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PELVIC ABSCESS MISTAKEN FOR MALIGNANT OVARIAN TUMOR IN A POSTMENOPAUSAL WOMAN. CASE REPORT 盆腔脓肿误诊为恶性卵巢肿瘤绝经后妇女。病例报告
Pub Date : 2021-06-01 DOI: 10.15446/CR.V7N1.87199
Edgar Paez‐Castellanos, A. Ruiz-Parra, E. Ángel-Müller, Iván David Ruiz-Ángel
Received: 11/05/2020 Accepted: 05/08/2020 Corresponding author Edith Ángel-Müller. Departamento de Obstetricia y Ginecología, Facultad de Medicina, Universidad Nacional de Colombia. Bogotá D.C. Colombia. E-mail: eangelm@unal.edu.co. Edgar Páez-Castellanos Ariel Iván Ruiz-Parra Edith Ángel-Müller Universidad Nacional de Colombia Bogotá Campus Faculty of Medicine Department of Obstetrics and Gynecology Bogotá, D.C. Colombia. https://doi.org/10.15446/cr.v7n1.87199
收稿日期:11/05/2020收稿日期:05/08/2020通讯作者Edith angel - muller哥伦比亚国立大学医学院妇产科。哥伦比亚波哥大。电子邮件:eangelm@unal.edu.co。Edgar paez - castellanos Ariel ivan Ruiz-Parra Edith angel - muller哥伦比亚国立大学bogota妇产科校园医学院bogota,哥伦比亚特区。https://doi.org/10.15446/cr.v7n1.87199
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引用次数: 0
PHYSICAL THERAPY TREATMENT IN A PARA-POWERLIFTING AND PARA-SWIMMING ATHLETE WITH ACHONDROPLASIA. CASE REPORT 1例软骨发育不全的举重和游泳运动员的物理治疗。病例报告
Pub Date : 2021-06-01 DOI: 10.15446/CR.V7N1.86453
Zully Rocío Rincón-Rueda, Karen Tatiana Cepeda-Flórez, Andry Giseth Fragozo-Ibarra, Mildreth Rosmary Mendoza-Cardona, Freddy López-Gómez
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引用次数: 2
MYXEDEMA COMA AS A CAUSE ASSOCIATED WITH MULTIPLE ETIOLOGIES OF HEART FAILURE 黏液水肿昏迷与心力衰竭的多种病因相关
Pub Date : 2021-06-01 DOI: 10.15446/CR.V7N1.85786
David Alejandro Rodríguez-Pantoja, J. A. Morcillo-Muñoz
Received: 19/03/2020 Accepted: 04/06/2020 Corresponding author Jorge Alfredo Morcillo Muñoz. Departamento Clínico, Facultad de Ciencias de la Salud, Universidad de Caldas. Manizales. Colombia. E-mail: jamorcillom@unal.edu.co David Alejandro Rodríguez-Pantoja Universidad Nacional de Colombia Bogotá Campus Faculty of Medicine Medical program Bogotá, D.C. Colombia. https://doi.org/10.15446/cr.v7n1.85786
收到:19/03/2020收到:04/06/2020通讯作者Jorge Alfredo Morcillo munoz。卡尔达斯大学健康科学学院临床学系。Manizales。哥伦比亚。电子邮件:jamorcillom@unal.edu.co David Alejandro rodriguez - pantoja哥伦比亚国立大学bogota医学校园学院医学项目bogota,哥伦比亚特区。https://doi.org/10.15446/cr.v7n1.85786
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引用次数: 0
Complejo OEIS (onfalocele, extrofia vesical, ano imperforado y defectos espinales), una entidad más confusa de lo que se cree. Reporte de caso OEIS复合体(脐膨出、膀胱外翻、肛门缺损和脊柱缺损),一个比想象的更混乱的实体。个案报告
Pub Date : 2021-04-19 DOI: 10.15446/CR.V7N1.85912
E. Espinosa-García, Natalia Martínez-Córdoba
Introduction: The OEIS complex is a group of polymorphic defects with low incidence and prevalence worldwide. It is associated with epigenetic and genetic causes that occur in early blastogenesis, resulting in 4 classic malformations consisting of omphalocele, bladder/cloaca exstrophy, imperforate anus, and spinal cord injuries. Spina bifida, symphysis pubis diastasis and limb abnormalities may also be observed.Case presentation: 7-month-old female patient (at the time of writing this report). The mother was from a rural region of Colombia, and this was her third pregnancy, which was at high risk of obstetric complications. The infant was prenatally diagnosed with a caudal folding defect in the abdominal wall and a lipomeningocele. During birth, bladder exstrophy, imperforate anus and spinal dysraphism were observed, leading to a diagnosis of OEIS complex. Relevant interdisciplinary management was initiated.Conclusions: The OEIS complex is a fetal polymorphic malformation with characteristic signs and defects. Knowledge on its etiopathogenesis, pre-and postnatal diagnosis, genetic counseling, and therapeutic approaches are essential to favor the early treatment of different comorbidities, alleviate acute symptoms, reduce multiple comorbidities and improve the patient's quality of life.
OEIS复合体是一组多态缺陷,在世界范围内发病率和流行率都很低。它与胚胎早期发生的表观遗传和遗传原因有关,导致4种典型畸形,包括脐膨出、膀胱/泄殖腔外翻、肛门闭锁和脊髓损伤。脊柱裂,耻骨联合移位和肢体异常也可能被观察到。病例介绍:7个月大的女性患者(撰写本报告时)。这位母亲来自哥伦比亚的农村地区,这是她第三次怀孕,产科并发症的风险很高。婴儿在产前被诊断为腹壁尾侧折叠缺陷和脂肪脊膜膨出。出生时,观察到膀胱外翻,肛门闭锁和脊柱畸形,导致诊断为OEIS综合征。启动了相关的跨学科管理。结论:OEIS复合体是一种具有特征性体征和缺陷的胎儿多形畸形。了解其发病机制、产前产后诊断、遗传咨询和治疗方法,有利于早期治疗不同的合并症,减轻急性症状,减少多种合并症,提高患者的生活质量。
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引用次数: 0
Los linfomas en la práctica diaria. Un diagnóstico diferencial a tener en cuenta 淋巴瘤在日常实践中。需要考虑的鉴别诊断
Pub Date : 2021-04-19 DOI: 10.15446/CR.V7N1.92548
G. Marrugo-Pardo
In this issue of Case Reports, two papers describe the cases of middle-aged patients with lymphomas in different locations. Thus, this editorial is a good opportunity to draw the medical community's attention to the relevance of this disease.
在这一期的病例报告中,两篇论文描述了不同部位的中年淋巴瘤患者的病例。因此,这篇社论是一个很好的机会,以提请医学界对这种疾病的相关性的关注。
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引用次数: 0
Unusual coexistence of major cardiac pathologies in a single, asymptomatic patient 在一个无症状的病人身上不同寻常地同时出现主要的心脏疾病
Pub Date : 2021-01-01 DOI: 10.15761/jccr.1000174
Kawan Abdal Wahid, Pankaj Kumar, A. Finall, A. Ionescu
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引用次数: 0
A cohort study: Myocardial infarction with non-obstructive coronary arteries (MINOCA) in an Irish tertiary centre 一项队列研究:非阻塞性冠状动脉心肌梗死(MINOCA)在爱尔兰三级中心
Pub Date : 2021-01-01 DOI: 10.15761/JCCR.1000154
L. Piggott, S. Piggott, M. Allam, T. Kiernan
Myocardial infarction with non-obstructed coronary arteries (MINOCA) represents a diagnostic and therapeutic challenge. Approximately 10% of patients presenting with acute MI do not have obstructive coronary artery disease on coronary angiogram as confirmed in several large Acute Myocardial Infarction (AMI) registries. A diagnosis of MINOCA can be introduced in patients with consistent features of MI and demonstrated nonobstructive coronary artery disease. With increased utilisation of coronary angiograms and high sensitivity troponin, the identification of MINOCA is encountered more frequently. The long-term clinical outcome and prognosis of this subgroup is not well known or understood. The aim of this retrospective cohort study was to evaluate patient demographics, diagnosis and the 12-month follow-up of 26 inpatients who presented with MINOCA in an Irish tertiary centre. The following inclusion criteria was used in the definition of MINOCA; elevated troponin biomarkers, clinical features of ischaemia (symptoms, ischaemic changes on electrocardiogram, new loss of viable myocardium or wall motion abnormality) evidence of intracoronary thrombus or a non-obstructive pattern angiographically. Acute myocarditis was the most common cause of MINOCA with unobstructive angiography in this cohort of patients. 15.3% (n=4) had a recurrent hospital admission with similar presentation within 12 months of the primary event. Establishing appropriate diagnosis and identifying patient risks is essential to ensure patients receive both preventative therapy and appropriate treatment.
无冠状动脉阻塞的心肌梗死(MINOCA)是一个诊断和治疗的挑战。在几个大型急性心肌梗死(AMI)登记中证实,大约10%的急性心肌梗死患者在冠状动脉造影上没有阻塞性冠状动脉疾病。MINOCA的诊断可以引入具有一致的心肌梗死特征和证明非阻塞性冠状动脉疾病的患者。随着冠状动脉造影和高灵敏度肌钙蛋白应用的增加,MINOCA的诊断越来越频繁。该亚群的长期临床结果和预后尚不清楚。这项回顾性队列研究的目的是评估爱尔兰三级医疗中心26例MINOCA住院患者的人口统计学、诊断和12个月的随访。MINOCA的定义采用以下纳入标准:肌钙蛋白生物标志物升高、缺血的临床特征(症状、心电图缺血改变、新的存活心肌丧失或壁运动异常)、冠状动脉内血栓或非阻塞性血管造影的证据。在这组患者中,急性心肌炎是MINOCA最常见的原因。15.3% (n=4)的患者在原发事件发生后12个月内以类似症状再次住院。建立适当的诊断和确定患者风险对于确保患者接受预防性治疗和适当治疗至关重要。
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引用次数: 0
Premature ventricular complexes and heart failure post COVID vaccination COVID疫苗接种后过早心室复合体和心力衰竭
Pub Date : 2021-01-01 DOI: 10.15761/jccr.1000173
Ahmed Hassan Awadallah, Ammar A Aljefri, Abdullah Al-Saiedi, W. Kashkari, Atif Alzahrani, S. Albogami, A. Krimly, M. Alameer, Abdulaziz A. Almalki, Mohammed J. Khalifah, Rasha Al-Bawardy
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引用次数: 0
Atypical pityriasis rosea in a young Colombian woman. Case report 非典型玫瑰糠疹在一个年轻的哥伦比亚妇女。病例报告
Pub Date : 2021-01-01 DOI: 10.15446/cr.v7n2.88809
J. F. Porras-Villamil, Angela Catalina Hinestroza, G. López-Moreno, Doris Juliana Parra-Sepúlveda
Introduction: Pityriasis rosea is an acute and self-limited exanthemfirst described by Gilbert in 1860. Its treatment is symptomatic, and although there is no conclusive evidence, it has been associated with the reactivation of the human herpesviruses 6 and 7 (HHV-6 and HHV-7). Case presentation: A 28-year-old woman, from Bogotá, Colombia, ahealth worker, attended the emergency room due to the onset ofsymptoms that began 20 days earlier with the appearance of punctiformlesions in the left arm that later spread to the thorax, abdomen, opposite arm, and thighs. The patient reported a history of bipolar II disorder and retinal detachment. After ruling out several infectious diseases, and due to the evolution of the symptoms, pityriasis rosea was suspected. Therefore, treatment was started with deflazacort 30mg for 21 days, obtaining a favorable outcome and improvement of symptoms after 2 months. At the time of writing this case report, the patient had not consulted for recurrence. Conclusion: Primary care physicians should have sufficient training indermatology to recognize and treat dermatological diseases since manyof them are diagnosed based on clinical findings. This is an atypicalcase, in which the patient did not present with some of the pathognomonic signs associated with pityriasis rosea.
玫瑰糠疹是一种急性自限性疾病,由吉尔伯特于1860年首次描述。它的治疗是对症的,尽管没有确凿的证据,但它与人类疱疹病毒6和7 (HHV-6和HHV-7)的再激活有关。病例介绍:来自哥伦比亚波哥大的一名28岁妇女是一名卫生工作者,因20天前开始出现症状,左臂出现点状病变,后来扩散到胸部、腹部、对侧手臂和大腿而前往急诊室就诊。患者报告有双相情感障碍和视网膜脱离病史。在排除了几种传染病后,由于症状的演变,我们怀疑是玫瑰糠疹。因此,开始使用地拉法柯30mg治疗21天,2个月后疗效良好,症状有所改善。在撰写本病例报告时,患者未咨询复发。结论:由于许多皮肤病是根据临床表现诊断的,初级保健医生应接受足够的皮肤病学培训,以识别和治疗皮肤病。这是一个非典型的病例,患者没有出现一些与玫瑰糠疹相关的症状。
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引用次数: 0
An atypical presentation of a ST elevated myocardial infarction; Highlighting the importance of examining the whole patient picture ST段抬高型心肌梗死的不典型表现;强调检查病人全貌的重要性
Pub Date : 2021-01-01 DOI: 10.15761/jccr.1000171
Susan Tucker, B. Burch, Kiara Wood-Myrick
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引用次数: 0
期刊
Journal of cardiology case reports
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