Pub Date : 2021-01-01DOI: 10.15406/mojcr.2021.11.00386
L. Doya
Factor V (FV) deficiency is a rare autosomal recessive coagulation disorder that can manifest at any age. Spontaneous intracranial hemorrhage as the first manifests of Factor V Deficiency is extremely rare and may present with a sudden focal neurological deficit or a reduced level of consciousness. We report a case of a new onset-seizure without any history of medical ingestion, toxin exposure, trauma or falls in an 11- month- old boy. A cranial computed tomography showed right intra-cerebral bleed extending from the parietal lobe to the occipital region with a shift of the midline to the left. Laboratory results showed a decrease in Factor V activity. Fresh frozen plasma (FFP) was replaced with improvement.
{"title":"Factor V deficiency in a Syrian boy with spontaneous intracranial hemorrhage: a rare case report from Syria","authors":"L. Doya","doi":"10.15406/mojcr.2021.11.00386","DOIUrl":"https://doi.org/10.15406/mojcr.2021.11.00386","url":null,"abstract":"Factor V (FV) deficiency is a rare autosomal recessive coagulation disorder that can manifest at any age. Spontaneous intracranial hemorrhage as the first manifests of Factor V Deficiency is extremely rare and may present with a sudden focal neurological deficit or a reduced level of consciousness. We report a case of a new onset-seizure without any history of medical ingestion, toxin exposure, trauma or falls in an 11- month- old boy. A cranial computed tomography showed right intra-cerebral bleed extending from the parietal lobe to the occipital region with a shift of the midline to the left. Laboratory results showed a decrease in Factor V activity. Fresh frozen plasma (FFP) was replaced with improvement.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","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":"67083482","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 : 2021-01-01DOI: 10.15406/mojcr.2021.11.00388
OD Rudkovska
Computer syndrome” or dry eye syndrome (DES) is asthenopia and dryness of the cornea and conjunctiva. The supposed cause of “computer syndrome” is an excessive constriction of the pupil and accommodation weakness. The article offers to use mydriatics in mild cases and laser mydriasis in severe cases in a complex of treatment. It is also suggested leaving slight myopia and physiological astigmatism while refractive surgery, contact and spectacle correction of myopia, so that the pupil does not narrow sharply and does not overstrain accommodation system, that is, there would be no conditions for the DES occurrence. The apparatus treatment, vision hygiene and healthy lifestyle are also required for a complete restoration of the working capacity of the accommodative muscles in case of DES.
{"title":"Dry eye syndrome: a new look at etiopathogenesis and treatment","authors":"OD Rudkovska","doi":"10.15406/mojcr.2021.11.00388","DOIUrl":"https://doi.org/10.15406/mojcr.2021.11.00388","url":null,"abstract":"Computer syndrome” or dry eye syndrome (DES) is asthenopia and dryness of the cornea and conjunctiva. The supposed cause of “computer syndrome” is an excessive constriction of the pupil and accommodation weakness. The article offers to use mydriatics in mild cases and laser mydriasis in severe cases in a complex of treatment. It is also suggested leaving slight myopia and physiological astigmatism while refractive surgery, contact and spectacle correction of myopia, so that the pupil does not narrow sharply and does not overstrain accommodation system, that is, there would be no conditions for the DES occurrence. The apparatus treatment, vision hygiene and healthy lifestyle are also required for a complete restoration of the working capacity of the accommodative muscles in case of DES.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","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":"67083540","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 : 2021-01-01DOI: 10.15406/mojcr.2021.11.00393
M. Blair
Background: Stickler syndrome is one of the most common inherited connective tissue disorders and is an important cause of pediatric vision loss due to a high risk of retinal detachment in these patients. Methods: Case report. Case summary: This case reports describes the clinical course of a 10 year old boy with Sticklers Syndrome who underwent bilateral peripheral laser prophylaxis. During routine follow up, he was found to have an asymptomatic giant retinal tear (GRT) with limited sub-retinal fluid expansion due to prior prophylactic laser. He underwent surgery with vitrectomy and scleral buckle with vision remaining at 20/25 at 6 month follow up. Conclusion: Although the utility of laser prophylaxis in Stickler patients is debated, this case demonstrates that after laser prophylaxis, even if GRT develops, expansion can be limited. Laser prophylaxis along with frequent examinations, can prevent development of PVR and complex detachments and preserve macular function with excellent visual outcome.
{"title":"‘Failure’ of laser prophylaxis in an eye with stickler syndrome","authors":"M. Blair","doi":"10.15406/mojcr.2021.11.00393","DOIUrl":"https://doi.org/10.15406/mojcr.2021.11.00393","url":null,"abstract":"Background: Stickler syndrome is one of the most common inherited connective tissue disorders and is an important cause of pediatric vision loss due to a high risk of retinal detachment in these patients. Methods: Case report. Case summary: This case reports describes the clinical course of a 10 year old boy with Sticklers Syndrome who underwent bilateral peripheral laser prophylaxis. During routine follow up, he was found to have an asymptomatic giant retinal tear (GRT) with limited sub-retinal fluid expansion due to prior prophylactic laser. He underwent surgery with vitrectomy and scleral buckle with vision remaining at 20/25 at 6 month follow up. Conclusion: Although the utility of laser prophylaxis in Stickler patients is debated, this case demonstrates that after laser prophylaxis, even if GRT develops, expansion can be limited. Laser prophylaxis along with frequent examinations, can prevent development of PVR and complex detachments and preserve macular function with excellent visual outcome.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","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":"67083732","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 : 2021-01-01DOI: 10.15406/mojcr.2021.11.00403
A. Gritsiuta
Bronchogenic cysts are rare and usually asymptomatic. There are very few reports of bronchogenic cysts producingatrial fibrillation in the literature. We present a rare case of atrial fibrillation as a complication of a mediastinal bronchogenic cyst. To our knowledge, there have been only 13 cases of atrial fibrillation caused by a bronchogenic cyst published in the literature. As demonstrated by prior studies, surgical resection has been a successful treatment of the atrial fibrillation in this population. Our case report presents additional evidence to support the effectiveness of surgical resection in the treatment of bronchogenic cyst induced atrial fibrillation.
{"title":"Extrapericardial bronchogenic cyst associated with atrial fibrillation","authors":"A. Gritsiuta","doi":"10.15406/mojcr.2021.11.00403","DOIUrl":"https://doi.org/10.15406/mojcr.2021.11.00403","url":null,"abstract":"Bronchogenic cysts are rare and usually asymptomatic. There are very few reports of bronchogenic cysts producingatrial fibrillation in the literature. We present a rare case of atrial fibrillation as a complication of a mediastinal bronchogenic cyst. To our knowledge, there have been only 13 cases of atrial fibrillation caused by a bronchogenic cyst published in the literature. As demonstrated by prior studies, surgical resection has been a successful treatment of the atrial fibrillation in this population. Our case report presents additional evidence to support the effectiveness of surgical resection in the treatment of bronchogenic cyst induced atrial fibrillation.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","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":"67083902","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 : 2020-11-11DOI: 10.15406/mojcr.2020.10.00359
N. Neupane
Pelvic ateriovenous malformation leading to repeated episodes of haematuria in an adult with history of paralytic poliomyelitis:
有麻痹性脊髓灰质炎病史的成人盆腔左静脉畸形导致血尿反复发作:
{"title":"Pelvic ateriovenous malformation leading to repeated episodes of haematuria in an adult with history of paralytic poliomyelitis: a case report ","authors":"N. Neupane","doi":"10.15406/mojcr.2020.10.00359","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00359","url":null,"abstract":"Pelvic ateriovenous malformation leading to repeated episodes of haematuria in an adult with history of paralytic poliomyelitis:","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41552568","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 : 2020-10-15DOI: 10.15406/mojcr.2020.10.00358
Chunhui Yang
Arachnoid cysts accounts for around 1% of all intracranial space– occupying lesions and is a relatively common neurodevelopmental disorder with an estimated prevalence of 0.2% to 1.7%.1–3 The most common locations for intracranial arachnoid cysts are near the temporal lobe and there are genetic mechanisms behind its formation.1 In most cases, arachnoid cysts are present at birth (congenital) and may appear to be increasing in size.1–5 However, patients may live their entire life without any explicit symptoms from the cyst, even if the cyst is large.3–6 In the cases which symptoms occurred, their clinical manifestations differ and are often unspecific. When clinical symptoms are present, the most frequent manifestations are headache, dizziness, and convulsive episodes.1–4 But some articles have reported patients with intracranial arachnoid cysts presenting with psychiatric symptom.1–11
{"title":"Anxiety, phobia, and depression in patients with temporal arachnoid cyst–a case report","authors":"Chunhui Yang","doi":"10.15406/mojcr.2020.10.00358","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00358","url":null,"abstract":"Arachnoid cysts accounts for around 1% of all intracranial space– occupying lesions and is a relatively common neurodevelopmental disorder with an estimated prevalence of 0.2% to 1.7%.1–3 The most common locations for intracranial arachnoid cysts are near the temporal lobe and there are genetic mechanisms behind its formation.1 In most cases, arachnoid cysts are present at birth (congenital) and may appear to be increasing in size.1–5 However, patients may live their entire life without any explicit symptoms from the cyst, even if the cyst is large.3–6 In the cases which symptoms occurred, their clinical manifestations differ and are often unspecific. When clinical symptoms are present, the most frequent manifestations are headache, dizziness, and convulsive episodes.1–4 But some articles have reported patients with intracranial arachnoid cysts presenting with psychiatric symptom.1–11","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48655111","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 : 2020-09-28DOI: 10.15406/mojcr.2020.10.00357
F. Chaudhry
Cross-Sex Hormone Therapy (CSHT)is an increasing trend among transgender individuals that positively aids both physically and psychologically during gender affirmation. However, there is a lack of data of prolonged CSHT on cardiac health. We report a CSHT-treated transgender woman who presented with significant diffuse coronary artery aneurysmal disease (or coronary artery ectasia).
{"title":"Severe coronary artery ectasia in a transgender woman undergoing cross-sex hormonal therapy for gender affirmation","authors":"F. Chaudhry","doi":"10.15406/mojcr.2020.10.00357","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00357","url":null,"abstract":"Cross-Sex Hormone Therapy (CSHT)is an increasing trend among transgender individuals that positively aids both physically and psychologically during gender affirmation. However, there is a lack of data of prolonged CSHT on cardiac health. We report a CSHT-treated transgender woman who presented with significant diffuse coronary artery aneurysmal disease (or coronary artery ectasia).","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46208998","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 : 2020-09-14DOI: 10.15406/mojcr.2020.10.00355
J. Naschitz
During the course an outbreak of scabies in a nursing home, singular was the case of an elderly woman whose scabietic eruption was limited to her right hand and forearm. She had suffered a cerebral hemorrhage, was left aphasic with right hemiplegia. Her non-paralyzed left hand, restricted with a protective glove to prevent the patient drawing on the tracheostomy cannula, was not affected byeruption. This is what makes this case unusual and informative: while symptoms of scabies are mediated through inflammatory and allergy- like reactions, the scabietic eruption may remain limited to the site of direct contact with the source, dissimilar to hypersensitivity reactions. Scabies is an infestation of the skin by the mite Sarcoptes scabiei resulting in an intensely pruritic eruption with a characteristic distribution pattern. The disease is usually transmitted by direct skin-to-skin contact, with higher risk on prolonged contact. The symptoms are mediated through inflammatory and allergy-like reactions that result in severely pruritic rashes involving the wrists, elbows, back, buttocks, external genitalia, and the webbing between the fingers. The pathology results from sensitization of the host to the mites and to their excretions. For this reason,
{"title":"Scabies – one more lesson learned","authors":"J. Naschitz","doi":"10.15406/mojcr.2020.10.00355","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00355","url":null,"abstract":"During the course an outbreak of scabies in a nursing home, singular was the case of an elderly woman whose scabietic eruption was limited to her right hand and forearm. She had suffered a cerebral hemorrhage, was left aphasic with right hemiplegia. Her non-paralyzed left hand, restricted with a protective glove to prevent the patient drawing on the tracheostomy cannula, was not affected byeruption. This is what makes this case unusual and informative: while symptoms of scabies are mediated through inflammatory and allergy- like reactions, the scabietic eruption may remain limited to the site of direct contact with the source, dissimilar to hypersensitivity reactions. Scabies is an infestation of the skin by the mite Sarcoptes scabiei resulting in an intensely pruritic eruption with a characteristic distribution pattern. The disease is usually transmitted by direct skin-to-skin contact, with higher risk on prolonged contact. The symptoms are mediated through inflammatory and allergy-like reactions that result in severely pruritic rashes involving the wrists, elbows, back, buttocks, external genitalia, and the webbing between the fingers. The pathology results from sensitization of the host to the mites and to their excretions. For this reason,","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42939289","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 : 2020-08-17DOI: 10.15406/mojcr.2020.10.00354
M. Erdem
Lower extremity defects can occur due to many reasons, such as a tumor, gunshot wound, and traffic accident. Many different methods have been described in the reconstruction of the lower extremity defects. Muscle flaps are especially useful in upper leg and knee defects. In this study, we presented the medial gastrocnemius flap and PRP(Platelet-Rich-Plasma) application to the 30 years old patient who had an open wound in the upper leg and knee as a result of a traffic accident. No problems were encountered in the postoperative period. Medial gastrocnemius flap is extremely useful in knee defects. Adding PRP on the flap increases flap viability. In order to reduce the length of hospital stay, especially during periods such as a pandemic, it is necessary to use safe flaps, such as muscle flaps, in the reconstruction of the lower limbs.
{"title":"Using medial gastrocnemius muscle flap and PRP (Platelet-Rich-Plasma) in medial knee defect","authors":"M. Erdem","doi":"10.15406/mojcr.2020.10.00354","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00354","url":null,"abstract":"Lower extremity defects can occur due to many reasons, such as a tumor, gunshot wound, and traffic accident. Many different methods have been described in the reconstruction of the lower extremity defects. Muscle flaps are especially useful in upper leg and knee defects. In this study, we presented the medial gastrocnemius flap and PRP(Platelet-Rich-Plasma) application to the 30 years old patient who had an open wound in the upper leg and knee as a result of a traffic accident. No problems were encountered in the postoperative period. Medial gastrocnemius flap is extremely useful in knee defects. Adding PRP on the flap increases flap viability. In order to reduce the length of hospital stay, especially during periods such as a pandemic, it is necessary to use safe flaps, such as muscle flaps, in the reconstruction of the lower limbs.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47187752","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 : 2020-08-17DOI: 10.15406/mojcr.2020.10.00353
Sreethish Sasi
Kikuchi-Fujimoto disease (KFD) is a rare benign condition of necrotizing histiocytic lymphadenitis. The case of a 31-year-old gentleman who presented with fever, weight loss, and a single tender right-sided cervical lymph node is described here. Symptomatic treatment was provided initially, but the course was complicated with an episode of aseptic meningitis and admission to the medical intensive care unit (MICU). The Liver enzymes and lactate dehydrogenase (LDH) were also found to be very high during this period but returned to baseline. He was also found to have oral ulcers, pleural effusion, positive serology for lupus, and pancytopenia with lymphopenia and autoimmune hemolytic Anemia. The entire illness lasted for about six weeks. Although tissue diagnosis was delayed because of the MICU admission, KFD was finally diagnosed after cervical lymph node biopsy. Cases of KFD has been reported widely, but most of them had an uneventful course. We believe that the eventful course and the presence of underlying lupus make this case worth reporting. Take away lesson from this case is that tissue diagnosis should not be delayed in persons presenting with generalized or localized lymphadenopathy associated with systemic symptoms and along with common conditions rare entities like KFD should be considered especially if the patient does not respond to routine treatment.
{"title":"Case report on a rare entity–Kikuchi Fujimoto Disease (KFD) in a person with underlying Systemic Lupus Erythematosus (SLE)","authors":"Sreethish Sasi","doi":"10.15406/mojcr.2020.10.00353","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00353","url":null,"abstract":"Kikuchi-Fujimoto disease (KFD) is a rare benign condition of necrotizing histiocytic lymphadenitis. The case of a 31-year-old gentleman who presented with fever, weight loss, and a single tender right-sided cervical lymph node is described here. Symptomatic treatment was provided initially, but the course was complicated with an episode of aseptic meningitis and admission to the medical intensive care unit (MICU). The Liver enzymes and lactate dehydrogenase (LDH) were also found to be very high during this period but returned to baseline. He was also found to have oral ulcers, pleural effusion, positive serology for lupus, and pancytopenia with lymphopenia and autoimmune hemolytic Anemia. The entire illness lasted for about six weeks. Although tissue diagnosis was delayed because of the MICU admission, KFD was finally diagnosed after cervical lymph node biopsy. Cases of KFD has been reported widely, but most of them had an uneventful course. We believe that the eventful course and the presence of underlying lupus make this case worth reporting. Take away lesson from this case is that tissue diagnosis should not be delayed in persons presenting with generalized or localized lymphadenopathy associated with systemic symptoms and along with common conditions rare entities like KFD should be considered especially if the patient does not respond to routine treatment.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45082891","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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