-the-tricuspid-valve-in-a-54-year-old-woman
#22
JOURNAL ARTICLE
Sergio Magana, Ashraf Sliem, Nazanin Vaghari Mehr, Jin Zheng, Jiankun Tong, Samuel Lang, Rakesh Gupta
BACKGROUND Sinus histiocytosis with massive lymphadenopathy (SHML), Rosai-Dorfman disease, or Rosai-Dorfman-Destombes disease (RDD), is a rare non-Langerhans cell of unknown etiology. This report is of a case of isolated SHML, or Rosai-Dorfman disease, presenting as a right atrial mass with involvement of the tricuspid valve in a 54-year-old woman. This case shows the challenges of diagnosing this condition in the heart and the challenges of treating this rare disease with the limited information on the efficacy of the treatment modalities...
March 8, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38451882/successful-endoscopic-treatment-of-a-pancreatic-pseudocyst-in-a-patient-with-situs-inversus-totalis-and-upper-gi-duplication
#23
JOURNAL ARTICLE
Marko Kozyk, Olexandr Y Usenko, Steven A Kessler, Viktor P Shkarban, Ivan S Tereshkevych, Ivan V Babii, Oleksandr M Sanzharov, Kateryna Strubchevska
BACKGROUND Duplication of the gastrointestinal tract is a rare congenital malformation that can develop in any part of the digestive tract. These duplications may be asymptomatic into adult age. Situs inversus totalis is a rare congenital anomaly characterized by a mirror transposition of thoracic and abdominal organs. We present a case of a pancreatic pseudocyst in a patient with a combination of situs inversus totalis and doubling of the esophagus, stomach, and first part of the duodenum. CASE REPORT A 64-year-old woman presented with epigastric pain...
March 7, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38449298/neurocysticercosis-presenting-as-migraine-in-the-united-states
#24
JOURNAL ARTICLE
Eamonn Byrnes, Brian Shaw, Ryan Shaw, Mario Madruga, Stephen J Carlan
BACKGROUND Cysticercosis is a condition caused by infection with the larval form of Taenia solium, a pork tapeworm that uses pigs as an intermediate host. Humans become infected when they ingest water or food contaminated with tapeworm cysts. Cysticercosis is increasing in frequency in developed countries due to increased access to travel. Neurocysticercosis occurs when Taenia solium cysts embed within the nervous system. The clinical presentation of neurocysticercosis ranges from asymptomatic to life-threatening, largely depending on the brain parenchymal involvement...
March 7, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38446721/endoscopic-treatment-of-duodenocolic-fistula-caused-by-migrating-biliary-stents
#25
JOURNAL ARTICLE
Yong He, Rongqiang Ye, Yuancai Xie, Xiaohong Deng, Long Zhang
BACKGROUND Endoscopic biliary stent implantation is a recognized and effective method for the treatment of benign and malignant diseases of the bile duct and pancreas, ensuring smooth bile drainage. Currently, stent migration is considered a long-term and complex process, and in most cases, stents are removed through endoscopy or expelled from the body through the intestinal cavity. In rare cases, stents lead to formation of duodenocolic fistulas. CASE REPORT We report a case of duodenal colon fistula caused by a biliary stent penetrating the duodenum and entering the ascending colon...
March 6, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38444155/enhanced-diagnostic-capabilities-ultrasound-imaging-of-fetal-alimentary-tract-obstruction-with-advanced-imaging-technologies
#26
JOURNAL ARTICLE
Daniel Wolder, Adrian Swat, Przemysław Wolak, Anna Zmelonek-Znamirowska, Katarzyna Białek, Wojciech Rokita, Piotr Kaczmarek, Grzegorz Świercz
BACKGROUND Congenital malformations of the alimentary tract constitute 5% to 6% of newborn anomalies, with congenital intestinal atresia being a common cause of alimentary tract obstruction. This study explores advanced ultrasound diagnostic possibilities, including 2D, HDlive, HDlive inversion, and HDlive silhouette imaging modes, through the analysis of 3 cases involving duodenal and intestinal obstructions. Congenital malformations of the alimentary tract often present challenges in prenatal diagnosis. The most prevalent defect is congenital intestinal atresia leading to alimentary tract obstruction, with an incidence of approximately 6 in 10 000 births...
March 6, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38442088/a-rare-case-of-donor-derived-renal-cell-carcinoma-in-a-kidney-transplant-recipient
#27
JOURNAL ARTICLE
William Sebastian, Khawaja O Omar, Rabia Anees, Santosh Nagaraju, Mishra Chaitanya
BACKGROUND The incidence of renal cell carcinoma (RCC) in transplanted kidneys is reported to be about 0.2%, which makes this case exceedingly rare. Risk factors include older age of the donors, smoking, obesity, and hypertension. Higher incidences of allograft RCC have been seen in patients who received a kidney from a deceased donor rather than from a living donor. CASE REPORT A 71-year-old woman with end-stage renal disease underwent deceased donor kidney transplantation (DDKT) 1 year before presentation...
March 5, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38439524/successful-thrombectomy-of-the-posterior-cerebral-artery-p2-segment-in-a-61-year-old-man-with-acute-ischaemic-stroke-a-case-report
#28
JOURNAL ARTICLE
Paola Palazzo, Eike I Piechowiak, Mirjam R Heldner
BACKGROUND Acute ischemic stroke in the posterior cerebral artery (PCA) territory can lead to persistent disabling deficits. The PCA is divided into 4 segments. The P2 segment begins at the posterior communicating artery and curves around the midbrain and above the tentorium cerebelli. This report is of a 61-year-old man with acute ischemic stroke involving the left hippocampus treated with direct thrombectomy of the P2 segment of the PCA. CASE REPORT A 61-year-old white man presented with transient amnesia, aphasia, right-sided hemianopia, dizziness, and persistent acute memory deficits...
March 5, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38437184/a-rare-case-of-non-igm-lymphoplasmacytic-lymphoma-with-unusual-lack-of-immunoglobulin-light-chain-production
#29
JOURNAL ARTICLE
Jiejing Yin, Ashish Bains, Mohamed Alsammak, Jian Jeff Fu
BACKGROUND Non-IgM lymphoplasmacytic lymphoma (LPL) is a rare subtype of LPL, constituting less than 5% of the cases, and is often associated with IgG, IgA, or light chain paraproteins and is rarely a non-secretor. Non-IgM LPL remains poorly studied, and the differential diagnosis from other small B-cell lymphomas with plasmacytic differentiation and plasma cell neoplasm is challenging. CASE REPORT A 67-year-old woman presented with weight loss, persistent anemia, and borderline leukopenia. Serum protein electrophoresis and immunofixation demonstrated a faint IgG and kappa band against a dense polyclonal background...
March 4, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38433438/a-78-year-old-woman-with-sudden-onset-of-left-sided-hemiballismus
#30
JOURNAL ARTICLE
Arman Israelyan, John Ludlow, Nataliya Pyatka, Edward J Durant
BACKGROUND Hemiballismus is the most severe form of chorea and is a hyperkinetic disorder characterized by involuntary, high-amplitude movements of the ipsilateral arm and leg, due to lesions of the contralateral side of the central nervous system. Ischemic or hemorrhagic strokes and nonketotic hyperglycemia are predominant etiologies of hemiballismus. Case reports highlighting hemiballismus associated with temporal and parietal lobe infarcts have been published, although research of frontal lobe involvement is limited...
March 4, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38431769/unraveling-the-uncommon-a-case-report-of-giant-cell-myocarditis-and-examination-of-existing-literature
#31
JOURNAL ARTICLE
Yurilu A Gonzalez Moret, Simone A Jarrett, Hamza Ahktar, Nazanin Moghbeli, Syed Hasni, Behnam Bozorgnia, Rekha R Bhat
BACKGROUND Idiopathic giant cell myocarditis (IGCM) is an uncommon and frequently fatal type of myocarditis. It primarily affects young individuals and has the potential to result in heart failure and life-threatening arrhythmias. IGCM seems to be dependent on activation of CD4-positive T lymphocytes and can show improvement with treatment aimed at reducing T-cell function. We present a case of a 65-year-old patient who presented with features of acute heart failure refractory to guideline-directed medical therapy (GDMT), due to IGCM...
March 3, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38429923/right-thigh-mass-metastasis-from-lung-cancer-mimicking-primary-soft-tissue-sarcoma-a-case-report
#32
JOURNAL ARTICLE
Yuni Artha Prabowo Putro, Thomas Edison Prasetyo, Rahadyan Magetsari, Amri Wicaksono Pribadi, Ery Kus Dwianingsih, Ahmad Faiz Huwaidi
BACKGROUND Soft tissue metastases (STMs) are less common than bone metastases and sometimes misdiagnosed as primary soft tissue malignancies. Skin, lungs, and breast are the most common primary lesions of STMs and rarely the presenting symptoms. We present an STM from lung adenocarcinoma that became a presenting symptom in nonsmoking woman. CASE REPORT A 47-year-old woman presented to our hospital with a painful mass in her right thigh and weight loss of 10 kg for 4 months. Femoral radiograph revealed a lesion suggestive of bone sarcoma...
March 2, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38425030/conservative-versus-surgical-treatment-of-pneumatosis-intestinalis-experience-from-a-multidisciplinary-center
#33
JOURNAL ARTICLE
Huy Duc Tran, Sang Thanh Tran, Triet Minh Le, Vinh Ngoc Truong Pham, Kien Trung Le, An Trinh Ngoc Le, Viet Van Ung, Tan Danh Hoang, Thinh Huu Nguyen
BACKGROUND Pneumatosis intestinalis (PI) is an uncommon condition that is not specific to any particular disease. Currently, there is no specific clinical guideline for treating and diagnosing PI. Furthermore, there are numerous causes of PI, which makes it difficult for clinicians - internal medicine physicians as well as surgeons - to take a clinical approach to diagnosis and treatment. CASE REPORT We present 3 clinical scenarios with PI. In the first patient there was a solitary image of PI, which was treated successfully with parenteral nutrition and intravenous antibiotics, and he was discharged after 5 days...
March 1, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38419301/bedside-ultrasound-to-guide-the-diagnosis-and-treatment-of-fulminant-right-heart-failure-a-case-report
#34
JOURNAL ARTICLE
María Camila Arango-Granados, Laura Juliana Osorio-González, Valentina Muñoz-Patiño
BACKGROUND Right ventricular (RV) failure can result from acute or chronic cardiac or pulmonary conditions, or both, resulting in increased afterload, reduced contractility, changes in preload, ventricular interdependence, or dysrhythmias. Notably, increased afterload, particularly among previously healthy individuals, is often the primary cause of RV failure in cases of pulmonary and cardiac origin. Massive pulmonary thromboembolism is a common cause of impending RV failure, and chronic conditions like atrial septal defects can also contribute to pulmonary hypertension...
February 29, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38414232/a-case-of-trauma-related-angioedema-of-the-airway-in-a-patient-on-an-angiotensin-receptor-blocker
#35
JOURNAL ARTICLE
Saint-Martin Allihien, Sammudeen Ibrahim, Swethapriya Chaparala, Shreyas Singireddy, Onoriode Kesiena
BACKGROUND Angioedema is non-pitting edema that occurs in the deep layers of the skin and subcutaneous tissue due to vascular leakage of plasma resulting from 1 of 2 major pathophysiological processes: mast cell-mediated angioedema and bradykinin-mediated angioedema. While it is a well-recognized adverse reaction of angiotensin-converting enzyme inhibitors, the association of angioedema with angiotensin receptor blockers is relatively less studied. Direct local trauma, although rarely, has been suggested to induce angioedema under certain conditions...
February 28, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38412145/cloacal-dysgenesis-sequence-in-a-preterm-neonate
#36
JOURNAL ARTICLE
Alexandra Vacaru, Mitchell M Won, Steven L Raymond, Joshua D Chamberlin, Andrei Radulescu
BACKGROUND Cloaca malformations result from a disproportion of apoptosis, cell growth, and maturation. The range of cloacal malformations is extensive and diverse, with a lack of a straightforward classification system. Cloacal dysgenesis sequence (CDS), also known as urorectal septum malformation sequence, is a rare cloaca variant described as the absence of a perineal orifice. Prenatal magnetic resonance imaging and antenatal ultrasounds may reveal a cloacal malformation; however, many patients are not diagnosed with cloacal malformation until birth...
February 27, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38409778/a-case-of-left-sided-acute-appendicitis-in-a-45-year-old-man-with-situs-inversus-totalis-managed-by-emergent-laparoscopic-appendectomy
#37
JOURNAL ARTICLE
Lord Mvoula, Tarek Khrisat, Meno Lueders
BACKGROUND Situs inversus totalis (SIT) is a rare congenital abnormality that includes mirror-image transposition of both the abdominal and the thoracic organs. It may remain undetected into adulthood until an acute medical emergency results in diagnostic imaging. This report presents a challenging case of left-sided acute appendicitis in a 45-year-old man with SIT. CASE REPORT A 45-year-old man with a medical history of gastroesophageal reflux disease, class 2 obesity, prediabetes, and elevated low-density lipoprotein cholesterol presented with severe acute abdominal pain localized in the left lower quadrant with localized tenderness, nausea, and 2 episodes of non-bloody and non-bilious emesis that started a day before the clinical encounter...
February 27, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38408028/a-rare-case-of-retroperitoneal-abscess-caused-by-nephro-colic-fistula-resulting-from-staghorn-calculus
#38
JOURNAL ARTICLE
Jordan Thomas, Catherine Deleuze, Jean Lemaitre
BACKGROUND Nephro-colic fistulas are uncommon, generally caused by local inflammation, trauma, or neoplasia affecting the kidney or the colon. Their association with a coralliform stone is described in a few case reports, but their management is difficult and differs quite a lot, depending on the clinical situation. We report an atypical clinical case of a reno-colic fistula associated with a staghorn calculus. This case adds to the literature an iconography rarely found. CASE REPORT A 68-year-old woman presented to the Emergency Department with respiratory symptoms and chronic abdominal pain...
February 26, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38404023/treatment-of-medication-related-osteonecrosis-of-the-jaws-without-segmental-resections-a-case-series
#39
JOURNAL ARTICLE
Tito Lúcio Fernandes, Bruno Viezzer Fernandes, Gilson Cesar Nobre Franco
BACKGROUND Medication-related osteonecrosis of the jaw (MRONJ) is a rare but serious reaction to anti-resorptive drugs (ARDs) in patients treated for osteoporosis and conditions related to cancer. Treatment for MRONJ consists of the use of non-operative therapies according to the evolution of the disease, which consist of the use of antimicrobial mouthwashes, systemic antibiotics, and operative therapies, such as debridement of necrotic bone, marginal or segmental resection, and bone reconstruction of the jaws in more advanced stages of the disease...
February 26, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38402412/a-40-year-old-man-with-a-7-year-history-of-polyarthritis-and-a-late-diagnosis-of-whipple-disease-a-journey-to-resolve-the-mystery
#40
JOURNAL ARTICLE
Gagan Aulakh, Rebekah Lewis, Arshdeep Singh, Valentin Marian
BACKGROUND Whipple disease (WD) is rare, with an incidence of only a few patients per million. It is caused by infection with the gram-positive bacterium Tropheryma whipplei, and presents with symptoms that include joint pain, fever, diarrhea, and weight loss. This report is of a 40-year-old man with a 7-year history of polyarthritis and a late diagnosis of Whipple disease. The atypical nature of his symptoms led to misdirection and misdiagnosis for years. CASE REPORT A middle-aged white man with seronegative migratory polyarticular arthritis underwent 7 years of treatment with steroids, disease-modifying anti-rheumatic drugs (DMARDs), and a TNF (tumor necrosis factor)-alpha inhibitor, all without any clinical improvement...
February 25, 2024: American Journal of Case Reports
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