G. Menafra, A. Pingitore, A. Gurgo, D. Magrí, E. Pagannone, M. Testa, M. Volpe
{"title":"Recurrent infective endocarditis in a drug addict","authors":"G. Menafra, A. Pingitore, A. Gurgo, D. Magrí, E. Pagannone, M. Testa, M. Volpe","doi":"10.15761/CCRR.1000409","DOIUrl":"https://doi.org/10.15761/CCRR.1000409","url":null,"abstract":"","PeriodicalId":72607,"journal":{"name":"Clinical case reports and reviews","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67447038","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}
T. Imaizumi, M. Ooishi, H. Irie, T. Inoue, Y. Narisawa, Y. Yamaguchi
In Western nations, lip cancer accounts for 15%–30% of all oral cancers; however, lip cancer is far less common in Japan, accounting for only 0.9%–3.6% of oral cancers (references ) [1-3]. Lip cancer usually occurs in the lower lip, and is rarely seen in the oral commissure [35]. Histologically, most cases are squamous cell carcinoma [6]. To our knowledge, only one case of bilateral squamous cell carcinoma of the oral commissure has previously been reported [7].
{"title":"Case ReportA case of asynchronous bilateral cancer of the oral commissure","authors":"T. Imaizumi, M. Ooishi, H. Irie, T. Inoue, Y. Narisawa, Y. Yamaguchi","doi":"10.15761/ccrr.1000416","DOIUrl":"https://doi.org/10.15761/ccrr.1000416","url":null,"abstract":"In Western nations, lip cancer accounts for 15%–30% of all oral cancers; however, lip cancer is far less common in Japan, accounting for only 0.9%–3.6% of oral cancers (references ) [1-3]. Lip cancer usually occurs in the lower lip, and is rarely seen in the oral commissure [35]. Histologically, most cases are squamous cell carcinoma [6]. To our knowledge, only one case of bilateral squamous cell carcinoma of the oral commissure has previously been reported [7].","PeriodicalId":72607,"journal":{"name":"Clinical case reports and reviews","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67447527","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}
K. Sivananthan, Karthigesu Aimanan, S. Kanthasamy, A. Azman, Ramesh R. Thangaratnam, Chew Loon Guan
Rectus sheath hematoma is a rare clinical condition and often misdiagnosed cause of abdominal mass. It is a well-documented complication of abdominal trauma, surgery and excessive strain on abdominal musculature. This is a case report of rectus sheath hematoma in which the clinical features and ultrasound findings favored intraperitoneal mass. However, CT scan well delineates the mass and pointed towards the diagnosis of rectus sheath hematoma.
{"title":"Rectus sheath hematoma presenting as an abdominal mass","authors":"K. Sivananthan, Karthigesu Aimanan, S. Kanthasamy, A. Azman, Ramesh R. Thangaratnam, Chew Loon Guan","doi":"10.15761/CCRR.1000420","DOIUrl":"https://doi.org/10.15761/CCRR.1000420","url":null,"abstract":"Rectus sheath hematoma is a rare clinical condition and often misdiagnosed cause of abdominal mass. It is a well-documented complication of abdominal trauma, surgery and excessive strain on abdominal musculature. This is a case report of rectus sheath hematoma in which the clinical features and ultrasound findings favored intraperitoneal mass. However, CT scan well delineates the mass and pointed towards the diagnosis of rectus sheath hematoma.","PeriodicalId":72607,"journal":{"name":"Clinical case reports and reviews","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67447583","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":"The use of the superior gluteal artery perforator flap to cover sacral defects","authors":"M. Fazlurrahman, A. Haider, Muhammad Asif Ahsan","doi":"10.15761/ccrr.1000406","DOIUrl":"https://doi.org/10.15761/ccrr.1000406","url":null,"abstract":"","PeriodicalId":72607,"journal":{"name":"Clinical case reports and reviews","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67446869","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}
H. Bay, S. Elloudi, S. Benkirane, Z. Douhi, S. Gallouj, F. Mernissi
Cutaneous Leishmaniasis (CL) are zoonoses caused by parasites of the genus Leishmania, transmission occurs by bite of a gnat called sandfly. It is a worldwide health problem. In fact, The World Health Organization (WHO) considers leishmaniasis to be one of the most serious parasitic diseases including Morocco because of the global warming [1,2]. In Morocco, major leshmaniasis, tropica and infantum are prevalent and are very common [2]. Among the problems reported in the treatment of cutaneous leishmaniosis are difficulty in determining clinical diagnosis due to lack of access tomicroscopy onmany basic health services [3]; the serious side effects of pentavalent antimonial drugs and the variability of the efficacy against the different forms of Leishmania [3], making drugs and medical attention an expensive treatment because of the side effects [3]; besides, there have also been reports of patients not responding to drugs due to drug resistance or increased immunosuppression [3]. Photodynamic Therapy (PDT) is non-invasive therapy and can be repeated when necessary without damage to the patient’s health and without causing resistance in the parasite [4-7]. We report a case illustrate this difficulty to diagnosis and treat leshmaniasis in the immunocompromised who was treated successfully by (PDT).
{"title":"Leishmaniasis of the ear treated successfully by photodynamic therapy","authors":"H. Bay, S. Elloudi, S. Benkirane, Z. Douhi, S. Gallouj, F. Mernissi","doi":"10.15761/ccrr.1000410","DOIUrl":"https://doi.org/10.15761/ccrr.1000410","url":null,"abstract":"Cutaneous Leishmaniasis (CL) are zoonoses caused by parasites of the genus Leishmania, transmission occurs by bite of a gnat called sandfly. It is a worldwide health problem. In fact, The World Health Organization (WHO) considers leishmaniasis to be one of the most serious parasitic diseases including Morocco because of the global warming [1,2]. In Morocco, major leshmaniasis, tropica and infantum are prevalent and are very common [2]. Among the problems reported in the treatment of cutaneous leishmaniosis are difficulty in determining clinical diagnosis due to lack of access tomicroscopy onmany basic health services [3]; the serious side effects of pentavalent antimonial drugs and the variability of the efficacy against the different forms of Leishmania [3], making drugs and medical attention an expensive treatment because of the side effects [3]; besides, there have also been reports of patients not responding to drugs due to drug resistance or increased immunosuppression [3]. Photodynamic Therapy (PDT) is non-invasive therapy and can be repeated when necessary without damage to the patient’s health and without causing resistance in the parasite [4-7]. We report a case illustrate this difficulty to diagnosis and treat leshmaniasis in the immunocompromised who was treated successfully by (PDT).","PeriodicalId":72607,"journal":{"name":"Clinical case reports and reviews","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67447212","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}
J. Beal, Soemiwati W Holland, Krishna Chalasani, M. A. Hossain
Denosumab is a human monoclonal antibody that binds receptor activator of nuclear factor kappa-B ligand (RANKL) and inhibits interaction between RANKL and RANK on the surface of osteoclasts, which prevents osteoclast formation and causes decreased bone resorption and increased bone mass [1]. Osteoporosis is characterized by low bone mass, microarchitectural disruption, and increased skeletal fragility. It is common in those who have undergone Rouxen-Y gastric bypass surgery, which causes reduced gastric acid levels necessary for adequate calcium absorption and decreased vitamin D due to relative bypass of its primary absorption points in the duodenum and proximal jejunum [2,3]. Denosumab is a reasonable option for osteoporosis treatment in patients with gastric bypass surgery due to intestinal malabsorption and risk of anastomotic ulceration with oral bisphosphonates [4]. A rare yet potentially fatal adverse effect of denosumab is severe hypocalcemia and Vitamin D deficiency, which is often prolonged secondary to its long half-life and therefore difficult to treat in many cases [5]. We present a case of denosumab-induced severe hypocalcemia in a patient with history of gastric bypass who also was found to have acute severe hypovitaminosis D despite post-treatment vitamin D supplementation. Thus we hypothesize a potentially causal relationship between denosumab and acute severe vitamin D deficiency in high-risk patients, specifically with intestinal malabsorption and resultant predisposition to becoming vitamin D deficient.
{"title":"A 59-year-old Female Post Bariatric Surgery with Severe Vitamin D Deficiency and Severe Hypocalcemia Induced by Denosumab Injection for Osteoporosis","authors":"J. Beal, Soemiwati W Holland, Krishna Chalasani, M. A. Hossain","doi":"10.15761/ccrr.1000419","DOIUrl":"https://doi.org/10.15761/ccrr.1000419","url":null,"abstract":"Denosumab is a human monoclonal antibody that binds receptor activator of nuclear factor kappa-B ligand (RANKL) and inhibits interaction between RANKL and RANK on the surface of osteoclasts, which prevents osteoclast formation and causes decreased bone resorption and increased bone mass [1]. Osteoporosis is characterized by low bone mass, microarchitectural disruption, and increased skeletal fragility. It is common in those who have undergone Rouxen-Y gastric bypass surgery, which causes reduced gastric acid levels necessary for adequate calcium absorption and decreased vitamin D due to relative bypass of its primary absorption points in the duodenum and proximal jejunum [2,3]. Denosumab is a reasonable option for osteoporosis treatment in patients with gastric bypass surgery due to intestinal malabsorption and risk of anastomotic ulceration with oral bisphosphonates [4]. A rare yet potentially fatal adverse effect of denosumab is severe hypocalcemia and Vitamin D deficiency, which is often prolonged secondary to its long half-life and therefore difficult to treat in many cases [5]. We present a case of denosumab-induced severe hypocalcemia in a patient with history of gastric bypass who also was found to have acute severe hypovitaminosis D despite post-treatment vitamin D supplementation. Thus we hypothesize a potentially causal relationship between denosumab and acute severe vitamin D deficiency in high-risk patients, specifically with intestinal malabsorption and resultant predisposition to becoming vitamin D deficient.","PeriodicalId":72607,"journal":{"name":"Clinical case reports and reviews","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67447574","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}
A 20-year-old man, a semiprofessional hurdler, presented on the outpatient clinic with a six months history of pain posterior in the left ankle during sport activities. On physical examination there was pain palpating the posterior ankle joint and around the flexor hallucis longus (FHL) region posteromedial in the ankle during active flexion of the hallux. There was deep pain on the posterior process of the talus with a positive forced plantarflexion posterior impingement test. Magnetic resonance imaging (MRI) showed signs of posterior impingement with limited fluid distension of FHL sheath and a prominent posterior process. SPECT CT showed an increased uptake in the posterior process of the talus. Because of his complaints and high demanding level of sport activities an arthroscopic partial resection of the posterior process was suggested with a release of the FHL. The posterior arthroscopy was performed with the two posterior portals technique described by van Dijk [1]. The presumed FHL was located and the prominence of posterior process of the talus revealed. After resection of the prominence we noticed that the presumed FHL was not moving by flexion and extension of the hallux, but moved just with the mobilisation of the calcaneus. After careful inspection of the tendon, a second tendon anterior to the forementioned tendon was revealed. This tendon prooved to be the FHL, when the hallux was flexed and extended. The anatomically more posterior tendon appeared to be an accessory tendon (Figures 1 and 2). With mobilization of the hallux, there was no movement of this tendon, it only moved when the calcaneum was mobilised. We presumed that it was the peroneocalcaneus internus (PCI) tendon. An accessory posteromedial portal was made to perform a resection with the punch, scissor and shaver, because of the interference with the FHL in his tunnel (Figure 3). After this procedure the FHL could run freely in the tunnel without a sign of impingement. Postoperatively the pain was resolved. The Foot Abstract
{"title":"The peroneocalcaneus internus tendon: case report of a rare cause of posterior ankle impingement treated by arthroscopy","authors":"Liselore Maeckelbergh, G. Matricali, Sander Wuite","doi":"10.15761/CCRR.1000400","DOIUrl":"https://doi.org/10.15761/CCRR.1000400","url":null,"abstract":"A 20-year-old man, a semiprofessional hurdler, presented on the outpatient clinic with a six months history of pain posterior in the left ankle during sport activities. On physical examination there was pain palpating the posterior ankle joint and around the flexor hallucis longus (FHL) region posteromedial in the ankle during active flexion of the hallux. There was deep pain on the posterior process of the talus with a positive forced plantarflexion posterior impingement test. Magnetic resonance imaging (MRI) showed signs of posterior impingement with limited fluid distension of FHL sheath and a prominent posterior process. SPECT CT showed an increased uptake in the posterior process of the talus. Because of his complaints and high demanding level of sport activities an arthroscopic partial resection of the posterior process was suggested with a release of the FHL. The posterior arthroscopy was performed with the two posterior portals technique described by van Dijk [1]. The presumed FHL was located and the prominence of posterior process of the talus revealed. After resection of the prominence we noticed that the presumed FHL was not moving by flexion and extension of the hallux, but moved just with the mobilisation of the calcaneus. After careful inspection of the tendon, a second tendon anterior to the forementioned tendon was revealed. This tendon prooved to be the FHL, when the hallux was flexed and extended. The anatomically more posterior tendon appeared to be an accessory tendon (Figures 1 and 2). With mobilization of the hallux, there was no movement of this tendon, it only moved when the calcaneum was mobilised. We presumed that it was the peroneocalcaneus internus (PCI) tendon. An accessory posteromedial portal was made to perform a resection with the punch, scissor and shaver, because of the interference with the FHL in his tunnel (Figure 3). After this procedure the FHL could run freely in the tunnel without a sign of impingement. Postoperatively the pain was resolved. The Foot Abstract","PeriodicalId":72607,"journal":{"name":"Clinical case reports and reviews","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67446568","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}
H. Dong, Xuhui Chen, Yan-Fang Jiang, YHao Chen, Mingyi Wu, Hai-jun Li
Gastrointestinal perforation is a common surgical emergency, but accidental and unnoticed foreign body ingestion is not very uncommon. Most of ingested foreign bodies pass uneventfully through the gastrointestinal tract. Perforation of the gastrointestinal occurs in less than 1% of ingestion of a foreign body [1]. Case of the gastrointestinal perforation caused by eating is rare. It is very difficult for diagnosis sometimes. Here we report a rare case of gastrointestinal perforation caused by eating.
{"title":"Surgical management of gastrointestinal perforation by ingested chicken bone: A case report","authors":"H. Dong, Xuhui Chen, Yan-Fang Jiang, YHao Chen, Mingyi Wu, Hai-jun Li","doi":"10.15761/CCRR.1000407","DOIUrl":"https://doi.org/10.15761/CCRR.1000407","url":null,"abstract":"Gastrointestinal perforation is a common surgical emergency, but accidental and unnoticed foreign body ingestion is not very uncommon. Most of ingested foreign bodies pass uneventfully through the gastrointestinal tract. Perforation of the gastrointestinal occurs in less than 1% of ingestion of a foreign body [1]. Case of the gastrointestinal perforation caused by eating is rare. It is very difficult for diagnosis sometimes. Here we report a rare case of gastrointestinal perforation caused by eating.","PeriodicalId":72607,"journal":{"name":"Clinical case reports and reviews","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67447112","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}
Received: January 02, 2018; Accepted: February 15, 2018; Published: February 19, 2018 An 84 year-old man presented to Emergency department complaining of cough and fever. He was known to be ischemic heart disease with coronary angiogram done in 2011 showed total occlusion of LAD and 50% Circumflex artery. Recent Echocardiography showed LV EF 35%. No chest pain. He is known to suffer from Parkinsonism non complaint to medications due to hallucination as side effect.
{"title":"Wide complex tachycardia in ischemic heart disease patient: What is the rhythm?","authors":"G. A. Mohani","doi":"10.15761/ccrr.1000388","DOIUrl":"https://doi.org/10.15761/ccrr.1000388","url":null,"abstract":"Received: January 02, 2018; Accepted: February 15, 2018; Published: February 19, 2018 An 84 year-old man presented to Emergency department complaining of cough and fever. He was known to be ischemic heart disease with coronary angiogram done in 2011 showed total occlusion of LAD and 50% Circumflex artery. Recent Echocardiography showed LV EF 35%. No chest pain. He is known to suffer from Parkinsonism non complaint to medications due to hallucination as side effect.","PeriodicalId":72607,"journal":{"name":"Clinical case reports and reviews","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67445078","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}
A 35-year-old female patient with a history of cesarean section 2 times applied to our hospital with the complaints of post-menstrual bleeding for the last 1 year and infertility. In pelvic MRI, in cesarean section scar localization in the anterior uterine corpus, 15x10 mm in size, well-circumscribed hypointense cystic lesions were observed on T1-weighted images, and hyperintense cystic lesions were observed on T2-weighted images (Figure 1). A thinning was observed in the uterine parenchyma in the anterior neighborhood of this area. In patients who have the story of cesarean section in uterine cystic lesions, the uterine isthmocele should be considered in definitive diagnosis. A 35-year-old female patient with a history of cesarean section 2 times applied to our hospital with the complaints of post-menstrual bleeding for the last 1 year. In the transvaginal ultrasonography (TVUSG), anechoic cystic formation was observed in the anterior of the uterine corpus, and pelvic MRI examination was performed on the patient. At MRI, in cesarean section scar localization in the anterior uterine corpus, 15x10 mm in size, well-circumscribed hypointense cystic lesions were observed on T1-weighted images, and well-circumscribed
{"title":"A rare cause of infertility: Uterine isthmocele","authors":"M. Koplay, N. Seher, E. Uysal, H. Cebeci","doi":"10.15761/CCRR.1000389","DOIUrl":"https://doi.org/10.15761/CCRR.1000389","url":null,"abstract":"A 35-year-old female patient with a history of cesarean section 2 times applied to our hospital with the complaints of post-menstrual bleeding for the last 1 year and infertility. In pelvic MRI, in cesarean section scar localization in the anterior uterine corpus, 15x10 mm in size, well-circumscribed hypointense cystic lesions were observed on T1-weighted images, and hyperintense cystic lesions were observed on T2-weighted images (Figure 1). A thinning was observed in the uterine parenchyma in the anterior neighborhood of this area. In patients who have the story of cesarean section in uterine cystic lesions, the uterine isthmocele should be considered in definitive diagnosis. A 35-year-old female patient with a history of cesarean section 2 times applied to our hospital with the complaints of post-menstrual bleeding for the last 1 year. In the transvaginal ultrasonography (TVUSG), anechoic cystic formation was observed in the anterior of the uterine corpus, and pelvic MRI examination was performed on the patient. At MRI, in cesarean section scar localization in the anterior uterine corpus, 15x10 mm in size, well-circumscribed hypointense cystic lesions were observed on T1-weighted images, and well-circumscribed","PeriodicalId":72607,"journal":{"name":"Clinical case reports and reviews","volume":"142 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67445152","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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