Journal of Medical Case Reports
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"Floating arm" injury in a child with fractures of the proximal and distal parts of the humerus: a case report
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Conclusion: The combination of fractures at the proximal and distal parts of the humerus can be termed as "floating arm" injury. Initial treatment of this unusual injury should be focused on the supracondylar humerus fracture. However, closed reduction can be difficult to perform with the swelling around the elbow and shoulder. A temporary Kirschner wire can be used as a "joystick" to fix and reduce the fracture. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 16, 2009 Category: Journals (General) Source Type: journals
Mesenteric lymphatic malformation associated with acute appendicitis: a case report
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Conclusion: The reader should be aware that growth and/or development of mesenteric lymphatic malformations may be associated with trauma and other pro-inflammatory processes. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 16, 2009 Category: Journals (General) Source Type: journals
Incisional hernia as an unusual cause of hepatic encephalopathy in a 62-year-old man with cirrhosis: a case report
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Conclusion: This case illustrates that a hernia causing a large volume of vomiting may be a precipitant factor in the development of hepatic encephalopathy. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 16, 2009 Category: Journals (General) Source Type: journals
"Floating arm" injury in a child with fractures of the proximal and distal parts of the humerus: a case report
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Conclusion: The combination of fractures at the proximal and distal parts of the humerus can be termed as "floating arm" injury. Initial treatment of this unusual injury should be focused on the supracondylar humerus fracture. However, closed reduction can be difficult to perform with the swelling around the elbow and shoulder. A temporary Kirschner wire can be used as a "joystick" to fix and reduce the fracture. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 16, 2009 Category: Journals (General) Source Type: journals
Mesenteric lymphatic malformation associated with acute appendicitis: a case report
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Conclusion: The reader should be aware that growth and/or development of mesenteric lymphatic malformations may be associated with trauma and other pro-inflammatory processes. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 16, 2009 Category: Journals (General) Source Type: journals
Primary localized laryngeal amyloidosis presenting with hoarseness and dysphagia: a case report
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Conclusion: A search of PubMed shows that dysphagia in patients with laryngeal amyloidosis has been reported only once, although this symptom is relatively common in other conditions presenting with laryngeal mass. There were no signs of any systemic disease in our patient and diagnosis was established histopathologically. She was treated surgically by microlaryngoscopy under general anesthesia and the mass was excised using a CO2 laser technology method. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 15, 2009 Category: Journals (General) Source Type: journals
Recovery of olfactory function after nine years of post-traumatic anosmia: a case report
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Conclusion: In most cases, recovery of smell function occurs relatively soon after the head trauma and seems to rarely occur more than two years after the incident. However, patients should be informed that there is a small chance of recovery a long time after the trauma. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 15, 2009 Category: Journals (General) Source Type: journals
Primary localized laryngeal amyloidosis presenting with hoarseness and dysphagia: a case report
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Conclusion: A search of PubMed shows that dysphagia in patients with laryngeal amyloidosis has been reported only once, although this symptom is relatively common in other conditions presenting with laryngeal mass. There were no signs of any systemic disease in our patient and diagnosis was established histopathologically. She was treated surgically by microlaryngoscopy under general anesthesia and the mass was excised using a CO2 laser technology method. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 15, 2009 Category: Journals (General) Source Type: journals
Facial herpes zoster infection precipitated by surgical manipulation of the trigeminal nerve during exploration of the posterior fossa: a case report
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Conclusions: Postoperative shingles precipitated by trigeminal nerve manipulation during surgery for trigeminal neuralgia can be a distressing and demoralizing experience for the patient. A careful preoperative history, early recognition, and prompt antiviral therapy is necessary. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 15, 2009 Category: Journals (General) Source Type: journals
Pulmonary embolism presenting as syncope: a case report
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Conclusions: Pulmonary embolism should be considered in the differential diagnosis of every syncopal event that presents at an emergency department. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Primary malignant pericardial mesothelioma - a rare cause of pericardial effusion and consecutive constrictive pericarditis: a case report
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Conclusion: Pericardial mesothelioma should be considered and managed appropriately in non-responders to pericardiocentesis, and in patients who develop constrictive pericarditis late in their clinical course. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Glimepiride-induced cholestasis in a man with diabetes mellitus: a case report
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Conclusion: Drugs are an important, often unrecognized, cause of acute cholestasis. Among the rare causes responsible for this complication is the sulfonylurea glimepiride. A thorough drug history is therefore helpful in any case of unexplained cholestasis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Expression of tumor necrosis factor-alpha converting enzyme and matrix metalloproteinase-3 in proliferated synovium in a patient with synovitis-acne-pustulosis-hyperostosis-osteitis syndrome: a case report
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Conclusion: We demonstrate the expression of TNF-alpha converting enzyme, TNF-alpha and matrix metalloproteinase-3 in SAPHO syndrome synovitis for the first time and also show, both macro- and microscopically, the similarity between SAPHO syndrome and rheumatoid arthritis synovitis. These new findings support the recently reported successful treatment of SAPHO syndrome with antirheumatic drugs, especially with anti-TNF-alpha agents. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Carcinomatous meningitis in a patient with Her2/neu expressing bladder cancer following trastuzumab and chemotherapy: a case report and review of the literature
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Conclusion: Carcinomatous meningitis in bladder cancer is extremely rare. This is the first case reported of Her2/neu positive carcinomatous meningitis. Disease recurred solely at a sanctuary site, demonstrating that despite the systemic efficacy of trastuzumab in combination with chemotherapy, its inability to enter the central nervous system potentially contributes to the unusual site of disease recurrence. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Chronic pyelonephritis presenting as a renal sinus tumor with retroperitoneal extension: a case report
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Conclusion: Chronic pyelonephritis presenting as a renal sinus mass is reported for the first time in the literature. This may lead to the conclusion that diagnostic ureteropyeloscopy and biopsy should be performed prior to radical surgery for possible upper tract urothelial tumors. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Disabling pelvic pain following open surgery for rectal prolapse: a case report
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Conclusion: This case emphasizes the importance of careful identification of the inferior hypogastric plexus during primary pelvic surgery. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Pancreatic and psoas abscesses as a late complication of intravesical administration of bacillus Calmette-Guerin for bladder cancer: a case report and review of the literature
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Conclusions: This case illustrates the fact that although intravesical administration of bacillus Calmette-Guerin is generally considered to be safe, it is not exempt from complications and these could appear immediately after treatment or as a delayed complication many years later. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Pulmonary embolism presenting as syncope: a case report
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Conclusions: Pulmonary embolism should be considered in the differential diagnosis of every syncopal event that presents at an emergency department. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Primary malignant pericardial mesothelioma - a rare cause of pericardial effusion and consecutive constrictive pericarditis: a case report
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Conclusion: Pericardial mesothelioma should be considered and managed appropriately in non-responders to pericardiocentesis, and in patients who develop constrictive pericarditis late in their clinical course. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Glimepiride-induced cholestasis in a man with diabetes mellitus: a case report
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Conclusion: Drugs are an important, often unrecognized, cause of acute cholestasis. Among the rare causes responsible for this complication is the sulfonylurea glimepiride. A thorough drug history is therefore helpful in any case of unexplained cholestasis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Serous labyrinthitis as a manifestation of cat scratch disease: a case report
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Conclusion: Cervicofacial lymphadenopathy has been demonstrated as the most common otolaryngologic manifestation of cat scratch disease. Manifestation in the middle and inner ear has, to the best of our knowledge, not been reported before. Our report presents a patient with cat scratch disease with clinical signs and symptoms in the middle and inner ear. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Expression of tumor necrosis factor-alpha converting enzyme and matrix metalloproteinase-3 in proliferated synovium in a patient with synovitis-acne-pustulosis-hyperostosis-osteitis syndrome: a case report
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Conclusion: We demonstrate the expression of TNF-alpha converting enzyme, TNF-alpha and matrix metalloproteinase-3 in SAPHO syndrome synovitis for the first time and also show, both macro- and microscopically, the similarity between SAPHO syndrome and rheumatoid arthritis synovitis. These new findings support the recently reported successful treatment of SAPHO syndrome with antirheumatic drugs, especially with anti-TNF-alpha agents. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Bilateral thalamic stroke due to occlusion of the artery of Percheron in a patient with patent foramen ovale: a case report
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Conclusion: Bilateral thalamic infarcts are unusual presentations of posterior circulation stroke; once they are diagnosed by an adequate neuroimaging protocol, a further evaluation to define the cause is necessary. Cardioembolism should always be considered in relatively young patients. A complete evaluation should be conducted by an interdisciplinary team including neurologists, cardiologists and neurosurgeons. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Carcinomatous meningitis in a patient with Her2/neu expressing bladder cancer following trastuzumab and chemotherapy: a case report and review of the literature
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Conclusion: Carcinomatous meningitis in bladder cancer is extremely rare. This is the first case reported of Her2/neu positive carcinomatous meningitis. Disease recurred solely at a sanctuary site, demonstrating that despite the systemic efficacy of trastuzumab in combination with chemotherapy, its inability to enter the central nervous system potentially contributes to the unusual site of disease recurrence. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Chronic pyelonephritis presenting as a renal sinus tumor with retroperitoneal extension: a case report
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Conclusion: Chronic pyelonephritis presenting as a renal sinus mass is reported for the first time in the literature. This may lead to the conclusion that diagnostic ureteropyeloscopy and biopsy should be performed prior to radical surgery for possible upper tract urothelial tumors. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 14, 2009 Category: Journals (General) Source Type: journals
Angioimmunoblastic T-cell lymphoma presenting as giant kidneys: a case report
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Conclusions: Angioimmunoblastic T-cell lymphoma can present with huge kidneys without nephrotic syndrome. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 13, 2009 Category: Journals (General) Source Type: journals
Varicella-zoster virus reactivation from multiple ganglia: a case report
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Conclusion: This case is an example of herpes zoster cephalicus with cervical nerve involvement. Although resembling Ramsay Hunt syndrome, with the presence of facial nerve paralysis and accompanying vesicles, involvement of cervical dermatomes is not a feature of the classic Ramsay Hunt syndrome. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 13, 2009 Category: Journals (General) Source Type: journals
Multifocal multi-organ ischaemia and infarction in a preterm baby due to maternal intravenous cocaine use: a case report
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Conclusion: This case illustrates the need for regular cranial ultrasound in babies of pregnancies at risk due to intravenous cocaine use and also the necessity of counselling women who misuse cocaine in the antenatal period. As such, this article will be of most interest to paediatric and obstetric staff. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 13, 2009 Category: Journals (General) Source Type: journals
Angioimmunoblastic T-cell lymphoma presenting as giant kidneys: a case report
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Conclusions: Angioimmunoblastic T-cell lymphoma can present with huge kidneys without nephrotic syndrome. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 13, 2009 Category: Journals (General) Source Type: journals
Varicella-zoster virus reactivation from multiple ganglia: a case report
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Conclusion: This case is an example of herpes zoster cephalicus with cervical nerve involvement. Although resembling Ramsay Hunt syndrome, with the presence of facial nerve paralysis and accompanying vesicles, involvement of cervical dermatomes is not a feature of the classic Ramsay Hunt syndrome. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 13, 2009 Category: Journals (General) Source Type: journals
Extensive chronic xanthogranulomatous intra-abdominal inflammation due to Mycoplasma hominis mimicking a malignancy: a case report
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Conclusion: An unusual presentation of an inflammatory process in the abdomen or an insufficient response to conventional therapy should prompt clinicians to consider atypical infectious agents in the differential diagnosis. This case illustrates the potential of newer diagnostic methods, since certain fastidious microorganisms may not be diagnosed and treated appropriately using conventional means. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 10, 2009 Category: Journals (General) Source Type: journals
Combined esophageal injury complicated by progression to a second perforation: a case report
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Conclusion: To the best of our knowledge, this is the first reported case of a combined esophageal perforation and dissection complicated by progression to a second perforation. This emphasizes that cautious and intensive observation is necessary in patients with esophageal dissection. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 10, 2009 Category: Journals (General) Source Type: journals
Community-acquired bacteremia and acute cholecystitis due to Enterobacter cloacae: a case report
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Conclusion: The peculiarity of our case is the development of community-acquired bacteremia due to E. cloacae with a clear infectious focus, as a single agent isolated in several blood cultures, in a patient without severe underlying diseases, prior antimicrobial use or previous hospital admission. Although the majority of Enterobacter spp. infections are nosocomially acquired, primary bacteremia being the most common syndrome, these pathogens may also be responsible for community-acquired cases. Patients without predisposing factors may also be affected. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 10, 2009 Category: Journals (General) Source Type: journals
Stimulation dependent induction of fear and depression in deep brain stimulation: a case report
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Conclusion: Postoperative re-evaluation of the stimulation site of the patient inducing acute fear by analyzing his intraoperative microrecordings and Talairach coordinates revealed stimulation within his right substantia nigra. The contrast analysis of the postoperative stimulation site suggests induction of depression in the patient by stimulation of the caudal part of his subthalamic nucleus. Acute psychiatric side effects of deep brain stimulation are relatively rare but must not be overlooked while concentrating on the improvement of motor deficit. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 10, 2009 Category: Journals (General) Source Type: journals
Extensive chronic xanthogranulomatous intra-abdominal inflammation due to Mycoplasma hominis mimicking a malignancy: a case report
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Conclusion: An unusual presentation of an inflammatory process in the abdomen or an insufficient response to conventional therapy should prompt clinicians to consider atypical infectious agents in the differential diagnosis. This case illustrates the potential of newer diagnostic methods, since certain fastidious microorganisms may not be diagnosed and treated appropriately using conventional means. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 10, 2009 Category: Journals (General) Source Type: journals
Combined esophageal injury complicated by progression to a second perforation: a case report
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Conclusion: To the best of our knowledge, this is the first reported case of a combined esophageal perforation and dissection complicated by progression to a second perforation. This emphasizes that cautious and intensive observation is necessary in patients with esophageal dissection. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 10, 2009 Category: Journals (General) Source Type: journals
Community-acquired bacteremia and acute cholecystitis due to Enterobacter cloacae: a case report
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Conclusion: The peculiarity of our case is the development of community-acquired bacteremia due to E. cloacae with a clear infectious focus, as a single agent isolated in several blood cultures, in a patient without severe underlying diseases, prior antimicrobial use or previous hospital admission. Although the majority of Enterobacter spp. infections are nosocomially acquired, primary bacteremia being the most common syndrome, these pathogens may also be responsible for community-acquired cases. Patients without predisposing factors may also be affected. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 10, 2009 Category: Journals (General) Source Type: journals
A 47-year-old man with neuro-Sweet syndrome in association with Crohn's disease: a case report
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Conclusion: Because of its multisystem nature, Sweet's syndrome may present diagnostic difficulty to specialists. Correct diagnosis by skin biopsy will prompt appropriate treatment. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 9, 2009 Category: Journals (General) Source Type: journals
Osseous metaplasia of the endometrium associated with infertility: a case report and review of the literature
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Conclusion: In our patient, hysteroscopy was effective in the diagnosis and treatment of osseous metaplasia of the endometrium associated with infertility. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 9, 2009 Category: Journals (General) Source Type: journals
A 47-year-old man with neuro-Sweet syndrome in association with Crohn's disease: a case report
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Conclusion: Because of its multisystem nature, Sweet's syndrome may present diagnostic difficulty to specialists. Correct diagnosis by skin biopsy will prompt appropriate treatment. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 9, 2009 Category: Journals (General) Source Type: journals
Diagnostic use of infrared thermography in a patient with chronic pain following electrocution: a case report
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Conclusion: It would appear from this case report that infrared thermography may be of use in the documentation of abnormalities associated with chronic pain following survival after electrocution. Pregabalin may be of benefit in pain reduction after electrocution. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 8, 2009 Category: Journals (General) Source Type: journals
Anton's syndrome due to cerebrovascular disease: a case report
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Conclusions: A suspicion of cortical blindness and Anton's syndrome should be considered in patients with atypical visual loss and evidence of occipital lobe injury. Cerebrovascular disease is the most common cause of Anton's syndrome, as in our patient. However, any condition that may result in cortical blindness can potentially lead to Anton's syndrome. Recovery of visual function will depend on the underlying aetiology, with cases due to occipital lobe infarction after cerebrovascular events being less likely to result in complete recovery. Management in these circumstances should accordingly focus on secondary preventi...
Source: Journal of Medical Case Reports - September 8, 2009 Category: Journals (General) Source Type: journals
Nonaneurysmal abdominal aortitis in an 82-year-old woman presenting with pyrexia and back pain: a case report
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Conclusion: A detailed assessment is essential in the diagnosis of this condition as it can frequently be missed on initial evaluation of the affected patient. Clinical features are often nonspecific and can include fever, leucocytosis and bacteremia in the absence of a pulsatile or expansile mass. The patient may also complain of back pain, as in this case report. Thorough assessment, timely investigation and endovascular intervention prevented a potentially fatal condition in our patient. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 8, 2009 Category: Journals (General) Source Type: journals
Relapsing polychondritis associated with bilateral stapes footplate fixation: a case report
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Conclusions: Relapsing polychondritis is still a relatively uncommon condition, which explains why there is often a delayed diagnosis of the disease. It is usually difficult to examine tympanic membranes in cases of relapsing polychondritis, and, therefore stapes fixation should also be suspected when there is an associated conductive hearing loss. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 8, 2009 Category: Journals (General) Source Type: journals
Aneurysmal bone cyst of the rib: a case report
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Conclusion: En bloc resection can be curative and provide good results for this rare type of chest wall tumor. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 8, 2009 Category: Journals (General) Source Type: journals
Diagnostic use of infrared thermography in a patient with chronic pain following electrocution: a case report
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Conclusion: It would appear from this case report that infrared thermography may be of use in the documentation of abnormalities associated with chronic pain following survival after electrocution. Pregabalin may be of benefit in pain reduction after electrocution. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 8, 2009 Category: Journals (General) Source Type: journals
Anton's syndrome due to cerebrovascular disease: a case report
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Conclusions: A suspicion of cortical blindness and Anton's syndrome should be considered in patients with atypical visual loss and evidence of occipital lobe injury. Cerebrovascular disease is the most common cause of Anton's syndrome, as in our patient. However, any condition that may result in cortical blindness can potentially lead to Anton's syndrome. Recovery of visual function will depend on the underlying aetiology, with cases due to occipital lobe infarction after cerebrovascular events being less likely to result in complete recovery. Management in these circumstances should accordingly focus on secondary preventi...
Source: Journal of Medical Case Reports - September 8, 2009 Category: Journals (General) Source Type: journals
Nonaneurysmal abdominal aortitis in an 82-year-old woman presenting with pyrexia and back pain: a case report
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Conclusion: A detailed assessment is essential in the diagnosis of this condition as it can frequently be missed on initial evaluation of the affected patient. Clinical features are often nonspecific and can include fever, leucocytosis and bacteremia in the absence of a pulsatile or expansile mass. The patient may also complain of back pain, as in this case report. Thorough assessment, timely investigation and endovascular intervention prevented a potentially fatal condition in our patient. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 8, 2009 Category: Journals (General) Source Type: journals
Relapsing polychondritis associated with bilateral stapes footplate fixation: a case report
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Conclusions: Relapsing polychondritis is still a relatively uncommon condition, which explains why there is often a delayed diagnosis of the disease. It is usually difficult to examine tympanic membranes in cases of relapsing polychondritis, and, therefore stapes fixation should also be suspected when there is an associated conductive hearing loss. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 8, 2009 Category: Journals (General) Source Type: journals
Episodic biliary obstruction due to an intrahepatic biliary cystadenoma: a case report
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Conclusion: Biliary cystadenoma should be considered as a differential diagnosis in patients with cystic liver lesions who present with episodic biliary obstruction. Due to the reported malignant potential, radical surgery such as wide local excision of the lesion or hepatic resection is needed to minimize the risk of local recurrence. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - September 7, 2009 Category: Journals (General) Source Type: journals
