{"title":"Multidisciplinary Management of Oral Manifestations in Pregnant Women with Beta-Thalassemia Major: A Case Report","authors":"Dhini Karina, Nuri Fitriasari, Henry Mandalas, Rizky Andhika, Indra Wijaya, Indah Wahyuni","doi":"10.2147/imcrj.s464296","DOIUrl":"https://doi.org/10.2147/imcrj.s464296","url":null,"abstract":",","PeriodicalId":508214,"journal":{"name":"International Medical Case Reports Journal","volume":"667 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852358","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}
{"title":"Immunoglobulin-E (IgE) Screening for Detecting Mouthwash Allergic Reactions with Recurrent Oral Erythema Multiforme: A Case Report","authors":"Z. Pranadwista, Wahyu Hidayat","doi":"10.2147/imcrj.s468876","DOIUrl":"https://doi.org/10.2147/imcrj.s468876","url":null,"abstract":"","PeriodicalId":508214,"journal":{"name":"International Medical Case Reports Journal","volume":"57 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141280965","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}
{"title":"Meningovascular Syphilis Presenting as Acute Ischemic Stroke in an HIV + Young Adult: A Case Report and a Brief Literature Review","authors":"Abera Kuma, S. Tadesse, Abdulkerim Girma","doi":"10.2147/imcrj.s455675","DOIUrl":"https://doi.org/10.2147/imcrj.s455675","url":null,"abstract":"","PeriodicalId":508214,"journal":{"name":"International Medical Case Reports Journal","volume":"44 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141278532","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}
Sura Markos, Yegzeru Belete, Abdulkerim Girma, Molla Derbew
{"title":"Challenges Faced and Lessons Learned: The Journey of a 22-Year-Old Male with a Mechanical Heart Valve Complicated by Ischemic Stroke in a Developing Country: A Sub–Saharan Africa Prospect","authors":"Sura Markos, Yegzeru Belete, Abdulkerim Girma, Molla Derbew","doi":"10.2147/imcrj.s456041","DOIUrl":"https://doi.org/10.2147/imcrj.s456041","url":null,"abstract":"","PeriodicalId":508214,"journal":{"name":"International Medical Case Reports Journal","volume":"12 S2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141038417","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}
M. Mulisa, S. Bekele, Sebhatleab Mulate, Zerubabel Kiflu, Y. Tadesse, Walelign Mamo
{"title":"Hypermagnesemia Complicated by Acute Flaccid Paralysis, Case Report","authors":"M. Mulisa, S. Bekele, Sebhatleab Mulate, Zerubabel Kiflu, Y. Tadesse, Walelign Mamo","doi":"10.2147/imcrj.s455329","DOIUrl":"https://doi.org/10.2147/imcrj.s455329","url":null,"abstract":"","PeriodicalId":508214,"journal":{"name":"International Medical Case Reports Journal","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029832","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}
Zi-Guo Sun, Shi-Cheng Xu, Qin Yang, Yun Yao, Qi-Long Mao, Cheng-Feng He, Chang-Jiang Guan, Yan Du, Li Ma, Xie-Shan Huang, Xiao-Long Hou, Hong-Mei Yang, Xia Peng, Jun-Jie Jian
{"title":"Successful Treatment of Severe Case of Lipid Overload Syndrome with Pancreatitis and Pneumonia: A Case Report","authors":"Zi-Guo Sun, Shi-Cheng Xu, Qin Yang, Yun Yao, Qi-Long Mao, Cheng-Feng He, Chang-Jiang Guan, Yan Du, Li Ma, Xie-Shan Huang, Xiao-Long Hou, Hong-Mei Yang, Xia Peng, Jun-Jie Jian","doi":"10.2147/imcrj.s463244","DOIUrl":"https://doi.org/10.2147/imcrj.s463244","url":null,"abstract":"","PeriodicalId":508214,"journal":{"name":"International Medical Case Reports Journal","volume":"5 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039377","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}
Xunwei Liu, Zhi-Guo Wang, Peng Jin, Li-Li Yu, Gang Sun
Background Although percutaneous osteoplasty (POP) has been widely accepted and is now being performed for the treatment of painful bone metastases outside the spine. It is emerging as one of the most promising procedures for patients with painful bone metastasis who are unsuitable for surgery or who show resistance to radiotherapy and/or analgesic therapies. However, there are only scarce reports regarding osteoplasty in painful sternal metastases. Subjects and Method We report four patients with sternal metastases suffered with severe pain of anterior chest wall. The original tumors included lung cancer and thyroid cancer. For the initially pain medication failing, all the four patients received POP procedure under fluoroscopic and cone-beam CT (CBCT) guidance, and obtained satisfying resolution of painful symptoms at 6-month postop follow-up. Conclusion POP is a safe and effective treatment for pain caused by metastatic bone tumors in the sternum. In practice, however, percutaneous puncture of pathologic sternal fractures can be a challenge because of the long flat contour and the defacement by lytic tumor of bony landmarks. We find that the use of fluoroscopic and CBCT can facilitate POP for flat bone fractures with displacing the trajectory planning, needle advancement, and cement delivery in time.
背景 虽然经皮骨成形术（POP）已被广泛接受，并开始用于治疗脊柱以外的疼痛性骨转移瘤。对于不适合手术或对放疗和/或镇痛疗法有抵抗力的疼痛性骨转移患者，经皮骨成形术是最有前途的治疗方法之一。然而，关于疼痛性胸骨转移瘤骨整形术的报道却很少。研究对象和方法 我们报告了四例胸骨转移患者的胸前壁剧烈疼痛。原发肿瘤包括肺癌和甲状腺癌。四名患者均在透视和锥形束 CT（CBCT）引导下接受了 POP 手术，术后随访 6 个月，疼痛症状得到了满意的缓解。结论 POP 是治疗胸骨转移性骨肿瘤引起的疼痛的一种安全有效的方法。然而，在实践中，经皮穿刺病理性胸骨骨折可能是一项挑战，因为其轮廓较长较平，且溶解性肿瘤会破坏骨性标志物。我们发现，透视和 CBCT 的使用可促进扁平骨骨折的经皮穿刺，并能及时进行移位轨迹规划、进针和骨水泥输送。
{"title":"Clinical Efficacy of Percutaneous Osteoplasty Under Fluoroscopy and Cone-Beam CT Guidance for Painful Sternal Metastases: A Case Series","authors":"Xunwei Liu, Zhi-Guo Wang, Peng Jin, Li-Li Yu, Gang Sun","doi":"10.2147/IMCRJ.S454210","DOIUrl":"https://doi.org/10.2147/IMCRJ.S454210","url":null,"abstract":"Background Although percutaneous osteoplasty (POP) has been widely accepted and is now being performed for the treatment of painful bone metastases outside the spine. It is emerging as one of the most promising procedures for patients with painful bone metastasis who are unsuitable for surgery or who show resistance to radiotherapy and/or analgesic therapies. However, there are only scarce reports regarding osteoplasty in painful sternal metastases. Subjects and Method We report four patients with sternal metastases suffered with severe pain of anterior chest wall. The original tumors included lung cancer and thyroid cancer. For the initially pain medication failing, all the four patients received POP procedure under fluoroscopic and cone-beam CT (CBCT) guidance, and obtained satisfying resolution of painful symptoms at 6-month postop follow-up. Conclusion POP is a safe and effective treatment for pain caused by metastatic bone tumors in the sternum. In practice, however, percutaneous puncture of pathologic sternal fractures can be a challenge because of the long flat contour and the defacement by lytic tumor of bony landmarks. We find that the use of fluoroscopic and CBCT can facilitate POP for flat bone fractures with displacing the trajectory planning, needle advancement, and cement delivery in time.","PeriodicalId":508214,"journal":{"name":"International Medical Case Reports Journal","volume":"65 2","pages":"439 - 445"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049077","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}
Koki Sakata, Takeshi Katsumoto, Tomoyuki Kumagai, Kei Shinoda
Purpose To determine whether 0.025% povidone-iodine (0.025% PI) in the irrigation solution during vitrectomy for endophthalmitis is safe. Methods Two cases of bleb-associated endophthalmitis were treated with vitrectomy using 0.025% PI in the irrigation solution. The RETevel electroretinographic (ERG) system with skin electrodes was used to assess the physiology of the retina pre- and postoperatively. Case Case 1 was a 46-year-old man who had atopic keratoconjunctivitis and underwent trabeculectomy with the creation of a bleb after there was a rise in the intraocular pressure. One month postoperatively, a mild filtering bleb-associated endophthalmitis developed, and the eye was treated with intravitreal and subconjunctival injections of vancomycin (VCM) and ceftazidime (CAZ). After three days, the fundus was not visible and B-mode echography showed an area of high brightness in the retina. Vitrectomy with irrigation with VCM and CAZ, and 0.025% PI was performed successfully. Pre- and postoperative ERGs showed an improvement in both the a- and b-wave amplitudes and the b/a ratio was stable at 2.0. Case 2 was a 63-year-old man who had undergone trabeculectomy for glaucoma. Five years later, the eye developed blebitis which was treated with topical and subconjunctival injections of VCM and CAZ. Three days later, vitreous opacities appeared and a high brightness area was seen in the B-mode echographic images. Vitrectomy with VCM and CAZ, and 0.025% PI irrigation was successfully performed. Comparisons of the pre- and postoperative ERGs found that the a- and b- wave amplitudes of the ERGs increased and the b/a ratio was stable at approximately 1.5. Conclusion Vitrectomy with 0.025% PI irrigation is safe and ERG recordings with skin electrodes can be used to evaluate the pre- and postoperative retinal physiology safely.
目的 确定在玻璃体切割术治疗眼内炎的灌洗液中加入 0.025% 聚维酮碘 (0.025% PI) 是否安全。方法 对两例眼泡相关性眼内炎病例进行玻璃体切割术治疗，在灌洗液中加入 0.025% PI。使用带有皮肤电极的 RETevel 视网膜电图（ERG）系统评估术前和术后视网膜的生理状况。病例 1 是一名 46 岁的男性，患有特应性角结膜炎，在眼压升高后接受了小梁切除术并制作了眼裂。术后一个月，出现了轻度滤过性眼裂相关性眼内炎，眼部接受了万古霉素（VCM）和头孢唑肟（CAZ）的玻璃体内注射和结膜下注射治疗。三天后，眼底不可见，B 型超声波检查显示视网膜上有一高亮度区域。在使用 VCM 和 CAZ 以及 0.025% PI 冲洗的情况下，成功进行了玻璃体切除术。术前和术后 ERG 显示 a 波和 b 波振幅均有所改善，b/a 比值稳定在 2.0。病例 2 是一名 63 岁的男子，曾因青光眼接受小梁切除术。五年后，他的眼睛出现了眼底出血，经过局部和结膜下注射 VCM 和 CAZ 治疗。三天后，出现玻璃体混浊，B 型回声图像中出现高亮度区。使用 VCM 和 CAZ 以及 0.025% PI 冲洗后，成功实施了玻璃体切除术。对比术前和术后的 ERG 发现，ERG 的 a 波和 b 波振幅增加，b/a 比值稳定在 1.5 左右。结论 使用 0.025% PI 冲洗进行玻璃体切割手术是安全的，使用皮肤电极记录 ERG 可以安全地评估术前和术后视网膜生理状况。
{"title":"Electroretinographic Evaluations Using Skin Electrode of Eyes with Bleb-Related Endophthalmitis Following Vitrectomy with 0.025% Povidone Iodine Irrigation","authors":"Koki Sakata, Takeshi Katsumoto, Tomoyuki Kumagai, Kei Shinoda","doi":"10.2147/IMCRJ.S464026","DOIUrl":"https://doi.org/10.2147/IMCRJ.S464026","url":null,"abstract":"Purpose To determine whether 0.025% povidone-iodine (0.025% PI) in the irrigation solution during vitrectomy for endophthalmitis is safe. Methods Two cases of bleb-associated endophthalmitis were treated with vitrectomy using 0.025% PI in the irrigation solution. The RETevel electroretinographic (ERG) system with skin electrodes was used to assess the physiology of the retina pre- and postoperatively. Case Case 1 was a 46-year-old man who had atopic keratoconjunctivitis and underwent trabeculectomy with the creation of a bleb after there was a rise in the intraocular pressure. One month postoperatively, a mild filtering bleb-associated endophthalmitis developed, and the eye was treated with intravitreal and subconjunctival injections of vancomycin (VCM) and ceftazidime (CAZ). After three days, the fundus was not visible and B-mode echography showed an area of high brightness in the retina. Vitrectomy with irrigation with VCM and CAZ, and 0.025% PI was performed successfully. Pre- and postoperative ERGs showed an improvement in both the a- and b-wave amplitudes and the b/a ratio was stable at 2.0. Case 2 was a 63-year-old man who had undergone trabeculectomy for glaucoma. Five years later, the eye developed blebitis which was treated with topical and subconjunctival injections of VCM and CAZ. Three days later, vitreous opacities appeared and a high brightness area was seen in the B-mode echographic images. Vitrectomy with VCM and CAZ, and 0.025% PI irrigation was successfully performed. Comparisons of the pre- and postoperative ERGs found that the a- and b- wave amplitudes of the ERGs increased and the b/a ratio was stable at approximately 1.5. Conclusion Vitrectomy with 0.025% PI irrigation is safe and ERG recordings with skin electrodes can be used to evaluate the pre- and postoperative retinal physiology safely.","PeriodicalId":508214,"journal":{"name":"International Medical Case Reports Journal","volume":"18 8","pages":"447 - 454"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141043927","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}
{"title":"Gas Tamponade Improved Cilio-Choroidal Effusion Induced by an Ab Interno Trabeculotomy with a Microhook: Two Cases","authors":"Mitsuya Otsuka, Naoki Tojo, Shuichiro Yanagisawa, Atsushi Hayashi","doi":"10.2147/imcrj.s465485","DOIUrl":"https://doi.org/10.2147/imcrj.s465485","url":null,"abstract":"","PeriodicalId":508214,"journal":{"name":"International Medical Case Reports Journal","volume":"11 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141054293","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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