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Kaposi's sarcoma responding to topical imiquimod 5 percent cream: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a spectacular response to imiquimod 5 percent cream in a patient with classic Kaposi's sarcoma of the leg. (Source: Cases Journal)
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

Sigmoid volvulus in pregnancy and puerperium: a case seriesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Intestinal obstruction due to sigmoid volvulus during pregnancy is rare. The presenting signs/symptoms seen in these patients are the same as with non-pregnant patients. Fetal and maternal mortality rates are higher during pregnancy due to delays in diagnosis. We aimed to present four patients diagnosed with sigmoid volvulus during pregnancy and puerperium in our clinic. Diagnosis requires a high index of suspicion in a patient who presents with complaints of abdominal pain and evidence of bowel obstruction. Prompt intervention is necessary to minimize maternal and fetal morbidity and mortality. (Source: Cases Journal)
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

A hypokalemic muscular weakness after licorice ingestion: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This report has presented the first case with hypocalemia due to licorice consumption in granulated form from Turkey. In addition, the report has aimed to emphasize the importance of obtaining the detailed history of a patient in diagnosis. (Source: Cases Journal)
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

Painful ophthalmoplegia of the left eye in a 19-year-old female, with an emphasis in Tolosa-Hunt syndrome: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: In conclusion, steroid treatment is the cornerstone in the management of THS. Even though there is no standardized dose specified in the literature, this type of treatment with steroids at a dose of 1 mg/kg/day tapered slowly over 3 to 4 months has been well received. (Source: Cases Journal)
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

Unexpected aflatoxin exposure in a woman in northern Italy: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion. In well-developed countries aflatoxins exposure should be considered in case of unexplained abdominal symptoms. Cancer risk cannot be assessed, nevertheless individual counselling and periodical medical examinations are recommended. (Source: Cases Journal)
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

There may be a link between intrahepatic cholestasis of pregnancy and familial combined hyperlipidaemia: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A 26-year-old gravida 3 para 1+1 was referred for antenatal care. In her last pregnancy she had an early spontaneous preterm delivery at 32weeks and 2 days complicated by intra hepatic cholestasis of pregnancy . She had a strong family history of ischemic heart and combined hyperlipidaemia. In view of her past obstetric history a baseline liver function test and fasting bile acid assay was carried out. Up to 21 week her Bile acids were normal but at 22 weeks her fasting bile acid assay increased to the upper limit of normal (9 micromol/L). Ursodeoxycholic acid was started from 28 weeks gestation on a dosage of 500 mg b.i.d...
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

Trapezium fracture - a common technique to fix a rare injury: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of a 27- year old right hand dominant man who sustained a closed vertical trapezium fracture and first carpometacarpal joint dislocation which was treated with closed reduction and percutaneous Kirschner-wire fixation, a technique familiar to all orthopaedic surgeons. Satisfactory functional outcome was achieved at final follow-up. (Source: Cases Journal)
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

Isolated aglossia in a six year old child presenting with impaired speech: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Isolated aglossia is very rare condition explained on the basis of growth failure of lateral lingual swellings and tubercular impar. Such patients do not usually need reconstruction of tongue; as feeding, swallowing and taste sensations are usually intact and speech cannot be improved by reconstruction. However, malocclusion of teeth needs to be taken care of. (Source: Cases Journal)
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

Post-hysterectomy vaginal haemorrhage: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Vaginal endometriosis is characterized by the presence of endometrial tissue in the vagina. In this paper the authors present an unusual case of post-hysterectomy vaginal cuff endometriosis. (Source: Cases Journal)
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

Perforated intestinal leiomyosarcoma as a metastasis of uterine leiomyosarcoma: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: We aimed to present this unusual case which perforated presentation of the intestinal metastasis of uterine leiomyosarcoma. (Source: Cases Journal)
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

Multiorgan paradoxical embolism consequent to acute pulmonary thromboembolism with patent foramen ovale: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of a 79 years old woman admitted to hospital because of dyspnea and lower left limb pain. CT scan revealed multiple thrombi to kidney, lower limb and superior mesenteric artery during acute pulmonary embolism. Echocardiogram documented a patent foramen ovale with a right-to-left shunt. The patient was treated with thrombolytic therapy and heparin with progressive improvement of symptoms and resolution of pulmonary embolism and peripheral thrombosis. Patent foramen ovale closure was not performed because a life-long anticoagulation therapy was necessary, a tunnel-type patent foramen ovale may increases diff...
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

An unusual case of meningococcal meningitis complicated with subdural empyema in a 3 month old infant: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a case of an 8 week old infant who presented with atypical Neisseria meningitis with bifrontal subdural empyema formation. Through the utilisation of modern polymerise chain reaction tests on cerebrospinal fluid samples, we were able to confirm the diagnosis and institute appropriate treatment. Early surgical intervention and appropriate intravenous antibiotics meant that the patient fully recovered. In summary, early treatment of meningitis without adequate microbiological investigations can complicate later diagnosis of subdural empyema. Early suspicion of empyema should be considered when patient fails to imp...
Source: Cases Journal - September 16, 2009 Category: Journals (General) Source Type: journals

Synophyrs, Curly eyelashes and Ptyrigium Colli in A girl with Desbuquois Dysplasia: a case report and literature reviewemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: The phenotypic variability of Desbuquois syndrome might be an element of diagnostic confusion. However, distinctive radiographic features should urgently requiring attention and are virtually diagnostic. We report what might be the first clinical report of Desbuquois dysplasia from a consanguineous family in Austria. Unusual facial dysmorphism resembling Cornelia-De Lange syndrome and early patellar ossification were additional unreported features in connection with Desbuquois dysplasia. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Synophyrs, curly eyelashes and Ptyrigium colli in a girl with Desbuquois dysplasia: a case report and review of the literatureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: The phenotypic variability of Desbuquois syndrome might be an element of diagnostic confusion. However, distinctive radiographic features should urgently requiring attention and are virtually diagnostic. We report what might be the first clinical report of Desbuquois dysplasia from a consanguineous family in Austria. Unusual facial dysmorphism resembling Cornelia-De Lange syndrome and early patellar ossification were additional unreported features in connection with Desbuquois dysplasia. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Spontaneous externalization of peritoneal catheter through the abdominal wall in a patient with hydrocephalus: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of a 33-year-old female, in which a spontaneous extrusion of the peritoneal catheter of a ventriculo-peritoneal shunt through the intact abdominal wall occurred. We suggest that the rather hard peritoneal catheter eroded the abdominal wall, caused local inflammation, and then extruded through the skin. Additionally, the intestinal peristaltic movements, the omental activity and the intraabdominal pressure could play an adjuvant part, pressing direct the foreign body from the peritoneal cavity toward the skin. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Severe tracheal stenosis due to prolonged tracheostomy tube placement: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Tracheal stenosis is the most common late airway complication of tracheostomy. Severe tracheal stenosis resulted in hemodynamic deterioration and impairment of respiratory system mechanics. We cared for an 86-year-old man with severe tracheal stenosis due to prolonged placement of a tracheostomy tube for 42-months. At the distal tip of the tracheostomy tube, bronchoscopy revealed severe tracheal luminal obstructions by granulation tissue. During pressure-controlled ventilation, the peak airway pressure was much higher than the inspiratory pressure. For patients with clinical signs of tracheal stenosis after tracheotomy, br...
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Plantar erythrodysesthesia with bullous otitis externa, toxicities from sorafenib: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a case of a 77 year old Caucasian male with advanced adenocarcinoma of the lung, who was being treated on clinical trial with single agent sorafenib. After seven weeks of treatment the patient presented to clinic with difficulty walking. Physical exam revealed acral erythema with bollous formation on bilateral soles of his feet. Otoscopic exam revealed bilateral external canal bullous lesion. The patient was diagnosed with plantar erythrodysesthesia with bullous otitis externa, a new toxicities in patients being treated with sorafenib. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Milk-alkali syndrome in a middle-aged woman after ingesting large doses of calcium carbonate: a case reporemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: We present this case to remind clinicians of the importance of detailed history taking and of milk-alkali syndrome as a cause of hypercalcemia. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Nodular glomerulosclerosis in patients without history of diabetes mellitus: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Renal manifestations of diabetes mellitus may antedate other more common presenting symptoms of this disease and we critically review the literature on this subject. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Spontaneous regression of a true splenic cyst: a case report and review of the literatureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report, herein, a single case of a splenic cyst in an adult woman, who reported minor symptoms despite the size of the lesion and who demonstrated a possible almost total regression of the cyst within a ten-year period, accompanying with review of the most recent literature. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Massive lower gastrointestinal bleeding attributable to heavy whipworm infection and Salmonella typhi co-infection: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We reported a case of a 29-year old male presented with per rectal bleeding, diarrhea, generalized abdominal pain and fever for two weeks. After diagnosis suspicion, emergency exploratory laparotomy was performed, where resection of the ulcerated part of the caecum and terminal ileum was performed. Microscopically analysis, diagnosed heavy infestation with Trichuris trichiura. It was complicated with Salmonella typhi infection confirmed later from the blood culture result. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Leukaemia diagnosed as a consequence of haematuria assessment: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Our case-report serves to remind us of the need to bear in mind other possible pathologies outwith our own area of expertise when interpreting results of any kind. This is perhaps increasingly important in the current era of increasing sub-specialisation throughout medicine. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Gallstone ileus an unusual reason for right iliac fossa pain in Crohn's disease: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a case of 72 year old female with known Crohn's disease with acute right iliac fossa pain. She was investigated with an abdominal CT, giving a definite diagnosis of gallstone ileus. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Giant neoplastic omental cyst masquerading as ascites: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Neglected omental cysts as in this case may grow to enormous size, undergo malignant transformation and poses serious diagnostic and surgical challenges. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Carcinoma of the uncinate process of the pancreas presenting with deep vein thrombosis: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of carcinoma of the uncinate process of the pancreas in a patient who initially presented with deep vein thrombosis. The diagnosis of carcinoma of the uncinate process of the pancreas should be considered in patients who present with primary thromboembolic disease and other nonspecific signs. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Plain x-ray, computed tomography and magnetic resonance imaging findings of telangiectatic osteosarcoma: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
An 18-year-old male patient presented with chronic nonspecific pain of three months located at his left proximal tibia. The patient was admitted to our department for plain X-ray, computed tomography and magnetic resonance imaging examination. Plain x-ray and computed tomography revealed a geographic lytic lesion at the medial aspect of the proximal tibia. Biopsy of the lesion showed telangiectatic osteosarcoma. Image findings of all modalities are presented. (Source: Cases Journal)
Source: Cases Journal - September 15, 2009 Category: Journals (General) Source Type: journals

Increased frequency and nocturia in a middle aged male may not always be due to benign prostatic hypertrophy: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of 58 year old Caucasian male who presented with a 5 month history of increased frequency of urination, nocturia and weight loss without any fever or hematuria. He was found to have an increased creatinine of 2.8mg/dl and a prostate specific antigen level of 0.18 ng/ml. His azotemia was thought to be secondary to BPH. A Foley catheter was initially placed with a plan for outpatient follow up. On removal of the catheter his problems persisted and he returned to the hospital. Diagnostic work up including abdominal ultrasonography, computed tomography scan, retrograde pyelogram, cystography and cystoscopic bi...
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Bilateral glomus tumor treated with PET-CT based conformal radiotherapy: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: It is suggested that radiotherapy is a good treatment modality in patients with glomus tumor, and metabolic imaging and treatment planning with positron emission tomography computed tomography is superior to other imaging modalities. (Source: Cases Journal)
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Catheter balloon mimicking incarcerated femoral hernia and co-existing small bowel diverticular perforation: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report the case of an elderly lady who underwent laparotomy for an incarcerated femoral hernia and was found to have the catheter balloon stuck into a bladder diverticulum in the femoral canal and coexisting small bowel diverticular perforation. (Source: Cases Journal)
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

A rare case of hepatic sub capsular biloma after open cholecystectomy: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe a rare case of hepatic subcapsular biloma after open cholecystectomy successfully treated by percutaneous drainage. (Source: Cases Journal)
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Electrocardiographic changes in hiatal hernia:a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe the case of a 78-year-old woman admitted to our department for suspected silent myocardial ischaemia with the evidence of T wave inversion in anterior lead. All the instrumental exams excluded inducible myocardial ischaemia. A gastroscopy showed a moderate hiatal hernia. We postulate that electrocardiogram modification could be attributed to hiatal hernia. (Source: Cases Journal)
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Rabies prophylaxis after an animal attack that caused a ruptured eye and traumatic cataract: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Bobcat attacks on humans are very rare and extremely suspicious for rabies infection of the animal. Ophthalmologists need to be aware of the importance of immediate and appropriate post exposure rabies vaccination. Proper rabies immunoglobulin administration in the setting of globe injuries is challenging and we report on the Center for Disease Control and Prevention recommendations for globe injuries. (Source: Cases Journal)
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Bilateral injection-site granuloma by subcutaneous administration of luteinizing hormone-releasing hormone analogue: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a typical case of injection-site granuloma attributed to subcutaneous administration of leuprorelin acetate, an LHRH agonist. A 70-year-old man who had undergone total prostatectomy and was subsequently given leuprorelin injections for prostatic cancer presented with bilateral nodules in the lower abdominal wall. An excisional biopsy revealed a non-caseous epithelioid granuloma consisting of CD-68 positive histiocytic cells with infiltration of T-lymphocytes and eosinophils; skin metastasis from prostatic adenocarcinoma was ruled out through histological and immunohistochemical analysis. Generally, granulomas may...
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Endobronchial metallic foreign body in a Nigerian child: management difficulties and the need for caution: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: There is a need to adequately equip our hospitals for the management of this otherwise straight forward case and alleviate the sufferings of our people. Parents and guardians should exercise caution in the handling of their children/wards. (Source: Cases Journal)
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Brachial neuropathy 22 years after radiation therapy for fibrosarcoma: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This case report presents a 56-year-old man with right upper limb weakness which arose 22 years after initial local radiation treatment for a grade III fibrosarcoma. Nerve conduction studies revealed impairment of all three major upper limb nerves compared with the left, with particular impairment of the median and ulnar nerves in the most fibrotic area that had been irradiated. In addition, the patient received multiple courses of chemotherapy. The occurrence of radiation-induced brachial plexopathy should be considered in patients presenting with limb pain or weakness even many years after radiation therapy. (Source: Cases Journal)
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Conservative management for an esophageal perforation in a patient presented with delayed diagnosis: a case report review of the literatureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Esophageal perforation is a serious condition with a high mortality rate. Successful therapy depends on the size of the rupture; the time elapsed between rupture and diagnosis, and the underlying health of the patient. Common causes of esophageal perforation include medical instrumentation, foreign-body ingestion, and trauma. A case of esophageal perforation due to fish bone ingestion in a 67-year-old male is described here, with a review of the pertinent literature. The patient presented with chest pain, fever and right-sided pleural effusion. Initial evaluation was nondiagnostic. The water-soluble contrast swallow test s...
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Hepatocellular carcinoma in Hepatitis C genotype 4 after viral clearance and in absence of cirrhosis: two case reportsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Genotype 4 Hepatitis C virus represents approximately 20% of global Hepatitis C virus infection and is the source of a considerable burden to health-care providers across the globe. Many studies reported that interferon reduces the risk of hepatocellular carcinoma in patients with chronic hepatitis C. Hereby, we are reporting two cases of hepatocellular carcinoma in Hepatitis C virus-genotype 4 after complete viral eradication and in absence of cirrhosis. We aim to highlight the possible direct oncogenic effect of Hepatitis C virus -genotype 4, particularly with concomitant bilharzial infection and the importance of life-l...
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Cardiovascular magnetic resonance angiography for the detection of anomalous coronary arteries: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Coronary artery anomalies occur in approximately 0.3% to 0.8% of the population, and include morphological variants of origin, course, or termination. Detection of these types of anomalously originating coronary arteries is crucial for therapeutic intervention. (Source: Cases Journal)
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Bloody tears and hematohidrosis in a patient of PF3 dysfunction: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: A thorough examination and proper workup are necessary to determine the exact cause and rule out serious conditions. (Source: Cases Journal)
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

An unusual presentation of a sarcoidosis that mimicked lymphatic metastatize non small cell lung carcinoma in positron emission tomography: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In the last decade, several sophisticated and accurate imaging methods such as positron emission tomography have been developed in order to evaluate malignant potential in enlarged mediastinal lymph nodes. This case illustrates an unusual presentation of sarcoidosis that mimicked lymphatic metastases of non small cell lung carcinoma. The reported high specificity and sensitivity of positron emission tomography -Computer Tomography regarding mediastinal staging could lead in same cases of false positives to a delaying of stage adapted therapy of non small cell lung carcinoma, showing that despite the recent advances of imag...
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Vestibulocochlear toxicity in a pair of siblings 15 years apart secondary to aspartame: two case reportsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Aspartame had a vestibulocochlear toxicity in a pair of siblings, suggesting a genetic susceptibility to aspartame toxicity. Even though the yield may be low, asking patients with dizziness, vertigo, tinnitus, or high-frequency hearing loss about their aspartame consumption and suggesting cessation of its use, may prove helpful for some. (Source: Cases Journal)
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Injudicious antibiotic use leading to fulminating Clostridium difficile infection: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The case illustrates the myriad of fulminating complications due to Clostridium difficile infection in a previously healthy individual without any risk factors. Community acquired Clostridium difficile infection can occur even many weeks after the course of broad spectrum antibiotics. There is no definitive pattern or guidelines to predict who would develop the fulminating complications. (Source: Cases Journal)
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Non Hodgkin's lymphoma associated membranoproliferative glomerulonephritis: rare case of long term remission with chemotherapy: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Membranoproliferative glomerulonephritis has been known to be associated with both chronic lymphocytic leukemia and non-Hodgkin's lymphoma, particularly with B cell lymphocytic type non-Hodgkin's lymphoma. There is limited information available concerning the effects of treatment of non-Hodgkin's lymphoma on the progression of non-Hodgkin's lymphoma associated membranoproliferative glomerulonephritis. In the few reported cases we found, long term follow up after initial resolution of the membranoproliferative glomerulonephritis was lacking. This report presented a rare case of non-Hodgkin's lymphoma associated ...
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Renal artery rupture following cutting balloon angioplasty for fibromuscular dysplasia: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Cutting balloon angioplasty of renal artery lesions resistant to conventional balloon angioplasty should not be considered as safe as previously thought. When proceeding with such a procedure, a stent graft should be available for immediate use. (Source: Cases Journal)
Source: Cases Journal - September 13, 2009 Category: Journals (General) Source Type: journals

Streptococcus viridans osteomyelitis and endocarditis following dental treatment: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Vertebral osteomyelitis is an uncommon complication of infective endocarditis with the organism Streptococcus viridans being a rare cause of the condition. This case highlights an unusual presentation of Streptococcus viridans associated with infective endocarditis and pyogenic osteomyelitis in a patient following a dental procedure. (Source: Cases Journal)
Source: Cases Journal - September 13, 2009 Category: Journals (General) Source Type: journals

Primary aorto enteric fistula a rare but life threatening condition: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of primary aorto enteric fistula in a 62 year old man whose diagnosis was only made at laparotomy. A high index of suspicion along with a good history and physical exam is critical for making a successful diagnosis. Surgical exploration is warranted if other investigation is not conclusive. (Source: Cases Journal)
Source: Cases Journal - September 13, 2009 Category: Journals (General) Source Type: journals

Report of a rare case of colon cancer complicated by anomalies of intestinal rotation and fixation: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: The anomaly of situs viscerum inversus influenced the surgical strategy in this case because of the vascular and lymphatic anomalies. Lymphatic vessels were therefore marked with subserosal injection of patent blue in the proximity of the tumor. Subsequently, right colectomy was performed. Colectomy extended from the distal ileum to the descending colon, by ligature of the right colic artery and vein at the origin from the superior mesenteric vessels. Patent blue guided lymphadenectomy was also performed with curative intent. Finally, a mechanical ileo-colic anastomosis was carried out. After right colectomy an...
Source: Cases Journal - September 13, 2009 Category: Journals (General) Source Type: journals

Autoimmune thyroid disease with myasthenia gravis in a 28-year-old male: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: In conclusion, we report that the coexistence of Myasthenia Gravis with Autoimmune thyroid disease might have prognostic relevance and occurs in a subgroup of myasthenia gravis patients with a mild form of the disease. (Source: Cases Journal)
Source: Cases Journal - September 13, 2009 Category: Journals (General) Source Type: journals

Anomalous azygos venous system in a south Indian cadaver: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Identifying these types of variations is important during imaging this region and surgical operations of mediastinum. (Source: Cases Journal)
Source: Cases Journal - September 13, 2009 Category: Journals (General) Source Type: journals

Unusual complication following intramedullary nailing of tibia: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of inadvertent penetration of the tibio-talar joint by the smooth guide wire caused by incarceration of a fracture fragment between the nail and the guide wire at the time of insertion. This was noted intra-operatively. The guide-wire and the nail were removed followed by insertion of a new nail and completion of the procedure. The patient did not have any symptoms attributable to this at the time of healing of her fracture. (Source: Cases Journal)
Source: Cases Journal - September 13, 2009 Category: Journals (General) Source Type: journals