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A Rare Pediatric Monteggia Equivalent Fracture: Case Report, Literature Review and a New Proposed Pediatric Bado Classification 一例罕见的儿童孟氏等效骨折:病例报告、文献综述和一种新的儿科Bado分类
Pub Date : 2022-06-14 DOI: 10.18502/crcp.v7i1.9630
Rómulo Silva, L. F. Pinto, J. Fernandes, F. Costa, Joana Freitas, J. Coutinho
Variations of Monteggia fractures are uncommon in the pediatric population and demand a high suspicion for early recognition and treatment. The involvement of the radial head in these types of injury isn’t well documented, but literary reports are growing. We report a case of a poorly documented variant of a Monteggia Equivalent Fracture with a Salter-Harris II fracture of the radial head with medial displacement and propose a new approach to the Bado classification in the pediatric population based on a literature review.
蒙特吉骨折的变异在儿科人群中并不常见,需要高度怀疑早期识别和治疗。桡骨头参与这些类型的损伤并没有很好的记录,但文献报道越来越多。我们报告了一例记录不足的Monteggia等效骨折与Salter-Harris II桡骨小头骨折合并内侧移位的病例,并根据文献综述提出了一种新的儿科Bado分类方法。
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引用次数: 0
A Case Report of Lassa Fever between Boundary Communities in Nigeria and Republic of Benin: A Call for International Collaboration 尼日利亚和贝宁共和国边界社区拉沙热病例报告:呼吁国际合作
Pub Date : 2022-06-14 DOI: 10.18502/crcp.v7i1.9634
O. D. Awoyale, Oluwatosin Enoch Fakayode, Aanuoluwapo Adeyimika Afolabi, O S Ilesanmi
The spread of Lassa Fever (LF) cases across international borders call for cross-board management and collaboration. This case report describes a laboratory-confirmed index case of LF in Kwara state, Nigeria. The case of LF in Kwara state was a 30-year-old woman who presented with a history of fever, headache, and abdominal pain and had been treated for malaria. On 13th February 2020, the Kwara State Ministry of Health was notified of a suspected case of LF. The case visited health facilities in Kwara state, Nigeria, and the Republic of Benin during her illness. Blood samples were obtained from her, and she was confirmed a positive LF case in the Republic of Benin. Although LF diagnosis is challenging, multisectoral collaboration and effective community engagement within the framework of the International Health Regulations is required to control the LF outbreak promptly.
拉沙热病例在国际边境的传播需要跨国界的管理和合作。该病例报告描述了尼日利亚夸拉州一例实验室确诊的LF指数病例。夸拉州的LF病例是一名30岁的女性,她有发烧、头痛和腹痛病史,曾接受过疟疾治疗。2020年2月13日,夸拉州卫生部接到一例疑似LF病例的通知。该病例在患病期间访问了尼日利亚夸拉州和贝宁共和国的卫生设施。从她身上采集了血样,她在贝宁共和国被确认为LF阳性病例。尽管LF诊断具有挑战性,但需要在《国际卫生条例》框架内进行多部门合作和有效的社区参与,以迅速控制LF的爆发。
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引用次数: 0
Deep Brain Stimulation in a Patient With Generalized Dystonia Painful Rebel to the Medical Therapy: A Case Report (Clinical Note) 一例全身性肌张力障碍患者的深部脑刺激对药物治疗的痛苦反抗:一例报告(临床笔记)
Pub Date : 2022-06-14 DOI: 10.18502/crcp.v7i1.9636
C. Coppola, Valerio Massimo Magro
Cervical dystonia is a common malaise in the doctor's office. It is a movement disorder characterized by sustained involuntary muscle contractions and abnormal postures: the patient exhibits involuntary left head and neck turning. It can recognize various more or less severe conditions as etiological agents and still remains a difficult disorder to treat. We reviewed a clinical case, analyzing both the moments of differential diagnostics and the therapeutic choices, with particular interest in cerebral electrostimulation.
颈肌张力障碍是医生办公室常见的病症。这是一种运动障碍,其特征是持续的不随意肌肉收缩和姿势异常:患者表现为不随意的左头部和颈部转动。它可以识别出各种或多或少严重的疾病作为病因,仍然是一种难以治疗的疾病。我们回顾了一个临床病例,分析了鉴别诊断和治疗选择的时刻,特别对脑电刺激感兴趣。
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引用次数: 0
Pregnancy in Non-communicating Rudimentary Horn of Unicornuate Uterus: A Case Report 单角子宫非交通性初级角妊娠1例报告
Pub Date : 2022-06-14 DOI: 10.18502/crcp.v7i1.9633
Sanaz Mousavi, F. Rajabzadeh, Maryam Mohammadi Youshanloie, Maasoumeh Saleh
A unicornuate uterus with a non-communicating rudimentary horn has always been a notorious uterine malformation threatening normal pregnancy continuation. Pregnancy in the rudimentary horn of the uterus is rare, but it plays an essential role in maternal morbidity and mortality. Early detection of rudimentary horn pregnancy is vital because poor musculature can lead to the dangerous complication of uterine rupture. When a Rudimentary horn pregnancy is diagnosed, surgical treatment to excision the horn with ipsilateral salpingectomy is recommended because of its high risk of rupture in the second trimester. We present a case of non-communicating rudimentary horn pregnancy that was terminated, and the rudimentary horn was resected.
独角兽形子宫有一个不连通的初级角一直是一种臭名昭著的子宫畸形,威胁着正常妊娠的继续。发育不全的子宫角妊娠是罕见的,但它在孕产妇发病率和死亡率中起着重要作用。早期发现发育不全的子宫角妊娠至关重要,因为不良的肌肉组织会导致子宫破裂的危险并发症。当诊断为早期子宫角妊娠时,建议用同侧输卵管切除术切除子宫角,因为它在妊娠中期破裂的风险很高。我们报告了一例非沟通性初级角妊娠,终止妊娠,并切除了初级角。
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引用次数: 0
Presacral Schwannoma Mascquerading as a Uterine Leiomyoma 骶前神经鞘瘤伪装成子宫平滑肌瘤
Pub Date : 2022-06-14 DOI: 10.18502/crcp.v7i1.9632
N. Talwar, Neeru Malik, M. Andley, Parul Talwar
Presacral tumors are a rare group of tumors located posterior to the rectum in the retrorectal or presacral space. Due to the lack of specific symptoms and difficult anatomic localization, they present a diagnostic and management challenge for the surgeons. We present a case of retrorectal schwannoma in a young female who was initially misdiagnosed as a uterine fibroid on ultrasound and taken up for myomectomy. The tumor was later successfully excised by a combined abdominosacral approach. The clinical features and management of presacral tumors are discussed in this article.
骶前肿瘤是一种罕见的肿瘤,位于直肠后或骶前间隙。由于缺乏特异性症状和难以解剖定位,它们对外科医生的诊断和治疗提出了挑战。我们提出一个病例的直肠后神经鞘瘤在一个年轻的女性谁最初被误诊为子宫肌瘤超声和采取子宫肌瘤切除术。肿瘤后来通过腹骶联合入路成功切除。本文就骶前肿瘤的临床特点及治疗进行讨论。
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引用次数: 0
Cystic Meningioma With Interesting Imaging Characteristics in Frontal Region: A Case Report 额区囊性脑膜瘤影像学特征:1例报告
Pub Date : 2022-06-14 DOI: 10.18502/crcp.v7i1.9638
L. Aghaghazvini, Milad Sanginabadi, Bahman Rasuli, S. Sefidbakht, Ala Torabi
Introduction: Cystic meningioma is an unusual shape of meningioma, and the imaging manifestations and site of the solid/cystic components of the mass increase our difficulties in making a diagnosis. Case report: We report a case of a 78-year-old right-handed woman who presented with right-sided hemiparesis, urinary incontinency, and Broca aphasia. A large left-sided frontal region cystic extra-axial mass with a suspicious small solid nodule and adjacent bony erosion was detected on non-contrast CT of the brain. Brain Magnetic resonance imaging (MRI) with gadolinium depicted the cystic and solid components exactly. A probable diagnosis of cystic meningioma was made and subsequently confirmed by histological study after surgical resection of the tumor. To confirm the category and subtypes of the tumor, a histopathological examination of the tumor cells should be done. Conclusion: Cystic or solid cystic intracranial lesions have several differential diagnoses making the final diagnosis difficult in some cases. There are four types of cystic meningiomas according to the Nauta classification that was revised by Jung et al. Determination of the type of cystic meningioma is crucial for surgical planning. To confirm the category and subtypes of the tumor, a histopathological examination of the tumor cells should be done. Our case was a type IV cystic meningioma with a small mural enhancing solid nodule but an associated adjacent bony invasion.
简介:囊性脑膜瘤是一种不寻常的脑膜瘤,肿块的实性/囊性成分的影像学表现和部位增加了诊断的难度。病例报告:我们报告了一例78岁的右撇子女性,她表现为右侧偏瘫,尿失禁和Broca失语。在脑部非对比CT上发现左侧额叶巨大囊性轴外肿块伴可疑小实性结节及邻近骨质侵蚀。钆脑磁共振成像(MRI)准确地描绘了囊性和实性成分。一个可能的诊断囊性脑膜瘤,并在手术切除肿瘤后通过组织学研究证实。为了确认肿瘤的类型和亚型,应该对肿瘤细胞进行组织病理学检查。结论:囊性或实性囊性颅内病变有多种鉴别诊断,使某些病例难以最终诊断。根据荣格等人修订的Nauta分类,囊性脑膜瘤有四种类型。确定囊性脑膜瘤的类型对手术计划至关重要。为了确认肿瘤的类型和亚型,应该对肿瘤细胞进行组织病理学检查。我们的病例是IV型囊性脑膜瘤,伴有小的壁强化实性结节,但伴有邻近的骨侵犯。
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引用次数: 0
Ischemic Stroke Secondary to Bleach Anaphylaxis 继发于漂白过敏的缺血性中风
Pub Date : 2022-06-14 DOI: 10.18502/crcp.v7i1.9629
Rafey A Rehman, Muhammad Osto, H. Akram, A. Khan
Anaphylaxis is a severe allergic reaction characterized by life-threatening airway, breathing, and hemostatic problems. There has been an established association between cerebral infarction following wasp or bee sting in the literature. A 54-year-old female was admitted to the hospital for acute anaphylaxis due to bleach exposure and developed a new-onset left-sided weakness. Head computed tomography demonstrated midline frontal calcifications but was negative for acute ischemia or hemorrhage. Magnetic resonance imaging multifocal infarcts of the internal capsule’s right temporal and posterior limb. The patient was started on aspirin 81 mg, atorvastatin 40 mg daily for secondary prevention of stroke, and physical, occupational, and speech therapies. Although exceedingly rare, decreased cerebral blood flow may occur secondary to anaphylaxis due to an abrupt drop in blood pressure leading to ischemic injury. The case characterizes a unique association between bleach anaphylaxis and ischemic stroke, which has not been previously reported.
过敏反应是一种严重的过敏反应,其特征是危及生命的气道、呼吸和止血问题。在文献中,黄蜂或蜜蜂蜇伤后的脑梗死之间存在着既定的联系。一名54岁的女性因接触漂白剂导致急性过敏反应入院,并出现新发的左侧无力。头部计算机断层扫描显示额中线钙化,但急性缺血或出血为阴性。内囊右侧颞叶和后肢的磁共振成像多灶性梗死。患者开始服用阿司匹林81 mg,阿托伐他汀40 mg,用于中风的二级预防,以及物理、职业和言语治疗。尽管极为罕见,但由于血压突然下降导致缺血性损伤,脑血流量下降可能继发于过敏反应。该病例的特点是漂白剂过敏反应和缺血性中风之间存在独特的关联,这在以前没有报道过。
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引用次数: 1
Two Successful Bone Marrow Transplantations Improved Lung Functions in Patients With Chronic Granulomatous Disease 两例成功的骨髓移植改善慢性肉芽肿病患者的肺功能
Pub Date : 2022-06-14 DOI: 10.18502/crcp.v7i1.9628
Mahsa Rekabi, Farhad Seif, Farzad Nouri, A. Mahdaviani, Ali Akbar Velayat
Chronic Granulomatous Disease (CGD) is a rare inherited primary immune deficiency disorder with defective respiratory burst activity in phagocytes, resulting in recurrent pyogenic infections. In this study, we described two CGD patients who had done bone marrow transplantation (BMT). As Bone marrow transplantation (BMT) is the definitive treatment of the disease, we evaluated the function of their lungs before and after BMT. In both patients, the BMT was from their siblings. In case 1, the patient’s pulmonary function (PFT) before BMT was: FEV1: 34, FVC: 40, FEV1 / FVC: 72%, and after BMT was: FEV1: 66, FVC: 40 by 49, FEV1 / FVC: 64%. In case 2, the patient’s PFT before BMT was: FEV1: 22, FVC: 36, FEV1 / FVC: 41%, and after BMT was: FEV1: 47, FVC: 33, FEV1/FVC: 43%. BMT significantly improved their Pulmonary Problems and Preclinical (PFT). In addition, after BMT, both patients’ well-tolerated clinical signs and the infection rate, and the number of hospitalizations in both patients decreased.
慢性肉芽肿病(CGD)是一种罕见的遗传性原发性免疫缺陷疾病,吞噬细胞呼吸爆发活动缺陷,导致复发性化脓性感染。在本研究中,我们描述了两例接受骨髓移植(BMT)的CGD患者。由于骨髓移植(BMT)是该疾病的最终治疗方法,我们评估了骨髓移植前后的肺功能。在这两名患者中,BMT都来自他们的兄弟姐妹。病例1患者肺功能(PFT) BMT前为:FEV1: 34, FVC: 40, FEV1 / FVC: 72%, BMT后为:FEV1: 66, FVC: 40 × 49, FEV1 / FVC: 64%。病例2患者BMT前PFT为:FEV1: 22, FVC: 36, FEV1/FVC: 41%, BMT后PFT为:FEV1: 47, FVC: 33, FEV1/FVC: 43%。BMT显著改善了他们的肺部问题和临床前(PFT)。此外,经BMT治疗后,两例患者耐受性良好的临床体征及感染率、住院次数均有所下降。
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引用次数: 0
Mis-diagnosis of Genital Organ Tuberculosis Ending in a Severe Asherman Syndrome: A Case Report 生殖器结核误诊为严重Asherman综合征1例报告
Pub Date : 2022-06-14 DOI: 10.18502/crcp.v7i1.9637
Azadeh Hajati
This case describes a female with long-term primary infertility, labelled with polycystic ovarian syndrome, who showed no response to the given treatments. Hysterosalpingography, performed as part of the in vitro Fertilisation (IVF) preparation, showed Asherman syndrome and calcified lymph nodes. Subsequently, further evaluations confirmed tuberculosis. The case highlights the necessity and importance of the proper assessment of the patients presenting with infertility for early detection of genital TB to prevent end-stage disease.
该病例描述了一名长期原发性不孕的女性,被标记为多囊卵巢综合征,对所给予的治疗没有反应。作为体外受精(IVF)准备工作的一部分,子宫输卵管造影显示Asherman综合征和钙化淋巴结。随后,进一步的评估证实了肺结核。该病例强调了对不孕患者进行适当评估的必要性和重要性,以早期发现生殖器结核病,预防终末期疾病。
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引用次数: 0
Kikuchi Disease in Elderly: Report of a Rare Disease in an Unusual Age 老年人菊池百合子病:一例罕见年龄疾病的报告
Pub Date : 2022-06-13 DOI: 10.18502/crcp.v7i1.9625
Elnaz Sahebi, Sahar Karimpour reyhan, M. Abbaszadeh, Nasim Khajavi Rad
Kikuchi disease is a benign, self-limited, and rare condition presented mainly by lymphadenopathy and fever. Kikuchi disease is more common in women, especially women under 40. We report a 63-year-old Iranian woman presenting with long-term fever, constitutional symptoms, and cervical lymphadenopathy. A lymph node biopsy was done for her, and the diagnosis of Kikuchi disease was confirmed. Kikuchi disease is a self-limited condition with a good prognosis that can resolve with no specific treatment within a few weeks. Still, some patients are at risk of recurrence and development of SLE and Lymphoma. Our patient was treated with a low dose of glucocorticoids. On 6 month follow-up, she had no signs and symptoms of recurrence and no evidence of SLE development. The interesting point of this case is the clinical picture and her age of presentation.
菊池病是一种良性、自限性、罕见的疾病,主要表现为淋巴结病变和发热。菊池病在女性中更为常见,尤其是40岁以下的女性。我们报告一名63岁伊朗妇女,表现为长期发烧、体质症状和颈部淋巴结病。对她进行了淋巴结活检,确诊为菊池病。菊池病是一种自限性疾病,预后良好,无需特殊治疗即可在几周内痊愈。尽管如此,一些患者仍有复发和发展为SLE和淋巴瘤的风险。我们的病人接受了低剂量的糖皮质激素治疗。在6个月的随访中,她没有复发的体征和症状,也没有SLE发展的迹象。这个病例的有趣之处在于临床表现和她的发病年龄。
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引用次数: 0
期刊
Case Reports in Clinical Practice
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