Gastric sarcoidosis diagnosed with endoscopic ultrasound
We report the case of a 46-year-old African American female who experienced chronic epigastric abdominal pain, recurrent nausea, vomiting, and diarrhea for 15 years. Despite extensive investigations, including multiple biopsies, she was misdiagnosed with cyclic vomiting syndrome. Subsequently, an endoscopic ultrasound (EUS) revealed prominent lymph nodes and gastric granulomas, leading to a diagnosis of GS. This case underscores the importance of consi dering sarcoidosis in patients with refractory abdominal symptoms and highlights the utility of EUS in diagnosing this rare condition. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 13, 2024 Category: General Medicine Authors: Husam El Sharu,
Stephanie Ibarra,
Ammad Chaudhary,
Sinda Hidri,
Zarak Khan,
Danielle Hoo‐Fatt Tags: CASE REPORT Source Type: research
Vogt ‐Koyanagi‐Harada disease in pregnancy: Case report and review of 32 patients in the literature
Retinal cross-sectional images of optical coherence tomography at the initial visit (A, B), a week later (C, D), 3 week later (E, F), and 4 weeks later (G, H) from the initial visit. Images in the right eye are in the left column (A, C, E, and G) and images in the left eye are in the right column (B, D, F, and H). Each panel with alphabetical labelling shows color photograph (top left), red-free photograph (bottom left), horizontal section of the image from the nasal to the temporal side (top right), and vertical section of the image from the superior to the inferior side (bottom right). Note sequential decrease of su...
Source: Clinical Case Reports - March 12, 2024 Category: General Medicine Authors: Toshihiko Matsuo,
Kasumi Takahashi,
Tsunemasa Kondo Tags: CASE REPORT Source Type: research
A rare case of chikungunya encephalitis and its management: A case report and literature review
Key Clinical MessageChikungunya encephalitis, though rare, warrants clinical attention due to its severe complications. Early identification and appropriate management are crucial for improved outcomes in patients with this rare manifestation of chikungunya virus (CHIKV) infection.AbstractCHIKV infection is commonly associated with fever and joint pains, but neurological complications such as encephalitis are rare. Here, we present a unique case of confirmed chikungunya encephalitis in a 12-year-old male exhibiting atypical neurological symptoms. The diagnostic journey involved comprehensive neuroimaging and serological in...
Source: Clinical Case Reports - March 12, 2024 Category: General Medicine Authors: Pugazhendi Inban,
Sai Harini Chandrasekaran,
Preeti Kumari Yadav,
Roshini Vijayakumar,
Zenia Elavia,
Mansi Singh Tags: CASE REPORT Source Type: research
Presentation of vitiligo in a case of COVID ‐19 infection concomitant with receiving remdesivir
Key Clinical MessageThe occurrence of vitiligo following COVID-19 infection and vaccination is well-documented. The mitochondrial dysfunction of melanocytes in vitiligo and the potential impact of RDV on mitochondria raise concerns about RDV possibly causing vitiligo. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 12, 2024 Category: General Medicine Authors: Farideh Beyki,
Saba Hasanzadeh,
Fariba Ghalamkarpour Tags: CASE REPORT Source Type: research
Subclavian steal syndrome
Key Clinical MessageEarly recognition and diagnosis of subclavian steal syndrome are vital to avoid unnecessary investigations and ensure appropriate management. This case highlights the significance of comprehensive evaluation, including bilateral blood pressure measurement, in patients with unilateral symptoms. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 11, 2024 Category: General Medicine Authors: Durga Neupane,
Sujan Kafle,
Varsha Chhetri,
Aakash Koirala Tags: CASE IMAGE Source Type: research
A case of primary pulmonary angiosarcoma arising from tuberculous scar with fatal capillary bleeding
Angiosarcoma metastasized to a skin scar of chest incision. Key Clinical MessageThe etiology of primary pulmonary angiosarcoma is still unknown. Here we report a case of primary pulmonary angiosarcoma originated from a tuberculous scar and presented as aggressive deterioration with uncontrolled bleeding from capillaries with angiodysplasia. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 11, 2024 Category: General Medicine Authors: Minghui Wang,
Xin Zhang,
Hongni Jiang Tags: CASE REPORT Source Type: research
Severe dengue infection unmasking drug ‐induced liver injury: Successful management with N‐acetylcysteine
Key Clinical MessageClinicians in tuberculosis and dengue endemic regions should have heightened vigilance for drug-induced liver injury (DILI) overlapping with active infections, enabling prompt recognition and life-saving conservative management.AbstractSevere dengue and drug-induced liver injury (DILI) are significant independent risk factors for acute liver failure. The co-occurrence of these conditions significantly complicates clinical management. Here, we describe the case of a 21-year-old Nepali female who developed acute liver failure during antitubercular therapy (ATT). The patient, presenting with fever and naus...
Source: Clinical Case Reports - March 11, 2024 Category: General Medicine Authors: Naveen Gautam,
Nishan Shrestha,
Sanjeev Bhandari,
Sabin Thapaliya Tags: CASE REPORT Source Type: research
Quack ‐induced dermatitis: A case report of two dermatitis artefacta induced by quacks advise
This report delineates two instances of dermatitis artefacta (DA), a psychodermatological condition marked by self-induced or exacerbated skin lesions. These cases, triggered by treatments from non-qualified practitioners, highlight the critical need for healthcare professionals to discern the potential repercussions of unsound medical guidance. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 11, 2024 Category: General Medicine Authors: Prajwal Pudasaini,
Sadiksha Adhikari,
Kinnor Das,
Suraljit Gorai,
Ruri D. Pamela Tags: CASE REPORT Source Type: research
A male fetus with cyclopia was discovered after miscarriage: A rare case report from Syria
Key Clinical MessageThis case of alobar holoprosencephaly and cyclopia emphasizes the value of prenatal check-ups, particularly in low-income countries. Early ultrasound diagnosis leads to early gestational termination, preventing psychological trauma for the parents.AbstractAlobar holoprosencephaly is a rare-occurrence malformation with a bad prognosis linked to cyclopia, the most severe cranial feature. Prenatal examinations are essential for identifying these deformities and preventing parental mental health damage. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 11, 2024 Category: General Medicine Authors: Tala Dakkak,
Marah Mansour,
Habib Jarbouh,
Abdolmoin Ktail Tags: CASE REPORT Source Type: research
Initial spinal epidural hematoma symptoms mimic artery dissection
Axial contrast-enhanced computed tomography of the thoracic spine reveals a spinal epidural hematoma at six vertebral levels (red arrows) Key Clinical MessageAn elderly patient with upper back pain and hypertension was diagnosed as having spontaneous spinal epidural hematoma (SSEH) after excluding artery dissection. The initial symptoms of SSEH mimic those of artery dissection, and the symptoms of spinal damage frequently appear later. Physicians should, therefore, be mindful of SSEH. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 9, 2024 Category: General Medicine Authors: Shunya Yabuki,
Hiroyuki Hirai,
Masayuki Miyajima,
Takatomo Moro Tags: CASE IMAGE Source Type: research
Distal penile pyogenic granuloma: A case report
Penile granuloma pyogenicum. Exhaustive examiantion of any penile growth with a focus on identifying external and local sources of irritants togeter with histological evaluation are the main stay of treatment of pyogenic granuloma. Key Clinical MessageThe mainstays of treatment for granuloma pyogenicum include careful evaluation of any penile growth, thorough excision of the polypoid, histological examination, and close monitoring to check relapse and management.AbstractPyogenic granuloma is an acquired noncancerous vascular proliferation that arises from the mucosa and skin, seldom subcutaneously or intravascularly. It is...
Source: Clinical Case Reports - March 9, 2024 Category: General Medicine Authors: Gideon Safiel Mwasakyalo,
Frank Bright,
Orgenes Jasper Mbwambo,
Bartholomeo Nicholaus Ngowi,
Daniel Mwakibibi,
Jasper Saidi Mbwambo,
Musa Raymond Majura,
Evans Azina Sanga,
Alex Mremi Tags: CASE REPORT Source Type: research
Secondary syphilis presenting as fever of unknown origin
Image of patient's maculopapular syphilitic rash on palmar surface of his hand, which developed about 8 weeks into his fever. Key Clinical MessageA thirty-eight year-old male presented with a seven-week history of persistent fever accompanied by recurrent night sweats, chills, arthralgias, headache, and chest tightness.Initial laboratory testing showed non-specific elevation of inflammatory markers, but was otherwise unremarkable.A palmar rash developed one week later, prompting testing for syphilis. Fluorescent treponemal antibody absorption (FTA-ABS) and rapid plasma reagin (RPR) tests were both positive.Penicillin G ...
Source: Clinical Case Reports - March 9, 2024 Category: General Medicine Authors: Hannah Eloise Wilding,
Amy Hays Tags: CASE REPORT Source Type: research
Transhepatic approach of patent foramen ovale closure in the setting of congenital inferior vena cava anomaly
Key Clinical MessagePatent foramen ovale (PFO) is the most common interatrial septal abnormality. The indications for PFO device closure are still being evaluated, with the most common reason being to prevent cerebrovascular accidents (CVA) caused by paradoxical embolism of deep vein thrombosis (DVT) in the lower extremities. This procedure is usually performed through percutaneous intervention using femoral vein access. Here, we present a case of PFO closure using a transhepatic approach, as femoral vein access was not feasible due to an interrupted inferior vena cava (IVC). The patient had a prominent left-sided IVC, lar...
Source: Clinical Case Reports - March 9, 2024 Category: General Medicine Authors: Deepa Soodi,
Somto Nwaedozie,
Milind Shah,
Sudhakar Girotra Tags: CASE REPORT Source Type: research
Walking ability after resection of soft tissue sarcoma of the thigh and the sciatic nerve
Key Clinical MessageWalking ability may be fairly well maintained after sciatic nerve resection combined with wide resection of soft tissue sarcoma, therefore, surgeons should not hesitate to perform sciatic nerve resection to achieve an adequate surgical margin. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 9, 2024 Category: General Medicine Authors: Mizuki Isobe,
Michiyuki Hakozaki,
Yoichi Kaneuchi,
Itaru Ogawa,
Takeo Suzuki,
Nobuyuki Sasaki,
Takuya Kameda,
Yoshihiro Matsumoto Tags: CASE VIDEO Source Type: research
A symphony of anomalies: Isolated pulmonary artery agenesis meets congenital lung hypoplasia
We present a patient with congenital right lung hypoplasia with an absent right pulmonary artery. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 9, 2024 Category: General Medicine Authors: Nida Ansari,
Sacide S. Ozgur,
Alan Alcantara,
Yasmeen Sultana Tags: CASE IMAGE Source Type: research
