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International Medical Case Reports Journal

Ekhlas Ahmed Abdulraheem, Maram K Sait, Khalid H Sait, Nisreen M Anfinan, Osama R Elkadi
Growing teratoma syndrome is a rare entity of tumors, it arises seldomly from ovarian and testicular carcinoma. It presents with disseminating masses of mature teratoma during or following chemotherapy of malignant germ cell tumors. We are reporting a 19-year old presented with recurrent left ovarian mass and supra renal large mass close to the porta hepatis was seen on magnetic resonance imaging. This patient was treated 3 years ago for stage I immature teratoma with left ovarian cystectomy and chemotherapy...
2019: International Medical Case Reports Journal
O Yu Olisova, E S Snarskaya, L M Smirnova, O Grabovskaya, E M Anpilogova
Background: The term dermatitis artefacta (factitious dermatitis, pathomimia) is reserved for the most severe variant of factitious physical disorder and is characterized by exaggerated lying (pseudologia fantastica), sociopathy, geographic wandering (peregrinating) from hospital to hospital, and seeking to be in the patient role. Objective: This report aims to give attention to the importance of accurate and detailed history, and conducting an appropriate physical examination in patients with life-threatening diseases when the underlying cause is not apparent...
2019: International Medical Case Reports Journal
Alemayehu Gonie Mekonnen, Kebebe Bekele Gonfa
Background: Superior lumbar hernia is a rare posterolateral abdominal wall defect and herniation of abdominal contents through the superior lumbar triangle. A lumbar hernia is an unusual defect and only 300 cases of primary lumbar hernias have been reported since the first case report in 1731. To date, most clinicians are usually unfamiliar with the presentation of lumbar hernias, and the diagnosis is often done in a wrong way. Case report: A 55-year-old female patient presented with complaints of right flank pain and swelling on the right lumbar region...
2019: International Medical Case Reports Journal
Koomatie Ramsaroop, Rajeev Seecheran, Valmiki Seecheran, Sangeeta Persad, Stanley Giddings, Boris Mohammed, Naveen Anand Seecheran
Brugada syndrome is a genetic condition that predisposes to an increased risk of ventricular fibrillation and sudden cardiac death in a structurally normal heart. The Brugada type 1 electrocardiogram (ECG) pattern may occur independently of the actual syndrome, and this clinical phenomenon is often referred to as Brugada phenocopy. There are several other factors which have been known to induce this electrocardiographic pattern, and currently, there is a paucity of literature with respect to the pattern that is observed in patients with electrolyte disturbances, specifically hyponatremia...
2019: International Medical Case Reports Journal
Leopoldo Spadea, Emanuele Tonti, Rita Napolitano
Objective: To describe a very unique case of two Descemet stripping automated endothelial keratoplasty (DSAEK) surgeries performed in both eyes of the same patient with an extremely different graft thickness and overall corneal thickness but with the same corrected distance visual acuity (CDVA) 2 years after surgery. Case presentation: A 75-year-old woman with bilateral bullous keratopathy (BK) was submitted to DSAEK surgeries in both eyes, first in right and after 6 months in left eye...
2019: International Medical Case Reports Journal
Kenji Kishi, Kazutoshi Kubo, Tetsu Tomita, Kazuhiko Nakamura, Norio Yasui-Furukori
Some patients with insulinoma present with neuropsychiatric symptoms and are often misdiagnosed with psychiatric disease. We present the case of a 72-year-old Japanese female who exhibited violent behavior while asleep and received a diagnosis of suspected rapid eye movement sleep behavior disorder (RBD). She was admitted to the psychiatry ward after receiving levomepromazine 25 mg intramuscularly. The patient's blood glucose level was 27 mg/dL at the time of hospitalization, and a biochemical examination revealed that her insulin level was 9...
2019: International Medical Case Reports Journal
Jung-Mo Hwang, Deuk-Soo Hwang, Chan Kang, Jae-Won Lee
Background: Sparganosis is a rare parasitic disease of humans caused by invasion of human tissue by plerocercoid tapeworm larvae (spargana) of the genus Spirometra species. This parasite commonly invades subcutaneous tissue but can appear in any tissue of the body. Case presentation: Here, we report a case of a 33-year-old woman presented with a migrating painful swelling and erythema in right thigh for 6 months, which was initially misdiagnosed as soft tissue tumor...
2019: International Medical Case Reports Journal
Mohammad Natami, Alireza Makarem, Faisal Ahmed, Niloofar Dastgheib, Ali-Hossein Zahraei
Giant ureteral calculi are defined as stones greater than 5 cm in length or circumference. These giant calculi can cause blockage of the ureter, dilation of the kidney and also decreased kidney function if not treated in time. The patient in this report presented with complaints of bilateral episodic pain of the bilateral lumbar region. Kidney, ureter and bladder (KUB) X-ray test showed a large bilateral ureteral stone about 14 cm in length and 106 g weight in the left ureter and 3 cm longitudinal diameter in the right ureter and also a staghorn stone in the left upper collecting system...
2019: International Medical Case Reports Journal
Domenico Chirchiglia, Pasquale Chirchiglia, Rosa Marotta, Luca Gallelli
Aim: The purpose of this study was to treat burning mouth syndrome (BMS) with a combination of painful gabapentin and ultramicronized palmitoylethanolamide (umPEA), in an attempt to improve the severe symptomatology of BMS. Methods: We examined the case of a 60-year-old male, suffering from late-onset burning mouth syndrome. He found that gabapentin had a poor control of symptoms, thus we added umPEA, after administering a Visual Analog Scale (VAS), showing a score of 8-9...
2019: International Medical Case Reports Journal
Victoria Handoyo, Gusti Ayu Riska Pertiwi, I Putu Yuda Prabawa, Ida Bagus Amertha Putra Manuaba, Agha Bhargah, I Putu Gede Budiana
Background: Antiplatelet and antithrombotic therapies are part of standard core treatments for ST-elevation myocardial infarction (STEMI). Effectiveness of these therapies, however, is often offset by the resultant hemorrhagic complications, which in turn possess significantly worse prognosis. Acute myocardial infarction (AMI) accompanied by acute bleeding, such as anterior epistaxis, is common and arise potential dilemma in deciding appropriate management as a standard medical strategy that may put patients in immediate threat as it increases the ongoing bleeding event...
2019: International Medical Case Reports Journal
Judit Mari, Tamas Kovacs, Gyula Pasztor, Laszlo Tiszlavicz, Csaba Bereczki, Daniel Szucs
Introduction: Primary intestinal lymphangiectasia (PIL) is a very rare disorder usually diagnosed before the third year of life or later in adulthood, presenting with pitting edema, hypoproteinemia and low immunoglobulin levels. The location and the extent of the affected bowel greatly influence the clinical manifestation. The localized or segmental form of PIL is extremely rare with only five pediatric cases reported worldwide. Case presentation: A 10 year-old Caucasian boy presented with 3 months history of recurrent abdominal pain and a 1 month history of diarrhea...
2019: International Medical Case Reports Journal
Vivek Pant, Bijay Bhandari, Suman Baral, Sangha Ratna Bajracharya
Insulin autoimmune syndrome (IAS) is a rare cause of nondiabetic hypoglycemia characterized by hyperinsulinemia and autoantibodies to endogenous insulin without prior exposure to exogenous insulin. We report a drug-induced case of IAS in a 59-year-old Nepalese female. She had been taking carbimazole for Graves' disease and later presented with recurrent episodes of hypoglycemia, with laboratory findings of low blood glucose, increased molar ratio of insulin to C-peptide, and elevated autoantibodies to insulin...
2019: International Medical Case Reports Journal
(no author information available yet)
[This corrects the article on p. 243 in vol. 11, PMID: 30319289.].
2019: International Medical Case Reports Journal
Christoforos Kosmidis, Georgios Koimtzis, Dimitrios Giannakidis, Nikos Tteralli, Stylianos Mantalovas, Alexandros Tsakalidis, Konstantina Tsopouridou, Stefanos Atmatzidis, Lazaros Liavas, Paul Zarogoulidis
Lung cancer is still diagnosed at a late stage although novel diagnostic techniques are in use. However, as pharmacogenomics have evolved novel targeted therapies either with tyrosine kinase inhibitors or immunotherapy can be currently used as daily treatment. We present the case of a woman with anaplastic lymphoma-positive expression and programmed death-ligand 1 (PD-L1) 0% score upon diagnosis who underwent therapeutic surgery and represented PD-L1 90% expression, however, without anaplastic lymphoma kinase expression...
2019: International Medical Case Reports Journal
Toktam Alirezaei, Zahra Ansari Aval
A 58-year-old man who presented with syncope, dyspnea, and hemodynamic compromise was found to have large free-floating right atrial thrombuses on echocardiogram. Decision was made to transfer the patient for emergent atriotomy. Cardiothoracic surgeons declared the patient as inoperable and recommended to use a lytic agent. Alteplase was administered with subsequent near-complete resolution of symptoms and near-normalization of echocardio-graphic parameters. The post-thrombolytic course was complicated by saddle pulmonary emboli requiring embolectomy...
2019: International Medical Case Reports Journal
Hossein Karami, Hadi Darvishi-Khezri, Mehrnoush Kosaryan, Rosetta Akbarzadeh, Mojdeh Dabirian
Introduction: Pulmonary arterial hypertension (PAH) is relatively prevalent in patients with thalassemia. PAH treatment is necessary as the prevalence of Doppler-estimated PAH and the resultant mortality is high in such patients. Materials and methods: This study aimed at evaluating the effect of bosentan therapy on patients with thalassemia suspected of PAH. Based on pulsed Doppler echocardiography, all the cases were suspected of severe PAH. Consequently, bosentan was initiated at a dose of 62...
2019: International Medical Case Reports Journal
Kentaro Oka, Taro Sugase, Tetsu Akimoto, Takuya Murakami, Izumi Nagayama, Miwa Kaneko, Maki Asakura, Ken Ohara, Osamu Saito, Daisuke Nagata
We herein report the case of a 36-year-old woman with Kartagener syndrome (KS), which is an autosomal recessive disorder defined by a triad of bronchiectasis, sinusitis, and situs inversus, with complications of asymptomatic microhematuria and proteinuria. She was finally diagnosed with biopsy-proven immunoglobulin (Ig) A nephropathy. KS constitutes a subgroup of primary ciliary dyskinesia (PCD) characterized by structural and/or functional ciliary abnormalities resulting in sinopulmonary involvement with varying severity...
2018: International Medical Case Reports Journal
Utkarsh Ojha, Vinod Ojha
Background: Renal cell carcinoma (RCC) arises from the renal epithelium and accounts for more than 90% of kidney cancers. RCC has a diverse range of clinical manifestations. The classical triad of loin pain, hematuria and abdominal mass is only present in 4%-17% of cases. Here, we demonstrate a unique case of RCC presenting as upper gastrointestinal (GI) symptoms without any specific GI involvement. Case presentation: A 49-year-old man, presented with ongoing severe heartburn, nausea and vomiting for 5 months...
2018: International Medical Case Reports Journal
Asima Bajwa, Travis Peck, Ashvini K Reddy, Peter A Netland, Yevgeniy Shildkrot
Purpose: To evaluate the long-term efficacy of the 0.70 mg dexamethasone (DEX) intravitreal implant in patients with birdshot chorioretinopathy (BSCR). Methods: Retrospective descriptive case series of BSCR patients treated with DEX implant (DEX implant 0.70 mg, DEX). Patients receiving treatment between September 2013 and November 2016 with a minimum follow-up (FU) of 12 months were included. The outcomes of primary interest were vision-related functioning, Snellen visual acuity, ocular inflammation status, presence or absence of vasculitis, change in central macular thickness, and development of glaucoma and/or cataract...
2018: International Medical Case Reports Journal
Manuel Ap Vilela, Roberta K Menna Barreto, Pedro K Menna Barreto, Juliana Mf Sallum, Vanessa S Mattevi
Objective: To describe, in a multimodal way, a new RHO gene mutation with lysine-for-asparagine substitution in autosomal dominant retinitis pigmentosa. Methods: Case report. Retrospective data analysis. Results: The mutation is located within codon 15 of exon 1 of the RHO gene. A single base-pair transversion lead to a specific lysine-for-asparagine substitution ( Asn15Lys ). Hypoacusis, myopia, dyschromatopsis and diffuse retinitis pigmentosa were detected...
2018: International Medical Case Reports Journal
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