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COVID-19–Induced Left Ventricular Thrombus in a Functionally Normal Heart 功能正常心脏中covid -19诱导的左心室血栓
Annals of internal medicine. Clinical cases
Pub Date : 2023-09-01 DOI: 10.7326/aimcc.2022.1272
Richard H. Liu, Khan O. Mohammad, Hanna Fanous, Megan K. Kressin, Caitlin Giesler, Yan Liu
Left ventricular (LV) thrombus is a complication primarily associated with significant left ventricular dysfunction and/or other identifiable medical conditions. This clinical vignette presents the first case of an isolated left ventricular thrombus caused by minimally symptomatic COVID-19 in a functionally normal heart of previously healthy individual.
左心室(LV)血栓是一种并发症，主要与显著的左心室功能障碍和/或其他可识别的医学状况相关。本临床小故事介绍了第一例由症状最小的COVID-19引起的孤立左心室血栓，发生在一个功能正常的健康个体的心脏中。
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引用次数: 0
Syphilitic Meningoencephalitis Presenting as Status Epilepticus in a Patient With HIV HIV患者表现为癫痫持续状态的梅毒性脑膜脑炎
Annals of internal medicine. Clinical cases
Pub Date : 2023-09-01 DOI: 10.7326/aimcc.2023.0040
Jorge A. Irizarry-Caro, Stephanie L. Egge, Mohammad Alsheikh-Kassim, Shivika Chandra, Eileell Nguyen, Juliet Chijioke, Roberto C. Arduino
Neurosyphilis constitutes a heterogenous clinical presentation that, in rare cases, can include seizures. The immunosuppression caused by HIV may influence the clinical presentation of syphilis, leading to severe complications. We report a case of a 27-year-old man who presented with status epilepticus as a manifestation of syphilitic meningoencephalitis and a new diagnosis of HIV.
神经梅毒是一种异质的临床表现，在极少数情况下，可能包括癫痫发作。HIV引起的免疫抑制可能影响梅毒的临床表现，导致严重的并发症。我们报告一个27岁的男子谁提出了癫痫持续状态的表现为梅毒脑膜脑炎和一个新的诊断艾滋病毒。
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引用次数: 0
Pityriasis Rosea Variant: Persistent Pityriasis Rosea in a 78-Year-Old Female Patient 玫瑰糠疹变异型:78岁女性患者持续性玫瑰糠疹
Annals of internal medicine. Clinical cases
Pub Date : 2023-09-01 DOI: 10.7326/aimcc.2023.0342
Evelyn Fagan, Alexis G. Strahan, Candler Kimsey Blake, Rebecca Campen
Pityriasis rosea (PR) is a papulosquamous dermatosis seen most commonly in children and young adults. Variants of PR occur in 1 in 5 cases and can significantly impact a patient's quality of life. We present a case of a 78-year-old woman who developed a pruritic, erythematous rash consisting of annular patches on her face, bilateral arms and legs, and vulva. After months of persistent, progressive symptoms, she was diagnosed with persistent pityriasis rosea (PPR), a rare variant of PR. This case highlights the importance of recognizing variants of PR to allow for timely diagnosis and avoidance of over- or under-treatment.
玫瑰糠疹(PR)是一种丘疹鳞状皮肤病，最常见于儿童和年轻人。每5例中就有1例发生PR变异，并可显著影响患者的生活质量。我们提出一个病例78岁的妇女谁发展瘙痒，红斑皮疹组成的环状斑块在她的脸，双侧手臂和腿，和外阴。在持续数月的进行性症状后，她被诊断为持续性玫瑰糠疹(PPR)，这是一种罕见的PR变异。该病例强调了识别PR变异的重要性，以便及时诊断并避免治疗过度或治疗不足。
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引用次数: 0
Pituitary apoplexy as a mimicker of infectious meningitis in an adolescent female patient. 一名青少年女性患者的垂体卒中模拟感染性脑膜炎
Annals of internal medicine. Clinical cases
Pub Date : 2023-09-01 Epub Date: 2023-09-05 DOI: 10.7326/aimcc.2022.1328
Justine P Enns, Timour Al-Khindi, Catherine Wu, Mamuka Machaidze, Joowhan Sung

Pituitary apoplexy can cause a chemical meningitis and its mimicry in presentation with infectious meningitis poses a diagnostic challenge. Here we report an 18-year-old woman who presented with acute headache, altered mental status, and cerebral spinal fluid (CSF) pleocytosis, and clinically improved with antibiotics and steroids. Despite an unremarkable head computed tomography scan, brain magnetic resonance imaging showed a pituitary macroadenoma with apoplexy. This is one of the first reports of an adolescent with pituitary apoplexy masquerading as infectious meningitis and underscores the importance of keeping this rare condition, often missed on CT scans, on the differential for CSF pleocytosis.

垂体性脑瘫可引起化学性脑膜炎，其与感染性脑膜炎的相似性给诊断带来了挑战。我们在此报告了一名 18 岁女性患者，她出现急性头痛、精神状态改变和脑脊液（CSF）多形细胞增多，使用抗生素和类固醇后临床症状有所改善。尽管头部计算机断层扫描结果无异常，但脑磁共振成像显示她患有垂体大腺瘤并伴有垂体功能骤停。这是首例伪装成感染性脑膜炎的垂体功能骤停青少年患者的报告，强调了将这种在 CT 扫描中经常被漏诊的罕见病症与脑脊液多细胞症进行鉴别的重要性。
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引用次数: 0
Lymphoid Interstitial Pneumonia Associated With Hashimoto Thyroid Disease 桥本甲状腺病相关淋巴间质性肺炎
Annals of internal medicine. Clinical cases
Pub Date : 2023-09-01 DOI: 10.7326/aimcc.2023.0333
Steven Tessier, Santo Longo, Livia Bratis, Sudip Nanda, Firas Ido
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引用次数: 0
Broadening the Differential for Obstructive Jaundice: Lemmel Syndrome 拓宽梗阻性黄疸的鉴别鉴别:Lemmel综合征
Annals of internal medicine. Clinical cases
Pub Date : 2023-09-01 DOI: 10.7326/aimcc.2023.0410
Thilini Delungahawatta, David Blackwood, Christopher J. Haas
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引用次数: 0
Nontraumatic Chylothorax: A Case Series From a Safety-Net Hospital 非创伤性乳糜胸:来自安全网医院的病例系列
Annals of internal medicine. Clinical cases
Pub Date : 2023-09-01 DOI: 10.7326/aimcc.2023.0119
Rafaella Litvin, Almurtada Razok, Mona Dasgupta, Enrique Martinez Trevino, Mohamed Saad Eldin, Sherene Fakhran
Chylothorax is an uncommon type of pleural effusion caused by the accumulation of chyle in the pleural space. It represents 2% to 3% of pleural effusions and can be classified into 4 categories: traumatic, malignant, idiopathic, or miscellaneous. Chylothoraces may carry high morbidity and mortality, especially when associated with trauma or malignancies. We present 3 cases of nontraumatic chylothorax confirmed by pleural fluid analysis, with different etiologies, seen by the pulmonary department at our hospital in 2022. They represent the wide spectrum of conditions that can be associated with this unusual finding.
乳糜胸是一种罕见的胸膜积液，由胸膜腔积存乳糜引起。它占胸腔积液的2%至3%，可分为4类:外伤性、恶性、特发性或杂性。乳糜胸可能有很高的发病率和死亡率，特别是当与创伤或恶性肿瘤相关时。我们报告3例非外伤性乳糜胸，经胸腔积液分析确诊，病因不同，于2022年在我院肺科就诊。它们代表了与这一不寻常发现相关的广泛条件。
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引用次数: 0
An Extremely Rare Cause of Restrictive Lung Disease: Intrapulmonary Mature Teratoma 限制性肺部疾病的一种极为罕见的病因:肺内成熟畸胎瘤
Annals of internal medicine. Clinical cases
Pub Date : 2023-09-01 DOI: 10.7326/aimcc.2023.0697
Kevin J. Karlic, Andrew C. Chang, John Z. Ayanian, Allison L. Ruff
Intrapulmonary mature teratomas are extremely rare, benign neoplasms that arise from the lung. In this case, we present a 40-year-old man with a 1.5-year history of mild exertional dyspnea during physical exercise. Pulmonary function tests revealed restrictive lung disease and computed tomography (CT) of the chest showed a left mediastinal mass consistent with a mature teratoma obstructing the left ventricle and right ventricular outflow tract. Surgical resection revealed that the mass originated from the left upper lobe of the lung, while surgical pathology confirmed the diagnosis of intrapulmonary mature teratoma. Although commonly asymptomatic, intrapulmonary mature teratomas are a rare cause of mildly symptomatic restrictive lung disease.
肺内成熟畸胎瘤是极为罕见的良性肿瘤，起源于肺部。在本病例中，我们报告了一名40岁的男性，在体育锻炼中有1.5年的轻度运动性呼吸困难病史。肺功能检查显示限制性肺病，胸部计算机断层扫描(CT)显示左纵隔肿块与成熟畸胎瘤一致，阻塞了左心室和右心室流出道。手术切除发现肿块起源于左肺上叶，手术病理证实肺内成熟畸胎瘤的诊断。虽然通常无症状，肺内成熟畸胎瘤是一种罕见的原因轻度症状限制性肺疾病。
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引用次数: 0
Sweet Syndrome and Sarcoidosis: A Case Report Sweet综合征与结节病1例报告
Annals of internal medicine. Clinical cases
Pub Date : 2023-09-01 DOI: 10.7326/aimcc.2023.0254
M. E. Romero Noboa, A. Razok, K. Patolia, Saman Tanveer, Faria Sami
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引用次数: 0
Polymer Coating Embolism: Cause of Left Pulmonary Artery Stenosis in an Infant 聚合物涂层栓塞:婴儿左肺动脉狭窄的原因
Annals of internal medicine. Clinical cases
Pub Date : 2023-09-01 DOI: 10.7326/aimcc.2023.0583
Amane Matsuura, Yo Kajiyama, Tomoko Iehara
{"title":"Polymer Coating Embolism: Cause of Left Pulmonary Artery Stenosis in an Infant","authors":"Amane Matsuura, Yo Kajiyama, Tomoko Iehara","doi":"10.7326/aimcc.2023.0583","DOIUrl":"https://doi.org/10.7326/aimcc.2023.0583","url":null,"abstract":"","PeriodicalId":72222,"journal":{"name":"Annals of internal medicine. Clinical cases","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135387579","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}
引用次数: 0
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