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Long-Pulsed Nd:YAG Laser for the Treatment of Classic Kaposi Sarcoma.
IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-03-23 eCollection Date: 2025-01-01 DOI: 10.1155/carm/9034642
Domenico Piccolo, Laura Pieri, Irene Fusco, Tiziano Zingoni, Claudio Conforti, Sabrina Tramontozzi

Background: Classic Kaposi's sarcoma (CKS) is distinguished by nodules and clustered papules over the extremities with persistent edema. Aim: This report examine the results of neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser for the treatment of numerous nodular symptomatic nodules in CKS patients' lower extremities that are ineligible for systemic therapy. Methods: Each lesion received two sessions Nd:YAG laser treatment performed at 1-month intervals. Pretreatment and follow-up visit (after 3 months) were accompanied by clinical photographs and improvement was assessed by a skilled medical professional by comparing before- and after-treatment photos as well as by looking at patients directly. Videodermoscopy was performed on all lesions. Results: Just one session with long-pulsed Nd:YAG laser proved to be successful, with the immediate coagulation of the lesions and the disappearance of most of them. Every single lesion healed in two to 4 weeks. Only one lesion, the largest one, presented a water blister after treatment, which resolved within a few days. At 2 months follow up, the patient reported total pain relief and full recovery after the symptomatic nodules vanished. Conclusion: Nd:YAG laser could represent a rapid and advantageous therapeutic approach for both early- and advanced-stage CKS patients.

{"title":"Long-Pulsed Nd:YAG Laser for the Treatment of Classic Kaposi Sarcoma.","authors":"Domenico Piccolo, Laura Pieri, Irene Fusco, Tiziano Zingoni, Claudio Conforti, Sabrina Tramontozzi","doi":"10.1155/carm/9034642","DOIUrl":"https://doi.org/10.1155/carm/9034642","url":null,"abstract":"<p><p><b>Background:</b> Classic Kaposi's sarcoma (CKS) is distinguished by nodules and clustered papules over the extremities with persistent edema. <b>Aim:</b> This report examine the results of neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser for the treatment of numerous nodular symptomatic nodules in CKS patients' lower extremities that are ineligible for systemic therapy. <b>Methods:</b> Each lesion received two sessions Nd:YAG laser treatment performed at 1-month intervals. Pretreatment and follow-up visit (after 3 months) were accompanied by clinical photographs and improvement was assessed by a skilled medical professional by comparing before- and after-treatment photos as well as by looking at patients directly. Videodermoscopy was performed on all lesions. <b>Results</b>: Just one session with long-pulsed Nd:YAG laser proved to be successful, with the immediate coagulation of the lesions and the disappearance of most of them. Every single lesion healed in two to 4 weeks. Only one lesion, the largest one, presented a water blister after treatment, which resolved within a few days. At 2 months follow up, the patient reported total pain relief and full recovery after the symptomatic nodules vanished. <b>Conclusion:</b> Nd:YAG laser could represent a rapid and advantageous therapeutic approach for both early- and advanced-stage CKS patients.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2025 ","pages":"9034642"},"PeriodicalIF":0.8,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thrombocytopenia and Epistaxis Complicating Plasmodium falciparum Malaria: Case Report Study.
IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.1155/carm/6670368
Mugahid A Mobark

Malaria is one of the vector-borne diseases with major public health problems to date, especially in endemic areas. Malaria is usually associated with various degrees of reduced red blood counts, and thrombocytopenia is a common association of malaria, but it is rarely associated with hemorrhagic manifestations. This case report presents two Sudanese patients, who presented to a private clinic in North Bahri. The patients were infected with Plasmodium falciparum; they developed thrombocytopenia and were presented clinically with epistaxis. A 36-year-old male and a 41-year-old male presented with the clinical features of malaria and epistaxis and were diagnosed with P. falciparum malaria. Both patients had significant thrombocytopenia in complete blood count (CBC). They showed clinical and laboratory improvement of thrombocytopenia after successful treatment of malaria. Although bleeding is a rare complication of malaria associated with thrombocytopenia, it should be considered even if it presents as a minor bleeding such as epistaxis or bleeding from gum.

{"title":"Thrombocytopenia and Epistaxis Complicating <i>Plasmodium falciparum</i> Malaria: Case Report Study.","authors":"Mugahid A Mobark","doi":"10.1155/carm/6670368","DOIUrl":"10.1155/carm/6670368","url":null,"abstract":"<p><p>Malaria is one of the vector-borne diseases with major public health problems to date, especially in endemic areas. Malaria is usually associated with various degrees of reduced red blood counts, and thrombocytopenia is a common association of malaria, but it is rarely associated with hemorrhagic manifestations. This case report presents two Sudanese patients, who presented to a private clinic in North Bahri. The patients were infected with <i>Plasmodium falciparum</i>; they developed thrombocytopenia and were presented clinically with epistaxis. A 36-year-old male and a 41-year-old male presented with the clinical features of malaria and epistaxis and were diagnosed with <i>P. falciparum</i> malaria. Both patients had significant thrombocytopenia in complete blood count (CBC). They showed clinical and laboratory improvement of thrombocytopenia after successful treatment of malaria. Although bleeding is a rare complication of malaria associated with thrombocytopenia, it should be considered even if it presents as a minor bleeding such as epistaxis or bleeding from gum.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2025 ","pages":"6670368"},"PeriodicalIF":0.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case Report of Inguinal Hernia Sac Lithiasis.
IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-03-19 eCollection Date: 2025-01-01 DOI: 10.1155/carm/6658363
Kiana Babaei, Ali Movahedi, Azam Gazerani, Navid Soroush

We report a case of a stone in inguinal hernia sac. A 41-year-old male patient presented to Hakim Hospital in Neyshabur city, Iran, with complaints of pain and swelling in the right abdominal region. After initial evaluations, a diagnosis of right inguinal hernia was made, and the patient was scheduled for hernioplasty. He had no history of previous surgeries, hospital admissions, underlying diseases, or kidney and gallbladder stones. The surgery was performed. The hernia sac was exposed. Inside the hernia sac, a stone measuring approximately 2 cm in diameter, with a hard consistency and yellow color, was found. The stone was not adherent to the sac and was mobile. The hernia sac was opened, the stone was removed, and sent to the pathology lab. The patient was discharged 24 h later in good general condition. According to the pathology report, the components of the stone were identified as calcium oxalate.

{"title":"A Case Report of Inguinal Hernia Sac Lithiasis.","authors":"Kiana Babaei, Ali Movahedi, Azam Gazerani, Navid Soroush","doi":"10.1155/carm/6658363","DOIUrl":"10.1155/carm/6658363","url":null,"abstract":"<p><p>We report a case of a stone in inguinal hernia sac. A 41-year-old male patient presented to Hakim Hospital in Neyshabur city, Iran, with complaints of pain and swelling in the right abdominal region. After initial evaluations, a diagnosis of right inguinal hernia was made, and the patient was scheduled for hernioplasty. He had no history of previous surgeries, hospital admissions, underlying diseases, or kidney and gallbladder stones. The surgery was performed. The hernia sac was exposed. Inside the hernia sac, a stone measuring approximately 2 cm in diameter, with a hard consistency and yellow color, was found. The stone was not adherent to the sac and was mobile. The hernia sac was opened, the stone was removed, and sent to the pathology lab. The patient was discharged 24 h later in good general condition. According to the pathology report, the components of the stone were identified as calcium oxalate.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2025 ","pages":"6658363"},"PeriodicalIF":0.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Calvarial Chondroplastic Osteosarcoma With Distant Brain Metastasis Treated With Radiosurgery: A Rare Case Report.
IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI: 10.1155/carm/5412921
Mohammed A Azab, Ahmed Hazim, Nour El-Gohary, Mohsen Nabih Shama, Brahim Kammoun

Background: Cerebral metastases from soft tissue and bone sarcoma are uncommon. Metastatic sarcoma of the brain is a highly aggressive disease with a poor prognosis. There is no consensus regarding the management of cerebral metastases from bone sarcomas. Clinical Presentation: The patient is a 60-year-old, right-handed male, who presented with a right frontal scalp swelling that was hard in consistency. On examination, he had pain and tenderness over the swelling. The neurological examination was normal. Investigations: Initial CTH revealed a right frontal skull lesion with characteristic expansion and sunburst appearance with a degree of cortical destruction. MRI brain with contrast showed features suggestive of skull osteosarcoma. Management: He underwent a subtotal tumor resection. He was diagnosed with high-grade chondroblastoma-like osteosarcoma of the skull. Subsequently, he received three cycles of neoadjuvant chemotherapy in the form of Adriamycin and cisplatin. One year later, he underwent further surgical intervention with an additional skull resection and reconstruction using mesh and scalp reconstruction. Follow-Up: MRI brain with contrast showed a distant metastasis in the right transverse sinus and other distant brain areas and were treated with Gamma Knife radiosurgery (GKRS) 6 months after the primary surgery. Conclusion: Skull calvarium primary osteosarcoma is a rare pathology. Cerebral metastasis from skull bone osteosarcoma is a challenging clinical situation that requires a multidisciplinary therapeutic approach that includes neurosurgery, plastic surgery, chemotherapy, and radiosurgery.

{"title":"Calvarial Chondroplastic Osteosarcoma With Distant Brain Metastasis Treated With Radiosurgery: A Rare Case Report.","authors":"Mohammed A Azab, Ahmed Hazim, Nour El-Gohary, Mohsen Nabih Shama, Brahim Kammoun","doi":"10.1155/carm/5412921","DOIUrl":"10.1155/carm/5412921","url":null,"abstract":"<p><p><b>Background:</b> Cerebral metastases from soft tissue and bone sarcoma are uncommon. Metastatic sarcoma of the brain is a highly aggressive disease with a poor prognosis. There is no consensus regarding the management of cerebral metastases from bone sarcomas. <b>Clinical Presentation:</b> The patient is a 60-year-old, right-handed male, who presented with a right frontal scalp swelling that was hard in consistency. On examination, he had pain and tenderness over the swelling. The neurological examination was normal. <b>Investigations:</b> Initial CTH revealed a right frontal skull lesion with characteristic expansion and sunburst appearance with a degree of cortical destruction. MRI brain with contrast showed features suggestive of skull osteosarcoma. <b>Management:</b> He underwent a subtotal tumor resection. He was diagnosed with high-grade chondroblastoma-like osteosarcoma of the skull. Subsequently, he received three cycles of neoadjuvant chemotherapy in the form of Adriamycin and cisplatin. One year later, he underwent further surgical intervention with an additional skull resection and reconstruction using mesh and scalp reconstruction. <b>Follow-Up:</b> MRI brain with contrast showed a distant metastasis in the right transverse sinus and other distant brain areas and were treated with Gamma Knife radiosurgery (GKRS) 6 months after the primary surgery. <b>Conclusion:</b> Skull calvarium primary osteosarcoma is a rare pathology. Cerebral metastasis from skull bone osteosarcoma is a challenging clinical situation that requires a multidisciplinary therapeutic approach that includes neurosurgery, plastic surgery, chemotherapy, and radiosurgery.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2025 ","pages":"5412921"},"PeriodicalIF":0.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Infantile Reversible Cytochrome C Oxidase Deficiency Myopathy in Taiwan: A 4-Year Follow-Up.
IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.1155/carm/1823517
Yu-Ting Ma, Ju-Li Lin, Ming-Wei Lai, I-Jun Chou, Mao-Sheng Hwang

Infantile reversible cytochrome c oxidase (COX) deficiency myopathy is a mitochondrial rare disease with onset age of first day to three months with symptoms of generalized muscle weakness and severe hypotonia. Despite its initial serious conditions, the symptoms may improve spontaneously later in their life, with the so-called "benign" myopathy accordingly. This benign mitochondrial myopathy might be improved in their later life, which is different from most mitochondrial myopathies with progression by age. Therefore, we depicted the rare case of her clinical course during our medical practice, anticipating to provide more information of this rare disease.

{"title":"A Case of Infantile Reversible Cytochrome C Oxidase Deficiency Myopathy in Taiwan: A 4-Year Follow-Up.","authors":"Yu-Ting Ma, Ju-Li Lin, Ming-Wei Lai, I-Jun Chou, Mao-Sheng Hwang","doi":"10.1155/carm/1823517","DOIUrl":"10.1155/carm/1823517","url":null,"abstract":"<p><p>Infantile reversible cytochrome c oxidase (COX) deficiency myopathy is a mitochondrial rare disease with onset age of first day to three months with symptoms of generalized muscle weakness and severe hypotonia. Despite its initial serious conditions, the symptoms may improve spontaneously later in their life, with the so-called \"benign\" myopathy accordingly. This benign mitochondrial myopathy might be improved in their later life, which is different from most mitochondrial myopathies with progression by age. Therefore, we depicted the rare case of her clinical course during our medical practice, anticipating to provide more information of this rare disease.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2025 ","pages":"1823517"},"PeriodicalIF":0.8,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11858699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arrhythmia as a Possible Complication of Mycophenolate Mofetil in Systemic Sclerosis: A Case Report.
IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.1155/carm/8858671
Zahra Moradi, Vahid Ardestani, Zahra Tamartash, Elaheh Karimi, Hoda Kavosi

A 55-year-old male patient with diffuse cutaneous systemic sclerosis (dcSSC) since 2018 presented with a history of arrhythmia. He had been stable for 5 years with pantoprazole, diltiazem, and mycophenolate mofetil (MMF); vitamin E; and vitamin D until he developed arrhythmia. Different evaluations revealed left bundle branch block, wall motion abnormality, mildly reduced systolic function, diffused interstitial fibrosis, and lesions in the left circumflex artery (LCX) and left anterior descending artery (LAD) and stenosis in LCX, without significant improvement following percutaneous coronary intervention for LCX stenosis. Holter monitoring demonstrated persistent ventricular premature beats and couplets. Arrhythmia was not responsive to bisoprolol therapy, and it was not feasible to perform cardiac ablation. Suspecting MMF-induced arrhythmia, MMF was discontinued, which led to a reduction in arrhythmia and symptom improvement after 9 months. This case report emphasized a possible heart-related complication of MMF, which healthcare providers should consider when prescribing medication to patients.

{"title":"Arrhythmia as a Possible Complication of Mycophenolate Mofetil in Systemic Sclerosis: A Case Report.","authors":"Zahra Moradi, Vahid Ardestani, Zahra Tamartash, Elaheh Karimi, Hoda Kavosi","doi":"10.1155/carm/8858671","DOIUrl":"10.1155/carm/8858671","url":null,"abstract":"<p><p>A 55-year-old male patient with diffuse cutaneous systemic sclerosis (dcSSC) since 2018 presented with a history of arrhythmia. He had been stable for 5 years with pantoprazole, diltiazem, and mycophenolate mofetil (MMF); vitamin E; and vitamin D until he developed arrhythmia. Different evaluations revealed left bundle branch block, wall motion abnormality, mildly reduced systolic function, diffused interstitial fibrosis, and lesions in the left circumflex artery (LCX) and left anterior descending artery (LAD) and stenosis in LCX, without significant improvement following percutaneous coronary intervention for LCX stenosis. Holter monitoring demonstrated persistent ventricular premature beats and couplets. Arrhythmia was not responsive to bisoprolol therapy, and it was not feasible to perform cardiac ablation. Suspecting MMF-induced arrhythmia, MMF was discontinued, which led to a reduction in arrhythmia and symptom improvement after 9 months. This case report emphasized a possible heart-related complication of MMF, which healthcare providers should consider when prescribing medication to patients.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2025 ","pages":"8858671"},"PeriodicalIF":0.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Not Every Headache Warrants a Head CT: A Recurrent Headache Unveiling H. Pylori-Positive MALToma.
IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-11 eCollection Date: 2025-01-01 DOI: 10.1155/carm/1773577
Rebal Nahas, Serena Khoury, Emanuel-Youssef Dib, Karam Karam, Elias Fiani

Helicobacter pylori (H. pylori) is a urease-producing bacterium that has a tendency to colonize the gastric mucosa. H. pylori can cause atrophic gastritis and gastric intestinal metaplasia (GIM). H. pylori has also been associated with MALT lymphoma, which is an extranodal marginal zone lymphoma. The gold standard for the diagnosis of H. pylori is histopathological analysis from biopsied gastric mucosa. MALT lymhoma can have a wide range of clinical manifestations, such as epigastric pain, iron-deficiency anemia, and overt upper gastrointestinal (GI) bleeding. MALT lymphoma has been rarely associated with headaches. We describe a case of H. pylori-positive MALToma manifesting as epigastric pain occurring concomitantly with throbbing headaches; hence, headache can be a heralding symptom for the diagnosis of MALToma.

{"title":"Not Every Headache Warrants a Head CT: A Recurrent Headache Unveiling H. Pylori-Positive MALToma.","authors":"Rebal Nahas, Serena Khoury, Emanuel-Youssef Dib, Karam Karam, Elias Fiani","doi":"10.1155/carm/1773577","DOIUrl":"10.1155/carm/1773577","url":null,"abstract":"<p><p><i>Helicobacter pylori (H. pylori)</i> is a urease-producing bacterium that has a tendency to colonize the gastric mucosa. <i>H. pylori</i> can cause atrophic gastritis and gastric intestinal metaplasia (GIM). <i>H. pylori</i> has also been associated with MALT lymphoma, which is an extranodal marginal zone lymphoma. The gold standard for the diagnosis of <i>H. pylori</i> is histopathological analysis from biopsied gastric mucosa. MALT lymhoma can have a wide range of clinical manifestations, such as epigastric pain, iron-deficiency anemia, and overt upper gastrointestinal (GI) bleeding. MALT lymphoma has been rarely associated with headaches. We describe a case of <i>H. pylori</i>-positive MALToma manifesting as epigastric pain occurring concomitantly with throbbing headaches; hence, headache can be a heralding symptom for the diagnosis of MALToma.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2025 ","pages":"1773577"},"PeriodicalIF":0.8,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Iliopsoas Abscess Heralding the Diagnosis of Crohn's Disease in a Young Male.
IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-08 eCollection Date: 2025-01-01 DOI: 10.1155/carm/5555016
Majed Ali, Karam Karam, Emanuel-Youssef Dib, Lamia Azizi, Elias Fiani

Iliopsoas abscess (IPA) is a rare but potentially life-threatening complication that may occur in patients with Crohn's disease. We present the case of a 28-year-old male with Crohn's disease who developed a complicated IPA. Diagnosis was confirmed via CT imaging and colonoscopy, revealing a fistulous connection to the terminal ileum. The treatment involved percutaneous drainage (PCD), antibiotics, and infliximab. Timely diagnosis, appropriate imaging, and multidisciplinary care are critical to prevent morbidity and recurrence in patients with Crohn's disease complicated by IPA. This case highlights the importance of personalized treatment strategies and close follow-up in managing Crohn's-related IPA.

{"title":"Iliopsoas Abscess Heralding the Diagnosis of Crohn's Disease in a Young Male.","authors":"Majed Ali, Karam Karam, Emanuel-Youssef Dib, Lamia Azizi, Elias Fiani","doi":"10.1155/carm/5555016","DOIUrl":"10.1155/carm/5555016","url":null,"abstract":"<p><p>Iliopsoas abscess (IPA) is a rare but potentially life-threatening complication that may occur in patients with Crohn's disease. We present the case of a 28-year-old male with Crohn's disease who developed a complicated IPA. Diagnosis was confirmed via CT imaging and colonoscopy, revealing a fistulous connection to the terminal ileum. The treatment involved percutaneous drainage (PCD), antibiotics, and infliximab. Timely diagnosis, appropriate imaging, and multidisciplinary care are critical to prevent morbidity and recurrence in patients with Crohn's disease complicated by IPA. This case highlights the importance of personalized treatment strategies and close follow-up in managing Crohn's-related IPA.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2025 ","pages":"5555016"},"PeriodicalIF":0.8,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Refractory and Relapsing Laryngeal Edema Possibly Associated With Chronic Tonsillitis and Mycoplasma Infection, Requiring Reintubation and Tracheostomy. 难治性和复发性喉水肿可能与慢性扁桃体炎和支原体感染有关,需要重新插管和气管切开术。
IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-01-04 eCollection Date: 2025-01-01 DOI: 10.1155/carm/6638796
Yutaka Tsukamoto, Takashi Sugimoto, Masataka Umeda, Yuki Furuse, Haruo Yoshida, Yuka Nagae, Yasuo Ohsato, Yukitaka Ueki, Maeda Takahiro, Koya Ariyoshi

Relapsing epiglottitis has rarely been reported, and its etiology is not well established. A 44-year-old previously healthy Japanese man presented with a quickly progressing choking sensation. He had been experiencing refractory and relapsing laryngeal edema and probably acute epiglottitis (three episodes within 2 weeks), with rash and elevated pancreatic amylase. The patient required immediate intubation. After the initial extubation, he required reintubation and a subsequent tracheostomy. Antibiotics, glucocorticoid, and antihistamines were administered, and he finally recovered with the tracheostomy's closure. Potential causes of this patient's relapsing epiglottitis are as follows: persistent right swollen tonsil; a positive result on a Mycoplasma pneumoniae antigen test and a particle agglutination (PA) test, implicating chronic tonsillitis; and/or Mycoplasma infection. This is the first case report of refractory and relapsing epiglottitis requiring reintubation possibly concurrent with chronic tonsillitis and Mycoplasma infection.

复发性会厌炎很少有报道,其病因尚不清楚。一名先前健康的44岁日本男子出现快速进展的窒息感。他一直经历难治性和复发性喉水肿,可能是急性会厌炎(2周内3次发作),伴有皮疹和胰淀粉酶升高。病人需要立即插管。在最初拔管后,他需要重新插管并随后进行气管切开术。给了抗生素、糖皮质激素和抗组胺药,随着气管切开术的关闭,他终于康复了。本例会厌炎复发的可能原因如下:右侧扁桃体持续肿胀;肺炎支原体抗原试验和颗粒凝集(PA)试验阳性,提示慢性扁桃体炎;支原体感染。这是第一例难治性和复发性会厌炎需要重新插管,可能同时伴有慢性扁桃体炎和支原体感染的病例报告。
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引用次数: 0
Congenital Nasal Bones Agenesis: Report of a Rare Malformation. 先天性鼻骨发育不全:一罕见畸形报告。
IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-23 eCollection Date: 2024-01-01 DOI: 10.1155/carm/1849957
Monica Russo, Chiara Ferrecchi, Silvia Rebella, Valeria Capra, Franco Ameli, Mattia Pacetti, Maria Francesca Di Feo, Pierangela De Biasio, Cesare Arioni

Congenital arhinia and hyporhinia are rare facial anomalies whose knowledge usually comes from case reports. The severity of each case described in literature is variable; it also depends on associated malformations too. Since the newborns are obligate nasal breathers, babies with arhinia or hyporhinia usually have respiratory distress and need airway stabilization. In addition, most of these children present difficulties in feeding and this impairment must be managed early. We describe an unusual case of partial congenital arhinia, the baby did not have other anomalies or any specific complication such as respiratory and feeding issues, so the major problem was the aesthetic and psychological issues for the family. Even if the neonatal course was uncomplicated, a coordinated approach of the pediatrician with the pediatric otolaryngologist, the geneticists and the neurosurgeons was necessary because the management of these malformations is always very complex; due to the lack of reports described in literature, an univocal management and also the best timing and technique for reconstructive surgery are still not defined.

先天性鼻窦炎和低鼻窦炎是一种罕见的面部畸形,通常来自病例报告。文献中描述的每个病例的严重程度是可变的;这也取决于相关的畸形。由于新生儿是专性鼻腔呼吸,患有鼻咽炎或低鼻咽炎的婴儿通常有呼吸窘迫,需要气道稳定。此外,这些儿童中的大多数在喂养方面存在困难,这种缺陷必须及早加以处理。我们描述了一个不寻常的部分先天性鼻炎病例,婴儿没有其他异常或任何特定的并发症,如呼吸和喂养问题,所以主要的问题是家庭的审美和心理问题。即使新生儿的过程并不复杂,儿科医生与儿科耳鼻喉科医生,遗传学家和神经外科医生的协调方法是必要的因为这些畸形的管理总是非常复杂的;由于文献报道的缺乏,一个明确的管理,以及重建手术的最佳时机和技术仍然没有明确的定义。
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引用次数: 0
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Case Reports in Medicine
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