Clinical Case Reports最新文献

Emphysematous pyelonephritis is an entity most commonly treated through surgery, with the associated risks and complications; the use of a more conservative approach, using antibiotics alone in selected patients, may prove to have favorable outcomes with fewer complications and risks, as described in this case.

This case report identifies parvovirus B19 as a potential trigger for fibromyalgia, underscoring the contribution of viral infections to the pathogenesis of chronic pain syndromes. Awareness of this association may prompt clinicians to consider infectious agents in the differential diagnosis of new-onset fibromyalgia, facilitating timely recognition and personalized management strategies.

This case highlights the rare occurrence of concurrent clear cell renal carcinoma with metastatic urinary bladder involvement, presenting as hematuria and flank pain. Initial screening revealed both renal and bladder tumors, confirmed as metastases. Histopathology emphasized thorough investigations for unexplained urinary symptoms and the need for multimodal treatment and follow-up.

The case sets the foundation for clinical protocols to incorporate mobile EEG and qEEG techniques, instrumental balance testing, and mood symptom screening in athletes who have suffered a sports-related concussion. The protocol provides a framework for clinicians to monitor a patient's recovery progress in terms of brainwave activity, general cognition, moods, and motor control. Objective data obtained through the protocol may assist in developing personalized treatment plans, improving follow-up care, and identifying residual brain function deficits that may be missed in standardized clinical exams. Finally, this case highlights a need for more thorough communication and testing procedures that screen for mood symptoms and provide an opportunity for athletes to discuss their mental health after suffering from an SRC.

This case presents an unusual finding of total thrombosis of the right internal carotid artery complicated by a large patch of cerebral ischaemia in the right parieto-temporo-occipital and right capsulo-lenticulo-thalamic regions. The patient was managed mainly with medication, due to the lack of human and material resources required for any intervention.

Stent crumpling is a rare but potentially life-threatening complication of percutaneous coronary intervention (PCI). This report highlights a case of stent crumpling during a PCI procedure, its management, and the importance of advanced imaging techniques in diagnosing and addressing such complications. A 78-year-old man was admitted for elective PCI on the left anterior descending (LAD) artery following an acute anterior ST-segment elevation myocardial infarction (STEMI) treated with thrombolytic therapy. The patient exhibited significant ischemic changes on his electrocardiogram (ECG) and experienced persistent angina. During the PCI, two overlapping stents were deployed in the LAD. Post-dilation led to slow flow and thrombus formation in the LAD, rapidly progressing to cardiac arrest. Immediate resuscitation and intracoronary thrombolytic therapy were initiated. Intravascular ultrasound (IVUS) revealed stent crumpling, so the proximal stent folded within the vessel lumen. To solve this issue, the crumpled stent was crushed behind a newly deployed stent, followed by post-dilation, which restored TIMI flow grade III in the LAD.

Trichobezoars are conglomerations of undigested foreign materials within the gastrointestinal tract (GIT). They are most commonly observed in young girls. Trichobezoars typically lodge in the stomach, but can extend further into the intestines in a condition called Rapunzel syndrome. The current patient, a young girl, complained of abdominal pain accompanied by diarrhea. She also had a history of bile vomiting 1 month prior and an abnormal craving for mud (PICA). Trichobezoars are often linked to hair-pulling disorders or other mental health conditions, and symptoms can be vague for years before progressing to nausea, vomiting, weight loss, and even iron deficiency anemia. Treatment involves removing the hairball and addressing any underlying psychological issues. In the current case, we aimed to elucidate the diagnosis, management, and unique features of gastrointestinal tract trichobezoars, which are uncommon causes of gastrointestinal distress and iron deficiency anemia (IDA).

This case underscores the potential for prolonged colonic retention of ingested batteries (even over a month) necessitating endoscopic retrieval. Early detection, prompt intervention, and preventive measures are crucial to prevent life-threatening complications in high-risk patients. Additionally, outpatient scheduled follow-ups and management of recurring ingestions may help improve patient outcomes.

Bacteroides fragilis, typically linked to intra-abdominal infections, caused a rare prosthetic infection in a patient with Ewing's sarcoma. Treated with intravenous and oral antibiotics, the patient fully recovered. This case underscores the diverse infections B. fragilis can cause and highlights the need for further research.