Surgical management of a delayed post ‐traumatic saccular aneurysm of the radial artery
Post-traumatic aneurysm of the radial artery is a rare and often misdiagnosed vascular lesion of the wrist. Radial artery ligation can lead to excellent results if Allen test confirmed that ulnar artery is the dominant feeding artery to the hand. AbstractPost-traumatic aneurysm of the radial artery is a rare and often misdiagnosed vascular lesion of the wrist. Radial artery ligation can lead to excellent results if Allen test confirmed that ulnar artery is the dominant feeding artery to the hand. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 24, 2021 Category: General Medicine Authors: Byron Chalidis, Dimitrios Kitridis, Maria Tirta, Nikiforos Galanis, Panagiotis Givissis Tags: CLINICAL IMAGE Source Type: research

Successful treatment of acute promyelocytic leukemia in a patient under hemodialysis with arsenic trioxide
A man with chronic kidney disease (CKD) under hemodialysis was diagnosed with acute promyelocytic leukemia (APL). He received arsenic trioxide as a single agent and achieved complete molecular remission without severe adverse events. Arsenic trioxide (ATO) can be used safely and effectively for APL with CKD. AbstractA man with chronic kidney disease (CKD) under hemodialysis was diagnosed with acute promyelocytic leukemia (APL). He received arsenic trioxide as a single agent and achieved complete molecular remission without severe adverse events. Arsenic trioxide (ATO) can be used safely and effectively for APL with CKD. (S...
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Akiko Hashimoto, Yasuhiro Tanaka, Takayuki Ishikawa, Isaku Shinzato Tags: CASE REPORT Source Type: research

Scoliosis with peculiar radiological features in a patient with McCune ‐Albright syndrome
Patients with McCune-Albright Syndrome (MAS) should always attend regular follow-up. Beside the endocrinological aspects, the screening must take into account osteoarticular complications such as scoliosis, even in patients without fibrous dysplasia. AbstractPatients with McCune-Albright Syndrome (MAS) should always attend regular follow-up. Beside the endocrinological aspects, the screening must take into account osteoarticular complications such as scoliosis, even in patients without fibrous dysplasia. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Alexandre Michev, Luca Lungarotti, Maria Sole Prevedoni Gorone, Antonia Apicella, Giulia Di Vincenzo, Gian Luigi Marseglia, Ilaria Brambilla Tags: CASE REPORT Source Type: research

Lipomatosis of appendix in a teenager
Rich infiltration of mature fat cells in submucosa, representing lipomatosis. No sign of acute inflammation. The arrow showing submucosal fat. AbstractCase of rare diagnosis of lipomatosis of appendix was established based on histologic report of appendicular specimen after laparoscopic appendectomy for suspected appendicitis in 16-year-old boy. Application of imaging modality may avoid unnecessary appendectomy. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Inthujan Shanmugarajah, Bendik H. Sundrehagen, Eivind A. Warberg, Airazat M. Kazaryan Tags: CASE REPORT Source Type: research

Diagnostic Fleischner ’s sign in atrial septal defect
Fleischner sign is very rare in patients with ASD unless the defect remains undiagnosed till the elderly. For adulthood people with Fleischner sign, we should think about the possibility of congenital heart disease. AbstractFleischner sign is very rare in patients with ASD unless the defect remains undiagnosed till the elderly. For adulthood people with Fleischner sign, we should think about the possibility of congenital heart disease. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Bailang Chen, Zhibin Lan Tags: CLINICAL IMAGE Source Type: research

Primary follicular lymphoma of colon: A case series and review of literature
We present 2 cases of advanced stage follicular lymphoma of colon that were effectively treated with bendamustine-based chemotherapy regimens. AbstractFollicular lymphoma of the colon is rare, accounting for 1% to 2% of cases in the gastrointestinal tract. Despite the absence of randomized clinical trials, NCCN stage III and IV colonic follicular lymphomas are routinely treated with chemotherapy with good clinical response. We present 2 cases of advanced stage follicular lymphoma of colon that were effectively treated with bendamustine-based chemotherapy regimens. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Abdul Mohammed, Farnaz Shariati, Neethi Paranji, Nisheet Waghray Tags: CASE REPORT Source Type: research

Harlequin fetus: A mayhem in a consanguineous marriage?
Ichthyosis fetalis is a very rare and life-threatening dermatological disorder that is very difficult to treat, especially in low-resource settings. AbstractIchthyosis fetalis is a very rare and life-threatening dermatological disorder that is very difficult to treat, especially in low-resource settings. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Senai Goitom Sereke, Semhar Eyob Berhe, Felix Bongomin Tags: CLINICAL IMAGE Source Type: research

Urine retention as presenting manifestation of tuberculous meningitis complicated by lacunar infarction and transverse myelitis: Case report and literature review
Early diagnosis and management of tuberculous meningitis will prevent lethal and fatal neurological complications such as acute infarction and permanent disability. AbstractEarly diagnosis and management of tuberculous meningitis will prevent lethal and fatal neurological complications such as acute infarction and permanent disability. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Ahmed Salih Abdulhadi, Elabbass A. Abdelmahmuod, Jawaher Al ‐Rubaiei, Elrazi Ali, Ahmed Emad Mahfouz, Amer Farooqi Tags: CASE REPORT Source Type: research

The combined effect of hypomagnesemia and hypokalemia inducing nephrogenic diabetes insipidus in a patient with type 1 diabetes mellitus
AbstractNephrogenic diabetes insipidus (NDI) is rarely considered against more common differentials such as diabetes mellitus in patients presenting with polydipsia and polyuria. Hypokalemia and hypercalcemia are known to induce NDI, but not much is known about hypomagnesemia. Hypokalemia refractory to therapy should prompt consideration of hypomagnesemia. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Esmail Sangey, Kishan Chudasama, Ahmad Mwinyi Tags: CASE REPORT Source Type: research

Sequential development of ANCA ‐associated vasculitis and anti‐GBM disease: A report of two cases
In case of AAV with kidney involvement, physicians should explore anti-GBM antibodies and be aware of the possible sequential development of AAV, especially with MPO-ANCA, and anti-GBM glomerulonephritis. This sequential disease history is associated with a poor renal outcome, highlighting the need for urgent diagnosis and management. AbstractIn case of AAV with kidney involvement, physicians should explore anti-GBM antibodies and be aware of the possible sequential development of AAV, especially with MPO-ANCA, and anti-GBM glomerulonephritis. This sequential disease history is associated with a poor renal outcome, highlig...
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Camille Le Moine, No émie Jourde‐Chiche, Delphine Kemlin, Benjamin Terrier, Frédéric Vandergheynst Tags: CASE REPORT Source Type: research

A VPS13B mutation in Cohen syndrome presented with petechiae: An unusual presentation
Cohen syndrome (CS) is a rare autosomal recessive disorder. CS includes a range of clinical symptoms including retinal dystrophy and myopia. The new VPS13B mutation could cause CS-induced neutropenia and petechiae in patients with CS. AbstractCohen syndrome (CS) is a rare autosomal recessive disorder. CS includes a range of clinical symptoms including retinal dystrophy and myopia. The new VPS13B mutation could cause CS-induced neutropenia and petechiae in patients with CS. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Alireza Razavi, Hamed Jafarpour, Mohammad reza Khosravi, Ghazal Abbasi, Abbas Dabbaghzadeh Tags: CASE REPORT Source Type: research

Ectopic pregnancy of the fundal myometrium in a patient with tuberous sclerosis
A myometrial ectopic pregnancy is a rare and potentially fatal diagnosis. This diagnosis should be considered when presented with large increases in serum beta-hCG with no evidence of an intrauterine pregnancy, particularly with altered myometrium. AbstractA myometrial ectopic pregnancy is a rare and potentially fatal diagnosis. This diagnosis should be considered when presented with large increases in serum beta-hCG with no evidence of an intrauterine pregnancy, particularly with altered myometrium. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Neha Sharma, Michele Agustin, Ariel Polonsky, Lance Bruck Tags: CASE REPORT Source Type: research

Occasional detection of lupus erythematosus cells in bone marrow samples: A case report
This unexpected observation in the smear indicated that an improved morphological analysis could provide a definitive guide for the detection of atypical SLE. AbstractThis unexpected observation in the smear indicated that an improved morphological analysis could provide a definitive guide for the detection of atypical SLE. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Safaa Jassim Mohammed Tags: CASE REPORT Source Type: research

Blowing off steam —Identifying bowel perforation after routine colonoscopy
Colonoscopy is an effective procedure for colorectal cancer (CRC) screening. Perforation is a rare yet the most severe complication, identified by landmarks —double dolphin, triangle, or double-wall sign signifying air and intracolonic contents leaking into the peritoneal space. Prompt recognition and surgical intervention are imperative to avoid high mortality. AbstractColonoscopy is an effective procedure for colorectal cancer (CRC) screening. Perforation is a rare yet the most severe complication, identified by landmarks —double dolphin, triangle, or double-wall sign signifying air and intracolonic contents ...
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Murtaza S. Hussain, Smit S. Deliwala, Rohit Gupta, Mohammed Berrou Tags: CLINICAL IMAGE Source Type: research

Dual coronary ‐ cameral fistula “double the trouble”
Coronary cameral fistulas are rare. They can present with chest pain or heart failure symptoms. Depending on the clinical picture, we can intervene or manage conservatively as we did in this case. AbstractA patient presenting with worsening dyspnea and left-sided chest pain underwent heart catheterization, found to have a rare connection between the right and left coronary arteries draining into the left ventricle, consistent with dual coronary-cameral fistula. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Jagadeesh K. Kalavakunta, Sarina Sachdev, Mandeep Randhawa Tags: CLINICAL IMAGE Source Type: research

Response to gefitinib/crizotinib combination in a pulmonary sarcomatoid carcinoma patient harboring concurrent EGFR mutation and MET amplification
PSC patients harboring both EGFR mutation and MET amplification may benefit from combined EGFR and MET inhibitors. The combination of these two drugs in PSC is rarely reported some more large-scale clinical trials are required to confirm this result. AbstractPulmonary sarcomatoid carcinoma (PSC) is a rare subtype of non-small cell lung cancer (NSCLC) with an extremely poor prognosis making it a therapeutic challenge. However, the development of genetic variation molecular diagnosis and targeted agents has brought the treatment of such malignancies to the precision era. Co-existing mutations of EGFR and MET have been report...
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Xiaomeng Wang, Jie Cao, Weijiao Du, Weihong Zhang, Shui Cao Tags: CASE REPORT Source Type: research

Successful treatment of acute promyelocytic leukemia in a patient undergoing hemodialysis with arsenic trioxide
A man undergoing hemodialysis was diagnosed with acute promyelocytic leukemia (APL). He received arsenic trioxide as a single agent and achieved complete molecular remission without severe adverse events. Arsenic trioxide can be used safely and effectively for patients with APL under hemodialysis. AbstractA man undergoing hemodialysis was diagnosed with acute promyelocytic leukemia (APL). He received arsenic trioxide as a single agent and achieved complete molecular remission without severe adverse events. Arsenic trioxide can be used safely and effectively for patients with APL under hemodialysis. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Akiko Hashimoto, Yasuhiro Tanaka, Isaku Shinzato Tags: CASE REPORT Source Type: research

Pregnancy complicated by HTLV ‐1‐associated myelopathy/tropical spastic paraparesis (HAM/TSP): a case report
Pregnancy was not associated with deterioration in HAM nor was HAM associated with adverse pregnancy outcome in this case. These findings suggest that women with HAM/TSP, even those who use a wheelchair, should not be discouraged from pregnancy. AbstractPregnancy was not associated with deterioration of HAM nor was HAM associated with adverse pregnancy outcome in this case. These findings suggest that women with HAM/TSP, even those who use a wheelchair, should not be discouraged from pregnancy. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Hiroshi Mori, Eiji Shibata, Tomoichiro Kuwazuru, Takayuki Uchimura, Emi Kondo, Yukio Iwanaka, Kiyoshi Yoshino Tags: CASE REPORT Source Type: research

Intraosseous clear cell mucoepidermoid carcinoma in the maxilla: A case report and review of literature
We reported an extremely rare case regarding intraosseous clear cell variant of mucoepidermoid carcinoma in maxilla. AbstractWe reported an extremely rare case regarding intraosseous clear cell variant of mucoepidermoid carcinoma in maxilla. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Fumiya Harada, Yoshihiro Abiko, Ariuntsetseg Khurelchuluun, Koki Yoshida, Shigehiro Takeda, Eiji Nakayama, Tsuyoshi Shimo, Hiroki Nagayasu Tags: CASE REPORT Source Type: research

Barium appendicitis
We have presented a case of barium appendicitis, which is a rare complication of barium enema studies. Barium sulfate is used widely for gastrointestinal radiographic studies and is associated with few complications. Clinicians need to be fully aware of this complication. (41 words). AbstractWe have presented a case of barium appendicitis, which is a rare complication of barium enema studies. Barium sulfate is used widely for gastrointestinal radiographic studies and is associated with few complications. Clinicians need to be fully aware of this complication. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Daisuke Omura, Naoko Yunoki, Yuki Otsuka, Yasuhiro Nakano, Hideharu Hagiya, Fumio Otsuka Tags: CLINICAL IMAGE Source Type: research

Butterfly lesion on MRI: Cryptococcus meningoencephalitis with unusual imaging in a patient with AIDS
In immunocompromised patients, including patients with AIDS, with neurologic complaints, we propose including Cryptococcus meningoencephalitis in the differential diagnoses when the butterfly pattern is encountered on MRI. AbstractIn immunocompromised patients, including patients with AIDS, with neurologic complaints, we propose including Cryptococcus meningoencephalitis in the differential diagnoses when the butterfly pattern is encountered on MRI. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Mary Henary, Jennifer Oster, Antonio Liu Tags: CASE REPORT Source Type: research

Targeted treatment in viral ‐associated inflammatory cardiomyopathy
Detection of viruses like HHV-6 in endomyocardial biopsy or serum serology of patients with myocarditis or heart failure features unresponsive to conventional heart failure therapies could be a potential targeted treatment especially in refractory cases. AbstractDetection of viruses like HHV-6 in endomyocardial biopsy or serum serology of patients with myocarditis or heart failure features unresponsive to conventional heart failure therapies could be a potential targeted treatment especially in refractory cases. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Ahmad Amin, Sepideh Taghavi, Maryam Chenaghlou, Elahe Zare, Monireh Kamali, Nasim Naderi Tags: CASE REPORT Source Type: research

Oral manifestations and dental care management of a young patient with lymphangioma of the tongue: A case report
Children with lymphangioma of the tongue may require a close collaboration between physician and dentist to establish preventive, conservative approaches, and eradicate any sources of dental infections before undertaking immunosuppressive therapy. AbstractChildren with lymphangioma of the tongue may require a close collaboration between physician and dentist to establish preventive, conservative approaches, and eradicate any sources of dental infections before undertaking immunosuppressive therapy. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Farah Chouchene, Fatma Masmoudi, Ahlem Baaziz, Fethi Maatouk, Hichem Ghedira Tags: CASE REPORT Source Type: research

Use of alternative cerebrospinal fluid ‐based biomarkers to help diagnose Xpert‐negative tuberculous meningitis: A case report
The widely used Xpert MTB/RIF assay, limited by its suboptimal sensitivity, does not perform well as a rule-out test for tuberculous meningitis. Alternative CSF-based biomarkers can help determine the microbial etiology of clinical meningitis when standard diagnostic modalities fail. AbstractThe widely used Xpert MTB/RIF assay, limited by its suboptimal sensitivity, does not perform well as a rule-out test for tuberculous meningitis. Alternative CSF-based biomarkers can help determine the microbial etiology of clinical meningitis when standard diagnostic modalities fail. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Deechit Poudel, Diptee Poudel, Dhiraj Poudel Tags: CASE REPORT Source Type: research

Premortem diagnosis of pathologically confirmed sporadic Creutzfeldt ‐Jakob disease
Sporadic Creutzfeldt-Jakob disease should be considered in any case of rapid neuropsychiatric decline. While neuropathological examination of a brain biopsy specimen remains the only definitive diagnostic method and real-time quaking-induced conversion tests have simplified premortem diagnosis, careful evaluation of magnetic resonance imaging can provide readily accessible clues. AbstractSporadic Creutzfeldt-Jakob disease should be considered in any case of rapid neuropsychiatric decline. While neuropathological examination of a brain biopsy specimen remains the only definitive diagnostic method and real-time quaking-induc...
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Elina T Ziukelis, Vasu Keshav Sharma, James J Gome Tags: CASE REPORT Source Type: research

A case of severe side effect due to muscle oil injections in combination with chemotherapy in a former bodybuilder
This case report presents an acute painful skin reaction several years after injection of site-enhancing oils (SEO) induced by chemotherapy. This case exemplifies the long-term dangerous side effects of the use of SEO, however treatable with prednisolone. AbstractThis case report presents an acute painful skin reaction several years after injection of site-enhancing oils (SEO) induced by chemotherapy. This case exemplifies the long-term dangerous side effects of the use of SEO, however treatable with prednisolone. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Gro Gitz ‐Johansen, Anne Birgitte Als, Kristine Appel Uldall Pallesen Tags: CASE REPORT Source Type: research

Severe peripartum cardiomyopathy complicated by COVID ‐19 infection and small intestinal obstruction
AbstractCOVID-19 infection can be a possible trigger for peripartum cardiomyopathy. Multidisciplinary teamwork was crucial for the favorable outcome in our patient. Small bowel strangulation is a rare complication post-cesarean section. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Ekhlas Abdulraheem, Mazin Shaikhoun, David Kung Tags: CASE REPORT Source Type: research

Multifocal bone tuberculosis simulating metastasis
Multiple skeletal tuberculosis can be the first sign of tuberculosis. In such cases, physicians should consider tuberculosis diagnosis and take biopsies for anatomopathological evidence to make the correct diagnosis. AbstractMultiple skeletal tuberculosis can be the first sign of tuberculosis. In such cases, physicians should consider tuberculosis diagnosis and take biopsies for anatomopathological evidence to make the correct diagnosis. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Imen Chabchoub, Raida Ben Salah, Wien Feki, Zeineb Mnif, Zouhir Bahloul Tags: CASE REPORT Source Type: research

Rebleeding in aneurysm after rectal enema: Re ‐emphasis on careful subarachnoid hemorrhage management
Rebleeding in an aneurysmal subarachnoid hemorrhage (SAH) is catastrophic with high mortality and grave outcome. Meticulous management of SAH patients and the prevention of activities that might increase the chances of rebleeding are life-saving. AbstractRebleeding in an aneurysmal subarachnoid hemorrhage (SAH) is catastrophic with high mortality and grave outcome. Meticulous management of SAH patients and the prevention of activities that might increase the chances of rebleeding are life-saving. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Suraj Shrestha, Akash Raut, Sushan Homagain, Gopal Sedain, Rupesh Ramtel Tags: CASE REPORT Source Type: research

Infectious ‐mononucleosis‐like exanthema associated with COVID‐19 in a child
Cutaneous manifestations of childhood COVID-19 differ from those of adults. Maculopapular rash is not specific and could be mistaken with other viral exanthema. A nasopharyngeal swab is strongly recommended to confirm the possible COVID-19 diagnosis. AbstractCutaneous manifestations of childhood COVID-19 differ from those of adults. Maculopapular rash is not specific and could be mistaken with other viral exanthema. A nasopharyngeal swab is strongly recommended to confirm the possible COVID-19 diagnosis. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Meryam Ferjani, Malek Ben Slimane, Taha Sayari, Yosra Hammi, Noureddine Litaiem, Ouns Naija, Faten Zeglaoui, Tahar Gargah Tags: CASE REPORT Source Type: research

3 ‐Hydroxyisobutyryl‐CoA hydrolase deficiency in an infant with developmental delay and high anion gap acidosis
Due to the rarity of this disorder, paying attention to diagnostic clues is important. Low valine formula seems to be effective in improvement of patient's symptoms. Prevention of consanguineous marriage is the best way to prevent this disease. AbstractDue to the rarity of this disorder, paying attention to diagnostic clues is important. Low valine formula seems to be effective in improvement of patient's symptoms. Prevention of consanguineous marriage is the best way to prevent this disease. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Hedyeh Saneifard, Asieh Mosallanejad, Aida Fallahzadeh, Ali Sheikhy Tags: CASE REPORT Source Type: research

Clinical outcomes of post ‐renal transplant patients with COVID‐19 infection in the ICU: A single‐center case series
There is a paucity of available literature regarding the impact of COVID-19 infection in post-renal transplant patients. These patients have a higher chance of acquiring severe COVID-19 infection, more complications, and poor prognosis. AbstractMost of the post-renal transplant patients are taking immunosuppressive medications, including calcineurin inhibitors, anti-proliferative agents, and steroids. This case series highlights the clinical characteristics and outcomes of eight post-renal transplant patients with severe COVID-19 infection admitted to the intensive care unit. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Nissar Shaikh, Mohamad Y. Khatib, Mohammad A. Alwraidat, Dore C. Ananthegowda, Muftah Othman, Asra Aroos, Sagar B. Jujjavarapu, Saptarshi Banerjee, Zishan Nasir, Ahmed S. Mohamed, Moustafa S. Elshafei, Muna A. Almaslamani, Abdulqadir J. Nashwa Tags: CASE REPORT Source Type: research

Myocardial infarction following repair of a ruptured heart
Penetrating chest trauma can lead to the cardiac rupture and coronary artery damage, which causes a high mortality rate (1). Most of the patients with penetrating cardiac trauma die at the scene of the accident (1). Coronary artery (CA) injuries are rare but highly lethal (2). Also, CA injury may occur during repair of a ruptured heart as in our reported case. AbstractPenetrating chest trauma can lead to the cardiac rupture and coronary artery damage, which causes a high mortality rate (1). Most of the patients with penetrating cardiac trauma die at the scene of the accident (1). Coronary artery (CA) injuries are rare but ...
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Hossein Vakili, Zhiva Taherpour Tags: CLINICAL IMAGE Source Type: research

The confused puzzles in antineutrophil cytoplasmic antibody ‐associated vasculitis activity evaluation: A case report
Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a group of chronic multisystem autoimmune diseases with substantial mortality and morbidity and frequent relapses. The complexity of the disease condition and treatment-related adverse reactions as well as infections play important roles in the poor outcomes. Unfortunately, the subjective symptoms and objective indicators are not fully parallel, and manifestations between disease activity and treatment-related adverse reactions are often similar. Here, we describe a case of pulmonary mucormycosis in an old female patient with AAV to highlight these c...
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Ai ‐hua Zhang, Wei‐long Yao, Wen‐hu Liu Tags: CASE REPORT Source Type: research

Isolated facial diplegia: A rare presentation of Guillain ‐Barre syndrome
The paper presents a case of bilateral facial nerve palsy and its unique presentation. It discusses the etiologies of bilateral facial nerve palsy. We aim to provide awareness to its presentation, diagnosis, and management. AbstractThe paper presents a case of bilateral facial nerve palsy and its unique presentation. It discusses the etiologies of bilateral facial nerve palsy. We aim to provide awareness to its presentation, diagnosis, and management. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Sundus Sardar, Sreethish Sasi, Suresh Menik Arachchige, Muhammad Zahid, Gayane Melikyan Tags: CASE REPORT Source Type: research

Complete eradication of chronic lymphocytic leukemia with unusual skin involvement of high mitotic index after time ‐limited venetoclax/obinutuzumab treatment
The novel time-limited combinations with the bcl-2 inhibitor venetoclax can induce deep responses even in CLL cases with unusual and biologically aggressive presentations, like the skin masses of our patient. AbstractThe novel time-limited combinations with the bcl-2 inhibitor venetoclax can induce deep responses even in CLL cases with unusual and biologically aggressive presentations, like the skin masses of our patient. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Maria Dimou, Theodoros Iliakis, Vasileios Paradalis, Aikaterini Bitsani, Marie ‐Christine Kyrtsonis, Panayiotis Panayiotidis Tags: CLINICAL IMAGE Source Type: research

Craniolacunia in A neonate; A clinical and CT scan illustrative case report
Neural tube defects can be accurately diagnosed prenatally. Every effort must be made to get this and its associations with Craniolacunia right, especially in low-resource settings. This case highlights the importance of three-dimensional CT in diagnosing neonatal skull abnormalities. AbstractNeural tube defects can be accurately diagnosed prenatally. Every effort must be made to get this and its associations with Craniolacunia right, especially in low-resource settings. This case highlights the importance of three-dimensional CT in diagnosing neonatal skull abnormalities. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Emmanuel Kobina Mesi Edzie, Klenam Dzefi ‐Tettey, Philip Narteh Gorleku, Kwasi Agyen‐Mensah, Henry Kusodzi, Frank Quarshie, Abdul Raman Asemah Tags: CASE REPORT Source Type: research

Mild ‐to‐severe poisoning due to Conium maculatum as toxic herb: A case series
Conium maculatum toxicity may occur by mistakenly or intentionally eating this plant. Due to muscarinic or nicotinic symptoms associated with this plant toxicity, supportive care and treatment with atropine are urgently important. AbstractConium maculatum toxicity may occur by mistakenly or intentionally eating this plant. Due to muscarinic or nicotinic symptoms associated with this plant toxicity, supportive care and treatment with atropine are urgently important. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Javad Boskabadi, Zahra Askari, Zakaria Zakariaei, Mahdi Fakhar, Rabeeh Tabaripour Tags: CASE REPORT Source Type: research

Left ventricular apex rupture in STEMI
The key clinical message is to know that mechanical complications of myocardial infarction are rare but fatal. A high index of suspicion facilitates diagnosis. The presence of acute heart failure should ring an alarm. Other red flags are cardiogenic shock, new murmur, or evidence of hypoperfusion. AbstractThe key clinical message is to know that mechanical complications of myocardial infarction are rare but fatal. A high index of suspicion facilitates diagnosis. The presence of acute heart failure should ring an alarm. Other red flags are cardiogenic shock, new murmur, or evidence of hypoperfusion. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 23, 2021 Category: General Medicine Authors: Amr Mohamed Tags: CLINICAL VIDEO Source Type: research

A case report on using biofeedback for psychological assessment
A psychological assessment using biofeedback was performed for an adjustment disorder inpatient who showed less verbal and non-verbal expressions, and experienced difficulty in receiving favorable results from treatment. The assessment revealed hidden problems behind the symptoms. She was subsequently discharged, after which no clinical intervention was required, including medication. AbstractA psychological assessment using biofeedback was performed for an adjustment disorder inpatient who showed less verbal and non-verbal expressions, and experienced difficulty in receiving favorable results from treatment. The assessmen...
Source: Clinical Case Reports - July 22, 2021 Category: General Medicine Authors: Tomoko Muramatsu Tags: CASE REPORT Source Type: research

Cor ‐Knot automated fastener in distal anastomosis of total aortic arch replacement: A case report
We present Cor-Knot fastener use over a Hegar dilator in an anatomically challenging total aortic arch replacement with no short-term and/or long-term complications. AbstractCor-Knot fastener use in sternotomy-based aortic arch procedures has not been reported. We present Cor-Knot fastener use over a Hegar dilator in an anatomically challenging total aortic arch replacement with no short-term and/or long-term complications. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 21, 2021 Category: General Medicine Authors: Omar M. Sharaf, Tomas D. Martin, Eric I. Jeng Tags: CASE REPORT Source Type: research

Lymphangioma of the fetal neck within the PIK3CA ‐related‐overgrowth spectrum (PROS): A case report
The delineation of the prenatal diagnostic key features of PIK3CA-related overgrowth spectrum disorders will assume a crucial part in future and a prenatal diagnosis of the causing mutations would provide physicians with a simplified interdisciplinary perinatal management. AbstractThe delineation of the prenatal diagnostic key features of PIK3CA-related overgrowth spectrum disorders will assume a crucial part in future and a prenatal diagnosis of the causing mutations would provide physicians with a simplified interdisciplinary perinatal management. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 21, 2021 Category: General Medicine Authors: Jann Lennard Scharf, Michael Gembicki, Christoph Dracopoulos, Yorck Hellenbroich, Anne Offermann, Guido Stichtenoth, Kianusch Tafazzoli ‐Lari, Lars Tharun, Jan Weichert Tags: CASE REPORT Source Type: research

Bier block as a successful management of a patient with intractable complex regional pain syndrome (CRPS) type 1: A case report
Bier block was successful in the pain management of complex regional pain syndrome (CRPS) type 1. AbstractBier block was successful in the pain management of complex regional pain syndrome (CRPS) type 1. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 21, 2021 Category: General Medicine Authors: Seyed Ali Emami, Hossein Majedi, Ebrahim Espahbodi, Mehdi Sanatkar Tags: CASE REPORT Source Type: research

Acute generalized exanthematous pustulosis in a postpartum woman
The distribution of pustular erythema, characteristic clinical course, and pathological findings can help diagnose acute generalized exanthematous pustulosis. Clinical management should include discontinuation of the suspected drug, hydrocortisone administration, and careful follow-up examination. AbstractThe distribution of pustular erythema, characteristic clinical course, and pathological findings can help diagnose acute generalized exanthematous pustulosis. Clinical management should include discontinuation of the suspected drug, hydrocortisone administration, and careful follow-up examination. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 21, 2021 Category: General Medicine Authors: Hirokazu Toyoshima, Midori Mizuno, Motoaki Tanigawa, Hiroyuki Tanaka, Yuki Nakanishi, Shigetoshi Sakabe Tags: CLINICAL IMAGE Source Type: research

Mandibular sporadic Burkitt lymphoma in an adult patient: A case report and review of the literature
Only a minor percent of lymphomas arise in the oral cavity. Although rare, dentists and clinicians should not neglect them as a possible consideration in the differential diagnosis of oral lesions. AbstractOnly a minor percent of lymphomas arise in the oral cavity. Although rare, dentists and clinicians should not neglect them as a possible consideration in the differential diagnosis of oral lesions. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 21, 2021 Category: General Medicine Authors: Nahal Azimi, Farnoosh Razmara, Samira Derakhshan, Neda Kardouni Khoozestani Tags: CASE REPORT Source Type: research

Nightmare after iliac vein stenting: Spinal epidural hematoma
Spinal epidural hematoma is a rare but devastating complication of iliac vein stenting. Radicular back pain during and after procedure is an alarming sign for this complication. AbstractSpinal epidural hematoma is a rare but devastating complication of iliac vein stenting. Radicular back pain during and after procedure is an alarming sign for this complication. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 21, 2021 Category: General Medicine Authors: Yaser Jenab, Mohammad E. Barbati, Ali Ajam, Saeed Tofighi, Kaveh Hosseini, Houman Jalaie Tags: CASE REPORT Source Type: research

Additional ablation effect of low ‐speed rotational atherectomy following high‐speed rotational atherectomy on early calcified in‐stent restenosis: A case report
Optical frequency domain imaging-guided additional low-speed rotational atherectomy following sufficient high-speed rotational atherectomy for early calcified in-stent restenosis might be a safe and useful option for achieving additional large lumen gains and stent expansion. AbstractOptical frequency domain imaging-guided additional low-speed rotational atherectomy following sufficient high-speed rotational atherectomy for early calcified in-stent restenosis might be a safe and useful option for achieving additional large lumen gains and stent expansion. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 21, 2021 Category: General Medicine Authors: Tomoyo Hamana, Hiroyuki Yamamoto, Takahiro Sawada, Hiroya Kawai, Tomofumi Takaya Tags: CASE REPORT Source Type: research

Avoidance and early diagnosis of erroneous permanent pacemaker placement into the left ventricle: A case report
Diagnosis of a pacemaker inserted through the subclavian artery is essential due to risk of thromboembolism. Fluoroscopy, ECG, and other imaging techniques must be used to diagnose the condition, and appropriate treatment path must be administered. AbstractDiagnosis of a pacemaker inserted through the subclavian artery is essential due to risk of thromboembolism. Fluoroscopy, ECG, and other imaging techniques must be used to diagnose the condition, and appropriate treatment path must be administered. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 21, 2021 Category: General Medicine Authors: Abdelrahman Osman, Ali Ahmad Tags: CASE REPORT Source Type: research

Suspected Bartonella osteomyelitis in a dog
Bartonella associated osteomyelitis, while described in humans and a cat, has to our knowledge not been described in dogs. Infection withBartonella spp. should be considered as a potential bacterial cause of osteomyelitis in dogs. AbstractBartonella associated osteomyelitis, while described in humans and a cat, has to our knowledge not been described in dogs. Infection withBartonella spp. should be considered as a potential bacterial cause of osteomyelitis in dogs. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 21, 2021 Category: General Medicine Authors: Frankie Easley, Lindsay Taylor, Edward B. Breitschwerdt Tags: CASE REPORT Source Type: research

Recurrent hypoglycemia and a slowly rising hemidiaphragm: A case report
Non-islet cell tumor hypoglycemia should be considered in unexplained recurrent non-insulin-dependent hypoglycemia. Where surgery is not possible steroids may be effective, even at low dose, at managing hypoglycaemia. AbstractNon-islet cell tumor hypoglycemia should be considered in unexplained recurrent non-insulin-dependent hypoglycemia. Where surgery is not possible steroids may be effective, even at low dose, at managing hypoglycaemia. (Source: Clinical Case Reports)
Source: Clinical Case Reports - July 21, 2021 Category: General Medicine Authors: Vincent Simpson, Andrew McGovern Tags: CASE REPORT Source Type: research