Systemic lupus erythematous presenting with hemorrhagic shock caused by gastric penetration of pancreatic pseudocyst: a case report
ConclusionsPatients who have systemic lupus erythematous with high disease activity have the potential to develop fatal complications due to pancreatitis, so appropriate treatments are required for such patients. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 18, 2021 Category: General Medicine Source Type: research

Use of CytoSorb therapy to treat critically ill coronavirus disease 2019 patients: a case series
ConclusionsAll three patients improved clinically and survived. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 18, 2021 Category: General Medicine Source Type: research

Gonococcus infection probably acquired from bathing in a natural thermal pool: a case report
ConclusionsThe pools are shallow, close to body temperature, isotonic, slightly acidic from CO2 bubbles, and contain organic particles, all potentially supporting survival of gonococcus. There are historical case reports in the literature of gonococcal epidemics in children ’s hospitals being traced to common baths. It is imperative that all cases of gonococcal infection in children are fully investigated, including examining all other relevant family members, to determine whether sexual assault has occurred. This is not a diagnosis to be missed. However, both sexual and nonsexual transmission are possible. A presump...
Source: Journal of Medical Case Reports - September 17, 2021 Category: General Medicine Source Type: research

Sporadic intra-abdominal desmoid tumor with a very unusual onset: two case reports
ConclusionsNeither patient had susceptibility factors for desmoid tumors, and to our knowledge, there have been very few reports to date of intra-abdominal desmoid tumors that were diagnosed because of acute abdominal pain caused by tumoral hemorrhage or asymptomatic obstructive uropathy. Furthermore, it is clinically interesting that the two patients showed contrasting progression patterns and imaging findings. Intra-abdominal desmoid tumors are rare and may present with various symptoms and findings similar to those observed in our patients. Diagnosis therefore requires experience and knowledge that is not bound by preco...
Source: Journal of Medical Case Reports - September 16, 2021 Category: General Medicine Source Type: research

Isolated pancreatic injury in an adolescent treated with Roux-en-Y pancreatojejunostomy: a case report and review of the literature
ConclusionsRoux-en-Y pancreatojejunostomy reconstruction can be a safe and valuable surgical option when the surgical approach is considered for grade III pancreatic injury. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 16, 2021 Category: General Medicine Source Type: research

Advanced-stage Wilms tumor arising in a horseshoe kidney of a 9-year-old child: a case report
ConclusionsChildren with a clinically suspected HK with WT should undergo a careful imaging evaluation such as CT before any surgical intervention. Neoadjuvant chemotherapy to reduce tumor bulk might be a good treatment method to reduce surgical morbidity and aid in complete excision and potential for preserving renal function. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 15, 2021 Category: General Medicine Source Type: research

Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report
ConclusionsTo prevent mortality in acute respiratory distress syndrome with cytokine storm from inhalation injury and to promote a better prognosis, we suggest that early implication of extracorporeal membranous oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column even at the emergency department should be considered. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 15, 2021 Category: General Medicine Source Type: research

Secondary cluster headache and numb chin syndrome as initial manifestation of high-grade B-lymphoma: a case report
ConclusionsIn the study of cluster headache, underlying etiologies must be considered when there are atypical clinical manifestations. Within these etiologies, metastases to pericranial nerves must be included, which, besides generating localized symptoms, can activate the trigeminal vascular system simulating headaches of primary etiology. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2021 Category: General Medicine Source Type: research

Late presentation of a cauda equina lesion with a vulval abscess: a case report
ConclusionThis is a tragic case that illustrates the devastating long-term sequelae that ensues if cauda equina syndrome is left undiagnosed. It reiterates the importance of prompt referral and surgical decompression. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2021 Category: General Medicine Source Type: research

Critical iron deficiency anemia with record low hemoglobin: a case report
ConclusionsCritically low hemoglobin levels are typically associated with significant symptoms, physical examination findings, and hemodynamic instability. To our knowledge, this is the lowest recorded hemoglobin in a hemodynamically stable patient not requiring cardiac or supplemental oxygen support. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 13, 2021 Category: General Medicine Source Type: research

Coronavirus disease 2019 outcomes in heart transplant recipients: a single-center case series
ConclusionsWe would like to emphasize the importance of being alert in these patients to consider testing in a broad range of clinical presentations and gathering more data for better management. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 13, 2021 Category: General Medicine Source Type: research

Migrated fish bone into the neck: a case report
ConclusionIn conclusion, migrated fish bone should be suspected if patient is having persistent symptoms mainly in the neck without having difficulty swallowing and who gives a history of fish bone impaction and having negative laryngoscopic examination. Proper history taking is very important in the assessment of these patients to prevent misdiagnosis of the condition. Clinicians should aware that migrated fish bones are not uncommon and that early suspicion can prevent later diagnosis and complications. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 12, 2021 Category: General Medicine Source Type: research

Coinfection with dengue and hepatitis A complicated with infective endocarditis in a Yemeni patient: a case report
ConclusionIn endemic areas, it is reasonable to screen for coinfection with dengue and hepatitis A since they are superimposed on each other. Subacute infective endocarditis may occur following initial dengue and hepatitis A coinfection, especially among patients with rheumatic heart disease. An echocardiogram is a pivotal workup for evaluating a patient with persistent fever of unknown origin. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 11, 2021 Category: General Medicine Source Type: research

Extremely high troponin levels induced by septic shock: a case report
ConclusionIn septic shock, troponin levels can be extremely high, which can persist even after recovery, as in very large myocardial infarctions. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 11, 2021 Category: General Medicine Source Type: research

Unclogging the effects of the Angiojet ® thrombectomy system on kidney function: a case report
ConclusionsAKI is an increasingly recognised complication following AngioJet ® thrombectomy, but remains underappreciated in clinical practice. AKI results from intravascular haemolysis caused by the device. Up to 13% of patients require RRT, but overall short-term prognosis is good. Pre-procedural risk factors for the development of AKI include recent major surgery. Sodium bicarbonate should be administered to those who develop renal impairment. Renal biopsy is high risk and does not add to management. Increased clinician awareness and vigilance for AKI post-procedure can allow for early recognition and referral to ne...
Source: Journal of Medical Case Reports - September 10, 2021 Category: General Medicine Source Type: research

Surgical navigation system for temporomandibular joint ankylosis in a child: a case report
ConclusionsA navigation system is helpful for confirming the exact target locations and ensuring safe surgery. In our patient's case, pediatric temporomandibular joint ankylosis surgery was performed using a navigation system without complications. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 10, 2021 Category: General Medicine Source Type: research

Shift of musical hallucinations to visual hallucinations after correction of the hearing deficit in a patient with Lewy body dementia: a case report
ConclusionThe clinician should bear in mind and let the patient know that improving one sensory modality to ameliorate hallucinations may sometimes paradoxically lead to hallucinations in a different sensory modality. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 9, 2021 Category: General Medicine Source Type: research

Acute pancreatitis associated with severe acute respiratory syndrome coronavirus-2 infection: a case report and review of the literature
ConclusionWe believe further studies should be conducted to determine the extent of pancreatic involvement in severe acute respiratory syndrome coronavirus-2 patients and the possible causality between severe acute respiratory syndrome coronavirus 2 and acute pancreatitis. We reviewed the literature regarding the association between severe acute respiratory syndrome coronavirus 2 and acute pancreatitis patients. Published data suggest that severe acute respiratory syndrome coronavirus 2 possibly could be a risk factor for acute pancreatitis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 9, 2021 Category: General Medicine Source Type: research

Placenta increta presenting with threatened miscarriage during the first trimester in rhesus-negative mother: a case report
ConclusionA high index of suspicion of placenta previa accreta must be in practice in a patient with a history of previous cesarean deliveries and low-lying placenta upon ultrasound examination during early gestation. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 8, 2021 Category: General Medicine Source Type: research

A neonate with Klippel –Trénaunay syndrome: a case report 
ConclusionThe report presents the case of a neonate with a rare congenital vascular disorder type Klippel –Trénaunay syndrome. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 7, 2021 Category: General Medicine Source Type: research

Late reinfection with a different severe acute respiratory syndrome coronavirus-2 clade in a patient with refractory arterial hypertension: a case report
ConclusionsThis case of reinfection with severe acute respiratory syndrome coronavirus 2 occurring several months after the primary infection reports the longest time interval between reinfection and initial infection described to date. It raises concerns on the duration of protective immunity, suggesting that it may begin to wane in patients who acquired the initial infection during the first wave of the pandemic. The potential contributing role of arterial hypertension and cardiometabolic comorbidities as risk factors for reinfection deserves investigation. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 6, 2021 Category: General Medicine Source Type: research

Phlegmonous gastritis: a case series
ConclusionIn severe cases of phlegmonous gastritis, immediate surgical treatment is generally required. However, the endoscopic images are varied and nonspecific. These three cases suggest that clinicians need to consider the differential diagnosis of phlegmonous gastritis and make accurate diagnoses at an early stage. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 6, 2021 Category: General Medicine Source Type: research

Immunoglobulin G4 hypophysitis in a 63-year-old woman with no autoimmune history: a case report
ConclusionThe case contributes to the growing clinicopathologic description of immunoglobulin-G4-related hypophysitis and illustrates that this diagnosis should be a consideration even outside the conventional demographic setting. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 5, 2021 Category: General Medicine Source Type: research

Tubulointerstitial nephritis and uveitis syndrome in an adolescent female: a case report
ConclusionsOur case highlights the importance of early recognition and treatment of this syndrome, where cross-specialty care typically leads to a favorable outcome. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 4, 2021 Category: General Medicine Source Type: research

Takotsubo cardiomyopathy in elderly female trauma patients: a case series
ConclusionsFor patients requiring surgical management, delays in the diagnosis of Takotsubo cardiomyopathy may lead to postponement of urgent operative management. This delay in surgery likely impacts on length of hospital stay, leading to an increasing morbidity and mortality. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 3, 2021 Category: General Medicine Source Type: research

Spontaneous massive hemothorax as a complication of necrotizing pneumonia in a patient with severe acute respiratory syndrome coronavirus 2 induced acute respiratory distress syndrome: a case report
ConclusionsThe combination of severely elevated inflammatory markers and pulmonary hemorrhage should arouse suspicion of necrotizing pneumonia. In necrotizing pneumonia, the possibility of severe intrathoracic bleeding complications should be kept in mind if it comes to sudden deterioration of the patient. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 3, 2021 Category: General Medicine Source Type: research

Intrathecal baclofen therapy for severe spasticity in an adult with tethered cord syndrome: a case report
ConclusionsITB therapy proved extremely effective in this adult with severe spasticity from tethered code syndrome. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 2, 2021 Category: General Medicine Source Type: research

A novel mutation in ACADVL causing very long-chain acyl-coenzyme-A dehydrogenase deficiency in a South Asian pediatric patient: a case report and review of the literature
ConclusionsThis case demonstrates the importance of early diagnosis and management of very long-chain acyl-coenzyme-A dehydrogenase deficiency in improving the outcome of the patients. Implementation of newborn screening using tandem mass spectrometry in Sri Lanka will be beneficial to reduce the morbidity and mortality of treatable disorders of inborn errors. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 1, 2021 Category: General Medicine Source Type: research

Atypical idiopathic intracranial hypertension presenting as cyclic vomiting syndrome: a case report
ConclusionsIdiopathic intracranial hypertension presents atypically in prepubescent children, with about one-fourth presenting asymptomatically, and only 13 –52% presenting with “classic” symptoms. With a prevalence of only 0.6–0.7 per 100,000, much remains unknown regarding the underlying pathophysiology in this demographic. Cyclic vomiting syndrome, however, has a much higher prevalence in this age group, with a prevalence of 0.4–1.9 per 100 . It is thought to be an idiopathic, periodic disorder of childhood, often linked to neurological conditions such as abdominal migraines, epilepsy, mito...
Source: Journal of Medical Case Reports - August 31, 2021 Category: General Medicine Source Type: research

Challenges of dengue and coronavirus disease 2019 coinfection: two  case reports
ConclusionsSevere dengue infection is common in young adults, while coronavirus disease 2019 is generally asymptomatic. In older people, the severity of dengue fever will depend on their comorbidities or the infectious serotype, but coronavirus disease 2019 is consistently more severe in this group. The accurate diagnosis of both infections can better guide clinical management, as well as public health actions in transmission control, now especially important during the coronavirus disease 2019 pandemic. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 30, 2021 Category: General Medicine Source Type: research

Spindle cell squamous cell carcinoma exhibiting prominent neutrophil phagocytosis: a case report
ConclusionThe presence of neutrophil phagocytosis may be a potent indicator of malignancy. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 27, 2021 Category: General Medicine Source Type: research

Xeroderma pigmentosum and acute myeloid leukemia: a case report  
ConclusionAccording to reports, it is the second case showing association of xeroderma pigmentosum with acute myeloblastic leukemia. The management of these patients remains a challenge. Studies focusing on xeroderma pigmentosum patients developing hematological malignancies are necessary to better understand the most appropriate strategies and precautions for this specific case. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 26, 2021 Category: General Medicine Source Type: research

Multiple schwannomas of the facial nerve mimicking cervical lymphoma: a case report
ConclusionsIf multiple tumors occur in the parotid gland and the angle of the jaw, schwannomas need to be considered as a differential diagnosis. To plan the right diagnostic surgical intervention and prevent nerve damage, a thorough ultrasound examination is essential in preoperative diagnostic work-up for any suspicious lesion of the parotid gland and jaw region. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 20, 2021 Category: General Medicine Source Type: research

Acute pharmacogenetic dystonic reactions in a family with the CYP2D6 *41 allele: a case report
ConclusionsThe metabolism of ondansetron, metoclopramide, or prochlorperazine in patients with the *41CYP2D6 allele has not been studied. In this family, clinical evidence implicates the *41CYP2D6 allele as causing extrapyramidal adverse pharmacologic reactions. Patients with a family history of medication-induced dystonia involving these medications should be considered for pharmacogenomic testing, and patients carrying the *41CYP2D6 allele should consider reduction or avoidance of CYP2D6-mediated medications to minimize the potential risk of adverse extrapyramidal effects. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 19, 2021 Category: General Medicine Source Type: research

Beta-lactamase-negative ampicillin-resistant Haemophilus influenzae type b meningitis in partially immunized immunocompetent child: a  case report
ConclusionThis case highlights atypical presentation of life-threatening illness along with microbial resistance that had positive outcome due to timely diagnosis and aggressive management by a multidisciplinary team. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 18, 2021 Category: General Medicine Source Type: research

Humeral metastasis as the only recurrence of a 5-year resected gastrointestinal stromal tumor: a case report
ConclusionBones are one of the rarest locations of gastrointestinal stromal tumor metastasis. A multidisciplinary collaboration was set up to allow conservative surgery of our patient after several months of imatinib treatment. A year and a half later, the patient is still in complete remission. This specific case supports the concept of an intermediate stage between local and oligometastatic disease that should be managed with a curative aim, as much as possible. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 18, 2021 Category: General Medicine Source Type: research

Primary diffuse large B-cell lymphoma of the cranial vault with Trousseau syndrome: a case report
ConclusionsSkull tumors can result from a variety of malignancies, and their diagnosis may be complicated with Trousseau syndrome. However, even in cases of a single lesion in the cranial vault without invasion of the central nervous system, diffuse large B-cell lymphoma should be considered as a differential diagnosis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 18, 2021 Category: General Medicine Source Type: research

An assessment of esophageal balloon use for the titration of airway pressure release ventilation and controlled mechanical ventilation in a patient with extrapulmonary acute respiratory distress syndrome: a case report
ConclusionThe application of this technique is shown in airway pressure release ventilation with spontaneous ventilation, which is then compared with a controlled modality that requires a lesser number of sedative doses and vasoactive drugs, without altering the criteria for lung protection as guided by esophageal manometry. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 17, 2021 Category: General Medicine Source Type: research

Multiple site neural tube defects at Zewuditu Memorial Hospital, Addis Ababa, Ethiopia: a case report
ConclusionThere is insufficient evidence as to the exact mechanism of development of multiple neural tube defects. Similarly, whether patients with multiple neural tube defects had increased risk of post repair hydrocephalus compared with patients who have single neural tube defect is unknown. Hence, more research on the embryogenesis, management, and long-term outcome of multiple neural tube defects in particular and single neural tube defects in general should be done to better help patients with this costly and crippling problem. Lastly, the practice of folic acid supplementation is very low in resource-limited countrie...
Source: Journal of Medical Case Reports - August 17, 2021 Category: General Medicine Source Type: research

Young adult with Gorham ’s disease presenting in an emergency department: a case report
ConclusionWe present a young man with Gorham ’s disease visiting the Emergency Department. After the proper diagnosis and treatment, our patient had good outcome, although the etiology of this rare disease is uncertain. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 17, 2021 Category: General Medicine Source Type: research

Gastric glomus tumor: a  case report and review of the literature
ConclusionThe aim of this report is to enlighten doctors about this uncommon pathologic entity. Surgical resection is considered the golden standard therapy to establish a diagnosis and evaluate the malignant potential. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 16, 2021 Category: General Medicine Source Type: research

Correction to: Acute kidney injury with  partial Fanconi syndrome in a patient with leptospirosis: a case report
(Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 16, 2021 Category: General Medicine Source Type: research

Splenic injury following endoscopic drainage of a large pancreatic pseudocyst: a case report
ConclusionsWhile endoscopic drainage of pancreatic pseudocyst was technically successful, this case demonstrates complications from mass effect of a large pancreatic pseudocyst which putatively tore the splenorenal ligament, leading to excessive separation of the left kidney and spleen. If anatomic disruptions caused by mass effect from a pancreatic pseudocyst are recognized through preprocedural abdominal imaging, such cases may be considered for early open repair versus cystogastrostomy. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 15, 2021 Category: General Medicine Source Type: research

Refractory catatonia in old age: a case report
ConclusionsCatatonia should be considered promptly as a differential diagnosis in older people presenting with atypical features of functional mental illness. Although partial improvement of catatonic features was achieved using benzodiazepines and electroconvulsive therapy, these were not sustained in our patient. We identified comorbid autistic spectrum disorder, prolonged duration of catatonia, and sensitivity to benzodiazepines as important factors in prognostication in old age. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 14, 2021 Category: General Medicine Source Type: research

Efficacy of damage control surgery and staged endoscopic pancreatic ductal double stenting therapy for severe pancreatic head injury: a case report
ConclusionEarly and effective hemostasis, staged pancreatic duct drainage with stenting, and surgical external drainage around the pancreas in combination with an endoscopic procedure and damage control surgery were considered appropriate therapeutic strategy for high-grade pancreatic injury. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 13, 2021 Category: General Medicine Source Type: research

When a rare simultaneous infection simulates a local extension of a rectal cancer: a case report
ConclusionAbdominopelvic actinomycosis is a rare pathology and has therefore rarely been dealt with. This issue can lead to unnecessary and mutilating surgery. We report an exceptional coincidence of rectal adenocarcinoma and mesorectal actinomycosis mistaken for mesorectal extension of the cancer. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 12, 2021 Category: General Medicine Source Type: research

Recurrent Hurthle cell thyroid carcinoma does not preclude long-term survival: a case report and review of the literature
ConclusionFollicular and Hurthle cell thyroid carcinoma are known to potentially spread hematogenously to typical sites, such as lung or bones, however; unusual metastatic sites as presented in our case can also be observed. A search of the literature revealed only scattered reports on patients with multiple metastases in unusual locations. Furthermore, the observed long-term survival of our patient is contradictory to the existing data. As demonstrated, recurrent disease may appear years after the initial diagnosis, emphasizing the importance of consistent aftercare. Radioactive iodine therapy, extracorporeal radiation th...
Source: Journal of Medical Case Reports - August 11, 2021 Category: General Medicine Source Type: research

Correction to: Clear-cell carcinoma originating from cesarean section scar: two case reports
(Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 10, 2021 Category: General Medicine Source Type: research

Generalized lymphatic anomalies and review of the current management landscape: a case report and review of the  literature
ConclusionsThe case illustrates the importance of increased awareness among clinicians for this rare congenital disease to enable earlier diagnosis and to avoid unnecessary invasive investigations. Furthermore, this case highlights the potential need for multiple biopsies of affected sites to confirm diagnosis. We also discuss the emergence of interferon therapy, chemotherapy, immunosuppression, and immunotherapy as medical management for this condition. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 10, 2021 Category: General Medicine Source Type: research

Intraoperative detection of parathyroid glands by autofluorescence identification using image-based system: report of 15 cases
ConclusionsThe application of near-infrared autofluorescence imaging is considered as a useful, but additional, tool for the visual assessment of parathyroid gland in the case of primary neck exploration. The utility of near-infrared autofluorescence imaging for parathyroid detection is increased in the case of repeated surgical intervention owing to increased risk of unintentional parathyroid removal as well as for discrimination of parathyroids from the lymph nodes in cases of thyroid malignancy. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 9, 2021 Category: General Medicine Source Type: research