Pub Date : 2024-05-07DOI: 10.32677/ijcr.v10i5.4493
Asnath Manithodika, Jyoshna Vejalla, Akhil R Nambiar, S. Deepa
Spinal tuberculosis is one form of extra-pulmonary tuberculosis which usually has delayed presentation with spinal deformities in most cases. The para-spinal soft-tissue involvement can lead to a cold abscess which can present as swellings, mainly in the neck and lumbar regions. Here, a case of a young man is being presented, who had lumbar swelling which on computed tomography evaluation showed para-spinal collection, vertebral lytic foci, and lung parenchymal lesions suggestive of infection.
{"title":"“Lumbar swelling: And up into the lungs…” A radiology case report of spinal tuberculosis","authors":"Asnath Manithodika, Jyoshna Vejalla, Akhil R Nambiar, S. Deepa","doi":"10.32677/ijcr.v10i5.4493","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4493","url":null,"abstract":"Spinal tuberculosis is one form of extra-pulmonary tuberculosis which usually has delayed presentation with spinal deformities in most cases. The para-spinal soft-tissue involvement can lead to a cold abscess which can present as swellings, mainly in the neck and lumbar regions. Here, a case of a young man is being presented, who had lumbar swelling which on computed tomography evaluation showed para-spinal collection, vertebral lytic foci, and lung parenchymal lesions suggestive of infection.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"70 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-07DOI: 10.32677/ijcr.v10i5.4496
Suman Reddy, Jerry Jacob, Roger Shannon Dsouza
Spontaneous spinal epidural hematoma (SSEH) is an uncommon cause of acute spinal cord compression. It is a neurological emergency that requires urgent imaging and appropriate treatment to prevent permanent neurological sequelae. Here, we present the case of a 30-year-old male with no known comorbidities who presented to the emergency department with a history of sudden onset of upper backache and chest discomfort followed by bilateral lower limb weakness. On examination, the blood pressure was 220/120 mmHg, and neurological examination showed decreased tone and power of 2/5 in bilateral lower limbs. In view of the initial chest discomfort, a cardiac evaluation was done, which was normal, followed by magnetic resonance imaging of the whole spine, which showed a lesion in the anterior epidural space suggestive of hematoma, causing spinal cord compression. A final diagnosis was C6-T2 dorsal SSEH secondary to a hypertensive emergency.
{"title":"A rare case of spontaneous spinal epidural hematoma with spontaneous resolution","authors":"Suman Reddy, Jerry Jacob, Roger Shannon Dsouza","doi":"10.32677/ijcr.v10i5.4496","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4496","url":null,"abstract":"Spontaneous spinal epidural hematoma (SSEH) is an uncommon cause of acute spinal cord compression. It is a neurological emergency that requires urgent imaging and appropriate treatment to prevent permanent neurological sequelae. Here, we present the case of a 30-year-old male with no known comorbidities who presented to the emergency department with a history of sudden onset of upper backache and chest discomfort followed by bilateral lower limb weakness. On examination, the blood pressure was 220/120 mmHg, and neurological examination showed decreased tone and power of 2/5 in bilateral lower limbs. In view of the initial chest discomfort, a cardiac evaluation was done, which was normal, followed by magnetic resonance imaging of the whole spine, which showed a lesion in the anterior epidural space suggestive of hematoma, causing spinal cord compression. A final diagnosis was C6-T2 dorsal SSEH secondary to a hypertensive emergency.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"5 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-07DOI: 10.32677/ijcr.v10i5.4444
Aarti Batoy, Aayush Bansal, Rajesh Badhan
Twin reversed arterial perfusion is a rare complication occurring in monochorionic multifetal pregnancies. This condition is characterized by a malformed fetus being perfused by a normal twin through an artery-to-artery anastomosis in the reverse direction. Herein, we report a case of a multigravida female with a twin pregnancy at 27 weeks 5 days of gestation referred in view of twin pregnancy with the intra-uterine demise of one twin. Gray scale and color Doppler imaging revealed a monochorionic diamniotic pregnancy with a viable, normal twin, and an amorphously developed acardiac twin. The patient was monitored with weekly ultrasonography, echocardiography, and Doppler ultrasound examination to ascertain the well-being of the pump twin. She delivered a normal live baby at term and an acardius acephalus fetus. The perinatal mortality of the pump twin is significantly high. Therefore, it is necessary to diagnose this entity at an early gestational age through improved imaging techniques, so that timely intervention can be planned.
{"title":"Twin reversed arterial perfusion sequence in monochorionic diamniotic pregnancy: A rare occurrence","authors":"Aarti Batoy, Aayush Bansal, Rajesh Badhan","doi":"10.32677/ijcr.v10i5.4444","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4444","url":null,"abstract":"Twin reversed arterial perfusion is a rare complication occurring in monochorionic multifetal pregnancies. This condition is characterized by a malformed fetus being perfused by a normal twin through an artery-to-artery anastomosis in the reverse direction. Herein, we report a case of a multigravida female with a twin pregnancy at 27 weeks 5 days of gestation referred in view of twin pregnancy with the intra-uterine demise of one twin. Gray scale and color Doppler imaging revealed a monochorionic diamniotic pregnancy with a viable, normal twin, and an amorphously developed acardiac twin. The patient was monitored with weekly ultrasonography, echocardiography, and Doppler ultrasound examination to ascertain the well-being of the pump twin. She delivered a normal live baby at term and an acardius acephalus fetus. The perinatal mortality of the pump twin is significantly high. Therefore, it is necessary to diagnose this entity at an early gestational age through improved imaging techniques, so that timely intervention can be planned.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"87 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-07DOI: 10.32677/ijcr.v10i5.4478
K. Goutham, G. Ramkumar, Neha Sadhwani
Abstract We present the case of a 52-year-old gentleman presented with acute abdominal pain. He has a personal history of 20 pack year smoking and his hematocrit was 62.8%. With subsequent investigations, a diagnosis of renal artery thrombosis due to smoker’s polycythemia was made. The patient symptomatically improved with hematocrit reduction after the phlebotomy. Renal artery thrombosis due to smoker’s polycythemia is a rare entity and needs a high index of suspicion for prompt diagnosis and treatment. This case report reviews the causes of polycythemia, it’s differentials, pathophysiology, and management.
{"title":"Secondary polycythemia causing renal artery thrombosis and presenting with acute abdominal pain – A case report","authors":"K. Goutham, G. Ramkumar, Neha Sadhwani","doi":"10.32677/ijcr.v10i5.4478","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4478","url":null,"abstract":"Abstract\u0000We present the case of a 52-year-old gentleman presented with acute abdominal pain. He has a personal history of 20 pack year smoking and his hematocrit was 62.8%. With subsequent investigations, a diagnosis of renal artery thrombosis due to smoker’s polycythemia was made. The patient symptomatically improved with hematocrit reduction after the phlebotomy. Renal artery thrombosis due to smoker’s polycythemia is a rare entity and needs a high index of suspicion for prompt diagnosis and treatment. This case report reviews the causes of polycythemia, it’s differentials, pathophysiology, and management.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"16 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-07DOI: 10.32677/ijcr.v10i5.4488
Pierre Guarino, Francesco Chiari, Claudio Donadio Caporale, L. Presutti, Gabriele Molteni
The great auricular nerve (GAN) is a sensory cutaneous nerve, which provides sensory innervation to the skin overlaying auricle, parotid gland, and mastoid region. The emergency of GAN is located at Erb’s point over the posterior burden of the belly of the sternocleidomastoid muscle (SCM). During its course, it normally bifurcates in a pair of, respectively, posterior and anterior, branches. The latter one then further divides into superficial and deep branches. Some different anatomical patterns of GAN branches were reported in the literature to underline the high variability of the GAN course. The aim of this case report is to underline a particular anatomical variant of a posterior branch of GAN we recently observed. It was characterized by an anomalous bifurcation involving two different groups of fibers, within the same field of innervation, which had an independent course toward the auricular lobe. To promptly face such a somewhat unexpected anomaly, besides the basic recommendation to surgeons of mastering a good knowledge of the high variability of the anatomy of GAN, a careful dissection around the SCM is believed to help the surgeon to recognize other anatomical variants of GAN course with the aim to preserve it.
大耳廓神经（GAN）是一种感觉性皮神经，为覆盖在耳廓、腮腺和乳突部位的皮肤提供感觉支配。大耳廓神经的起始点位于胸锁乳突肌（SCM）腹部后方的厄氏点。在其运行过程中，它通常会分叉为一对分支，分别是后分支和前分支。后支又分为浅支和深支。文献中报道了一些不同的 GAN 分支解剖模式，强调了 GAN 走向的高度可变性。本病例报告旨在强调我们最近观察到的 GAN 后支的一种特殊解剖变异。该病例的特点是，在同一神经支配区域内，有两组不同的纤维出现异常分叉，而这两组纤维的走向是独立的，均朝向耳廓叶。为了及时应对这种出乎意料的异常情况，除了建议外科医生充分了解 GAN 解剖结构的高度可变性外，在 SCM 周围进行仔细解剖也有助于外科医生识别 GAN 走向的其他解剖变异，从而达到保留 GAN 的目的。
{"title":"An anatomical variant of the posterior branch of the great auricular nerve: A case report and a short review of the literature","authors":"Pierre Guarino, Francesco Chiari, Claudio Donadio Caporale, L. Presutti, Gabriele Molteni","doi":"10.32677/ijcr.v10i5.4488","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4488","url":null,"abstract":"The great auricular nerve (GAN) is a sensory cutaneous nerve, which provides sensory innervation to the skin overlaying auricle, parotid gland, and mastoid region. The emergency of GAN is located at Erb’s point over the posterior burden of the belly of the sternocleidomastoid muscle (SCM). During its course, it normally bifurcates in a pair of, respectively, posterior and anterior, branches. The latter one then further divides into superficial and deep branches. Some different anatomical patterns of GAN branches were reported in the literature to underline the high variability of the GAN course. The aim of this case report is to underline a particular anatomical variant of a posterior branch of GAN we recently observed. It was characterized by an anomalous bifurcation involving two different groups of fibers, within the same field of innervation, which had an independent course toward the auricular lobe. To promptly face such a somewhat unexpected anomaly, besides the basic recommendation to surgeons of mastering a good knowledge of the high variability of the anatomy of GAN, a careful dissection around the SCM is believed to help the surgeon to recognize other anatomical variants of GAN course with the aim to preserve it.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"58 S274","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-07DOI: 10.32677/ijcr.v10i5.4454
Jaya Ghosh, J. Ghosh
Acute liver failure (ALF) is an infrequent and varied condition characterized by severe impairment of liver function that occurs in individuals without any preexisting liver disease. This particular case study presents a distinctive occurrence of ALF resulting from a simultaneous infection of both hepatitis A virus (HAV) and dengue virus, accompanied by dengue hemorrhagic fever. The patient, a 26-year-old male, exhibited symptoms such as fever, nausea, vomiting, abdominal pain, and generalized body aches. Subsequently, the patient developed jaundice, hepatic encephalopathy, acute cholecystitis, and acute pancreatitis. Laboratory tests confirmed the presence of markers for both dengue and HAV, along with decreased platelet count and hemoglobin levels. However, with a treatment plan focused on conservative management, the patient’s condition gradually improved, leading to eventual discharge. This case underscores the potential for coinfection with dengue and HAV to precipitate ALF and emphasizes the significance of early diagnosis and timely intervention to achieve the best possible outcomes for the patient.
{"title":"Acute liver failure resulting from coinfection with dengue and hepatitis A virus: A case report","authors":"Jaya Ghosh, J. Ghosh","doi":"10.32677/ijcr.v10i5.4454","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4454","url":null,"abstract":"Acute liver failure (ALF) is an infrequent and varied condition characterized by severe impairment of liver function that occurs in individuals without any preexisting liver disease. This particular case study presents a distinctive occurrence of ALF resulting from a simultaneous infection of both hepatitis A virus (HAV) and dengue virus, accompanied by dengue hemorrhagic fever. The patient, a 26-year-old male, exhibited symptoms such as fever, nausea, vomiting, abdominal pain, and generalized body aches. Subsequently, the patient developed jaundice, hepatic encephalopathy, acute cholecystitis, and acute pancreatitis. Laboratory tests confirmed the presence of markers for both dengue and HAV, along with decreased platelet count and hemoglobin levels. However, with a treatment plan focused on conservative management, the patient’s condition gradually improved, leading to eventual discharge. This case underscores the potential for coinfection with dengue and HAV to precipitate ALF and emphasizes the significance of early diagnosis and timely intervention to achieve the best possible outcomes for the patient.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141001995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-07DOI: 10.32677/ijcr.v10i5.4456
Hari Priya Raghvan, R. Yousuf, Nor Fadzliana Abdullah Thalith, Tang Yee Loong, RS Raja Zahratul Azma
This report presents a patient with anti-John Milton Hagen (JMH) posing difficulties in the immunohematological test in the Blood Bank Unit of Universiti Kebangsaan Malaysia Medical Center. A 1-year-8-month-old boy was referred to our center to rule out acute leukemia from a private hospital. A crossmatch request was sent to the Blood Bank before the bone marrow biopsy. Our testing revealed his blood grouping as O Rh-D positive. His Direct Antiglobulin Test was positive, and his antibody screening and antibody identification showed weak pan-reactivity. However, reactions were negative with enzyme-treated cells. Red cell elution showed interestingly no reaction in the eluate, suspected to be due to drug-induced autoantibody. Further tests of antibody titration and neutralization test suggest it could be a high-titer low avidity (HTLA) antibody, most likely Anti-JMH. Although HTLA antibodies are clinically insignificant, they can cause confusion and delay in issuance of blood products. There are also cases of clinically significant HTLA antibodies. Determining the type of HTLA antibody may guide the extent of further testing required to utilize resources best and, most importantly, to assure patient safety.
本报告介绍了一名抗约翰-米尔顿-哈根（John Milton Hagen，JMH）患者在马来西亚国民大学医疗中心（Universiti Kebangsaan Malaysia Medical Center）血库科进行免疫血液学检测时遇到的困难。一名一岁八个月大的男童从一家私立医院转诊到本中心，以排除急性白血病的可能。在进行骨髓活检之前，我们向血库发出了交叉配血申请。我们的检测显示他的血型为 O 型 Rh-D 阳性。他的直接抗球蛋白试验呈阳性，抗体筛查和抗体鉴定显示弱泛反应性。但是，酶处理细胞的反应为阴性。有趣的是，红细胞洗脱显示洗脱液中没有反应，怀疑是药物引起的自身抗体所致。进一步的抗体滴定和中和试验表明，这可能是一种高滴度低亲和力（HTLA）抗体，最有可能是抗 JMH。虽然 HTLA 抗体在临床上并不明显，但会造成混淆并延误血液制品的发放。也有临床意义显著的 HTLA 抗体病例。确定 HTLA 抗体的类型可指导所需的进一步检测范围，以充分利用资源，最重要的是确保患者安全。
{"title":"Case report of anti JMH: A high-titer, low-avidity antibody posing difficulty in immunohematological tests","authors":"Hari Priya Raghvan, R. Yousuf, Nor Fadzliana Abdullah Thalith, Tang Yee Loong, RS Raja Zahratul Azma","doi":"10.32677/ijcr.v10i5.4456","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4456","url":null,"abstract":"This report presents a patient with anti-John Milton Hagen (JMH) posing difficulties in the immunohematological test in the Blood Bank Unit of Universiti Kebangsaan Malaysia Medical Center. A 1-year-8-month-old boy was referred to our center to rule out acute leukemia from a private hospital. A crossmatch request was sent to the Blood Bank before the bone marrow biopsy. Our testing revealed his blood grouping as O Rh-D positive. His Direct Antiglobulin Test was positive, and his antibody screening and antibody identification showed weak pan-reactivity. However, reactions were negative with enzyme-treated cells. Red cell elution showed interestingly no reaction in the eluate, suspected to be due to drug-induced autoantibody. Further tests of antibody titration and neutralization test suggest it could be a high-titer low avidity (HTLA) antibody, most likely Anti-JMH. Although HTLA antibodies are clinically insignificant, they can cause confusion and delay in issuance of blood products. There are also cases of clinically significant HTLA antibodies. Determining the type of HTLA antibody may guide the extent of further testing required to utilize resources best and, most importantly, to assure patient safety.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"83 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-07DOI: 10.32677/ijcr.v10i5.4365
Anjali Sathya, Radha Venkatramanan, C. R. Kumar, Sarah Grace Priyadarshini, Consultant Endocrinologist, Consultant Nephrologist, Consultant Urologist
Urinary tract mycosis is more often seen in hospitalized patients than in community-acquired ones. Funguria is common but becomes invasive and life-threatening in immunosuppressed patients such as with diabetes mellitus, post-transplant, chronic antibiotic usage, cancer chemotherapy, and long-term steroids. In the last 2 years, the world has witnessed one of its worst pandemics with the COVID-19 infection, killing millions of people. Deaths have been due to the virus or secondary complications thereafter. Secondary fungal infections, especially those caused by mucormycosis, have been on the rise, the majority of which have been reported from India. The rhino-cerebral-pulmonary form is the most common, followed by isolated case reports of gastrointestinal, cutaneous, and musculoskeletal mucormycosis. Isolated renal and urinary tract mycosis in COVID-19 is an extremely rare association. We report a case of a middle-aged man with fairly well-controlled diabetes who received steroids for COVID-19 infection and, about 8 weeks later, presented with non-invasive mixed mycosis of the urinary tract that was managed conservatively without any surgical intervention.
{"title":"Urinary tract mycosis masquerading as renal papillary necrosis post-COVID: A case report","authors":"Anjali Sathya, Radha Venkatramanan, C. R. Kumar, Sarah Grace Priyadarshini, Consultant Endocrinologist, Consultant Nephrologist, Consultant Urologist","doi":"10.32677/ijcr.v10i5.4365","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4365","url":null,"abstract":"Urinary tract mycosis is more often seen in hospitalized patients than in community-acquired ones. Funguria is common but becomes invasive and life-threatening in immunosuppressed patients such as with diabetes mellitus, post-transplant, chronic antibiotic usage, cancer chemotherapy, and long-term steroids. In the last 2 years, the world has witnessed one of its worst pandemics with the COVID-19 infection, killing millions of people. Deaths have been due to the virus or secondary complications thereafter. Secondary fungal infections, especially those caused by mucormycosis, have been on the rise, the majority of which have been reported from India. The rhino-cerebral-pulmonary form is the most common, followed by isolated case reports of gastrointestinal, cutaneous, and musculoskeletal mucormycosis. Isolated renal and urinary tract mycosis in COVID-19 is an extremely rare association. We report a case of a middle-aged man with fairly well-controlled diabetes who received steroids for COVID-19 infection and, about 8 weeks later, presented with non-invasive mixed mycosis of the urinary tract that was managed conservatively without any surgical intervention.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"65 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-07DOI: 10.32677/ijcr.v10i5.4495
Vishal Sadatia, Mayank Thakker, Devang Ambaliya
A young male was referred to a clinician for a complaint of fever of short duration with non-specific joint pain and treated for 1 week but after some time again presented with the same complaints with severe epigastric tenderness and vomiting. There was no past medical history before this episode. When cervical lymph node biopsy was performed gave us the diagnosis of histiocytic necrotizing lymphadenitis (Kikuchi-Fujimoto disease). A rare form of necrotizing lymphadenitis is an uncommon, benign, self-limiting disorder of obscure etiology. It affects mostly young adults of both genders. Clinically, it presents with fever and lymphadenopathy of a firm to rubbery consistency frequently involving cervical lymph nodes while weight loss, splenomegaly, and leukopenia in severely ill patients.
{"title":"Kikuchi-Fujimoto disease: A rare case of pyrexia of unknown origin","authors":"Vishal Sadatia, Mayank Thakker, Devang Ambaliya","doi":"10.32677/ijcr.v10i5.4495","DOIUrl":"https://doi.org/10.32677/ijcr.v10i5.4495","url":null,"abstract":"A young male was referred to a clinician for a complaint of fever of short duration with non-specific joint pain and treated for 1 week but after some time again presented with the same complaints with severe epigastric tenderness and vomiting. There was no past medical history before this episode. When cervical lymph node biopsy was performed gave us the diagnosis of histiocytic necrotizing lymphadenitis (Kikuchi-Fujimoto disease). A rare form of necrotizing lymphadenitis is an uncommon, benign, self-limiting disorder of obscure etiology. It affects mostly young adults of both genders. Clinically, it presents with fever and lymphadenopathy of a firm to rubbery consistency frequently involving cervical lymph nodes while weight loss, splenomegaly, and leukopenia in severely ill patients.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"13 S15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-04DOI: 10.32677/ijcr.v10i4.4376
Sanjay L Adhimani, Nandakishore Baikunje, G. Hosmane, Nandu Nair
A 73-year-old male smoker presented with complaints of fever and multiple clear fluid-filled lesions for 3 months. He was initially being treated for primary bullous pemphigoid but lesions recurred. On a chest X-ray, he was found to have a right hilar mass, and contrast-enhanced computed tomography of the chest revealed a right lung mass lesion with cervical, hilar, and mediastinal lymphadenopathy. A bronchoscopy was done, and bronchoalveolar lavage cytology was suggestive of lung adenocarcinoma. An excision biopsy of the left supraclavicular lymph node showed features consistent with adenocarcinoma lung. Hence, he was diagnosed with metastatic adenocarcinoma of the lung with bullous pemphigoid as a paraneoplastic manifestation. He was subsequently treated with chemotherapy, and his skin lesions resolved.
一名 73 岁的男性吸烟者主诉发烧和多处透明液状皮损，已持续 3 个月。他最初接受的是原发性大疱性类天疱疮治疗，但皮损复发。胸部 X 光检查发现他有右侧肺门肿块，胸部对比增强计算机断层扫描显示右肺肿块病变，伴有颈部、肺门和纵隔淋巴结病变。患者接受了支气管镜检查，支气管肺泡灌洗细胞学检查提示为肺腺癌。左锁骨上淋巴结切除活检显示与肺腺癌特征一致。因此，他被诊断为转移性肺腺癌，并伴有大疱性类天疱疮这种副肿瘤表现。随后，他接受了化疗，皮损也得到了缓解。
{"title":"Bullous pemphigoid as a paraneoplastic manifestation of metastatic adenocarcinoma of the lung","authors":"Sanjay L Adhimani, Nandakishore Baikunje, G. Hosmane, Nandu Nair","doi":"10.32677/ijcr.v10i4.4376","DOIUrl":"https://doi.org/10.32677/ijcr.v10i4.4376","url":null,"abstract":"A 73-year-old male smoker presented with complaints of fever and multiple clear fluid-filled lesions for 3 months. He was initially being treated for primary bullous pemphigoid but lesions recurred. On a chest X-ray, he was found to have a right hilar mass, and contrast-enhanced computed tomography of the chest revealed a right lung mass lesion with cervical, hilar, and mediastinal lymphadenopathy. A bronchoscopy was done, and bronchoalveolar lavage cytology was suggestive of lung adenocarcinoma. An excision biopsy of the left supraclavicular lymph node showed features consistent with adenocarcinoma lung. Hence, he was diagnosed with metastatic adenocarcinoma of the lung with bullous pemphigoid as a paraneoplastic manifestation. He was subsequently treated with chemotherapy, and his skin lesions resolved.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"16 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140745784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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