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Imported Hepatitis E Virus Genotype 1: A Rare Case of Acute Hepatitis Managed with Steroid Pulse Therapy
Intern Med. 2023 Jun 7. doi: 10.2169/internalmedicine.1976-23. Online ahead of print.ABSTRACTA 26-year-old Indian man who had arrived in Japan 24 days prior presented to our hospital with abdominal pain and a fever. A blood test revealed marked hepatic dysfunction, and imaging tests confirmed a diagnosis of acute hepatitis. The patient's liver function and coagulability deteriorated, and his general condition was poor. Given the possibility of fulminant hepatic failure, we initiated steroid pulse therapy. Following the initiation of steroid therapy, the patient's liver function and subjective symptoms rapidly improved. Tes...
Source: Internal Medicine - June 7, 2023 Category: Internal Medicine Authors: Yoshihide Matsumoto Akiko Shimizu Kento Ogawa Shigenobu Kuroki Kozo Ikuta Eri Senda Seiji Shio Source Type: research

Severe Complications From Infectious Mononucleosis After Prolonged Steroid Therapy
We present a case of an adolescent boy who presented to his primary care physician with symptoms consistent with uncomplicated IM that was treated with a prolonged course of steroids. Subsequently, he developed worsening symptoms, including fevers, headache, vomiting, and left-sided facial swelling. He presented to a pediatric emergency department in decompensated septic shock as a result of polymicrobial bacteremia. During his hospital course, he developed pulmonary septic emboli, a sinus thrombus, an empyema, and orbital cellulitis complicated by Pott puffy tumor. In this case report, we summarize the current literature ...
Source: Pediatric Emergency Care - December 1, 2021 Category: Emergency Medicine Tags: Illustrative Cases Source Type: research

Acute Interstitial Nephritis Induced by Citrullus Colocynthis.
We describe a case of Citrullus colocynthis (herbal remedy for diabetes mellitus and weight reduction) that induced AIN. A 31-year-old woman with major thalassemia, diabetes mellitus, and hepatitis C infection was admitted because of flank pain and unexpected increase in serum creatinine level. She had been using Citrullus colocynthis for 3 months. Kidney biopsy results suggested AIN. She did not respond to steroid therapy and underwent hemodialysis. We suggest the use of Citrullus colocynthis as a herbal medicine with extreme caution. PMID: 29038395 [PubMed - in process]
Source: Iranian Journal of Kidney Diseases - October 20, 2017 Category: Urology & Nephrology Tags: Iran J Kidney Dis Source Type: research

Acute-onset chronic inflammatory demyelinating polyneuropathy in hantavirus and hepatitis B virus coinfection: A case report
Conclusion: Besides GBS, acute-onset CIDP can occur with hantavirus and HBV coinfection. Patients with this coinfection in whom GBS has been initially diagnosed should be followed up for a long time, because of the possibility of relapse or deterioration, and acute-onset CIDP should always be considered.
Source: Medicine - December 1, 2016 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Pediatric gastrointestinal sarcoidosis: Successful treatment with infliximab
Laila Alawdah, Ahmad Nahari, Dayel Alshahrani, Musa Fagih, Shahid Ghazi, Abdulrahman Al-HussainiSaudi Journal of Gastroenterology 2016 22(5):391-395Gastrointestinal sarcoidosis is a rare disease with very limited data in children. Here we report the first pediatric case of successful treatment with infliximab. The first case was an 8-year-old Saudi girl who presented with fever, weight loss, and abdominal pain that was followed in a few months with hematemesis and development of hepatosplenomegaly. The second case was a 9-year-old Sudanese boy who manifested with vomiting, epigastric pain, and weight loss. On upper endosco...
Source: The Saudi Journal of Gastroenterology - September 26, 2016 Category: Gastroenterology Authors: Laila Alawdah Ahmad Nahari Dayel Alshahrani Musa Fagih Shahid Ghazi Abdulrahman Al-Hussaini Source Type: research

Paraneoplastic Dermatomyositis in Hepatocellular Carcinoma with Colonic Perforation: A Case Report
Conclusion: Here, we present a rare case of DM caused by non-hepatitis-associated advanced HCC with colonic perforation. The cause of colonic perforation is still unclear. This case demonstrates the need to carefully monitor abdominal pain in DM patients as symptoms can be masked by steroid therapy.Case Rep Oncol 2016;9:547 –553
Source: Case Reports in Oncology - September 22, 2016 Category: Cancer & Oncology Source Type: research