Neuropsychiatric disorder as early clinical presentation of marantic endocarditis in patient with newly diagnosed poorly differentiated esophago ‐gastric junction adenocarcinoma: A case report
Transesophageal cardiac echocolor-Doppler: large package of endocardial vegetations encompassing the posterior mitral leaflet, especially at P2-P3 level; similar lesions also at the free edge of the anterior mitral flap in A2. Key Clinical MessageNeuropsychiatric symptoms, depression, and progressive mental confusion should not be overlooked as onset symptoms of multiple cerebral ischemic lesions due to cardiac embolization. Comprehensive clinical evaluation due to progressive anemia led to the diagnosis of poorly differentiated adenocarcinoma of the esophagogastric junction as cause of embolizing nonbacterial mitral endoc...
Source: Clinical Case Reports - April 13, 2024 Category: General Medicine Authors: Filomena Ferrentino,
Sara Campana,
Marco Torri,
Carlo Rostagno Tags: CASE REPORT Source Type: research
Leukocytoclastic vasculitis in a patient with ankylosing spondylitis: A case report
Key Clinical MessageAlthough the concurrent occurrence of vasculitis with AS is uncommon, when patients diagnosed with AS exhibit symptoms including skin petechiae, purpura, abdominal discomfort, malaise, elevated ESR, and reduced complement levels, vigilant monitoring for vasculitis is advisable following the exclusion of secondary vasculitis triggers such as malignancies, infections, and pharmaceutical agents.AbstractThe primary characteristic of ankylosing spondylitis (AS) involves inflammation occurring within the sacroiliac joint and the spine, leading to destruction and eventual ankylosis. A notably infrequent compli...
Source: Clinical Case Reports - April 12, 2024 Category: General Medicine Authors: Alireza Khabbazi,
Sepideh Tahsini Tekantapeh,
Cyrus Asadzadeh,
Amir Vahedi Tags: CASE REPORT Source Type: research
Delayed diagnosis of pemphigus vulgaris in rural Nepal due to healthcare inaccessibility and harmful traditional practices: A case report
Key Clinical MessageEarly intervention is imperative for potentially fatal dermatologic diseases such as pemphigus vulgaris. In rural Nepal, limited public awareness, home remedies, and delays in healthcare access lead to poor outcomes. Although biopsy confirms the diagnosis, experienced dermatologists can make an accurate clinical diagnosis when characteristic skin lesions are present. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 12, 2024 Category: General Medicine Authors: Amisha Adhikari,
Jameel Akhtar Mikrani,
Samata Nepal,
Ashish Rauniyar,
Manish Chaudhary,
Alok Atreya Tags: CASE REPORT Source Type: research
A young woman with Mycobacterium chelonae complex infection caused by facial stem cell injection
A female patient who underwent cosmetics injections and contracted with Mycobacterium chelonae complex. Key Clinical MessageIn outpatient settings,Mycobacterium chelonae complex infection brought on by cosmetic injections are rather uncommon. We came across a case of infection brought on by a commercial stem cell injection. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 12, 2024 Category: General Medicine Authors: Kun ‐Jie Li,
Song‐Fa Lin,
Yan‐Ni Guo,
Tian‐Xing Xu,
Chao Ji Tags: CASE REPORT Source Type: research
Acute intestinal obstruction secondary to ingested foreign body in an adult with autism spectrum disorder: A rare case report and review of literature
Key Clinical MessageForeign body ingestion is common in pediatric age group however can be found in any age group with intellectual disability and neurodevelopmental delay. There is usually a delay in presentation and interventions following foreign body ingestion in patients with neurodevelopmental delay, leading to increased morbidity, mortality, and complications owing to inability of such patients giving relevant history. Most ingested foreign bodies naturally pass through the digestive tract without untoward effects. Only a few patients may require surgical interventions. Principle of management should be to reduce an...
Source: Clinical Case Reports - April 12, 2024 Category: General Medicine Authors: Suraj KC,
Rakesh Kumar Gupta,
Abhijeet Kumar,
Bhawani Khanal,
Samiksha Lamichhane,
Amrit Buhusal,
Vijay Pratap Sah,
Sanjok Bartaula,
Injmamul Haque Raki,
Raghav Jindal Tags: CASE REPORT Source Type: research
Concurrent myocardial infarction in the setting of thrombotic thrombocytopenic purpura secondary to systemic lupus erythematosus: A case report
Key Clinical MessageIn acute thrombotic thrombocytopenic purpura (TTP), apart from urgent treatment, assessing the patient's medical history, especially conditions like systemic lupus erythematosus that could trigger TTP, is crucial. Rarely, TTP patients may experience cardiac conditions as severe as a myocardial infarction.AbstractA 45-year-old woman manifested severe and acute thrombotic thrombocytopenic purpura (TTP) of unknown origin. The patient's symptoms, the laboratory data, the detection of the reduction in ADAMTS13 activity, and the presence of schistocytes on the peripheral smear confirmed the diagnosis. The pat...
Source: Clinical Case Reports - April 12, 2024 Category: General Medicine Authors: Saleh Azadbakht,
Bardia Amidi,
Narges Naderi,
Anwar Sharifaskari,
Mahtab Hatami Tags: CASE REPORT Source Type: research
Candida endophthalmitis and Candida pneumonia after trans ‐urethral lithotripsy: A case report
Key Clinical MessageInvasive candidiasis may be one of the serious complications of transurethral lithotripsy. Candiduria before this procedure should be assessed, and antifungals should be prescribed.AbstractThis case is about a 44-year-old diabetic female patient who, after trans-urethral lithotripsy with double-J stent insertion, was diagnosed withCandida pneumonia andCandida endophthalmitis. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 10, 2024 Category: General Medicine Authors: Atousa Hakamifard,
Farzin Khorvash,
Somayeh Hajiahmadi,
Yasaman Eskandari Tags: CASE REPORT Source Type: research
Neglected Fungating Giant basal cell carcinoma: A case report and literature review
We present a giant BCC case in an old female from a rural area with a poor socioeconomic profile. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 10, 2024 Category: General Medicine Authors: Susmin Karki,
Asmita Parajuli,
Bhawesh Bhattarai,
Khusbu Kumari,
Kayleigh Anjali Harrylal,
Pramish Bhatta,
Milan K. C.,
Samit Sharma Tags: CASE REPORT Source Type: research
Regarding the case image article entitled “A case of angle‐closure glaucoma caused by spontaneous lens dislocation” by Kondo et al.
(Source: Clinical Case Reports)
Source: Clinical Case Reports - April 10, 2024 Category: General Medicine Authors: Mehrdad Motamed Shariati Tags: LETTER TO THE EDITOR Source Type: research
Adrenal infarction with latent myelodysplastic/myeloproliferative neoplasm, unclassifiable with JAK2V617F mutation
This report delves into the thrombogenicity linked to theJAK2V617F mutation, while also examining documented instances of adrenal infarction in myeloid neoplasms. We should consider evaluating forJAK2V617F mutation even in cases of thrombosis at unusual sites, including adrenal infarction, even if there are no considerable abnormalities in blood counts. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 10, 2024 Category: General Medicine Authors: Shunichiro Yasuda,
Momoko Chiba,
Rie Nishitani,
Takako Watanabe Tags: CASE REPORT Source Type: research
Multimodal imaging findings of sarcomatoid carcinoma of the urinary bladder
We present a characterized case of sarcomatoid carcinoma of the urinary bladder using multimodal imaging and pathology. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 10, 2024 Category: General Medicine Authors: Guiwu Chen,
Xiaoling Leng,
Su Yu,
Wenqin Liu,
Xiaomin Liao Tags: CASE IMAGE Source Type: research
Primary antiphospholipid syndrome in a male presents with acute digital ischemia: Dramatic response to glucocorticoid
We present a rare case of primary antiphospholipid syndrome in a 38-year-old male who presented with painful digital ischemia. Early initiation of anticoagulation and addition of glucocorticoid led to a significant improvement in the patient. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 9, 2024 Category: General Medicine Authors: Tanvir Ahammed,
Mohammad Rasel,
Sourav Saha,
Ashif Istiak,
Sabreena Chowdhury Tags: CASE REPORT Source Type: research
Acquired methemoglobinemia due to nitrobenzene poisoning: An unusual acquaintance
Key Clinical MessageNitrobenzene poisoning is a rare yet life-threatening contention. The ensuing acute methemoglobinemia has a high fatality rate, hence early prompt intervention is required. Methylene blue (intravenous or oral) and ascorbic acid are the cornerstones of management. They must be administered to suspected patients without tardiness.AbstractAn aromatic organic chemical used in paints and the printing industry is nitrobenzene. Its poisoning causes potentially fatal methemoglobinemia. One aspect of its management involves reducing the iron moiety from its ferric to ferrous form by administering intravenous met...
Source: Clinical Case Reports - April 9, 2024 Category: General Medicine Authors: Sunil Bhatta,
Pusp Raj Awasthi Tags: CASE REPORT Source Type: research
Natural excretion of a metallic susceptor originating from an ingested heated tobacco stick
Key Clinical MessageClinicians should not only consider the presence of metallic foreign bodies within the digestive tract but also contemplate the possibility of nicotine poisoning during the diagnostic process.AbstractWhen clinicians encounter cases of accidental ingestion of some types of heated tobacco, they must consider not only nicotine poisoning but also the possibility of a metallic foreign body within the digestive tract during diagnosis. In children, even sharp or relatively large ingested foreign bodies can spontaneously pass below the esophagus. Considering that this 12-mm metal piece is small, natural excreti...
Source: Clinical Case Reports - April 9, 2024 Category: General Medicine Authors: Hirohito Doi,
Toshihiko Kakiuchi,
Masafumi Nishino,
Masato Yoshiura Tags: CASE IMAGE Source Type: research
A rare cause of amenorrhea: Hematocolpos in a post ‐cystocele repair patient
We present the case of a 48-year-old female who presented with amenorrhea and abdominal pain following surgical repair of a cystocele. Investigation revealed secondary hematocolpos due to surgical trauma. Surgical drainage and correction of the uterus were performed, resulting in immediate pain relief. This case underscores the importance of considering hematocolpos in patients with post-surgical amenorrhea, and further research is needed to better understand its causes, risk factors, and optimal management strategies. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 9, 2024 Category: General Medicine Authors: Tibyan Noorallah Mohammed,
Ammar Elgadi,
Gamal Mohi Eldeen Nuri Tags: CASE REPORT Source Type: research
