Pub Date : 2019-01-01DOI: 10.4172/2165-7920.10001203
Tavares Df
In old age bipolar disorder (BD) patients, cognitive complaints difficults an accurate differential diagnosis between cognitive deficits secondary to a primary affective disorder and neurocognitive disorders, such as dementia in Alzheimer’s disease (AD). This case report refers to a female 56-year-old patient with severe and treatment resistant BD type I that presented cognitive decline with loss in recent episodic memory and executive functions in the past year. The diagnosis of mild stage dementia associated to BD was suggested, however neuroimaging tests such as magnetic resonance imaging (MRI) and positron emission tomography with fluordeoxiglicose (PET - FDG) were not enough to exclude the differential diagnosis of AD. The CSF biomarkers (reduced levels of amyloid peptide Aâ1-42 and the elevation of total tau protein and phosphorylated tau levels) resources were decisive for exclusion of an etiological diagnosis of AD.
{"title":"Differential Diagnosis of Cognitive Impairment in Bipolar Disorder: A Case Report","authors":"Tavares Df","doi":"10.4172/2165-7920.10001203","DOIUrl":"https://doi.org/10.4172/2165-7920.10001203","url":null,"abstract":"In old age bipolar disorder (BD) patients, cognitive complaints difficults an accurate differential diagnosis between cognitive deficits secondary to a primary affective disorder and neurocognitive disorders, such as dementia in Alzheimer’s disease (AD). This case report refers to a female 56-year-old patient with severe and treatment resistant BD type I that presented cognitive decline with loss in recent episodic memory and executive functions in the past year. The diagnosis of mild stage dementia associated to BD was suggested, however neuroimaging tests such as magnetic resonance imaging (MRI) and positron emission tomography with fluordeoxiglicose (PET - FDG) were not enough to exclude the differential diagnosis of AD. The CSF biomarkers (reduced levels of amyloid peptide Aâ1-42 and the elevation of total tau protein and phosphorylated tau levels) resources were decisive for exclusion of an etiological diagnosis of AD.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70706776","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 : 2019-01-01DOI: 10.4172/2165-7920.10001223
E. Abdelaal, D. Hacking, W. Sąsiadek, M. O’Connor, I. Owens, K. Murphy, C. McGeeney, S. Matthew
Male breast cancer is relatively uncommon, representing less than 1% of all breast cancer with a peak incidence at 70 years. The principles of management are like that for female patients, including surgery (more mastectomy in men), radiotherapy and systemic treatment. The prognosis is stage dependent and it is generally worse than female breast cancer due to late presentation. The choroid is a relatively common site for metastasis due to rich blood supply and the most common primaries are the breast and the lung. We are presenting a case of a male patient with locally advanced breast cancer, who had mastectomy and radiotherapy in 2015 and who presented three years later with blurred vision in the left eye and was found to have choroidal metastasis. He had urgent palliative radiotherapy to the left eye. Further investigation followed showing widespread metastatic disease and he demised shortly thereafter.
{"title":"Ocular Metastasis from Breast Cancer: A Case Report and Review of Literatures","authors":"E. Abdelaal, D. Hacking, W. Sąsiadek, M. O’Connor, I. Owens, K. Murphy, C. McGeeney, S. Matthew","doi":"10.4172/2165-7920.10001223","DOIUrl":"https://doi.org/10.4172/2165-7920.10001223","url":null,"abstract":"Male breast cancer is relatively uncommon, representing less than 1% of all breast cancer with a peak incidence at 70 years. The principles of management are like that for female patients, including surgery (more mastectomy in men), radiotherapy and systemic treatment. The prognosis is stage dependent and it is generally worse than female breast cancer due to late presentation. The choroid is a relatively common site for metastasis due to rich blood supply and the most common primaries are the breast and the lung. We are presenting a case of a male patient with locally advanced breast cancer, who had mastectomy and radiotherapy in 2015 and who presented three years later with blurred vision in the left eye and was found to have choroidal metastasis. He had urgent palliative radiotherapy to the left eye. Further investigation followed showing widespread metastatic disease and he demised shortly thereafter.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001223","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70708077","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 : 2019-01-01DOI: 10.4172/2165-7920.10001220
A. A
{"title":"The Measurable and Unmeasurable Visual Benefits of 3D Saline Infusion Sonohysterography","authors":"A. A","doi":"10.4172/2165-7920.10001220","DOIUrl":"https://doi.org/10.4172/2165-7920.10001220","url":null,"abstract":"","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"248 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70708336","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 : 2019-01-01DOI: 10.4172/2165-7920.10001218
Hoshy Ms, Hassan Fa
Introduction: Hydatid disease in humans occurs as result of infection by the larval stages (hydatid cysts) of taeniid cestodes of the genus Echinococcus. The growth of the hydatid cysts in the internal organs (mainly liver and lungs) of humans may affect the health and lead to appearance of the disease manifestations. Case report: We report a case of hydatid cyst of the liver in a 29-years-old woman who originally lived in Jizan in Saudi Arabia and presented to Jeddah King Fahad hospital emergency unit with abdominal pain radiated to the right shoulder. Physical examination and imaging investigation in the form of chest X-ray, abdominal sonography and computed tomography were done to her. Results: Imaging investigations demonstrated a cystic lesion within right lobe of the liver extending to adjacent part of the left lobe. A hydatid cyst was diagnosed. The patient underwent radical excision of the cyst with total removal. She also received pre and postoperative oral albendazole. Conclusion: Hydatid disease cases of the liver may remain silent and become symptomatic and are usually diagnosed in adult patients because of the slowly growing nature of the cyst. The diagnosis needs careful history taking, examination and imaging investigations.
{"title":"Hepatic Hydatid Cyst in a Young Rural Female: A Case Report","authors":"Hoshy Ms, Hassan Fa","doi":"10.4172/2165-7920.10001218","DOIUrl":"https://doi.org/10.4172/2165-7920.10001218","url":null,"abstract":"Introduction: Hydatid disease in humans occurs as result of infection by the larval stages (hydatid cysts) of taeniid cestodes of the genus Echinococcus. The growth of the hydatid cysts in the internal organs (mainly liver and lungs) of humans may affect the health and lead to appearance of the disease manifestations. Case report: We report a case of hydatid cyst of the liver in a 29-years-old woman who originally lived in Jizan in Saudi Arabia and presented to Jeddah King Fahad hospital emergency unit with abdominal pain radiated to the right shoulder. Physical examination and imaging investigation in the form of chest X-ray, abdominal sonography and computed tomography were done to her. Results: Imaging investigations demonstrated a cystic lesion within right lobe of the liver extending to adjacent part of the left lobe. A hydatid cyst was diagnosed. The patient underwent radical excision of the cyst with total removal. She also received pre and postoperative oral albendazole. Conclusion: Hydatid disease cases of the liver may remain silent and become symptomatic and are usually diagnosed in adult patients because of the slowly growing nature of the cyst. The diagnosis needs careful history taking, examination and imaging investigations.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70707783","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 : 2019-01-01DOI: 10.4172/2165-7920.10001214
Firsov Is, Sivov Ig, Ingenik Llc
{"title":"Remission in the Patient with Malignant Pleural Mesothelioma: A Case Report","authors":"Firsov Is, Sivov Ig, Ingenik Llc","doi":"10.4172/2165-7920.10001214","DOIUrl":"https://doi.org/10.4172/2165-7920.10001214","url":null,"abstract":"","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001214","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70707996","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 : 2019-01-01DOI: 10.4172/2165-7920.10001211
A. A
{"title":"Microbiological Examination of Intrauterine Catheters Tips After Operative Hysteroscopy","authors":"A. A","doi":"10.4172/2165-7920.10001211","DOIUrl":"https://doi.org/10.4172/2165-7920.10001211","url":null,"abstract":"","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001211","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70707107","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 : 2019-01-01DOI: 10.4172/2165-7920.10001215
M. Ababou, S. Jennane, Mehtat Em, H. Elmaaroufi, K. Doghmi
Involvement of cranial nerves is unspecific and can occur in inflammation, different types of nerve tumours and in malignancies. Central Nervous System (CNS) dissemination during the Mantle Cell Lymphoma (MCL) is unusual. We report a rare case of a patient followed for mantle cell lymphoma, which brutally instituted multiple cranial nerve palsies, brain imaging showed a bilateral sphenoid sinusitis. Cytology later showed the presence of mantle cells in cerebrospinal fluid analysis. We review literature for the Central Nervous System involvement in Mantle cell lymphoma and we discuss possible change of therapeutic strategies. Although the cranial nerves involvement is extremely rare in Mantle cell Lymphoma, physicians should be aware of such patterns of Central Nervous System (CNS) involvement for the early diagnosis and adequate selection of treatment modality.
{"title":"Multiple Cranial Nerve Palsies in Mantle Cell Lymphoma: A Case Report and Literature Review","authors":"M. Ababou, S. Jennane, Mehtat Em, H. Elmaaroufi, K. Doghmi","doi":"10.4172/2165-7920.10001215","DOIUrl":"https://doi.org/10.4172/2165-7920.10001215","url":null,"abstract":"Involvement of cranial nerves is unspecific and can occur in inflammation, different types of nerve tumours and in malignancies. Central Nervous System (CNS) dissemination during the Mantle Cell Lymphoma (MCL) is unusual. We report a rare case of a patient followed for mantle cell lymphoma, which brutally instituted multiple cranial nerve palsies, brain imaging showed a bilateral sphenoid sinusitis. Cytology later showed the presence of mantle cells in cerebrospinal fluid analysis. We review literature for the Central Nervous System involvement in Mantle cell lymphoma and we discuss possible change of therapeutic strategies. Although the cranial nerves involvement is extremely rare in Mantle cell Lymphoma, physicians should be aware of such patterns of Central Nervous System (CNS) involvement for the early diagnosis and adequate selection of treatment modality.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001215","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70707675","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 : 2019-01-01DOI: 10.4172/2165-7920.10001212
Bustami N, Mismar A, Obeidat F
Objective: Streptococcus thoraltensis is a recently described species, isolated from the intestinal and genital tracts of swine and from rabbit feces. We describe here a case of enterocutaneous fistula complicated by abdominal wall abscess formation attributable to S. thoraltensis. To our knowledge, this is the second reported human infection by this organism. Clinical features: Our patient is a 44-years-old diabetic female, with a previous history of ovarian mixed germ cell tumor treated with surgery and adjuvant chemoradiotherapy, presenting 18 years later with an enterocutaneous fistula complicated by abdominal wall abscess formation at the site of previous surgery. Culture from the drained pus and fistulous tract revealed Streptococcus thoraltensis. Outcome: The patient was treated conservatively with broad spectrum antibiotics and total parenteral nutrition. She suffered from disseminated intravascular coagulation and acute liver failure and passed away 4 weeks later. Conclusion: We report for the second time the isolation of streptococcus thoraltensis associated with a pathological process in humans. The infectious role of this newly identified organism pattern in human diseases is yet to be identified.
{"title":"Isolation of Streptococcus thoraltensis from an Abdominal Wall Abscess in a Young Female: A Case Report","authors":"Bustami N, Mismar A, Obeidat F","doi":"10.4172/2165-7920.10001212","DOIUrl":"https://doi.org/10.4172/2165-7920.10001212","url":null,"abstract":"Objective: Streptococcus thoraltensis is a recently described species, isolated from the intestinal and genital tracts of swine and from rabbit feces. We describe here a case of enterocutaneous fistula complicated by abdominal wall abscess formation attributable to S. thoraltensis. To our knowledge, this is the second reported human infection by this organism. Clinical features: Our patient is a 44-years-old diabetic female, with a previous history of ovarian mixed germ cell tumor treated with surgery and adjuvant chemoradiotherapy, presenting 18 years later with an enterocutaneous fistula complicated by abdominal wall abscess formation at the site of previous surgery. Culture from the drained pus and fistulous tract revealed Streptococcus thoraltensis. Outcome: The patient was treated conservatively with broad spectrum antibiotics and total parenteral nutrition. She suffered from disseminated intravascular coagulation and acute liver failure and passed away 4 weeks later. Conclusion: We report for the second time the isolation of streptococcus thoraltensis associated with a pathological process in humans. The infectious role of this newly identified organism pattern in human diseases is yet to be identified.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001212","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70707866","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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