Long-lasting severe knee pain in a SLE patient after renal transplantation: what is the reason? A case report and literature review

AbstractMusculo-skeletal complaints in a patient suffering from systemic lupus, with co-existing chronic renal failure, undergoing immunosuppressive treatment after kidney transplantation, can have a varied etiology. The aim of this work was to present a case based review of differential diagnosis of knee pain in such a patient. A literature search was carried out using MEDLINE/PubMed, Google Scholar and EBSCO, with no time limit. We undertook a systematic review of the literature published in English, limited to full-text publications of original articles, letters to the editor, and case reports in peer-reviewed journals, for a discussion and analysis of studies reporting arthralgia in patients with lupus after kidney transplantation. We present a case report of a 45-year-old woman with lupus nephritis, after kidney transplantation, who started to complain of increasing pain in the knees, most pronounced at night and after physical activity approximately 2 years after transplantation. Extensive causal diagnostics were carried out, which revealed bilateral extensive regions of bone infarction in the femur and tibia, chondropathy, degenerative changes of medial meniscuses in the body and posterior horn as well as chondromalacia of the patella. Establishing the right diagnosis is crucial for implementing appropriate treatment.

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Peripheral osteoma of the mandible: case report and review of the literature

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v5i4.18611 ◽

2017 ◽

Vol 5 (4) ◽

pp. 128-130

Author(s):

Mohit Sharma

Keyword(s):

Case Report ◽

The Body ◽

Radiographic Examination ◽

Review Of The Literature ◽

Medical College ◽

Lingual Surface ◽

Peripheral Osteoma ◽

Peripheral Type ◽

The Right ◽

Slow Growing

Osteomas are benign, slow-growing osteogenic tumors commonly occurring in the craniofacial bones. Osteomas are characterized by the proliferation of compact and/or cancellous bone. It can be of a central, peripheral, or extraskeletal type. The peripheral type arises from the periosteum and is rarely seen in the mandible, if involved, the lingual surface and lower border of the body are the most common locations of these lesions. They are usually asymptomatic and can be discovered in routine clinical and radiographic examination. This paper presents a large solitary peripheral osteoma located in the lingual surface of the right posterior mandible. The osteoma was removed surgically, and no recurrence has been observed.Journal of Kathmandu Medical College, Vol. 5, No. 4, Issue 18, Oct.-Dec., 2016, page: 128-130

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Case Report of a Rare Cause of Reactive Arthritis: Leptospirosis

Journal of Orthopaedic Case Reports ◽

10.13107/jocr.2021.v11.i03.2098 ◽

2021 ◽

Vol 11 (3) ◽

Author(s):

Sudipan Dey ◽

Arun Kumar Sipani ◽

Rajdeep Das

Keyword(s):

Case Report ◽

Hip Joint ◽

Reactive Arthritis ◽

Past History ◽

Case Reports ◽

Female Child ◽

The Body ◽

Pathogenic Leptospira ◽

Magnetic Resonance Imaging Mri ◽

The Right

Introduction: Leptospirosis is a zoonosis caused by infection with pathogenic Leptospira species. Leptospirosis has protean manifestations and rare, unusual presentations should be kept in mind in relevant epidemiological scenario. Reactive arthritis refers to acute non-purulent arthritis complicating an infection elsewhere in the body. It is attributed to an immune activation following certain infections; it is, therefore considered as aseptic arthritis. Very few case reports are available attributing leptospirosis as an established cause of reactive arthritis. We present a case of reactive arthritis of the hip joint due to leptospirosis. Case Report: Here, we present a case of a 12-years- old female child who was admitted to our hospital with complaints of fever, headache, and pain in the right hip joint since past 5 days from admission. Subsequent elaboration revealed a past history of fever, headache, and myalgia for around 5-7 days around a week before the present complaints. There was rat infestation near her house and her father was working as sewage cleaner. Routine investigations, Ultrasonography (USG), Magnetic Resonance Imaging (MRI) of both hips and subsequently, diagnostic hip aspiration was performed. USG revealed synovitis, MRI revealed hip joint arthritis of infective or inflammatory origin. Diagnostic hip aspiration was negative for any microorganism. On 10th day of admission, patient started developing icterus with yellowish discolouration of urine. Patient was evaluated for the cause of jaundice. Screening for Leptospira was positive. Synovial biopsy of hip was performed, which showed inflammation with no specific pathology and no growth of any microorganism. In addition, Leptospira IgM MAC ELISA was done which was positive. Patient was thus confirmed to be having leptospirosis and reactive arthritis as a consequence of it. Conclusion: The presentation of reactive arthritis secondary to leptospirosis is rare. Leptospirosis can be an etiological fa

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Linezolid Induced Skin Reactions in a Multi Drug Resistant Infective Endocarditis Patient: A Rare Case

Current Drug Safety ◽

10.2174/1574886315666200516175053 ◽

2020 ◽

Vol 15 (3) ◽

pp. 222-226 ◽

Cited By ~ 1

Author(s):

Asha K. Rajan ◽

Ananth Kashyap ◽

Manik Chhabra ◽

Muhammed Rashid

Keyword(s):

Case Report ◽

Infective Endocarditis ◽

Rare Case ◽

Case Reports ◽

Multidrug Resistant ◽

The Body ◽

Prior History ◽

Skin Reactions ◽

Rare Case Report ◽

Multiple Drugs

Rationale: Linezolid (LNZ) induced Cutaneous Adverse Drug Reactions (CADRs) have rare atypical presentation. Till date, there are very few published case reports on LNZ induced CADRs among the multidrug-resistant patients suffering from Infective Endocarditis (MDR IE). Here, we present a rare case report of LNZ induced CARs in a MDR IE patient. Case report: A 24-year-old female patient was admitted to the hospital with chief complaints of fever (101°C) associated with rigors, chills, and shortness of breath (grade IV) for the past 4 days. She was diagnosed with MDR IE, having a prior history of rheumatic heart disease. She was prescribed LNZ 600mg IV BD for MDR IE, against Staphylococcus coagulase-negative. The patient experienced flares of cutaneous reactions with multiple hyper-pigmented maculopapular lesions all over the body after one week of LNZ therapy. Upon causality assessment, she was found to be suffering from LNZ induced CADRs. LNZ dose was tapered gradually and discontinued. The patient was prescribed corticosteroids along with other supportive care. Her reactions completely subsided and infection got controlled following 1 month of therapy. Conclusion: Healthcare professionals should be vigilant for rare CADRs, while monitoring the patients on LNZ therapy especially in MDR patients as they are exposed to multiple drugs. Moreover, strengthened spontaneous reporting is required for better quantification.

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Abdominal decompression illness following repetitive diving: a case report and review of the literature

Undersea and Hyperbaric Medicine ◽

10.22462/04.06.2019.16 ◽

2019 ◽

pp. 211-215

Author(s):

Peter Beale ◽

Levi Kitchen ◽

W.R. Graf ◽

M.E. Fenton ◽

Keyword(s):

Case Report ◽

The Body ◽

Decompression Illness ◽

Review Of The Literature ◽

Hyperbaric Chamber ◽

Foreign National ◽

Biochemical Effects ◽

Elapsed Time ◽

Nitrogen Bubbles ◽

Abdominal Decompression

The complete pathophysiology of decompression illness is not yet fully understood. What is known is that the longer a diver breathes pressurized air at depth, the more likely nitrogen bubbles are to form once the diver returns to surface [1]. These bubbles have varying mechanical, embolic and biochemical effects on the body. The symptoms produced can be as mild as joint pain or as significant as severe neurologic dysfunction, cardiopulmonary collapse or death. Once clinically diagnosed, decompression illness must be treated rapidly with recompression therapy in a hyperbaric chamber. This case report involves a middle-aged male foreign national who completed three dives, all of which incurred significant bottom time (defined as: “the total elapsed time from the time the diver leaves the surface to the time he/she leaves the bottom)” [2]. The patient began to develop severe abdominal and back pain within 15 minutes of surfacing from his final dive. This case is unique, as his presentation was very concerning for other medical catastrophes that had to be quickly ruled out, prior to establishing the diagnosis of severe decompression illness. After emergency department resuscitation, labs and imaging were obtained; abdominal decompression illness was confirmed by CT, revealing a significant abdominal venous gas burden.

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Donor‐derived renal allograft mucormycosis in a combined liver and kidney transplantation: Case report and review of the literature

Transplant Infectious Disease ◽

10.1111/tid.13534 ◽

2020 ◽

Author(s):

Sneha Thatipelli ◽

Phillip Santoiemma ◽

Ignacio A. Echenique ◽

Richard Green ◽

Michael G. Ison ◽

...

Keyword(s):

Kidney Transplantation ◽

Case Report ◽

Renal Allograft ◽

Review Of The Literature ◽

Liver And Kidney

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Acute myocardial infarction caused by embolism of thrombus in the right coronary sinus of valsalva: a case report and review of the literature

Journal of the American Society of Echocardiography ◽

10.1016/j.echo.2003.10.002 ◽

2004 ◽

Vol 17 (2) ◽

pp. 173-177 ◽

Cited By ~ 21

Author(s):

Kosei Eguchi ◽

Eiji Ohtaki ◽

Kazuhiko Misu ◽

Masaru Aikawa ◽

Tetsuya Sumiyoshi ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Case Report ◽

Coronary Sinus ◽

Sinus Of Valsalva ◽

Review Of The Literature ◽

The Right

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Hydatid Disease Simulating Acute Abdomen: A Case Report and Brief Review of the Literature

Case Reports in Gastrointestinal Medicine ◽

10.1155/2012/387102 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Georgios Lianos ◽

Georgios Baltogiannis ◽

Avrilios Lazaros ◽

Konstantinos Vlachos

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Hydatid Disease ◽

Acute Abdominal Pain ◽

Abdominal Distension ◽

The Body ◽

Parasitic Disease ◽

Review Of The Literature ◽

Diffuse Abdominal Pain ◽

Operating Surgeon

Introduction. Hydatid disease is caused by the tapewormEchinococcus granulosusand is still a matter of public health in many regions of the world, where it is an endemic parasitic disease. Although the liver is the most involved organ, hydatidosis can be found anywhere in the human body. Rare forms of location may lead to diagnostic and therapeutic dilemmas.Case Report. Herein we report a rare case of acute abdominal pain and progressively increasing abdominal distension due to abdominal and multiple splenic echinococcosis in a 72-year-old Caucasian male. We also provide a brief review of the literature.Conclusion. Although hydatid disease is found most often in the liver and lungs, rarely any organ of the body can be involved by this zoonosis. Though rare, the possibility of unusual location of echinococcosis must always be considered by the operating surgeon, when dealing with diffuse abdominal pain in endemic areas, because any misinterpretation may result in unfavorable outcomes.

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Primary Mucinous Adenocarcinoma of the Thymus: A Case Report and Review of the Literature

Archives of Pathology & Laboratory Medicine ◽

10.5858/2006-130-201-pmaott ◽

2006 ◽

Vol 130 (2) ◽

pp. 201-204 ◽

Cited By ~ 4

Author(s):

Payal Kapur ◽

Dinesh Rakheja ◽

Michael Bastasch ◽

Kyle H. Molberg ◽

Venetia R. Sarode

Keyword(s):

Case Report ◽

Gastrointestinal Tract ◽

Mucinous Adenocarcinoma ◽

Mediastinal Mass ◽

The Body ◽

Anterior Mediastinal Mass ◽

Review Of The Literature ◽

Specific Identification ◽

Biopsy Specimens ◽

Thymic Neoplasm

Abstract Primary thymic mucinous adenocarcinoma is extremely rare; to our knowledge, only 2 cases have been reported to date. We describe a third case of primary mucinous adenocarcinoma of the thymus in a 41-year-old man who presented with an anterior mediastinal mass with subsequent metastasis to the lung. The initial diagnosis was of metastatic mucinous adenocarcinoma, but extensive clinical workup of the patient failed to reveal a primary tumor elsewhere in the body. The specific identification of mucinous adenocarcinoma as a primary thymic neoplasm can be difficult or impossible. Morphologic and immunophenotypic similarities to mucinous adenocarcinomas of the gastrointestinal tract can pose diagnostic challenges for surgical pathologists, especially in small biopsy specimens.

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Bilateral Anatomical Variation in the Formation of Trunks of the Brachial Plexus - A Case Report

Journal of Morphological Sciences ◽

10.1055/s-0038-1660485 ◽

2018 ◽

Vol 35 (01) ◽

pp. 9-13

Author(s):

E. Lasch ◽

M. Nazer ◽

L. Bartholdy

Keyword(s):

Case Report ◽

Brachial Plexus ◽

Upper Limb ◽

Scientific Literature ◽

Case Reports ◽

Anatomical Variation ◽

Male Cadaver ◽

Motor Nerves ◽

The Right

AbstractThis study presents a bilateral variation in the formation of trunks of brachial plexus in a male cadaver. The right brachial plexus was composed of six roots (C4-T1) and the left brachial plexus of five roots (C5-T1). Both formed four trunks thus changing the contributions of the anterior divisions of the cervical nerves involved in the formation of the cords and the five main somatic motor nerves for the upper limb. There are very few case reports in the scientific literature on this topic; thus making the present study very relevant.

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