Pub Date : 2024-06-01DOI: 10.36347/sjmcr.2024.v12i06.007
Shinji Makino
A 78-year-old woman presented with an upper visual field defect in the left eye. Her best-corrected visual acuity (BCVA) was 1.2 in both eyes. Fundoscopy revealed inferior optic disc swelling. Peripapillary optical coherence tomography (OCT) demonstrated the presence of peripapillary hyperreflective ovoid mass–like structures (PHOMS) that was located in the inferior portion of the left eye. The patient was diagnosed with nonarteritic anterior ischemic optic neuropathy (NAION) of the left eye. One month after the initial visit, her BCVA decreased to 0.15 in the left eye. Fundoscopy revealed superior optic disc swelling. OCT demonstrated the presence of PHOMS that was located in the superior portion of the left eye. She was diagnosed with recurrent NAION. Three months later, her BCVA was maintained at 0.2, however, the optic disc looked diffusely pale. This case highlights the importance for clinicians to be aware of PHOMS with NAION.
{"title":"Peripapillary Hyperreflective Ovoid Mass-Like Structures in a Patient with Nonarteritic Anterior Ischemic Optic Neuropathy","authors":"Shinji Makino","doi":"10.36347/sjmcr.2024.v12i06.007","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.007","url":null,"abstract":"A 78-year-old woman presented with an upper visual field defect in the left eye. Her best-corrected visual acuity (BCVA) was 1.2 in both eyes. Fundoscopy revealed inferior optic disc swelling. Peripapillary optical coherence tomography (OCT) demonstrated the presence of peripapillary hyperreflective ovoid mass–like structures (PHOMS) that was located in the inferior portion of the left eye. The patient was diagnosed with nonarteritic anterior ischemic optic neuropathy (NAION) of the left eye. One month after the initial visit, her BCVA decreased to 0.15 in the left eye. Fundoscopy revealed superior optic disc swelling. OCT demonstrated the presence of PHOMS that was located in the superior portion of the left eye. She was diagnosed with recurrent NAION. Three months later, her BCVA was maintained at 0.2, however, the optic disc looked diffusely pale. This case highlights the importance for clinicians to be aware of PHOMS with NAION.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141281995","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 : 2024-06-01DOI: 10.36347/sjmcr.2024.v12i06.005
Sandeep Goud Mitta, A. Divya, K. Bhumika, Md. Sania Mahek, S. Rohini
The accumulation of copper in the liver, brain, cornea, and kidneys is the hallmark of Wilson's disease, an uncommon autosomal recessive condition. There is no community-based research on the prevalence and incidence of Wilson's disease in India; this study is hospital-based. Overview of the Case: A 10-year-old girl with serious complaints of burning micturition, giddiness, loose stools and blood in stools, yellowish discolouration of skin and sclera, generalized body aches, fever and stomach pain with distension was brought to the paediatric department. Wilson's illness was established by abdominal USG using the increased levels of urine copper, whole blood picture, liver function tests, and serum electrolytes and decreased levels of ceruloplasmin. The prominent characteristic, which is less common in youngsters, is the Kayser Fleisher ring. It is identified by a discoloration of the corneal edge that is greenish-brown in colour and eventually goes away with treatment. Probiotics, an antibiotic, a hepatoprotective drug, and copper chelators (D-penicillamine and zinc) were used in her treatment. Gradually she showed improvement in clinical signs and LFT levels.
{"title":"A Case Report on Wilson’s Disease","authors":"Sandeep Goud Mitta, A. Divya, K. Bhumika, Md. Sania Mahek, S. Rohini","doi":"10.36347/sjmcr.2024.v12i06.005","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.005","url":null,"abstract":"The accumulation of copper in the liver, brain, cornea, and kidneys is the hallmark of Wilson's disease, an uncommon autosomal recessive condition. There is no community-based research on the prevalence and incidence of Wilson's disease in India; this study is hospital-based. Overview of the Case: A 10-year-old girl with serious complaints of burning micturition, giddiness, loose stools and blood in stools, yellowish discolouration of skin and sclera, generalized body aches, fever and stomach pain with distension was brought to the paediatric department. Wilson's illness was established by abdominal USG using the increased levels of urine copper, whole blood picture, liver function tests, and serum electrolytes and decreased levels of ceruloplasmin. The prominent characteristic, which is less common in youngsters, is the Kayser Fleisher ring. It is identified by a discoloration of the corneal edge that is greenish-brown in colour and eventually goes away with treatment. Probiotics, an antibiotic, a hepatoprotective drug, and copper chelators (D-penicillamine and zinc) were used in her treatment. Gradually she showed improvement in clinical signs and LFT levels.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141281536","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 : 2024-06-01DOI: 10.36347/sjmcr.2024.v12i06.006
Shinji Makino
A 78-year-old woman presented with an upper visual field defect in the left eye. On ophthalmic examination, her best-corrected visual acuity (BCVA) was 1.2 in both eyes. Fundoscopy revealed inferior optic disc swelling. Goldmann visual field test showed an upper visual field defect. The patient was diagnosed with nonarteritic anterior ischemic optic neuropathy (NAION) of the left eye and was followed up without treatment. One month after the initial visit, her BCVA decreased to 0.15 in the left eye. Fundoscopy revealed superior optic disc swelling. Goldmann visual field test showed an inferior visual field defect and central relative scotoma. Based on her clinical findings, she was diagnosed with recurrent NAION. Three months after the initial visit, her BCVA was 0.2 in the left eye, and the optic nerve developed atrophy. This case highlights the importance for clinicians to be aware of NAION recurred in the same eye within a short period of time.
{"title":"A Case of Nonarteritic Anterior Ischemic Optic Neuropathy that Recurred in the same Eye within a Month","authors":"Shinji Makino","doi":"10.36347/sjmcr.2024.v12i06.006","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.006","url":null,"abstract":"A 78-year-old woman presented with an upper visual field defect in the left eye. On ophthalmic examination, her best-corrected visual acuity (BCVA) was 1.2 in both eyes. Fundoscopy revealed inferior optic disc swelling. Goldmann visual field test showed an upper visual field defect. The patient was diagnosed with nonarteritic anterior ischemic optic neuropathy (NAION) of the left eye and was followed up without treatment. One month after the initial visit, her BCVA decreased to 0.15 in the left eye. Fundoscopy revealed superior optic disc swelling. Goldmann visual field test showed an inferior visual field defect and central relative scotoma. Based on her clinical findings, she was diagnosed with recurrent NAION. Three months after the initial visit, her BCVA was 0.2 in the left eye, and the optic nerve developed atrophy. This case highlights the importance for clinicians to be aware of NAION recurred in the same eye within a short period of time.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141276705","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 : 2024-06-01DOI: 10.36347/sjmcr.2024.v12i06.004
Drago Aa, D. B, D. K, A. Koné, M. A, Berthé A, Kamissoko Co, Camara Bd, Sow Djeneba, Dollo I, C. A, Diakité M, G. H, AT Sidibé
A frequent mode of discovery since the improvement of imaging techniques is the pituitary incidentaloma, defined as the discovery of a pituitary adenoma without clinical signs on a scanner or magnetic resonance imaging (MRI) performed for another reason. We report a case of pituitary macroadenoma complicated by panhypopituitarism, discovered incidentally as part of the macroangiopathic complications of type 2 diabetes at the reference health centre in commune III of the Bamako district. It has poor semiological characteristics but poses a diagnostic problem. In our case, the patient presented with physical asthenia and headaches. On biology, the patient presented with 5 lines of anteropituitary insufficiency. A scan revealed a pituitary adenoma measuring 27x22. Anatomopathological examination of the surgical specimen concluded that it was a pituitary adenoma. The patient received hydrocortisone and thyroid hormones prior to excision. This case highlights the delay in the diagnosis and management of pituitary adenomas.
{"title":"Pituitary Incidentaloma Complicated by Pan Hypopituitarism at the Health Reference Centre of Commune III of the District of Bamako: Case Report","authors":"Drago Aa, D. B, D. K, A. Koné, M. A, Berthé A, Kamissoko Co, Camara Bd, Sow Djeneba, Dollo I, C. A, Diakité M, G. H, AT Sidibé","doi":"10.36347/sjmcr.2024.v12i06.004","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.004","url":null,"abstract":"A frequent mode of discovery since the improvement of imaging techniques is the pituitary incidentaloma, defined as the discovery of a pituitary adenoma without clinical signs on a scanner or magnetic resonance imaging (MRI) performed for another reason. We report a case of pituitary macroadenoma complicated by panhypopituitarism, discovered incidentally as part of the macroangiopathic complications of type 2 diabetes at the reference health centre in commune III of the Bamako district. It has poor semiological characteristics but poses a diagnostic problem. In our case, the patient presented with physical asthenia and headaches. On biology, the patient presented with 5 lines of anteropituitary insufficiency. A scan revealed a pituitary adenoma measuring 27x22. Anatomopathological examination of the surgical specimen concluded that it was a pituitary adenoma. The patient received hydrocortisone and thyroid hormones prior to excision. This case highlights the delay in the diagnosis and management of pituitary adenomas.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141277214","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 : 2024-06-01DOI: 10.36347/sjmcr.2024.v12i06.008
A. Ahizoune, Ahmed Bourazza
Guillain-Barré Syndrome (GBS) is a rare immune mediated inflammatory disease of the peripheral nervous system that is presumed to be triggered by preceding infections. In the era of pandemic COVID-19 (coronavirus disease), there is an emerging case of para/post infectious GBS associated to COVID-19 that are described worldwide. Here, we report a 55-years-old man who was admitted for fatigue, fever and cough related to covid-19. Later, after disappearing of covid-19 symptoms he began presenting an ascending areflexic tetraparesis. CSF and NCS were in favour of GBS diagnosis, in particular pure motor AIDP subtype. Antigangliosides antibodies were negative. Lumbosacral MRI showed contrast enhancement of cauda equina roots. The outcome was good after receiving intravenous immunoglobulins treatment.
{"title":"Post-Infectious Guillain Barré Syndrome Related to COVID-19: Unusual Case Report","authors":"A. Ahizoune, Ahmed Bourazza","doi":"10.36347/sjmcr.2024.v12i06.008","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.008","url":null,"abstract":"Guillain-Barré Syndrome (GBS) is a rare immune mediated inflammatory disease of the peripheral nervous system that is presumed to be triggered by preceding infections. In the era of pandemic COVID-19 (coronavirus disease), there is an emerging case of para/post infectious GBS associated to COVID-19 that are described worldwide. Here, we report a 55-years-old man who was admitted for fatigue, fever and cough related to covid-19. Later, after disappearing of covid-19 symptoms he began presenting an ascending areflexic tetraparesis. CSF and NCS were in favour of GBS diagnosis, in particular pure motor AIDP subtype. Antigangliosides antibodies were negative. Lumbosacral MRI showed contrast enhancement of cauda equina roots. The outcome was good after receiving intravenous immunoglobulins treatment.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141275989","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 : 2024-04-16DOI: 10.36347/sjmcr.2024.v12i04.022
H. Brarou, Z. Chaibi, Manal Bouggar, T. Abdellaoui, Zineb Saif, Soundouss Sebbata, Nermine Belayachi, Mohamed Boukssim, Y. Mouzari, Abdelbare Oubaaz
Introduction: Terson's syndrome has been associated with many conditions that increase intracranial pressure that leads to dilation of the retrobulbar optic nerve and compression of the central retinal vein. Materials and Methods: A 36 years old military male patient, presented with gradual visual impairment in both eyes for five days. The patient reported a history of repeated episodes of headache, fever and progressive weight loss. Best corrected visual acuity was 20/200 (RE), 20/40 (LE). Fundoscopic examination showed papilledema and multilayered retinal hemorrhages consistent with Terson syndrome. Results: The patient tested positive for HIV1. Computed tomography and magnetic resonance venography of the brain did not reveal any subdural, subarachnoid, or intracranial hemorrhages. However, cerebrospinal fluid analyses were significant for increased opening pressure and the presence of Cryptococcus Neoformans. Conclusion: It is important for ophthalmologists to be aware of the link between infectious meningitis and retinal conditions such as Terson-like syndrome because it can ease rapid diagnosis and management.
{"title":"A Case of Terson-Like Syndrome in a Newly Diagnosed AIDS Patient with Cryptococcal Meningitis","authors":"H. Brarou, Z. Chaibi, Manal Bouggar, T. Abdellaoui, Zineb Saif, Soundouss Sebbata, Nermine Belayachi, Mohamed Boukssim, Y. Mouzari, Abdelbare Oubaaz","doi":"10.36347/sjmcr.2024.v12i04.022","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i04.022","url":null,"abstract":"Introduction: Terson's syndrome has been associated with many conditions that increase intracranial pressure that leads to dilation of the retrobulbar optic nerve and compression of the central retinal vein. Materials and Methods: A 36 years old military male patient, presented with gradual visual impairment in both eyes for five days. The patient reported a history of repeated episodes of headache, fever and progressive weight loss. Best corrected visual acuity was 20/200 (RE), 20/40 (LE). Fundoscopic examination showed papilledema and multilayered retinal hemorrhages consistent with Terson syndrome. Results: The patient tested positive for HIV1. Computed tomography and magnetic resonance venography of the brain did not reveal any subdural, subarachnoid, or intracranial hemorrhages. However, cerebrospinal fluid analyses were significant for increased opening pressure and the presence of Cryptococcus Neoformans. Conclusion: It is important for ophthalmologists to be aware of the link between infectious meningitis and retinal conditions such as Terson-like syndrome because it can ease rapid diagnosis and management.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140695766","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 : 2024-04-16DOI: 10.36347/sjmcr.2024.v12i04.020
Zahra Ismail, Fatima-Ezzahra Mennani, S. Rafi, G. E. Mghari, N. Ansari
Acromegaly, characterized by excessive growth hormone secretion often due to pituitary adenomas, presents diagnostic and therapeutic challenges, particularly when associated with giant invasive tumors. We present a case of a 26-year-old male with progressive visual impairment, headaches, and systemic symptoms indicative of acromegaly. Physical examination revealed classic features of acromegaly along with neurological deficits. Diagnostic work-up confirmed the presence of a giant invasive pituitary adenoma, highlighting the importance of clinical, radiological, and biochemical evaluation in diagnosis. Despite surgical intervention, residual tumor remained, necessitating adjunctive medical therapy. Management involved a multidisciplinary approach, incorporating surgery, pharmacotherapy, and potentially radiotherapy. This case underscores the complexities of managing acromegaly with giant adenomas, emphasizing the importance of early recognition and individualized treatment strategies to optimize outcomes.
{"title":"A Case of an Incredibly Giant Pituitary Adenoma in an Acromegalic Patient","authors":"Zahra Ismail, Fatima-Ezzahra Mennani, S. Rafi, G. E. Mghari, N. Ansari","doi":"10.36347/sjmcr.2024.v12i04.020","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i04.020","url":null,"abstract":"Acromegaly, characterized by excessive growth hormone secretion often due to pituitary adenomas, presents diagnostic and therapeutic challenges, particularly when associated with giant invasive tumors. We present a case of a 26-year-old male with progressive visual impairment, headaches, and systemic symptoms indicative of acromegaly. Physical examination revealed classic features of acromegaly along with neurological deficits. Diagnostic work-up confirmed the presence of a giant invasive pituitary adenoma, highlighting the importance of clinical, radiological, and biochemical evaluation in diagnosis. Despite surgical intervention, residual tumor remained, necessitating adjunctive medical therapy. Management involved a multidisciplinary approach, incorporating surgery, pharmacotherapy, and potentially radiotherapy. This case underscores the complexities of managing acromegaly with giant adenomas, emphasizing the importance of early recognition and individualized treatment strategies to optimize outcomes.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140694978","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 : 2024-04-16DOI: 10.36347/sjmcr.2024.v12i04.021
I. Labbi, Tarik Anis, Achraf Abaghrous, K. Taleb, O. Mouaqit
Left pancreatectomies are, among pancreatic resections, the simplest and best-tolerated. Their main short and long term complications are pancreatic fistula and diabetes, respectively. If the indication for pancreatectomy is a presumably benign lesion, splenic conservation is the general rule to avoid post-splenectomy infectious complications. There are two alternative techniques; sparing of the splenic artery and vein (Kimua procedur), or splenic preservation with sacrifice of the splenic artery and vein (Warshaw procedure) [1]. We report the case of a 41-year-old patient, admitted to our department for the management of a cystic lesion located at the tail of the pancreas, the patient underwent a caudal pancreatectomy with preservation of the spleen by laparotomy.
{"title":"Left Pancreatectomy with Preservation of the Spleen: A Case Report","authors":"I. Labbi, Tarik Anis, Achraf Abaghrous, K. Taleb, O. Mouaqit","doi":"10.36347/sjmcr.2024.v12i04.021","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i04.021","url":null,"abstract":"Left pancreatectomies are, among pancreatic resections, the simplest and best-tolerated. Their main short and long term complications are pancreatic fistula and diabetes, respectively. If the indication for pancreatectomy is a presumably benign lesion, splenic conservation is the general rule to avoid post-splenectomy infectious complications. There are two alternative techniques; sparing of the splenic artery and vein (Kimua procedur), or splenic preservation with sacrifice of the splenic artery and vein (Warshaw procedure) [1]. We report the case of a 41-year-old patient, admitted to our department for the management of a cystic lesion located at the tail of the pancreas, the patient underwent a caudal pancreatectomy with preservation of the spleen by laparotomy.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140696537","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 : 2024-04-15DOI: 10.36347/sjmcr.2024.v12i04.017
B. Raouf, I. Adali, F. Manoudi
Anorexia nervosa is one of the eating disorders of multifactorial origin, which most often occurs around puberty. Our study concerns a 17-year-old patient followed for a Helicobacter pylori infection without improvement, revealing a later anorexia nervosa with good improvement and weight gain following Psychiatric follow-up whose main treatment is therapy. family in addition to secondary medical treatment.
{"title":"Mental Anorexia and Helicobacterpylori Infection About a Case","authors":"B. Raouf, I. Adali, F. Manoudi","doi":"10.36347/sjmcr.2024.v12i04.017","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i04.017","url":null,"abstract":"Anorexia nervosa is one of the eating disorders of multifactorial origin, which most often occurs around puberty. Our study concerns a 17-year-old patient followed for a Helicobacter pylori infection without improvement, revealing a later anorexia nervosa with good improvement and weight gain following Psychiatric follow-up whose main treatment is therapy. family in addition to secondary medical treatment.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140700496","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 : 2024-04-15DOI: 10.36347/sjmcr.2024.v12i04.019
Md. Maiwa Jessica Chela Tuoalombo, Mgtr. Leydi del Pilar Lema Lema, Md. Ana Gabriela Ávalos Zurita, Md. Teresa Catalina López Panata, Md. Lizbeth Maritza Montes de Oca Gavilanez, MD. Mgtr Dimitri Este
Introduction: Hematomas and septal abscesses are frequent complications of nasal trauma, and they can also appear in the post-surgical period of nasal surgeries, in nasal furunculosis and in dental infectious processes. They are uncommon in the pediatric population [1]. According to the literature, approximately 0.8% of trauma cases are complicated by a septal abscess and 1.6% by a septal hematoma. In many cases, no history of trauma is found [2]. Clinical case: The case of a 19-year-old patient is presented, with no significant pathological history, denies substance use, clinical picture of approximately 3 days that is characterized by facial pain on the left side of the face predominantly nasal, hyaline rhinorrhea, ventilatory insufficiency. Bilateral nasal passages, anosmia and unquantified temperature rises, without apparent cause, denied any history of nasal trauma. Discussion: in this particular case, the unusual location of necrotizing fasciitis in the anterior region of the neck is striking; it generally occurs in people with diabetes mellitus and immunocompromised people and in this case, it occurs without apparent cause. Conclusion: It is concluded that the need for rapid diagnosis and treatment in patients with nasal septal abscess should be emphasized to reduce the risk of infectious complications, permanent functional disorders and aesthetic deformities.
{"title":"Septal Hematoma of Unknown Origin: Rare Case Report","authors":"Md. Maiwa Jessica Chela Tuoalombo, Mgtr. Leydi del Pilar Lema Lema, Md. Ana Gabriela Ávalos Zurita, Md. Teresa Catalina López Panata, Md. Lizbeth Maritza Montes de Oca Gavilanez, MD. Mgtr Dimitri Este","doi":"10.36347/sjmcr.2024.v12i04.019","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i04.019","url":null,"abstract":"Introduction: Hematomas and septal abscesses are frequent complications of nasal trauma, and they can also appear in the post-surgical period of nasal surgeries, in nasal furunculosis and in dental infectious processes. They are uncommon in the pediatric population [1]. According to the literature, approximately 0.8% of trauma cases are complicated by a septal abscess and 1.6% by a septal hematoma. In many cases, no history of trauma is found [2]. Clinical case: The case of a 19-year-old patient is presented, with no significant pathological history, denies substance use, clinical picture of approximately 3 days that is characterized by facial pain on the left side of the face predominantly nasal, hyaline rhinorrhea, ventilatory insufficiency. Bilateral nasal passages, anosmia and unquantified temperature rises, without apparent cause, denied any history of nasal trauma. Discussion: in this particular case, the unusual location of necrotizing fasciitis in the anterior region of the neck is striking; it generally occurs in people with diabetes mellitus and immunocompromised people and in this case, it occurs without apparent cause. Conclusion: It is concluded that the need for rapid diagnosis and treatment in patients with nasal septal abscess should be emphasized to reduce the risk of infectious complications, permanent functional disorders and aesthetic deformities.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140702524","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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