Sudan black poisoning resulted in methemoglobinemia in a baby with congenital chyloperitoneum
Key Clinical MessageTreatment of congenital chyloperitoneum is a challenge. Conservative methods may be ineffective. Preoperative visualization of the site of lymphatic leakage is crucial, but radiological imaging is technically complicated and may not provide sufficient information, especially in small patients. To ease the detection of lymphatic leakage during surgery, preoperative feeding with fat-rich formula with Sudan Black has been recommended. However, administration of Sudan Black may result in life-threatening methemoglobinemia and liver damage without any advantage of revealing leakage during surgery. We recomme...
Source: Clinical Case Reports - April 5, 2024 Category: General Medicine Authors: Helgi Padari,
Karin Kipper,
Imbi Eelm äe,
Jekaterina Nerman,
Mare Lintrop,
Tuuli Metsvaht Tags: CASE REPORT Source Type: research
Rare co ‐occurrence of tonsillar follicular dendritic cell sarcoma and schizophrenia: A comprehensive study
This study investigated the infrequent occurrence of tonsillar follicular dendritic cell sarcoma (FDCS) co-existing with schizophrenia, presenting a comprehensive examination of clinical, pathological, and literature aspects. A systematic literature review was conducted, focusing on articles related to “schizophrenia” and “sarcoma,” with in-depth analysis of included case reports. Clinical data, pathological findings, and patient follow-up information were collected and synthesized. The study detailed a rare case of FDCS in the tonsil concurrent with schizophrenia, providing insights into diagnosis, treatment, and ...
Source: Clinical Case Reports - April 5, 2024 Category: General Medicine Authors: Yu Zhang,
Xiaoxi Jin,
Liyan Lian Tags: CASE REPORT Source Type: research
Consanguineous couple with SDHD gene mutations: Diagnosis, treatment, and implications of family genetic testing
DOTATOC-PET/CT of both spouses; the upper one showing no evidence of a cervico-thoraco-abdominal lesion suspicious for malignancy (wife), the lower one showing a stable glomus tumor on the right side of the neck (husband). Key Clinical MessagesThe newly published clinical consensus guideline on the management of PGL/PCC is helpful for decision-making for diagnostics and treatment. Still, the treatment of patients with SDHD gene mutations requires an individual approach and those patients belong to multiprofessional teams. It is often assumed that spouses are genetically unrelated. However, the genetic relationships between...
Source: Clinical Case Reports - April 5, 2024 Category: General Medicine Authors: Johanna Braegelmann,
Annie Mathew,
Dagmar F ührer‐Sakel,
Harald Lahner Tags: CASE REPORT Source Type: research
A rare case of Gardner syndrome in an African adult male: A case report
Key Clinical MessageGardner's syndrome with the complete manifestation of colonic and extracolonic features is uncommon. Therefore, every clinician should view extracolonic features with a high index of suspicion. This may be key to early diagnosis, definitive management in these patients and importantly, helps prevent malignant transformation of existing colonic polyps. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 4, 2024 Category: General Medicine Authors: Olusegun I. Olaopa,
Adedamola A. Dada,
Oluwafunmilayo Y. Soneye,
Oluwadamilare Iyapo,
Taofeek A. Akinniyi,
Akinyele O. Adisa,
Kehinde K. Kanmodi,
Adedolapo O. Olaopa,
Christian I. Emeka,
Imudia D. Ehanire,
Modupe O. Coker Tags: CASE REPORT Source Type: research
Iron deficiency ‐induced thrombocytosis presenting with blue toe syndrome
We report the case of a 38-year-old Saudi male who presented with blue toe syndrome and laboratory investigations revealed severe thrombocytosis secondary to iron deficiency. The patient was managed with analgesics, antiplatelets, anticoagulation, intravenous fluids, and iron supplementation. Subsequently, his symptoms resolved within a few days. IDIT is crucial to consider as a possible cause of microvascular thrombosis disorders, especially in patients with severe thrombocytosis. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 3, 2024 Category: General Medicine Authors: Khaled Aboujabal,
Khaled Sadek,
Koutaibah Obaid,
Bisher Sawaf,
Elmukhtar Habas,
Mhd Baraa Habib Tags: CASE REPORT Source Type: research
Fabrication of a mandibular implant ‐retained overdenture using an existing subperiosteal implant: A clinical report
Key Clinical MessageA 64-year-old edentulous woman with a mandibular fracture received a subperiosteal implant for fracture fixation and dental rehabilitation. However, the ball abutments were submerged by the soft tissue because they were too short. Therefore, we designed a connector to lengthen the attachment and achieve adequate stability and retention for the overdenture. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 3, 2024 Category: General Medicine Authors: Mahnaz Arshad,
Nourin Khoramshahi,
Gholamreza Shirani Tags: CASE REPORT Source Type: research
Case report: Emerging BRCA mutation confers benefit from olaparib after chemotherapy intolerance in advanced triple ‐negative breast cancer
Key Clinical MessageIn a patient with metastatic breast cancer, an acquired BRCA mutation in the BRCA gene was detected, resulting in benefits from olaparib treatment. This underscores the importance of ongoing genetic phenotype testing after paclitaxel chemotherapy.AbstractTriple-negative breast cancer (TNBC) is associated with a poor prognosis and elevated mortality risk. BRCA mutations are commonly regarded as prevalent mutations in TNBC patients, strongly associated with congenital familial heredity. Dynamic changes in mutation sites, however, are rarely reported. In this case report, we report a 59-year-old TNBC patie...
Source: Clinical Case Reports - April 3, 2024 Category: General Medicine Authors: Xia ‐Bo Shen,
Jia‐Yi Wu,
Jia‐ying Li,
Xi‐Ying Shao,
Xiao‐Jia Wang Tags: CASE REPORT Source Type: research
A case report on multisystem inflammatory syndrome in children (MIS ‐C) associated with COVID‐19 infection
We report a case involving a fourteen-year-old male with COVID-19 infection who developed multisystem inflammatory disease. A previously healthy child presented with a history of 10 days of fever and cough, along with diarrhea, and vomiting for 3 days. His COVID-19 infection was confirmed through Polymerase Chain Reaction (PCR), and the laboratory values were remarkable for high levels of C-reactive protein, D-dimers, B-type natriuretic peptide (BNP), and troponin I. He de veloped circulatory shock on the second day of the presentation and needed inotropic support. Steroids and intravenous immunoglobulin (IVIG) were s...
Source: Clinical Case Reports - April 3, 2024 Category: General Medicine Authors: Roshan Bhandari,
Richa Paudyal,
Abhigya Paudyal,
Shreya Singh Beniwal Tags: CASE REPORT Source Type: research
RotaWire ™ entrapment in distal right coronary artery in dialysis patient
Key Clinical MessageRotablation had been performed on a highly calcified lesion, enabling various devices to be brought distally for removal of the Entrapped RotaWire. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 3, 2024 Category: General Medicine Authors: Yoji Watanabe,
Daisuke Fukamachi,
Naoya Matsumoto,
Yasuo Okumura Tags: CASE VIDEO Source Type: research
Antimicrobial ‐associated encephalopathy due to ampicillin
Key Clinical MessageBecause the β-lactam ring has a molecular structure similar to that of gamma-aminobutyric acid (GABA) neurotransmitters, it binds to GABA A receptors and inhibits GABAergic transmission, causing AAE. The possibility of antimicrobial-associated encephalopathy should be considered in cases of neurological or psy chiatric symptoms after initiating an antimicrobial regimen. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 2, 2024 Category: General Medicine Authors: Naoya Mizutani,
Tsuneaki Kenzaka Tags: CASE VIDEO Source Type: research
Bilateral synchronous double primary lung cancer: A case report
This study analyzed the clinical data of a patient with bilateral sDPLC, aiming to improve medical workers' understanding of the disease and avoid missed diagnosis and misdiagnosis.AbstractA 68-year-old male was admitted to the hospital with “intermittent cough and expectoration for two months.” Enhanced chest computed tomography (CT) showed that the upper lobe of the left lung had a mass of high-density shadow, bronchial opening of the left lobe was thickened, lumen was narrow, and middle lobe of the right lung had a mass of high-d ensity shadow. Bronchoscopy was performed to observe the microscopic characteristics of...
Source: Clinical Case Reports - April 2, 2024 Category: General Medicine Authors: Jun Li,
Bo Yin,
Yong Liu,
Hai Huang Tags: CASE REPORT Source Type: research
A rare presentation of triple ‐barrel aortic dissection in a Ghanaian male
Key Clinical MessageAcute aortic dissection in unusual/rare circumstances may become chronic and multi lumen. A high clinical acumen, examination and investigations in the acute setting, may help reduce late/misdiagnosis and complications in low resource settings. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 2, 2024 Category: General Medicine Authors: Nana Adjoa M. Coleman,
Aba A. Folson,
Mawufemor A. Bekui,
Bennett Owusu Tags: CASE REPORT Source Type: research
A life lost to anorexia nervosa: A case report of rapid progressive disease and its psychological aspects
Key Clinical MessageThe prevalence of anorexia nervosa has been on the rise. Exploring key factors in treating this condition as well as psychological factors influencing the onset and maintenance of the disorder can increase the chance of treatment success. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 2, 2024 Category: General Medicine Authors: Amirreza Esmaeili,
Soode Tajik Esmaeeli Tags: CASE REPORT Source Type: research
Successful treatment of a high ‐risk diabetic foot ulcer by ozone therapy and collagen powder: A case report
Key Clinical MessageA high risk diabetic foot ulcer is treated by ozone therapy and collagen powder. The goal of this study was to report a high risk case, treated by ozone therapy, and collagen powder. Ozone therapy and collagen powder can improve healing process of diabetic foot ulcers.AbstractThis case report presents a successful nonsurgical outpatient approach for managing a high-risk diabetic foot ulcer with tendon exposure in an older adult with uncontrolled diabetes mellitus and severe heart failure. Due to the patient's comorbidities, surgical intervention was not an option, leading to the utilization of ozone the...
Source: Clinical Case Reports - April 1, 2024 Category: General Medicine Authors: Hooman Mohammad Talebi,
Javad Javaheri,
Mohammad Sadegh Fakhari Tags: CASE REPORT Source Type: research
Empyema necessitans as a rare manifestation of Staphylococcus aureus
Key Clinical MessageEmpyema necessitans (EN) is a rare complication of empyema, in which pus accumulates within the pleural space and spreads through the chest wall, leading to the formation of a subcutaneous abscess. This condition presents significant diagnostic and therapeutic challenges due to its rarity and potential for serious complications. Here, we present the case of an 8-year-old boy with a history of parapneumonic effusion that was incompletely treated due to a lack of fibrinolytic agent injection. He presented with fever, chills, a productive cough, and left-sided chest pain with yellowish purulent secretions ...
Source: Clinical Case Reports - April 1, 2024 Category: General Medicine Authors: Nazanin Zeinali Nezhad,
Aazam Gholami Shahrebabak,
Amirhossein Shahpar Tags: CASE REPORT Source Type: research
