Christopher Briones, Michael Esantsi, Samir Asker, Jacey Jones
21-hydroxylase deficiency (21-HD) is a rare enzyme defect in the cortisol synthesis pathway. Left untreated, chronic elevations of adrenocorticotropic hormone induce adrenal cortex hyperplasia and may result in the formation of adrenal gland tumors. Benign myelolipomas and testicular adrenal rest tumors are commonly seen, but adrenocortical carcinomas (ACC) are extremely rare with a poor prognosis. We present the case of a 34-year old Caucasian man with untreated 21-HD, and a family history of liver, pancreatic and colon cancer, as well as 21-HD. Incidental computed tomography (CT) imaging for hip pain, and subsequent cancer work up, identified primary ACC with metastasis to the liver, lungs, bones, testicles and contralateral adrenal gland. After a precipitous decline in clinical status on the eighth day of admission, repeat CT imaging revealed worsening hepatomegaly and an interval enlarged left adrenal mass with active hemorrhage. The patient expired the following day due to rapid progression of aggressive metastatic cancer causing multi-organ failure. ACC is associated with hereditary cancer syndromes including Multiple Endocrine Neoplasia 1 (MEN-1), Lynch Syndrome, and Familial Adenomatous Polyposis (FAP). The association of MEN-1 with pancreatic cancer, and of Lynch and FAP with colon cancer, suggests the patient’s robust family history may have contributed to early tumorigenesis and rapid progression of disease in the setting of 21-HD. This case emphasizes the significance of compliance with steroid treatment in patients with 21-HD, as well as highlights the importance of early genetic testing when there is a concomitant family history of cancer.
{"title":"Metastatic adrenocortical carcinoma in an adult with 21-Hydroxylase deficiency","authors":"Christopher Briones, Michael Esantsi, Samir Asker, Jacey Jones","doi":"10.15761/MCRR.1000152","DOIUrl":"https://doi.org/10.15761/MCRR.1000152","url":null,"abstract":"21-hydroxylase deficiency (21-HD) is a rare enzyme defect in the cortisol synthesis pathway. Left untreated, chronic elevations of adrenocorticotropic hormone induce adrenal cortex hyperplasia and may result in the formation of adrenal gland tumors. Benign myelolipomas and testicular adrenal rest tumors are commonly seen, but adrenocortical carcinomas (ACC) are extremely rare with a poor prognosis. We present the case of a 34-year old Caucasian man with untreated 21-HD, and a family history of liver, pancreatic and colon cancer, as well as 21-HD. Incidental computed tomography (CT) imaging for hip pain, and subsequent cancer work up, identified primary ACC with metastasis to the liver, lungs, bones, testicles and contralateral adrenal gland. After a precipitous decline in clinical status on the eighth day of admission, repeat CT imaging revealed worsening hepatomegaly and an interval enlarged left adrenal mass with active hemorrhage. The patient expired the following day due to rapid progression of aggressive metastatic cancer causing multi-organ failure. ACC is associated with hereditary cancer syndromes including Multiple Endocrine Neoplasia 1 (MEN-1), Lynch Syndrome, and Familial Adenomatous Polyposis (FAP). The association of MEN-1 with pancreatic cancer, and of Lynch and FAP with colon cancer, suggests the patient’s robust family history may have contributed to early tumorigenesis and rapid progression of disease in the setting of 21-HD. This case emphasizes the significance of compliance with steroid treatment in patients with 21-HD, as well as highlights the importance of early genetic testing when there is a concomitant family history of cancer.","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90741482","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}
Iolanda Espirito Santo, Anne-Christine Cottier, R. Sguinzi, Ian Fournier
Inflammatory fibroid polyps (IFP), or Vanek’s tumours, are rare lesions of the gastrointestinal tract whose clinical presentation and management vary according to lesion’s size and location. We hereby present a case of an ileoileal intussusception accurately diagnosed by computer tomography. Laparotomy and small bowel resection were performed. A PDGFRA+ IFP was identified as the lead point and its rare CD117(c-kit) positivity emphasizes the histological variety of these lesions as well as the complexity thus inherent to a conclusive diagnosis. *Correspondence to: Iolanda Nazaré da Graça do Espírito Santo, Route de la Feuillère 13, 1010 Lausanne Switzerland, Tel: +41797840758; E-mail: iolandaespiritosanto@gmail.com
炎性肌瘤息肉(IFP)或Vanek肿瘤是一种罕见的胃肠道病变，其临床表现和处理因病变的大小和位置而异。我们在此报告一例通过计算机断层扫描准确诊断的回肠肠套叠。行开腹和小肠切除术。PDGFRA+ IFP被确定为先导点，其罕见的CD117(c-kit)阳性强调了这些病变的组织学多样性以及因此固有的结论性诊断的复杂性。*通信:Iolanda nazar da gra do Espírito Santo, Route de la feuill 13, 1010瑞士洛桑，电话:+41797840758;电子邮件:iolandaespiritosanto@gmail.com
{"title":"Inflammatory Fibroid Polyp causing small bowel intussusception: a case report","authors":"Iolanda Espirito Santo, Anne-Christine Cottier, R. Sguinzi, Ian Fournier","doi":"10.15761/mcrr.1000166","DOIUrl":"https://doi.org/10.15761/mcrr.1000166","url":null,"abstract":"Inflammatory fibroid polyps (IFP), or Vanek’s tumours, are rare lesions of the gastrointestinal tract whose clinical presentation and management vary according to lesion’s size and location. We hereby present a case of an ileoileal intussusception accurately diagnosed by computer tomography. Laparotomy and small bowel resection were performed. A PDGFRA+ IFP was identified as the lead point and its rare CD117(c-kit) positivity emphasizes the histological variety of these lesions as well as the complexity thus inherent to a conclusive diagnosis. *Correspondence to: Iolanda Nazaré da Graça do Espírito Santo, Route de la Feuillère 13, 1010 Lausanne Switzerland, Tel: +41797840758; E-mail: iolandaespiritosanto@gmail.com","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89729687","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}
I. Mbarki, Samia Hajar Touimi, H. Elkacemi, Ayeb Kebdani, S. Elmajjaoui, N. Benjaafar
{"title":"Intraoperative ultrasound guidance during intra-cavitary brachytherapy of cervical cancer","authors":"I. Mbarki, Samia Hajar Touimi, H. Elkacemi, Ayeb Kebdani, S. Elmajjaoui, N. Benjaafar","doi":"10.15761/mcrr.1000170","DOIUrl":"https://doi.org/10.15761/mcrr.1000170","url":null,"abstract":"","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76830392","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}
Elena Barbagelata, E. Bernero, R. Garbarini, M. Scudeletti
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a current, ongoing life-threatening crisis and it has become a global public health emergency. The early diagnosis and management of the disease remains a major challenge. Although most patients with COVID-19 manifest fever and respiratory tract symptoms, SARS-CoV-2 infection may also involve other organs/systems and present with extra-respiratory manifestations. Occasionally, these extra-respiratory clinical expressions represent the initial presentation of SARS-CoV-2 infection, prior to fever or respiratory manifestations. Cutaneous manifestations of COVID-19 disease have not yet been fully described. Some skin disorders in COVID-19 might result in missed diagnosis. An important question is whether the dermatological problem in COVID-19 has any clinical impact on diagnosis and treatment of disease.We describe this unusual case report of the extra-respiratory manifestations of COVID-19 in order to help clinicians to better understand the range of clinical presentations associated with SARS-CoV-2 infection, allowing appropriate management of this disease. *Correspondence to: Elena Barbagelata, department of internal Medicine, Lavagna General Hospital, Via don Bobbio 43, 16033, Genoa, Italy, E-mail: elenabarbagelata@yahoo.it
由严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)引起的2019冠状病毒病(COVID-19)是当前持续存在的危及生命的危机，已成为全球突发公共卫生事件。该疾病的早期诊断和管理仍然是一项重大挑战。虽然大多数COVID-19患者表现为发烧和呼吸道症状，但SARS-CoV-2感染也可能涉及其他器官/系统，并出现呼吸外症状。有时，这些呼吸外临床表现代表了SARS-CoV-2感染的初始表现，先于发烧或呼吸道表现。COVID-19疾病的皮肤表现尚未得到充分描述。COVID-19中的一些皮肤疾病可能导致漏诊。一个重要的问题是，COVID-19的皮肤病问题是否对疾病的诊断和治疗有任何临床影响。我们描述了这一不寻常的COVID-19呼吸外表现病例报告，以帮助临床医生更好地了解与SARS-CoV-2感染相关的临床表现范围，从而对这种疾病进行适当的管理。*通信:Elena Barbagelata，意大利热那亚，Via don Bobbio 43, 16033, Lavagna总医院内科，E-mail: elenabarbagelata@yahoo.it
{"title":"Cutaneous manifestations in COVID 19 patient: A case report","authors":"Elena Barbagelata, E. Bernero, R. Garbarini, M. Scudeletti","doi":"10.15761/mcrr.1000162","DOIUrl":"https://doi.org/10.15761/mcrr.1000162","url":null,"abstract":"Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a current, ongoing life-threatening crisis and it has become a global public health emergency. The early diagnosis and management of the disease remains a major challenge. Although most patients with COVID-19 manifest fever and respiratory tract symptoms, SARS-CoV-2 infection may also involve other organs/systems and present with extra-respiratory manifestations. Occasionally, these extra-respiratory clinical expressions represent the initial presentation of SARS-CoV-2 infection, prior to fever or respiratory manifestations. Cutaneous manifestations of COVID-19 disease have not yet been fully described. Some skin disorders in COVID-19 might result in missed diagnosis. An important question is whether the dermatological problem in COVID-19 has any clinical impact on diagnosis and treatment of disease.We describe this unusual case report of the extra-respiratory manifestations of COVID-19 in order to help clinicians to better understand the range of clinical presentations associated with SARS-CoV-2 infection, allowing appropriate management of this disease. *Correspondence to: Elena Barbagelata, department of internal Medicine, Lavagna General Hospital, Via don Bobbio 43, 16033, Genoa, Italy, E-mail: elenabarbagelata@yahoo.it","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85725658","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}
Purpose: The purpose of this paper is to introduce a case of refractory chronic osteomyelitis of the femoral shaft. Case Report: A 51 year old male suffered from chronic osteomyelitis of the femoral shaft for about 40 years. In the first stage, thorough debridement, extensive lesion resection, antibiotic bone cement spacer and external fixator were applied; in the second stage, the external fixator and bone cement column were changed to femoral bone marrow internal nail combined with femoral locking plate and autologous bone implantation at the broken end under the premise of complete control of inflammation and good health. Finally, the patient was cured and very satisfied with the current state. Conclusion: We report a case of refractory chronic osteomyelitis, which is very rare to have a long history of disease, a large number of fractures, and deformity degree of lower limbs. *Correspondence to: Li Chen, Department of orthopedics, Suzhou Hospital of Anhui Medical University (Suzhou Municipal Hospital of Anhui Province), 299 Bianhe Middle Road, Yongqiao District, Suzhou City, Anhui Province, China, E-mail: 524985750@qq. com
{"title":"Refractory chronic osteomyelitis of femur：A case report","authors":"Li Chen, H. Hou, Liren Zhang, Q. Pan","doi":"10.15761/MCRR.1000153","DOIUrl":"https://doi.org/10.15761/MCRR.1000153","url":null,"abstract":"Purpose: The purpose of this paper is to introduce a case of refractory chronic osteomyelitis of the femoral shaft. Case Report: A 51 year old male suffered from chronic osteomyelitis of the femoral shaft for about 40 years. In the first stage, thorough debridement, extensive lesion resection, antibiotic bone cement spacer and external fixator were applied; in the second stage, the external fixator and bone cement column were changed to femoral bone marrow internal nail combined with femoral locking plate and autologous bone implantation at the broken end under the premise of complete control of inflammation and good health. Finally, the patient was cured and very satisfied with the current state. Conclusion: We report a case of refractory chronic osteomyelitis, which is very rare to have a long history of disease, a large number of fractures, and deformity degree of lower limbs. *Correspondence to: Li Chen, Department of orthopedics, Suzhou Hospital of Anhui Medical University (Suzhou Municipal Hospital of Anhui Province), 299 Bianhe Middle Road, Yongqiao District, Suzhou City, Anhui Province, China, E-mail: 524985750@qq. com","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"113 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88360561","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. Kaya, T. Tecimer, Ilker Ersözlü, Serdar Giray, Mete Düren
Plasmacytomas arise from plasma cells and are part of a family of plasma cell neoplasms. Extramedullary plasmacytomas are usually located in the upper respiratory tract and oral cavity. Thyroid involvement is rare and can be solitary or secondary to systemic multiple myeloma and constitutes less than 5% of all plasma cell neoplasms and 1.4% of extramedullary plasmacytomas. Fine needle aspiration biopsy may falsely predict medullary thyroid cancer or follicular neoplasm of Hurthle cells. Since plasma cells in thyroid are rare, such a finding in frozen section should raise a suspicion of plasma cell neoplasm. Here we report a case presenting with a 4 cm firm nodule in the thyroid. Fine needle aspiration biopsy was not diagnostic. Pathologic examination of the surgical specimen revealed an extramedullary plasmacytoma located in the thyroid. The association of solitary EMP of the thyroid gland with lymphocytic thyroiditis is known and 82% of patients show lymphocytic thyroiditis as was the case with our patient. Clinical outcome of patients with localized disease is favorable. 10-year overall survival rate is 70%. The disease may progress to multiple myeloma in 11-30% of patients. Surgery and/or radiotherapy are the treatment of choice for these patients. Follow-up is required for disease progression and development of multiple myeloma.
{"title":"Plasmacytoma of the Thyroid","authors":"H. Kaya, T. Tecimer, Ilker Ersözlü, Serdar Giray, Mete Düren","doi":"10.15761/mcrr.1000163","DOIUrl":"https://doi.org/10.15761/mcrr.1000163","url":null,"abstract":"Plasmacytomas arise from plasma cells and are part of a family of plasma cell neoplasms. Extramedullary plasmacytomas are usually located in the upper respiratory tract and oral cavity. Thyroid involvement is rare and can be solitary or secondary to systemic multiple myeloma and constitutes less than 5% of all plasma cell neoplasms and 1.4% of extramedullary plasmacytomas. Fine needle aspiration biopsy may falsely predict medullary thyroid cancer or follicular neoplasm of Hurthle cells. Since plasma cells in thyroid are rare, such a finding in frozen section should raise a suspicion of plasma cell neoplasm. Here we report a case presenting with a 4 cm firm nodule in the thyroid. Fine needle aspiration biopsy was not diagnostic. Pathologic examination of the surgical specimen revealed an extramedullary plasmacytoma located in the thyroid. The association of solitary EMP of the thyroid gland with lymphocytic thyroiditis is known and 82% of patients show lymphocytic thyroiditis as was the case with our patient. Clinical outcome of patients with localized disease is favorable. 10-year overall survival rate is 70%. The disease may progress to multiple myeloma in 11-30% of patients. Surgery and/or radiotherapy are the treatment of choice for these patients. Follow-up is required for disease progression and development of multiple myeloma.","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89488268","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}
Aditi V. Joshi, K. Utpat, U. Desai, Ramesh N Bharmal
The diaphragm is the main respiratory muscle, its dysfunction can lead to serious consequences. Diaphragm paralysis can be a result of various causes, most common of being injury to phrenic nerve following thoracic surgeries. Presentation can vary from a totally asymptomatic patient to disabling condition requiring mechanical ventilation. Clinically paradoxical breathing is evident. Spirometry shows drop in lung capacity, with significant decline in supine position, which is typical of diaphragmatic palsy. Treatment depends on the cause. Surgical approach of repair of diaphragm or nonsurgical approach of non-invasive ventilation has been successful. We report a case of 33-year-old male with bilateral diaphragm palsy, managed with non-invasive ventilation.
{"title":"Delayed presentation of bilateral diaphragmatic palsy following trauma","authors":"Aditi V. Joshi, K. Utpat, U. Desai, Ramesh N Bharmal","doi":"10.15761/mcrr.1000164","DOIUrl":"https://doi.org/10.15761/mcrr.1000164","url":null,"abstract":"The diaphragm is the main respiratory muscle, its dysfunction can lead to serious consequences. Diaphragm paralysis can be a result of various causes, most common of being injury to phrenic nerve following thoracic surgeries. Presentation can vary from a totally asymptomatic patient to disabling condition requiring mechanical ventilation. Clinically paradoxical breathing is evident. Spirometry shows drop in lung capacity, with significant decline in supine position, which is typical of diaphragmatic palsy. Treatment depends on the cause. Surgical approach of repair of diaphragm or nonsurgical approach of non-invasive ventilation has been successful. We report a case of 33-year-old male with bilateral diaphragm palsy, managed with non-invasive ventilation.","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91060608","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":"Case report: Earworms on the perpetual music track - biological parameters, and an evolutionary perspective of music","authors":"Wolfgang M. Schleidt","doi":"10.15761/mcrr.1000171","DOIUrl":"https://doi.org/10.15761/mcrr.1000171","url":null,"abstract":"","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89946395","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}
Semenov Se, Yurkevich Ea, Moldavskaya Iv, Semenov As, Kokov An
{"title":"Clinical and instrumental indicators of intracranial venous stasis and secondary ischemia in cerebral sinus thrombosis. A review","authors":"Semenov Se, Yurkevich Ea, Moldavskaya Iv, Semenov As, Kokov An","doi":"10.15761/mcrr.1000172","DOIUrl":"https://doi.org/10.15761/mcrr.1000172","url":null,"abstract":"","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76675368","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}
Abdesselam Taleb, Omar Masmali, A. A. Ageel, H. Arishi
After one day of hospitalization, the pain improved on the right hip joint and started in the left hip side which radiated to the left knee with limitation of movement. Past history revealed twice blood transfusions; the last one was 3 months before the current admission. Physical examination revealed a child who was in pain, score of 8 (Wong Baker pain scale, range 0-10 with 10, it hurts and worst), conscious, alert, with no pallor or jaundice. The chest and heart examination was within normal. There was no organomegaly. His body weight was 26 kilograms, above the 10th percentile; his height 130 centimeters on the 10th percentile; his temperature 36.7°C.
{"title":"Pseudomonas Oryzihabitans bacteremia in a child with sickle cell disease","authors":"Abdesselam Taleb, Omar Masmali, A. A. Ageel, H. Arishi","doi":"10.15761/MCRR.1000156","DOIUrl":"https://doi.org/10.15761/MCRR.1000156","url":null,"abstract":"After one day of hospitalization, the pain improved on the right hip joint and started in the left hip side which radiated to the left knee with limitation of movement. Past history revealed twice blood transfusions; the last one was 3 months before the current admission. Physical examination revealed a child who was in pain, score of 8 (Wong Baker pain scale, range 0-10 with 10, it hurts and worst), conscious, alert, with no pallor or jaundice. The chest and heart examination was within normal. There was no organomegaly. His body weight was 26 kilograms, above the 10th percentile; his height 130 centimeters on the 10th percentile; his temperature 36.7°C.","PeriodicalId":93315,"journal":{"name":"Journal of medical case reports and reviews","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79640095","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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