Pub Date : 2024-02-03DOI: 10.32677/ijcr.v10i1.4353
K. C. Shashidhara, Sai Surya Chukkapalli, Amara Charitha Duggirala, Sai Sisir Madala, Preeti Prakash Prabhu
This case presents a rare occurrence of rheumatoid arthritis (RA) in a 50-year-old woman with concurrent mitral valvular disease and dextrocardia. Diagnosed with seropositive RA 5 years earlier, the patient exhibited fever, cough, and progressive dyspnea. Clinical examination revealed irregular tachycardia, elevated jugular venous pressure, and signs of heart failure. Laboratory results confirmed seropositive RA, anemia, and elevated inflammatory markers. Electrocardiogram and echocardiogram indicated dextrocardia, atrial fibrillation, and moderate mitral stenosis. This case highlights the unusual association of RA with valvular heart disease and the added complexity of dextrocardia. Recognizing diverse cardiac manifestations in RA is crucial, contributing to the growing evidence linking autoimmune disorders to cardiovascular complications. Further research is essential to understand the intricate relationship between RA and unique cardiac abnormalities.
本病例是一名 50 岁女性罕见的类风湿性关节炎（RA）病例，患者同时患有二尖瓣疾病和右心室突出。患者 5 年前被诊断为血清阳性 RA，表现为发热、咳嗽和进行性呼吸困难。临床检查发现患者有不规则心动过速、颈静脉压升高和心力衰竭症状。实验室检查结果证实，患者的血清 RA 阳性、贫血和炎症指标升高。心电图和超声心动图显示有右心室传导阻滞、心房颤动和二尖瓣中度狭窄。该病例凸显了 RA 与瓣膜性心脏病的不寻常关联以及右心室增大的复杂性。认识到RA的多种心脏表现至关重要，这有助于增加自身免疫性疾病与心血管并发症相关联的证据。要了解 RA 与独特的心脏异常之间错综复杂的关系，进一步的研究必不可少。
{"title":"Isolated dextrocardia and rheumatoid arthritis with mitral stenosis with pulmonary hypertension with atrial fibrillation: A rare association","authors":"K. C. Shashidhara, Sai Surya Chukkapalli, Amara Charitha Duggirala, Sai Sisir Madala, Preeti Prakash Prabhu","doi":"10.32677/ijcr.v10i1.4353","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4353","url":null,"abstract":"This case presents a rare occurrence of rheumatoid arthritis (RA) in a 50-year-old woman with concurrent mitral valvular disease and dextrocardia. Diagnosed with seropositive RA 5 years earlier, the patient exhibited fever, cough, and progressive dyspnea. Clinical examination revealed irregular tachycardia, elevated jugular venous pressure, and signs of heart failure. Laboratory results confirmed seropositive RA, anemia, and elevated inflammatory markers. Electrocardiogram and echocardiogram indicated dextrocardia, atrial fibrillation, and moderate mitral stenosis. This case highlights the unusual association of RA with valvular heart disease and the added complexity of dextrocardia. Recognizing diverse cardiac manifestations in RA is crucial, contributing to the growing evidence linking autoimmune disorders to cardiovascular complications. Further research is essential to understand the intricate relationship between RA and unique cardiac abnormalities.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"35 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139808459","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 : 2024-02-03DOI: 10.32677/ijcr.v10i1.4353
K. C. Shashidhara, Sai Surya Chukkapalli, Amara Charitha Duggirala, Sai Sisir Madala, Preeti Prakash Prabhu
This case presents a rare occurrence of rheumatoid arthritis (RA) in a 50-year-old woman with concurrent mitral valvular disease and dextrocardia. Diagnosed with seropositive RA 5 years earlier, the patient exhibited fever, cough, and progressive dyspnea. Clinical examination revealed irregular tachycardia, elevated jugular venous pressure, and signs of heart failure. Laboratory results confirmed seropositive RA, anemia, and elevated inflammatory markers. Electrocardiogram and echocardiogram indicated dextrocardia, atrial fibrillation, and moderate mitral stenosis. This case highlights the unusual association of RA with valvular heart disease and the added complexity of dextrocardia. Recognizing diverse cardiac manifestations in RA is crucial, contributing to the growing evidence linking autoimmune disorders to cardiovascular complications. Further research is essential to understand the intricate relationship between RA and unique cardiac abnormalities.
本病例是一名 50 岁女性罕见的类风湿性关节炎（RA）病例，患者同时患有二尖瓣疾病和右心室突出。患者 5 年前被诊断为血清阳性 RA，表现为发热、咳嗽和进行性呼吸困难。临床检查发现患者有不规则心动过速、颈静脉压升高和心力衰竭症状。实验室检查结果证实，患者的血清 RA 阳性、贫血和炎症指标升高。心电图和超声心动图显示有右心室传导阻滞、心房颤动和二尖瓣中度狭窄。该病例凸显了 RA 与瓣膜性心脏病的不寻常关联以及右心室增大的复杂性。认识到RA的多种心脏表现至关重要，这有助于增加自身免疫性疾病与心血管并发症相关联的证据。要了解 RA 与独特的心脏异常之间错综复杂的关系，进一步的研究必不可少。
{"title":"Isolated dextrocardia and rheumatoid arthritis with mitral stenosis with pulmonary hypertension with atrial fibrillation: A rare association","authors":"K. C. Shashidhara, Sai Surya Chukkapalli, Amara Charitha Duggirala, Sai Sisir Madala, Preeti Prakash Prabhu","doi":"10.32677/ijcr.v10i1.4353","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4353","url":null,"abstract":"This case presents a rare occurrence of rheumatoid arthritis (RA) in a 50-year-old woman with concurrent mitral valvular disease and dextrocardia. Diagnosed with seropositive RA 5 years earlier, the patient exhibited fever, cough, and progressive dyspnea. Clinical examination revealed irregular tachycardia, elevated jugular venous pressure, and signs of heart failure. Laboratory results confirmed seropositive RA, anemia, and elevated inflammatory markers. Electrocardiogram and echocardiogram indicated dextrocardia, atrial fibrillation, and moderate mitral stenosis. This case highlights the unusual association of RA with valvular heart disease and the added complexity of dextrocardia. Recognizing diverse cardiac manifestations in RA is crucial, contributing to the growing evidence linking autoimmune disorders to cardiovascular complications. Further research is essential to understand the intricate relationship between RA and unique cardiac abnormalities.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"60 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139868324","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 : 2024-02-03DOI: 10.32677/ijcr.v10i1.4341
S. Jangla
Onychomycosis is a common condition constituting fungal infection of nails. It is generally caused by dermatophytes but non-dermatophytic mold and yeast as its causative agent are on the rise. Acremonium, a non-dermatophytic mold, is commonly found in decaying vegetation, soil, and air. Identification of the causative agent is important as non-dermatophytic molds are resistant to commonly used antifungals. This is a case of an Indian woman who presented with onychomycosis of the toenail and the causative agent was documented and reported as Acremonium species.
{"title":"Onychomycosis caused by Acremonium species: A case report","authors":"S. Jangla","doi":"10.32677/ijcr.v10i1.4341","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4341","url":null,"abstract":"Onychomycosis is a common condition constituting fungal infection of nails. It is generally caused by dermatophytes but non-dermatophytic mold and yeast as its causative agent are on the rise. Acremonium, a non-dermatophytic mold, is commonly found in decaying vegetation, soil, and air. Identification of the causative agent is important as non-dermatophytic molds are resistant to commonly used antifungals. This is a case of an Indian woman who presented with onychomycosis of the toenail and the causative agent was documented and reported as Acremonium species.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"296 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139807885","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 : 2024-02-03DOI: 10.32677/ijcr.v10i1.4354
Umer Hamid Wani, Saiyad Shah Alam
The thyroglossal duct cyst is one of the most common lesions in the midline of the neck and is found in around 7% of the population. They often present as painless neck swellings that move in response to tongue protrusion and during deglutition. We describe a case of thyroglossal duct cyst that was atypical in that the cyst was distant from the midline, it did not move in response to tongue protrusion, and the swelling was significant that resembled a colloid goiter. A 36-year-old male presented to the surgical outpatient department with a complaint of painless swelling in the neck for the past year. A 6.5×4.5 cm2 swelling was observed in the anterolateral aspect of the right side of the neck extending to the thyroid notch. Neck ultrasound and fine needle aspiration cytology showed features suggestive of a thyroglossal duct cyst. The patient was prepared for the Sistrunk procedure for thyroglossal duct cyst excision. The patient was on regular follow-up postoperatively for 6 months, and no evidence of any recurrence was seen.
{"title":"An immobile thyroglossal duct cyst with tongue protrusion: A case report","authors":"Umer Hamid Wani, Saiyad Shah Alam","doi":"10.32677/ijcr.v10i1.4354","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4354","url":null,"abstract":"The thyroglossal duct cyst is one of the most common lesions in the midline of the neck and is found in around 7% of the population. They often present as painless neck swellings that move in response to tongue protrusion and during deglutition. We describe a case of thyroglossal duct cyst that was atypical in that the cyst was distant from the midline, it did not move in response to tongue protrusion, and the swelling was significant that resembled a colloid goiter. A 36-year-old male presented to the surgical outpatient department with a complaint of painless swelling in the neck for the past year. A 6.5×4.5 cm2 swelling was observed in the anterolateral aspect of the right side of the neck extending to the thyroid notch. Neck ultrasound and fine needle aspiration cytology showed features suggestive of a thyroglossal duct cyst. The patient was prepared for the Sistrunk procedure for thyroglossal duct cyst excision. The patient was on regular follow-up postoperatively for 6 months, and no evidence of any recurrence was seen.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"294 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139807888","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 : 2024-02-03DOI: 10.32677/ijcr.v10i1.4345
Binod Kumar Behera, Payel Roy, Susmita Dora
With the advancement in family planning practices and shifting norms from “hum do hamare do” to “one child,” there still exist mothers who are delivering their 10th children. Such an example is a woman residing in an urban slum in the Khordha district of Odisha, India. She has never used any modern methods of contraception. Neither the health workers in that area could fulfill her unmet need for family planning. The helpless mother missed all the antenatal checkups as she did not have anyone to accompany her to the hospital. Three of her children were delivered at home and none of them were immunized to date. She has become a victim of domestic violence by her husband, who is addicted to alcohol. She has done two medical terminations of pregnancy due to non-usage of any contraception. Neither she is able to provide herself nor her children sufficient food every day, as she is not able to go to work in her post-partum period. Her alcoholic husband is not able to earn regularly and there is no other family member to support her. There is no Accredited Social Health Activist appointed for that area whom she can rely on. We need to look at what is the cause of such a scenario – Is it poverty, lack of awareness, lack of education, or our health system has failed to achieve universal health coverage.
随着计划生育实践的进步，以及从 "hum do hamare do "到 "one child "的规范转变，仍有一些母亲生下了自己的第 10 个孩子。居住在印度奥迪沙霍尔达区城市贫民窟的一位妇女就是这样一个例子。她从未使用过任何现代避孕方法。该地区的卫生工作者也无法满足她未得到满足的计划生育需求。由于没有人陪她去医院，这位无助的母亲错过了所有的产前检查。她的三个孩子都是在家分娩的，至今没有一个孩子接种过疫苗。她已成为酗酒丈夫家庭暴力的受害者。由于没有采取任何避孕措施，她已经做过两次医疗终止妊娠。由于产后无法工作，她无法每天为自己和孩子提供足够的食物。她酗酒的丈夫也无法正常赚钱，而且也没有其他家庭成员支持她。该地区没有指定她可以依赖的认可社会健康活动家。我们需要看看造成这种情况的原因是什么--是贫穷、缺乏认识、缺乏教育，还是我们的卫生系统未能实现全民医保。
{"title":"A grand multipara woman in the modern era: A case of public health dilemma from an urban slum","authors":"Binod Kumar Behera, Payel Roy, Susmita Dora","doi":"10.32677/ijcr.v10i1.4345","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4345","url":null,"abstract":"With the advancement in family planning practices and shifting norms from “hum do hamare do” to “one child,” there still exist mothers who are delivering their 10th children. Such an example is a woman residing in an urban slum in the Khordha district of Odisha, India. She has never used any modern methods of contraception. Neither the health workers in that area could fulfill her unmet need for family planning. The helpless mother missed all the antenatal checkups as she did not have anyone to accompany her to the hospital. Three of her children were delivered at home and none of them were immunized to date. She has become a victim of domestic violence by her husband, who is addicted to alcohol. She has done two medical terminations of pregnancy due to non-usage of any contraception. Neither she is able to provide herself nor her children sufficient food every day, as she is not able to go to work in her post-partum period. Her alcoholic husband is not able to earn regularly and there is no other family member to support her. There is no Accredited Social Health Activist appointed for that area whom she can rely on. We need to look at what is the cause of such a scenario – Is it poverty, lack of awareness, lack of education, or our health system has failed to achieve universal health coverage.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139808308","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}
Diverticulosis is a common condition in the western world. It is often asymptomatic. However, its inflammation and the occurrence of its complications precipitate symptoms. Uncomplicated diverticulitis can be managed conservatively, most of the times. Complicated diverticulitis may need an endoscopic, interventional radiological, or surgical intervention. Herein, we report the case of a 53-year-old patient with complicated sigmoid diverticulitis, i.e., stricture caused by repetitive attacks of acute diverticulitis, who underwent a laparoscopic sigmoid colectomy followed by primary anastomosis.
{"title":"Laparoscopic sigmoid colectomy for diverticulitis – stricture: A case report with review of literature","authors":"Ravikumar Kalyanbhai Balar, Abhijit Sharadchandra Joshi","doi":"10.32677/ijcr.v10i1.4340","DOIUrl":"https://doi.org/10.32677/ijcr.v10i1.4340","url":null,"abstract":"Diverticulosis is a common condition in the western world. It is often asymptomatic. However, its inflammation and the occurrence of its complications precipitate symptoms. Uncomplicated diverticulitis can be managed conservatively, most of the times. Complicated diverticulitis may need an endoscopic, interventional radiological, or surgical intervention. Herein, we report the case of a 53-year-old patient with complicated sigmoid diverticulitis, i.e., stricture caused by repetitive attacks of acute diverticulitis, who underwent a laparoscopic sigmoid colectomy followed by primary anastomosis.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"51 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139867702","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}
Meghena Mathew, TP Bharadwaj, P. Nambi, Ashwin Mani
Back pain can be an insignificant symptom in most patients in the intensive care unit. However, a simple complaint of back pain can have a tell-tale behind it. We present the case of a 57-year-old patient who presented to us with thrombocytopenia, leukocytosis, and urinary symptoms. Investigating her back pain revealed that she had a spinal epidural abscess with a very rare organism like Aeromonas hydrophila with no risk factors for the same. She had no prior history of trauma or any spinal surgeries. Hence, this is a primary Aeromonas spinal infection with no other source of seeding from any other sites. Our understanding and review of the literature could not find us any other case reports ever reported.
{"title":"The first-ever reported primary spinal infection with Aeromonas","authors":"Meghena Mathew, TP Bharadwaj, P. Nambi, Ashwin Mani","doi":"10.32677/ijcr.v9i9.4179","DOIUrl":"https://doi.org/10.32677/ijcr.v9i9.4179","url":null,"abstract":"Back pain can be an insignificant symptom in most patients in the intensive care unit. However, a simple complaint of back pain can have a tell-tale behind it. We present the case of a 57-year-old patient who presented to us with thrombocytopenia, leukocytosis, and urinary symptoms. Investigating her back pain revealed that she had a spinal epidural abscess with a very rare organism like Aeromonas hydrophila with no risk factors for the same. She had no prior history of trauma or any spinal surgeries. Hence, this is a primary Aeromonas spinal infection with no other source of seeding from any other sites. Our understanding and review of the literature could not find us any other case reports ever reported.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"65 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139684849","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 : 2024-02-01DOI: 10.32677/ijcr.v9i10.4190
Luiz Alberto Cerqueira Batista Filho, Mario Correa Netto Pacheco Junior, Alexandre Toledo Maciel, Larissa Seraphim Medeiros
A 42-year-old individual presented with a ruptured left patellar ligament after playing basketball. After undergoing reconstructive orthopedic surgery, he sustained a posterior shoulder dislocation while using crutches, necessitating additional surgery. This combination of orthopedic injuries rendered the patient immobile and bedridden for several months, and immobility-related complications began to develop. Immobilism is a condition that physicians typically associate with elderly and neuropathic patients; however, little is said about this pathology when young and healthy patients who have experienced acute diseases are considered. With a review of the relevant literature, this article describes a peculiar succession of immobility-related complications.
{"title":"Turning the young and healthy patient into an elderly faster: A cascade of complications related to immobility","authors":"Luiz Alberto Cerqueira Batista Filho, Mario Correa Netto Pacheco Junior, Alexandre Toledo Maciel, Larissa Seraphim Medeiros","doi":"10.32677/ijcr.v9i10.4190","DOIUrl":"https://doi.org/10.32677/ijcr.v9i10.4190","url":null,"abstract":"A 42-year-old individual presented with a ruptured left patellar ligament after playing basketball. After undergoing reconstructive orthopedic surgery, he sustained a posterior shoulder dislocation while using crutches, necessitating additional surgery. This combination of orthopedic injuries rendered the patient immobile and bedridden for several months, and immobility-related complications began to develop. Immobilism is a condition that physicians typically associate with elderly and neuropathic patients; however, little is said about this pathology when young and healthy patients who have experienced acute diseases are considered. With a review of the relevant literature, this article describes a peculiar succession of immobility-related complications.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"62 7‐8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139815178","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}
Umbilical arteries normally originate from a pair of allantoic arteries. Obliteration or non-formation of any of the two umbilical arteries gives rise to a single umbilical artery (SUA). 0.5–1% of fetuses show the presence of a SUA. A rarer abnormality is when a SUA is found originating from the abdominal aorta, representing the persistent vitelline artery. Such an anomaly is termed Type II SUA. Here, we present a case of Type II SUA in a 30-year-old first trimester gravid female. Obstetric ultrasound done in the first trimester showed non-visualization of the umbilical arteries adjacent to the urinary bladder. Instead, an aberrant, large vessel was seen tracking anteriorly from the aorta towards the umbilical cord. The aorta distal to the origin of this aberrant vessel appeared hypoplastic.
脐动脉通常起源于一对尿囊动脉。两条脐动脉中任何一条闭塞或未形成都会导致单脐动脉（SUA）。0.5-1% 的胎儿会出现单脐动脉。更罕见的异常情况是，SUA 起源于腹主动脉，代表持续存在的卵黄动脉。这种异常被称为 II 型 SUA。在此，我们介绍了一例 II 型 SUA 病例，患者是一名 30 岁的头胎妊娠女性。在妊娠头三个月进行的产科超声检查显示，膀胱附近的脐动脉未见异常。取而代之的是一条从主动脉向脐带前方延伸的异常大血管。这根异常血管起源远端的主动脉看起来发育不良。
{"title":"Case report of a type II single umbilical artery seen in the first trimester anomaly scan","authors":"Smit Hiren Vakil, Mona Mehta","doi":"10.32677/ijcr.v9i9.4149","DOIUrl":"https://doi.org/10.32677/ijcr.v9i9.4149","url":null,"abstract":"Umbilical arteries normally originate from a pair of allantoic arteries. Obliteration or non-formation of any of the two umbilical arteries gives rise to a single umbilical artery (SUA). 0.5–1% of fetuses show the presence of a SUA. A rarer abnormality is when a SUA is found originating from the abdominal aorta, representing the persistent vitelline artery. Such an anomaly is termed Type II SUA. Here, we present a case of Type II SUA in a 30-year-old first trimester gravid female. Obstetric ultrasound done in the first trimester showed non-visualization of the umbilical arteries adjacent to the urinary bladder. Instead, an aberrant, large vessel was seen tracking anteriorly from the aorta towards the umbilical cord. The aorta distal to the origin of this aberrant vessel appeared hypoplastic.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"32 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139882177","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}
Chronic hepatitis C (CHC) infection is one of the leading causes of liver disease worldwide and its early diagnosis is often considered a challenge because of its non-symptomatic presentation until late disease progression stages. We report the case of a 52-year-old, South-Indian male with CHC genotype 4c infection. We start with the patient’s initial presentation 12 weeks before the diagnosis with seemingly non-specific symptoms of pedal edema, purpura, peripheral neuropathy, arthralgia, and recent onset of diabetes mellitus (DM). We then present the employed direct-acting antiviral (DAA) management regimen and the patient’s response over the span of 48 weeks. Correlating with observations from recent literature highlighting CHC’s extra-hepatic role in inducing cryoglobulinemic vasculitis (CV) and pancreatic dysfunction, we discuss some educational perspectives on how CV and DM-related symptoms may sometimes become contextually specific in clinically suspecting, assessing risk, and warranting CHC screening and diagnostic confirmation.
{"title":"A case report of chronic hepatitis-C genotype 4c infection: Non-specific symptoms can become contextually relevant in clinical diagnosis","authors":"K. Mantha","doi":"10.32677/ijcr.v9i9.4148","DOIUrl":"https://doi.org/10.32677/ijcr.v9i9.4148","url":null,"abstract":"Chronic hepatitis C (CHC) infection is one of the leading causes of liver disease worldwide and its early diagnosis is often considered a challenge because of its non-symptomatic presentation until late disease progression stages. We report the case of a 52-year-old, South-Indian male with CHC genotype 4c infection. We start with the patient’s initial presentation 12 weeks before the diagnosis with seemingly non-specific symptoms of pedal edema, purpura, peripheral neuropathy, arthralgia, and recent onset of diabetes mellitus (DM). We then present the employed direct-acting antiviral (DAA) management regimen and the patient’s response over the span of 48 weeks. Correlating with observations from recent literature highlighting CHC’s extra-hepatic role in inducing cryoglobulinemic vasculitis (CV) and pancreatic dysfunction, we discuss some educational perspectives on how CV and DM-related symptoms may sometimes become contextually specific in clinically suspecting, assessing risk, and warranting CHC screening and diagnostic confirmation.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"32 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139822146","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：