Pub Date : 2013-02-01DOI: 10.13172/2052-0077-2-2-408
C. Augustatou, C. Glynos, P. Cokkinos, J. Papaparaskevas
{"title":"Culture-negative endocarditis due to Mycoplasma pneumoniae","authors":"C. Augustatou, C. Glynos, P. Cokkinos, J. Papaparaskevas","doi":"10.13172/2052-0077-2-2-408","DOIUrl":"https://doi.org/10.13172/2052-0077-2-2-408","url":null,"abstract":"","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84489026","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 : 2013-02-01DOI: 10.13172/2052-0077-2-2-423
Eylem Özten, S. Hızlı, C. Şalçini, Gaye Kağan, O. Tanrıdağ
Introduction A diagnosis of frontotemporal dementia may be delayed or missed because early symptoms may develop gradually and can mimic symptoms of a variety of disorders or conditions. We aimed to write a report on a patient with frontotemporal dementia with bipolar disorder. Case report This is the case of a 63-year-old man with frontotemporal dementia whose presentation was consistent with bipolar affective disorder. With brain imaging and neurocognitive testing, frontotemporal dementia was diagnosed. Conclusion A differential diagnosis between bipolar disorder and frontotemporal dementia is difficult to establish. Frontotemporal dementia is a heterogeneous disease with a large variety of cognitive dysfunctions. Introduction Frontotemporal dementias (FTDs) are defined as the second most common cause for dementias under the age of 65 after Alzheimer’s disease and the third most common cause for neurodegenerative dementias after Alzheimer’s and Lewy body dementia1. FTD starts between the ages of 45–65 years and is seen equally in both genders2,3. The average life expectancy from onset of the disease ranges from 6–9 years2,3. FTD belongs to a group of heterogeneous diseases with different clinical and pathological findings4. FTD has three different subtypes including a behavioural variant, a semantic variant and a progressive, nonfluent aphasia5. In the behavioural variant, changes in eating habits6, loss of empathy, behavioural disinhibition, loss of social awareness, inappropriate affect, apathy and stereotypical behaviours, can be seen7. Brain imaging studies revealed—when the temporal region is affected—a significant decrease in emotional processing, disaffection in interpersonal relations, inappropriate social behaviours, jokes with sexual content, hypomanic-like behaviours and—when the frontal area is affected—apathy, reduction in social activity and tendency for criminal behaviours8,9. In FTD, mood, behaviour and speech disorders are seen before the memory impairment; thus, clinically heterogeneous symptoms may lead to misdiagnosis with psychiatric disorders. In this article, we have presented a case of a man who was misdiagnosed with late-onset bipolar disorder, but then diagnosed with FTD after neuropsychiatric examination, neuroimaging and neurocognitive testing.
{"title":"Frontotemporal dementia patient with bipolar disorder: a case report","authors":"Eylem Özten, S. Hızlı, C. Şalçini, Gaye Kağan, O. Tanrıdağ","doi":"10.13172/2052-0077-2-2-423","DOIUrl":"https://doi.org/10.13172/2052-0077-2-2-423","url":null,"abstract":"Introduction A diagnosis of frontotemporal dementia may be delayed or missed because early symptoms may develop gradually and can mimic symptoms of a variety of disorders or conditions. We aimed to write a report on a patient with frontotemporal dementia with bipolar disorder. Case report This is the case of a 63-year-old man with frontotemporal dementia whose presentation was consistent with bipolar affective disorder. With brain imaging and neurocognitive testing, frontotemporal dementia was diagnosed. Conclusion A differential diagnosis between bipolar disorder and frontotemporal dementia is difficult to establish. Frontotemporal dementia is a heterogeneous disease with a large variety of cognitive dysfunctions. Introduction Frontotemporal dementias (FTDs) are defined as the second most common cause for dementias under the age of 65 after Alzheimer’s disease and the third most common cause for neurodegenerative dementias after Alzheimer’s and Lewy body dementia1. FTD starts between the ages of 45–65 years and is seen equally in both genders2,3. The average life expectancy from onset of the disease ranges from 6–9 years2,3. FTD belongs to a group of heterogeneous diseases with different clinical and pathological findings4. FTD has three different subtypes including a behavioural variant, a semantic variant and a progressive, nonfluent aphasia5. In the behavioural variant, changes in eating habits6, loss of empathy, behavioural disinhibition, loss of social awareness, inappropriate affect, apathy and stereotypical behaviours, can be seen7. Brain imaging studies revealed—when the temporal region is affected—a significant decrease in emotional processing, disaffection in interpersonal relations, inappropriate social behaviours, jokes with sexual content, hypomanic-like behaviours and—when the frontal area is affected—apathy, reduction in social activity and tendency for criminal behaviours8,9. In FTD, mood, behaviour and speech disorders are seen before the memory impairment; thus, clinically heterogeneous symptoms may lead to misdiagnosis with psychiatric disorders. In this article, we have presented a case of a man who was misdiagnosed with late-onset bipolar disorder, but then diagnosed with FTD after neuropsychiatric examination, neuroimaging and neurocognitive testing.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"108 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75936194","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 : 2013-02-01DOI: 10.13172/2052-0077-2-2-407
T. Mariolis-Sapsakos, V. Kalles, I. Papapanagiotou, A. Mekras, K. Birbas, I. Kaklamanos, G. Bonatsos
strangulation that lead to serious complications, while their clinical presentation is often vague, leading to delayed diagnosis. Primary repair has so far been the treatment of choice, while other techniques can also be considered depending on the patient’s characteristics and the hernia type. A thorough physical examination along with high clinical suspicion remains crucial in the diagnosis of the Spigelian hernia; additionally, modern imaging modalities assist in timely and accurate preoperative diagnosis. Prompt surgical treatment is the key to avoid complications.
{"title":"A rare case of Spigelian hernia penetrating the external oblique muscle","authors":"T. Mariolis-Sapsakos, V. Kalles, I. Papapanagiotou, A. Mekras, K. Birbas, I. Kaklamanos, G. Bonatsos","doi":"10.13172/2052-0077-2-2-407","DOIUrl":"https://doi.org/10.13172/2052-0077-2-2-407","url":null,"abstract":"strangulation that lead to serious complications, while their clinical presentation is often vague, leading to delayed diagnosis. Primary repair has so far been the treatment of choice, while other techniques can also be considered depending on the patient’s characteristics and the hernia type. A thorough physical examination along with high clinical suspicion remains crucial in the diagnosis of the Spigelian hernia; additionally, modern imaging modalities assist in timely and accurate preoperative diagnosis. Prompt surgical treatment is the key to avoid complications.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80947412","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 : 2013-01-01DOI: 10.13172/2052-0077-2-1-371
N. Kumar
Introduction Many recent researches have contributed immensely in the management of retinal diseases. In this critical review, we discuss the management of retinal diseases. Conclusion Currently, age-related macular degeneration is managed primarily by anti-vascular growth factor agents. Newer reports on combination therapy may help in managing this visually debilitating condition in a better way. There are many new reports regarding the use of aflibercept and Ozurdex® (Allergan Inc., Irvine, California, USA) in the management of diabetic macular oedema and macular oedema associated with retinal vein occlusions. In the light of recent reports, retinopathy of prematurity may be often managed with bevacizumab. Introduction of ocriplasmin and Argus-II Retinal Prosthesis System (Second Sight Medical Products, Inc., Sylmar, California, USA) may offer ophthalmologists newer ways to treat some important vitreoretinal conditions.
{"title":"Management of retinal diseases","authors":"N. Kumar","doi":"10.13172/2052-0077-2-1-371","DOIUrl":"https://doi.org/10.13172/2052-0077-2-1-371","url":null,"abstract":"Introduction Many recent researches have contributed immensely in the management of retinal diseases. In this critical review, we discuss the management of retinal diseases. Conclusion Currently, age-related macular degeneration is managed primarily by anti-vascular growth factor agents. Newer reports on combination therapy may help in managing this visually debilitating condition in a better way. There are many new reports regarding the use of aflibercept and Ozurdex® (Allergan Inc., Irvine, California, USA) in the management of diabetic macular oedema and macular oedema associated with retinal vein occlusions. In the light of recent reports, retinopathy of prematurity may be often managed with bevacizumab. Introduction of ocriplasmin and Argus-II Retinal Prosthesis System (Second Sight Medical Products, Inc., Sylmar, California, USA) may offer ophthalmologists newer ways to treat some important vitreoretinal conditions.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86709543","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 : 2013-01-01DOI: 10.13172/2052-0077-2-1-361
M. Varras
{"title":"Co-expression of Oct-4 and Survivin genes in human ovarian luteinized granulosa cells during in vitro fertilisation or intracytoplasmic sperm injection and embryo transfer programs","authors":"M. Varras","doi":"10.13172/2052-0077-2-1-361","DOIUrl":"https://doi.org/10.13172/2052-0077-2-1-361","url":null,"abstract":"","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75672224","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 : 2013-01-01DOI: 10.13172/2052-0077-2-1-365
Z. Antoniou, E. Volakaki, E. Giannakos, D. Kostopoulos, A. Chalazonitis
{"title":"Intestinal obstruction due to an obturator hernia: a case report with a review of the literature","authors":"Z. Antoniou, E. Volakaki, E. Giannakos, D. Kostopoulos, A. Chalazonitis","doi":"10.13172/2052-0077-2-1-365","DOIUrl":"https://doi.org/10.13172/2052-0077-2-1-365","url":null,"abstract":"","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75090827","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 : 2013-01-01DOI: 10.13172/2052-0077-2-1-406
M. Varras, G. Diakakis, I. Monselas, C. Akrivis
increased blood flow into the tumour. Pulsed Doppler showed the resistance index of flow velocity waveforms on the tumoural arteries to be 0.51. Amnioreduction of 740 cc amniotic fluid was performed under ultrasonographic examination. Caesar ean section was performed at 33 weeks’ gestation due to profuse polyhydramnios via an upper vertical incision in the uterus. After the stabilization of the newborn, tumour resection was successfully performed on the first day after delivery. Grossly, in the surgical specimen the tumour measured 18 cm in its maximum diameter and weighted 1 500 g. Conclusion Prenatal diagnosis and ultrasonographic follow-up are needed for the good prognosis of sacrococcygeal teratomas. Prenatal intervention should be considered when the foetus develops hydrops for foetal salvage or in cases with placentomegaly to avoid the maternal risk of mirror syndrome.
{"title":"Prenatal diagnosis of a huge foetal immature sacrococcygeal teratoma: our experience of a rare case and review of the literature","authors":"M. Varras, G. Diakakis, I. Monselas, C. Akrivis","doi":"10.13172/2052-0077-2-1-406","DOIUrl":"https://doi.org/10.13172/2052-0077-2-1-406","url":null,"abstract":"increased blood flow into the tumour. Pulsed Doppler showed the resistance index of flow velocity waveforms on the tumoural arteries to be 0.51. Amnioreduction of 740 cc amniotic fluid was performed under ultrasonographic examination. Caesar ean section was performed at 33 weeks’ gestation due to profuse polyhydramnios via an upper vertical incision in the uterus. After the stabilization of the newborn, tumour resection was successfully performed on the first day after delivery. Grossly, in the surgical specimen the tumour measured 18 cm in its maximum diameter and weighted 1 500 g. Conclusion Prenatal diagnosis and ultrasonographic follow-up are needed for the good prognosis of sacrococcygeal teratomas. Prenatal intervention should be considered when the foetus develops hydrops for foetal salvage or in cases with placentomegaly to avoid the maternal risk of mirror syndrome.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76265044","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 : 2013-01-01DOI: 10.13172/2052-0077-2-1-362
E. Mwaka, P. Senyonjo, M. Kakyama, M. Nyati, N. Orwotho, R. Lukande
iatrogenic post-operative instability. Histopathological examination showed ancient schwannoma. The patient’s neurological status is steadily improving. Conclusion Giant ancient schwannomas at the cervico-thoracic spine are uncommon. These tumours can be successfully removed even in resource-limited settings as long as the technical expertise is available.
{"title":"Giant, solitary, ancient schwannoma of the cervico-thoracic spine: a case report and review of the literature","authors":"E. Mwaka, P. Senyonjo, M. Kakyama, M. Nyati, N. Orwotho, R. Lukande","doi":"10.13172/2052-0077-2-1-362","DOIUrl":"https://doi.org/10.13172/2052-0077-2-1-362","url":null,"abstract":"iatrogenic post-operative instability. Histopathological examination showed ancient schwannoma. The patient’s neurological status is steadily improving. Conclusion Giant ancient schwannomas at the cervico-thoracic spine are uncommon. These tumours can be successfully removed even in resource-limited settings as long as the technical expertise is available.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89424524","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 : 2013-01-01DOI: 10.13172/2052-0077-2-1-364
E. Skafida, A. Tsavari, K. Koulia, D. Myoteri, X. Grammatoglou, A. Zisi, M. Varras, T. Vasilakaki
Introduction Adenomatoid tumours are benig - n neoplasms that are mesothelial in origin and are usually confined to the genital tract and have rarely been reported at other sites such as the omentum, pleura, heart, liver, adrenal gland, retroperitoneum and intestinal mesentery. This paper discusses the unusual location of an extragenital adenomatoid tumour of the omentum. Case report We report the case of a 32-year-old woman who presented to our hospital with a four-day history of fever and pain in the right iliac fossa. Ultrasonography revealed a right ovarian cyst which was 2.5 cm in diameter and fluid in douglaseio. A right partial oopho - rectomy was performed, and duri - ng the operation, a well circu - mscribed mass measuring 2 cm was observed in the omentum. Histological evaluation of the cyst showed features of a cracked lute - al cyst and the mass showed feat - ures of an adenomatoid tumour. In the immunohistochemical study, the lesional cells were positive for calretinin, D240, CK5/6, HMBE1, CKAE1, CKAE3 and calponin. The treatment in such cases is tumour excision. W e report the case of an unusual extragenital adenomatoid tumour.
{"title":"Extragenital adenomatoid tumour of the omentum: an unusual location","authors":"E. Skafida, A. Tsavari, K. Koulia, D. Myoteri, X. Grammatoglou, A. Zisi, M. Varras, T. Vasilakaki","doi":"10.13172/2052-0077-2-1-364","DOIUrl":"https://doi.org/10.13172/2052-0077-2-1-364","url":null,"abstract":"Introduction Adenomatoid tumours are benig - n neoplasms that are mesothelial in origin and are usually confined to the genital tract and have rarely been reported at other sites such as the omentum, pleura, heart, liver, adrenal gland, retroperitoneum and intestinal mesentery. This paper discusses the unusual location of an extragenital adenomatoid tumour of the omentum. Case report We report the case of a 32-year-old woman who presented to our hospital with a four-day history of fever and pain in the right iliac fossa. Ultrasonography revealed a right ovarian cyst which was 2.5 cm in diameter and fluid in douglaseio. A right partial oopho - rectomy was performed, and duri - ng the operation, a well circu - mscribed mass measuring 2 cm was observed in the omentum. Histological evaluation of the cyst showed features of a cracked lute - al cyst and the mass showed feat - ures of an adenomatoid tumour. In the immunohistochemical study, the lesional cells were positive for calretinin, D240, CK5/6, HMBE1, CKAE1, CKAE3 and calponin. The treatment in such cases is tumour excision. W e report the case of an unusual extragenital adenomatoid tumour.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86171603","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 : 2013-01-01DOI: 10.13172/2052-0077-2-1-369
M. Varras, A. Anastasiadis, J. Panelos, E. Balassi, A. Demou, C. Akrivis
Introduction Autoimmune oophoritis is a rare condition , which provokes ovarian failure with either primary amenorrhea or secondary amenorrhea and a subsequent loss of fertility and ovarian hormonal function. The purpose of this report is to document the clinical findings from two patients with aut-oimmune oophoritis. Cases report Two cases of autoimmune oophorit-is are presented whose histopathol-ogical findings were consistent with international literature. Both cases were histopathologically characteri-sed by lymphocytic and plasmacytic inflammatory infiltrations around the cystic follicles. The inflammation was located both in the theca and gr-anular layers. Conclusion Patients with autoimmune oophorit-is should be recognised by the histo-pathology of the ovarian biopsies as they are at an increased risk of developing other autoimmune disorders.
{"title":"Autoimmune oophoritis: Clinical presentation of an unusual clinical entity","authors":"M. Varras, A. Anastasiadis, J. Panelos, E. Balassi, A. Demou, C. Akrivis","doi":"10.13172/2052-0077-2-1-369","DOIUrl":"https://doi.org/10.13172/2052-0077-2-1-369","url":null,"abstract":"Introduction Autoimmune oophoritis is a rare condition , which provokes ovarian failure with either primary amenorrhea or secondary amenorrhea and a subsequent loss of fertility and ovarian hormonal function. The purpose of this report is to document the clinical findings from two patients with aut-oimmune oophoritis. Cases report Two cases of autoimmune oophorit-is are presented whose histopathol-ogical findings were consistent with international literature. Both cases were histopathologically characteri-sed by lymphocytic and plasmacytic inflammatory infiltrations around the cystic follicles. The inflammation was located both in the theca and gr-anular layers. Conclusion Patients with autoimmune oophorit-is should be recognised by the histo-pathology of the ovarian biopsies as they are at an increased risk of developing other autoimmune disorders.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84697895","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：