Scleroderma renal crisis with coexisting segmental arterial mediolysis presenting as intraperitoneal bleeding: a case report
ConclusionsThere is no known etiological connection between segmental arterial mediolysis and systemic sclerosis or scleroderma renal crisis, but it is possible that coexisting segmental arterial mediolysis and scleroderma renal crisis may have interacted to trigger the development of the other in our patient. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 20, 2019 Category: General Medicine Source Type: research

Rare presentation of renal cell cancer as dysphagia: a case report
ConclusionsUndiagnosed renal cell cancer metastasis presenting as dysphagia is very rare. Careful upper endoscopy examination contributed to the diagnosis of this rare entity. A multidisciplinary team approach is key for management of these clinical dilemmas. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 19, 2019 Category: General Medicine Source Type: research

Langerhans cell histiocytosis presenting as eosinophilic granuloma of the bilateral forearms in an 8-year-old girl: a case report
ConclusionThe particularity of this observation is the bilaterality of the lesion on both forearms and it has not previously been reported. Langerhans cell histiocytosis should be included in the differential diagnosis of osteomyelitis and Ewing ’s sarcoma. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 19, 2019 Category: General Medicine Source Type: research

Localized multiple malignant epithelioid peritoneal mesotheliomas arising from the hepatoduodenal ligament and diaphragm: a case report
ConclusionsIn general, malignant peritoneal mesotheliomas are classified as diffuse tumors, which are often unresectable and have a poor prognosis. However, early diagnosis and treatment, particularly with the localized type, as in our patient, could lead to long-term survival of the patient. We recommend that multiple malignant epithelioid mesotheliomas be included in the differential diagnosis for patients with subcapsular hepatic tumors. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 18, 2019 Category: General Medicine Source Type: research

Removal of intraconal bullet through endoscopic transnasal surgery with image-guided navigation system 8 months after injury: a case report
ConclusionIntraconal foreign bodies, such as bullets, are a chronic problem and should be observed in the long term; prompt surgical removal should be performed if indicated. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 17, 2019 Category: General Medicine Source Type: research

Micronodular thymoma with lymphoid stroma diagnosed 10  years after the first operation: a case report
ConclusionWe experienced an unusual case of micronodular thymoma with lymphoid stroma, which is a rare subtype of thymoma. Greater care should be taken to exclude a thymoma with a cystic lesion, even if a thymic cyst is strongly suspected on computed tomography and magnetic resonance imaging. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 16, 2019 Category: General Medicine Source Type: research

Secondary aortoenteric fistula possibly associated with continuous physical stimulation: a case report and review of the literature
ConclusionsPathological analysis suggested that the present secondary aortoenteric fistula arose due to physical stimuli. This reaffirms the importance of keeping reconstructed aortas isolated from the intestine after abdominal aortic aneurysm surgery. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 15, 2019 Category: General Medicine Source Type: research

Severe clinical immunodeficiency in a patient with human immunodeficiency virus infection and relatively high CD4 counts: a case report
ConclusionThis clinical case shows that the coexistence of neuromeningeal cryptococcosis and gastric Kaposi ’s sarcoma is possible in all patients with human immunodeficiency virus infection, regardless of CD4 count. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 14, 2019 Category: General Medicine Source Type: research

Chronic persistent Horner ’s syndrome in trigeminal autonomic cephalalgia subtypes and alleviation with treatment: two case reports
ConclusionA chronic fixed partial or full Horner ’s syndrome can occur in trigeminal autonomic cephalalgia subtypes, but it can also be reversed in patients with treatment even after months to years of duration. This would suggest that the sympathetic dysfunction leading to the eye-related symptoms is from irritation of the sympathetic chain rat her than permanent injury as the result of vasodilatory trauma after trigeminal autonomic reflex activation. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 14, 2019 Category: General Medicine Source Type: research

Early surgical intervention for patients with possible clinically silent somatotroph adenoma: a case series
ConclusionDue to its potential for evolving to symptomatic disease, the risks of surgery and observation for patients with somatotroph adenoma should be carefully compared from the viewpoint of better health outcome. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 13, 2019 Category: General Medicine Source Type: research

Risperidone-related bilateral cystoid macular edema: a case report
ConclusionThe documentation of a patient who developed cystoid macular edema associated with risperidone usage indicates that it may be beneficial to monitor patients taking risperidone for the development of maculopathy. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 13, 2019 Category: General Medicine Source Type: research

A modified preauricular and transmandibular approach for surgical management of osteosarcoma of the mandibular condyle within the masticator space and infratemporal fossa: a case report
AbstractBackgroundOsteosarcomas of the head and neck region are rare entities that comprise
Source: Journal of Medical Case Reports - March 12, 2019 Category: General Medicine Source Type: research

Meningitis in a patient with neutropenia due to Rothia mucilaginosa : a case report
ConclusionsMeningitis due toRothia mucilaginosa is a rare but potentially lethal infection in patients with neutropenia, and evidence-based guidelines for the treatment of this disease are lacking. We suggest an empirical therapy with amoxicillin/rifampicin until adjustments can be made based on an antibiogram. Intrathecal or intraventricular administration of antibiotics can be considered if neurosurgical access is already obtained because of disease-associated complications. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 12, 2019 Category: General Medicine Source Type: research

A novel treatment of hyperinsulinemic hypoglycemia induced by insulin antibodies with alkali administration: a case report
ConclusionsWe believe this to be the first published case of a therapeutic approach to the treatment of hyperinsulinemic hypoglycemia associated with insulin antibodies that factors in blood pH and the correction of acidosis using sodium bicarbonate, which physicians could consider. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 11, 2019 Category: General Medicine Source Type: research

A 47-year-old woman with nuclear protein in testis midline carcinoma masquerading as a sinus infection: a case report and review of the literature
ConclusionsBased on this and other previous reports, aggressive therapy should be initiated once nuclear protein in testis midline carcinoma is diagnosed and close surveillance employed in an attempt to prevent and/or recognize metastases as early as possible. Aggressive therapy has shown little efficacy such that the average overall survival for patients with nuclear protein in testis midline carcinoma is very short, often less than 6  months. Thus, early enrollment into clinical trials testing novel therapies for the treatment of nuclear protein in testis midline carcinoma should be considered. Finally, additional...
Source: Journal of Medical Case Reports - March 11, 2019 Category: General Medicine Source Type: research

Congenital absence of lingual frenum in a non-syndromic patient: a case report
ConclusionTo the best of our knowledge, this is the first case to be reported in the literature with similar clinical presentation. Even without a significant impact on tongue movement or speech, it is important for health practitioners to be aware of such conditions and evaluation steps for diagnosis and management. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 10, 2019 Category: General Medicine Source Type: research

Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report
ConclusionThe management of giant congenital cervical teratoma is often challenging from both a medical and ethical prospective. Meticulous perinatal planning and parents ’ involvement is crucial. Endovascular embolization of the tumor feeding vessels can significantly improve the resection outcome and overall prognosis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 10, 2019 Category: General Medicine Source Type: research

Irinotecan and vincristine for the treatment of refractory desmoplastic small round cell tumor in a developing country: a case report
ConclusionThis chemotherapy regimen, in association with radiation therapy, demonstrated efficacy for refractory desmoplastic small round cell tumor in our patient, and it is cost-effective. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 10, 2019 Category: General Medicine Source Type: research

Gastric adenocarcinoma causing biliary obstruction without ductal dilatation: a case report
ConclusionsThe unusual finding of a non-dilated biliary tree in the face of obstructive jaundice is likely to have resulted from the unusual post-surgical anatomy and hence distal level of obstruction. Endoscopic duodenal stenting is a novel method of managing obstructive jaundice in gastric adenocarcinoma. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 9, 2019 Category: General Medicine Source Type: research

Necrosis of the small intestine leading to a diagnosis of polyarteritis nodosa: a case report
ConclusionIn cases of idiopathic intestinal necrosis or perforation, systemic diseases such as polyarteritis nodosa should be considered in the differential diagnosis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 9, 2019 Category: General Medicine Source Type: research

Recurrent acute coronary syndrome in a patient with right coronary artery ectasia: a case report
ConclusionCoronary ectasia may play a role in recurrent acute coronary syndrome, and administration of an anticoagulant to prevent acute coronary syndrome in this patient was in accordance with the varying hemodynamic property of coronary artery ectasia. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 9, 2019 Category: General Medicine Source Type: research

Ureteral tumor in an ectopic duplex system: a case report
ConclusionEven if malignancy is rarely observed in ureteral ectopia, it should be evoked mainly in cases of hematuria with risk factors for urothelial tumors. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 8, 2019 Category: General Medicine Source Type: research

Periprosthetic knee infection by Mycobacterium bovis and Candida guilliermondii in the context of a zoonosis: a case report and review of the literature
ConclusionsWe found no comparable cases in our literature search. Only a few joint infections byMycobacterium bovis after intravesical instillation of Bacillus Calmette –Guérin are described. Primary infections without previous Bacillus Calmette–Guérin injection appear to be even less frequent. In cases where mycobacterial infection cannot be ruled out, we recommend cultivating mycobacteria cultures for weeks. In addition, a histological examination of the ti ssue should be carried out. After diagnosis, the concept of a two-stage reimplantation of total knee arthroplasty with mycostatic therapy fo...
Source: Journal of Medical Case Reports - March 8, 2019 Category: General Medicine Source Type: research

Crohn ’s disease in a developing African mission hospital: a case report
ConclusionsCrohn ’s disease is uncommon in Africa, and this entity is encountered sparingly. The signs and symptoms of Crohn’s disease overlap with many other abdominal disorders, such as tuberculosis, ulcerative colitis, irritable bowel syndrome, and others. Several publications in the literature describe that it is difficult to make an accurate diagnosis of this disease, despite the fact that many diagnostic armamentaria are available to suggest its presence. Most of the patients with Crohn’s disease are treated conservatively, and a few may require surgical intervention, especially those presenting wi ...
Source: Journal of Medical Case Reports - March 7, 2019 Category: General Medicine Source Type: research

Small cell carcinoma of the kidney: a case report and analysis of data from the Surveillance, Epidemiology, and End Results registry
ConclusionWe present a rare case of small cell carcinoma of the kidney complicated by syndrome of inappropriate antidiuretic hormone secretion. This adds to our understanding of the clinical features of small cell carcinoma of the kidney. Furthermore, this is the first population-based study of small cell carcinoma of the kidney using the Surveillance, Epidemiology, and End Results database. Analysis shows that overall survival is worse in small cell carcinoma of the kidney relative to that of small cell carcinoma of the lung. Small cell carcinoma of the kidney presents very aggressively, and further studies are needed to ...
Source: Journal of Medical Case Reports - March 7, 2019 Category: General Medicine Source Type: research

Calcified mucinous adenocarcinoma of the stomach metastatic to the iris: a case report
ConclusionsWe report the pathology and computed tomography imaging characteristics of a case of calcified mucinous adenocarcinoma of the stomach metastatic to the iris, including findings at autopsy. Metastatic carcinomas in the iris originating in the stomach are exceedingly rare. Multiple punctate calcifications were present in pools of extracellular mucin, a diagnostic clue for mucinous adenocarcinoma. Possible mechanisms underlying scattered punctuate calcifications in gastric mucinous adenocarcinoma warrant further investigation. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 7, 2019 Category: General Medicine Source Type: research

Delayed diagnosis of a  cesarean scar pregnancy: a case report
ConclusionsDespite the popular use of ultrasonography in prenatal care, diagnosis of cesarean scar pregnancy is still delayed. Surgical treatment with local methotrexate injection could be an option for the management of advanced cesarean scar pregnancy. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 7, 2019 Category: General Medicine Source Type: research

Chorea-ballism as a dominant clinical manifestation in heteroplasmic mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes syndrome with A3251G mutation in mitochondrial genome: a case report
ConclusionThe dominance of hyperkinetic movements in the clinical scenario and the finding of a point mutation A3251G inMT-TL1 gene make this a rare presentation. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 6, 2019 Category: General Medicine Source Type: research

Combined surgery and radiotherapy as curative treatment for tracheal adenoid cystic carcinoma: a case report
ConclusionA combined approach of surgical resection followed by radiotherapy on the residual disease provided an excellent result in terms of disease control, quality of life, and overall survival in a patient with locally advanced tracheal adenoid cystic carcinoma. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 6, 2019 Category: General Medicine Source Type: research

Osteoarticular lesion in xanthoma disseminatum treated with total hip arthroplasty: a case report
ConclusionsA very unusual hip joint lesion of xanthoma disseminatum was replaced with a total artificial joint replacement, and the course over 4  years was good. Our patient’s course will continue to be followed carefully. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 5, 2019 Category: General Medicine Source Type: research

Idiopathic intracranial hypertension presenting as bilateral spontaneous lateral intrasphenoidal and transethmoidal meningoceles: a case report and review of the literature
ConclusionsThis case reports the first bilateral basal spontaneous meningoceles in the literature. Furthermore, based on this case ’s imaging results and the literature reviewed, elevated intracranial pressure may be a determining factor behind the development of spontaneous meningoceles. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 5, 2019 Category: General Medicine Source Type: research

Myxedema coma precipitated by diabetic ketoacidosis after total thyroidectomy: a case report
ConclusionsThis case demonstrated that diabetic ketoacidosis not only could be a potential contributor to myxedema coma but also mask typical clinical features, making diagnosis more difficult. Considering the possibility of an increasing number of potential patients with hypothyroidism developed after thyroidectomy, constant vigilance is required for a better clinical outcome, including early recognition and management in critical care in advance for unusual diabetic ketoacidosis which could precipitate decompensated hypothyroidism. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 4, 2019 Category: General Medicine Source Type: research

Correction to: Orthodontic treatment of the transposition of a maxillary canine and a first premolar: a case report
In the publication of this article [1], there is an error in the Family Name and Given Name of the authors since these were interchanged. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 4, 2019 Category: General Medicine Source Type: research

Unusual conservative treatment of a complicated pacemaker pocket infection: a case report
ConclusionsWe would posit that partial removal of infected generators combined with conservative treatment may be a proper treatment of complicated generator pocket infection, especially for those who are susceptible to cardiac complications. Reimplantation of a sterilized pulse generator on the ipsilateral side may be an option if patients reject a new device and contralateral vascular condition is not really suitable. Opting for such treatment should be at the consideration of the primary care physician based on the condition of the patient. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 3, 2019 Category: General Medicine Source Type: research

Hypophonia as only presenting symptom in myasthenia gravis – a diagnostic dilemma in poor countries: a case report
ConclusionsSudden onset and focal neurological deficit can raise the diagnostic dilemma of myasthenia gravis. Relevant laboratory tests and clinical examinations are important to diagnose this disease properly. In resources-deprived nations like Nepal, where several investigations are expensive and access to them is difficult, it becomes very difficult to achieve a solid diagnosis for rare presentations of diseases. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 2, 2019 Category: General Medicine Source Type: research

An iliopsoas abscess caused by Parvimonas micra : a case report
ConclusionIliopsoas abscesses caused by anaerobic bacteria are relatively rare, and iliopsoas abscesses caused byP. micra are especially rare. Our patient ’s case revealed thatP. micra can cause iliopsoas abscess. Therefore, clinicians should be aware of the possibility thatP. micra may cause iliopsoas abscess. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 1, 2019 Category: General Medicine Source Type: research

Congenital prepubic sinus presenting with purulent discharge after circumcision: a case report
ConclusionsBefore congenital prepubic sinus surgery, it is critically important to rule out penile Mondor disease and the possibility of a circumcision complication (especially infective complications) mimicking congenital prepubic sinus. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 28, 2019 Category: General Medicine Source Type: research

Endoscopic removal of a gastric pharmacobezoar induced by clomipramine, lorazepam, and domperidone overdose: a case report
ConclusionThis case demonstrates that in the case of a massive drug consumption, a pharmacobezoar should be suspected, particularly when cellulose-coated pills are ingested. Severe poisoning due to delayed drug release from the gastric aggregate is a potential complication. Detection by x-ray is crucial, and treatment is centered on removal of the aggregate. The technique of decontamination varies among experts, and no formal recommendations exist to date. It seems reasonable that endoscopic evaluation should be performed in order to determine the appropriate technique of decontamination. Care should be patient-oriented an...
Source: Journal of Medical Case Reports - February 27, 2019 Category: General Medicine Source Type: research

Atlanto-occipital dislocation in a patient presenting with out-of-hospital cardiac arrest: a case report and literature review
ConclusionsA plausible cause for the trauma was myocardial infarction which led to the car accident and the major trauma in relation to the obviously minor trauma mechanism. With this case report we aim to familiarize clinicians with the mechanism of injury that will assist in the diagnosis of atlanto-occipital dislocation. Furthermore, we seek to emphasize that patients presenting with electrocardiographic signs of myocardial ischemia after high-energy trauma should primarily be transported to a trauma facility in a percutaneous coronary intervention-capable center rather than the catheterization laboratory directly. (Sou...
Source: Journal of Medical Case Reports - February 26, 2019 Category: General Medicine Source Type: research

Recurrent retroperitoneal abscess after biliary tract surgery in an elderly patient: a minimally invasive nonsurgical approach and its consequences: a case report
ConclusionsRetroperitoneal abscess is an uncommon complication of biliary tract surgery and represents a potential cause of death, especially in those patients with multiple diseases. Prompt drainage is crucial to the treatment. Failure in eliminating the primary infective focus could bring complications and, in general, a weakness of lumbar muscular wall, even resulting in a rare case of lumbar hernia. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 25, 2019 Category: General Medicine Source Type: research

Cervical congenital infantile fibrosarcoma: a case report
ConclusionA successful excision of cervical congenital infantile fibrosarcoma has not been reported. This diagnosis should be kept as a possibility in all congenital cervical swellings. These are commonly misdiagnosed as lympho-venous malformations and histopathology is confirmatory. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 24, 2019 Category: General Medicine Source Type: research

Pituitary macroadenoma presenting as severe hyponatremia: a case report
ConclusionHyponatremia in the elderly is not an uncommon presentation. However, etiological diagnosis is a challenging task as there are multiple overlapping differential diagnoses. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 23, 2019 Category: General Medicine Source Type: research

Strategy for treatment of stage IV human epidermal growth factor 2-positive gastric cancer: a case report
ConclusionDCS regimen, R0 resection, and adjuvant chemotherapy with trastuzumab can be a powerful strategy for stage IV HER2-positive gastric cancer. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 22, 2019 Category: General Medicine Source Type: research

Pachydermoperiostosis (Touraine –Solente–Gole syndrome): a case report
ConclusionsPDP should be considered as a differential diagnosis when a patient presents with hypertrophic osteoarthropathy and acromegalic features. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 21, 2019 Category: General Medicine Source Type: research

Ischemic stroke and disseminated tuberculosis in a child living with human immunodeficiency virus: a case report and review of the literature
ConclusionsExtrapulmonary tuberculosis should be considered a cause of sudden focal neurologic deficits in children with human immunodeficiency virus infection residing in endemic countries. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 20, 2019 Category: General Medicine Source Type: research

Role of echocardiography in a patient with suspected acute pulmonary embolism: a case report
ConclusionThis case highlights the fundamental role that echocardiography played in a patient in the intensive care unit who presented with shock secondary to pulmonary embolism with an unfavorable hemodynamic situation and in whom an unnecessary transfer to perform other complementary diagnostic tests was avoided. The combined use of electrocardiography and echocardiography provided a complete differential diagnosis, identifying the cause of shock and allowing the initiation of specific treatment without further delay. Knowledge of the echocardiographic results that are characteristic of pulmonary embolism can aid in the ...
Source: Journal of Medical Case Reports - February 19, 2019 Category: General Medicine Source Type: research

An uncommon presentation of hyperhomocysteinemia and vitamin B 12 deficiency: a case report
ConclusionThere are conflicting reports in the literature about the association of hyperhomocysteinemia, B12 deficiency, and cerebral venous thrombosis but some reports point to a significant association. We conclude that further studies with a large sample size are required to analyze the effect of hyperhomocysteinemia and low vitamin B12 on the risk of cerebral venous thrombosis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 18, 2019 Category: General Medicine Source Type: research

Twenty-and-a-half syndrome: a case report
ConclusionsTwenty-and-a-half syndrome is reported for the first time. It is due to posterior circulation stroke; in our case, it was due to lacunar infarcts in the pons and medulla, manifesting as one-and-a-half syndrome with bilateral seventh and right fifth nerve palsy. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 15, 2019 Category: General Medicine Source Type: research

Multiple cutaneous metastasis of synchronous urothelial carcinoma of the bladder and the renal pelvis: a case report
ConclusionCutaneous metastatic disease is a rare entity with poor prognosis. The main treatment remains chemotherapy; however, single-site metastasis should be considered for metastasectomy. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 14, 2019 Category: General Medicine Source Type: research

Pantoea dispersa bacteremia in an immunocompetent patient: a case report and review of the literature
ConclusionThe epidemiology and clinical features ofPantoea dispersa are still unknown. More cases of infections caused byPantoea dispersa might be revealed with advancing technical methods, such as matrix-assisted laser desorption/ionization time-of-flight mass spectrometry or 16S ribosomal RNA analysis. Physicians must know that a variety of infections caused byPantoea dispersa could occur in immunocompromised as well as immunocompetent patients. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - February 13, 2019 Category: General Medicine Source Type: research