Exserohilum sinusitis presenting as proptosis in a healthy adolescent male

2002 ◽  
Vol 30 (1) ◽  
pp. 73-75 ◽  
Author(s):  
Roberta Colton ◽  
Avraham Zeharia ◽  
Boaz Karmazyn ◽  
N.O.R.A Buller ◽  
Yael Levy ◽  
...  
Keyword(s):  
Adolescent Male ◽  
Healthy Adolescent

Isotretinoin induced nail fold pyogenic granuloma resolution with combination therapy: A case report and review of the literature

2019 ◽  
Vol 3 (4) ◽  
pp. 275-278
Author(s):  
Jonathan Bellew ◽  
Chad Taylor ◽  
Jaldeep Daulat ◽  
Vernon Mackey
Keyword(s):  
Pyogenic Granuloma ◽  
Causative Factor ◽  
Adolescent Male ◽  
Review Of The Literature ◽  
First Line ◽  
Healthy Adolescent ◽  
Therapeutic Modalities ◽  
Children And Young Adults ◽  
Intralesional Steroids ◽  
Isotretinoin Therapy

Pyogenic granulomas are vascular hyperplasias presenting as red papules, polyps, or nodules on the gingiva, fingers, lips, face and tongue of children and young adults.  Most commonly they are associated with trauma, but systemic retinoids have rarely been implicated as a causative factor in their appearance.  We present a case of spontaneous eruption of multiple pyogenic granulomas of the bilateral periungal fingers in an otherwise healthy adolescent male undergoing isotretinoin therapy for severe nodulocystic acne. These pyogenic granulomas did not resolve spontaneously with discontinuation of isotretinoin, or first line therapeutic modalities. Their resolution did occur with administration of intralesional steroids and ablation with silver nitrate.

scholarly journals Case Report: Paradoxical Inflammatory Response Syndrome in a Previously Healthy, HIV-Negative, Pediatric Patient With Cryptococcus gatii Meningitis

2021 ◽  
Vol 9 ◽  
Author(s):  
Jessica H. Cheng ◽  
Ritu Cheema ◽  
Peter R. Williamson ◽  
Victoria R. Dimitriades
Keyword(s):  
Inflammatory Response ◽  
Pediatric Patient ◽  
Immunological Response ◽  
Adolescent Male ◽  
Healthy Adolescent ◽  
Immune Mediated ◽  
Microbiological Control ◽  
The Central Nervous System ◽  
Post Infectious

The immunological response of patients with cryptococcal meningitis (CM), particularly those not known to be immunocompromised, has generated an increased interest recently. Although CM is an infection with significant rates of morbidity and mortality, its sequelae may also include a post-infectious inflammatory response syndrome (PIIRS) in patients who have already achieved microbiological control. PIIRS can cause substantial immune-mediated damage to the central nervous system resulting in long-term neurological disability or even death. Steroids have been used successfully in the management of PIIRS in adults. In this report, we present the case of a previously healthy adolescent male with Cryptococcus gattii meningitis who experienced neurological deterioration due to PIIRS after the initiation of antifungal therapy. Immunological workup did not demonstrate any frank underlying immunodeficiencies, and genetic primary immunodeficiency screening was unremarkable. He was treated with steroids and recovered clinically; however, intermittent inflammatory episodes needed to be managed through several flares of symptoms. In the setting of the current literature, we discuss the management and monitoring of PIIRS in a pediatric patient, along with considerations of targeted future therapies.

scholarly journals HSV Esophagitis in an Immunocompetent 17-Year-Old

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110529
Author(s):  
Vedika Rajasekaran ◽  
Victoria Rahaman ◽  
Xing Hou ◽  
Russell W. Steele
Keyword(s):  
Immunocompetent Patient ◽  
Adolescent Male ◽  
Upper Endoscopy ◽  
Rapid Improvement ◽  
Lower Esophagus ◽  
Rare Form ◽  
Healthy Adolescent ◽  
History Of ◽  
Low Platelet Count ◽  
Simplex Virus

Herpes Simplex Virus (HSV) esophagitis is a relatively rare form of infectious esophagitis. Typically, patients with viral esophagitis are immunocompromised. HSV esophagitis in an immunocompetent patient is uncommonly reported. The objective of this case report is to discuss symptoms, investigations, imaging, and treatment of HSV esophagitis in a healthy adolescent male. A previously healthy 17-year-old male presented to the ED of our facility with a 5-day history of fever, odynophagia, lethargy, and 2 episodes of emesis that failed to resolve with antibiotic treatment. Investigations revealed a low platelet count, mild hyponatremia, hypochloremia, and an elevated AST and ALT. A respiratory infection panel as well as CMV IgG, HIV, Rickettsia, and EBV tests were negative. HSV-1 PCR was positive and upper endoscopy revealed a friable mucosa, erythema, and exudates in the lower esophagus and erythematous duodenopathy. The patient received a diagnosis of HSV esophagitis and was treated with a 14-day course of IV to PO acyclovir. There was a rapid improvement of his symptoms with antiviral therapy.

Tan-Pigmented Papule in a Healthy Adolescent Male—Quiz Case

2011 ◽  
Vol 147 (5) ◽  
pp. 609 ◽  
Author(s):  
Noreen Kelly ◽  
Jeff D. Harvell ◽  
Sandy Milgraum
Keyword(s):  
Adolescent Male ◽  
Healthy Adolescent

Electrolyte screening in the evaluation of prolonged QTc interval

2014 ◽  
Vol 25 (2) ◽  
pp. 398-399 ◽  
Author(s):  
Allison B. Rometo ◽  
Lee Beerman ◽  
Gaurav Arora
Keyword(s):  
Case Report ◽  
Qt Interval ◽  
Outpatient Setting ◽  
Adolescent Male ◽  
Qtc Interval ◽  
Interval Prolongation ◽  
Healthy Adolescent ◽  
Qt Interval Prolongation ◽  
Prolonged Qt Interval ◽  
Prolonged Qt

AbstractWe present a case of a previously healthy adolescent male for outpatient evaluation of prolonged QT interval. He was ultimately found to have acquired QT interval prolongation secondary to hypocalcaemia related to undiagnosed hypoparathyroidism. This case report highlights the importance of routine electrolyte analysis, even in the outpatient setting, during initial diagnostic workup for QT interval prolongation.

Giant Epithelial Splenic Cyst: An Unusual Cause of Abdominal Pain in a Healthy Adolescent Male

2019 ◽  
Vol 85 (6) ◽  
pp. 306-308
Author(s):  
Skiey Hardin ◽  
Kristen T. Carter ◽  
Jaspreet Kaur Oberoi ◽  
Kelly Brister ◽  
Taylor Shaw ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Splenic Cyst ◽  
Adolescent Male ◽  
Healthy Adolescent

scholarly journals New onset ANCA-associated vasculitis in an adolescent during an acute COVID-19 infection: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daniel D. Reiff ◽  
Chloe G. Meyer ◽  
Brittany Marlin ◽  
Melissa L. Mannion
Keyword(s):  
Case Reports ◽  
Pediatric Population ◽  
Adult Population ◽  
Pulmonary Nodules ◽  
Antineutrophil Cytoplasmic Antibodies ◽  
Pediatric Care ◽  
Adolescent Male ◽  
Care Providers ◽  
Healthy Adolescent ◽  
New Onset

Abstract Background SARS-CoV-2 has been found to be exquisitely adept at triggering autoimmunity and multiple new onset autoimmune diseases have been described as a post-infectious complication of COVID-19 infection in the adult population. Less has been described in the pediatric population, as infections are more likely to be asymptomatic and less severe. This case reports a previously healthy adolescent patient with new onset antineutrophil cytoplasmic autoantibody-associated vasculitis (AAV) diagnosed in the setting of acute COVID-19 infection. Case presentation A previously healthy adolescent male was diagnosed with COVID-19 pneumonia after presenting with infectious symptoms of fever, cough, congestion, and shortness of breath. After worsening of disease, he was found to have pulmonary nodules, atypical for COVID-19. Further imaging and laboratory workup showed elevated inflammatory markers, negative infectious testing, and positive antineutrophil cytoplasmic antibodies (ANCA) diagnostic for AAV. He was treated with pulse dose steroids followed by a prolonged taper and rituximab. Symptoms resolved and laboratory abnormalities improved over time. At six-month follow-up, lesions were much improved, laboratory markers were within normal limits, and patient remained asymptomatic off medications. Conclusions This case is one of the first in the pediatric population to describe new onset AAV presenting with an acute, symptomatic COVID-19 infection. There is increasing evidence for COVID-19 induced autoimmunity in the pediatric population and pediatric care providers should be on high alert for new onset autoimmune disease in children afflicted by COVID-19.

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