scholarly journals Neisseria sicca Endocarditis Presenting as Multiple Embolic Brain Infarcts

2015 ◽  
Vol 2 (3) ◽  
Author(s):  
Christine Kirlew ◽  
Kobina Wilmot ◽  
Jorge L. Salinas
Keyword(s):  
Computed Tomography ◽  
Mitral Valve ◽  
Ischemic Cardiomyopathy ◽  
Rare Case ◽  
International Normalized Ratio ◽  
Brain Infarcts ◽  
Immunodeficiency Virus ◽  
History Of ◽  
Neisseria Sicca ◽  
The Brain

Abstract A 58 year old male presented with a 14 day history of progressive forgetfulness and aggressiveness. He had a history of human immunodeficiency virus infection, ischemic cardiomyopathy, and a myxomatous mitral valve (status post Saint Jude's mitral valve replacement 8 years before presentation). International normalized ratio was supra-therapeatutic on admission. A non-contrast computed tomography of the brain indicated multiple infarcts with hemorrhagic conversion. The source was later found to be a rare case of Neisseria sicca endocarditis.

scholarly journals Left-Sided Bochdalek's Hernia in a Young Adult: A Case Report and Literature Review

2021 ◽  
Vol 07 (03) ◽  
pp. e124-e126
Author(s):  
Mark Portelli ◽  
Mark Bugeja ◽  
Charles Cini
Keyword(s):  
Computed Tomography ◽  
Young Adult ◽  
Rare Case ◽  
Surgical Repair ◽  
Bochdalek Hernia ◽  
Case Presentation ◽  
Atypical Case ◽  
Accident And Emergency ◽  
History Of ◽  
Accident And Emergency Department

Abstract Purpose Bochdalek's hernia is a type of congenital diaphragmatic hernia occurring secondary to a defect in the posterior attachment of diaphragm. This condition commonly presents with respiratory insufficiency in infants. To date, there are less than 100 cases of Bochdalek's hernia presenting in adults published in the literature. The mainstay treatment of Bochdalek's hernia involves reduction of hernial contents back into the peritoneal cavity with a tensionless graft repair closing the diaphragmatic defect. Case Presentation We present an atypical case of the Bochdalek hernia presenting in a previously healthy 16-year-old male who presented to the Accident and Emergency department with a 2-day history of dysphagia and loss of breath. The Bochdalek hernia was confirmed on computed tomography (CT) imaging and the patient underwent surgical repair with Gore-Tex mesh. Conclusion The report shows a rare case of the Bochdalek hernia in a young adult, successfully managed with a laparotomy.

scholarly journals A Rare Case of Osteomyelitis Caused by Haemophilus Parainfluenzae

2017 ◽  
Vol 2 (2) ◽  
pp. 104-106 ◽  
Author(s):  
Fernando Cobo ◽  
Gemma Jiménez ◽  
Javier Rodríguez-Granger ◽  
Antonio Sampedro ◽  
Luis Aliaga-Martínez
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Surrounding Tissue ◽  
Surgical Drainage ◽  
Joint Infections ◽  
Computed Tomography Images ◽  
Haemophilus Parainfluenzae ◽  
Bone Biopsies ◽  
History Of ◽  
History Of Pain

Abstract. Haemophilus parainfluenzae is a rare cause of bone and joint infections. We report a case of calcaneal osteomyelitis due to this microorganism with a review of all published. A 23-year-old woman presented with a 1-month history of pain and inflammation in the calcaneus area. Osteomyelitis was suspected at this location based on computed tomography images. Culture of six bone biopsies and surrounding tissue resulted in the isolation of H. parainfluenzae. Surgical drainage and debridement was performed, and antibiotic treatment was prescribed, resolving the infection.

History of Human Immunodeficiency Virus Infection and the Nervous System

2017 ◽  
Author(s):  
Avindra Nath
Keyword(s):  
Human Immunodeficiency Virus ◽  
Nervous System ◽  
Hiv Infection ◽  
System P ◽  
Clinical Syndromes ◽  
Tremendous Progress ◽  
Immunodeficiency Virus ◽  
History Of ◽  
The Brain ◽  
First Descriptions

It has been nearly three decades since the first descriptions of the neurological comploications of HIV infection. During this period of time there has been tremendous progress in defining the clinical syndromes, modes of diagnosis, detailed pathophysiology and modes of treatment. Many of the dreaded complications are now manageable particularly if diagnosed early. However, neurocognitive impairment associated with HIV infection still remains a significant cause of morbidity and much is needed to control; the effects of the virus on the brain and for the eventual eradication of the virus from the brain reservoir.

scholarly journals PARATHYROMATOSIS: A RARE CASE OF RECURRENT HYPERPARATHYROIDISM LOCALIZED BY FOUR-DIMENSIONAL COMPUTED TOMOGRAPHY

2019 ◽  
Vol 5 (6) ◽  
pp. e384-e387 ◽  
Author(s):  
Abraham E. Wei ◽  
Matthew R. Garrett ◽  
Ankur Gupta
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Clinical Laboratory ◽  
Parathyroid Tissue ◽  
Severe Hypercalcemia ◽  
Positron Emission ◽  
Affected Tissue ◽  
History Of ◽  
The Right ◽  
Recurrent Hyperparathyroidism

Objective: To present a rare case of parathyromatosis. Methods: We present the clinical, laboratory, and imaging findings, along with a review of the literature. Results: A 33-year-old man with a history of right upper parathyroid adenoma removal 5 years prior due to hyperparathyroidism was admitted for severe hypercalcemia (15.6 mg/dL; normal, 8.5 to 10.5 mg/dL) with elevated plasma parathyroid hormone (PTH) (882 pg/mL; normal, 15 to 65 pg/mL). Ultrasound, computed tomography (CT), sestamibi, and positron emission tomography scans were unremarkable; however, a four-dimensional CT (4DCT) of the neck showed an area of increased signal enhancement and hypervascularity without discrete nodule in the posterior right thyroid region. The patient underwent parathyroid surgical exploration with right hemithyroidectomy and compartment neck dissection to remove the affected tissue. PTH levels dropped to 208 pg/mL postoperatively; calcium decreased but remained elevated at 12.7 mg/dL. Pathology revealed the presence of several small nodular foci of atypical hyperplastic parathyroid tissue in the right thyroid and soft tissue in the left central neck compartment consistent with parathyromatosis. Conclusion: This case report represents the first-time use of 4DCT to localize parathyromatosis. Parathyromatosis is a rare but problematic cause of recurrent hyperparathyroidism. Ultrasound and 4DCT may represent the best imaging modalities for identification and perioperative management to remove all affected tissue without reseeding.

scholarly journals Concomitant bilateral elastofibroma in the infrascapular and gluteal regions: a report of a rare case

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Omran Al Dandan ◽  
Ali Hassan ◽  
Mona Al Muhaish ◽  
Jumanah AlMatrouk ◽  
Haidar Almuhanna ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Surgical Excision ◽  
Elastic Fibers ◽  
Histopathological Diagnosis ◽  
Imaging Features ◽  
Serratus Anterior ◽  
History Of ◽  
Benign Soft Tissue Tumor ◽  
Enhanced Computed Tomography

Abstract Background Elastofibroma is a benign soft tissue tumor characterized by the presence of elastic fibers in a stroma of collagen and mature adipose tissue. It is reported to have a prevalence of 2.73%, as shown by a study through computed tomography (CT) images. However, multiple elastofibromas are uncommon. Case presentation We report a case of concomitant bilateral elastofibroma in the infrascapular and gluteal regions. A 63-year-old male patient presented with a 6-month history of gradually increasing painless swellings in the upper back. On physical examination, firm, painless bilateral infrascapular masses were identified; these masses were more noticeable on forward arm flexion. Contrast-enhanced computed tomography showed well-defined bilateral infrascapular masses deep to the serratus anterior muscles as well as poorly defined bilateral gluteal masses with attenuation similar to that of the adjacent skeletal muscle. Magnetic resonance imaging revealed heterogenous masses with internal fatty streaks, consistent with elastofibroma. The histopathological diagnosis of elastofibroma was established based on the results of image-guided core-needle biopsy. The patient underwent surgical excision of both infrascapular elastofibromas with no post-operative complications. As the gluteal masses were incidental, surgical management was not warranted. Conclusion The presence of multiple elastofibromas is unusual. This report describes a rare case of multiple elastofibromas and its typical imaging features, and alerts us that elastofibromas are not exclusive to the periscapular region.

CASE REPORT: ANGIOSTRONGYLIASIS IN A PALLAS’S SQUIRREL (CALLOSCIURUS ERYTHRAEUS)

2018 ◽  
Vol 44 (01) ◽  
pp. 41-45 ◽  
Author(s):  
Yun-Chieh Tuan ◽  
Hsin-Yu Kuo ◽  
Ji-Hang Yin ◽  
Fun-Rewn Chang ◽  
Kwong-Chung Tung ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Interstitial Pneumonia ◽  
Subarachnoid Space ◽  
Rare Case ◽  
Angiostrongylus Cantonensis ◽  
Intact Male ◽  
Callosciurus Erythraeus ◽  
History Of ◽  
The Brain

This is a rare case of a wild squirrel that was diagnosed with angiostrongyliasis characterized by the presence of larvae-induced eosinophilic meningoencephalomyelitis. A wild, intact, male Pallas’s squirrel (Callosciurus erythraeus) of unknown age was presented with a history of progressive paralysis in both forelimbs and hindlimbs. Gradually, the squirrel showed signs of deterioration, found dead and submitted for a complete pathological diagnosis. Necropsy revealed the presence of severe and diffuse congestion in the subarachnoid space of the brain and mild congestion in the spinal cord. Microscopically, severe meningoencephalomyelitis and interstitial pneumonia were consistent with lesions induced by Angiostrongylus cantonensis (A. cantonensis). Although A. cantonensis has been widely studied in rabbits, mice and humans, infection in squirrels has not been documented. This may be the first reported case of angiostrongyliasis in the Pallas’s squirrel.

scholarly journals Imaging of Complete Vertebral Duplication with Normal Neurological Status: A Rare Case

2021 ◽  
Author(s):  
Vishal Thakker ◽  
Nisarg Thakker ◽  
Manali Arora ◽  
Rajan Patel
Keyword(s):  
Computed Tomography ◽  
Female Patient ◽  
Rare Case ◽  
Neurological Status ◽  
Neurological Manifestations ◽  
Dural Sac ◽  
Old Adult ◽  
History Of ◽  
Genitourinary Anomalies ◽  
Adult Female Patient

Vertebral Duplication represents the most severe aspect of the spectrum of Split Cord Malformations. It is a rare anomaly with very few reported cases. Associated other spinal anomalies along with severe neurovascular and genitourinary anomalies may also co-exist. We are reporting a case of a 21 years old adult female patient, who presented with history of trauma, incidentally detected to be having complete lumbar duplication along with dural sac duplication and multiple complex segmentation anomalies in the form of incarcerated lateral hemi-vertebra, butterfly vertebra and non-segmented lateral hemi-vertebra at D10 to D12 vertebrae. On Computed Tomography (CT) imaging these anomalies become well evident while the patient presented with no neurological manifestations or abnormalities. This is a rarely reported scenario in literature where no neurological symptoms are seen in a case of vertebral duplication.

scholarly journals P1702 Libman-Sacks endocarditis of the mitral valve combined with right atrial thrombus formation

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
G Klappacher ◽  
D Beitzke
Keyword(s):  
Mitral Valve ◽  
Thrombus Formation ◽  
Arterial System ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Systemic Embolization ◽  
History Of ◽  
Right Atrial Thrombus ◽  
The Right ◽  
The Brain

Abstract Case presentation A 46-years old female with a history of systemic lupus erythematosus (SLE) was admitted to hospital care after the manifestation of a tonic-clonic generalized seizure. Since this had been the first neurological event, a thorough diagnostic work-up was performed. CT- and MRI-imaging of the brain revealed cerebral microangiopathy and two small fresh ischemic lesions in the left frontal and temporobasal regions, respectively. While the microangiopathy could be reconciled with cerebral SLE-vasculitis, the ischemic lesions pointed to thromboembolism whose source could be potentially cardiogenic. Findings. In fact, the transesophageal echocardiogram showed a small vegetation (5x8 mm) on the posteromedial cusp of the posterior mitral leaflet (P3) with moderate regurgitation, likely to represent Libman-Sacks endocarditis and a potential source of systemic embolization. In addition, a mass of was visible protruding from the fossa ovalis into the right atrium, see figure. It represented a thrombus according to MRI which was subsequently performed. Since no interatrial passage of microbubbles occurred, the foramen ovale was unlikely to be patent and to allow for paradoxical embolism into the brain. However, the right atrial thrombus was compatible with a history of repeated deep venous thrombosis and pulmonary embolism in the recent past. Discussion This case exemplifies the combination of Libman-Sacks endocarditis on the mitral valve with right atrial thrombus formation and ensuing embolism both into the venous and arterial system. It demonstrates the importance of closely monitoring and treating coagulopathies in SLE patients which makes them prone to thrombus formation both in the systemic and pulmonary circulation. Abstract P1702 Figure.

Mycobacterium Endocarditis- A Case Report

2021 ◽  
Vol 14 (1) ◽  
pp. 76-78
Author(s):  
Md Abu Zahid ◽  
Mst Ferdousy Sultana ◽  
Shakil Ghafur ◽  
Hasanul Islam
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Case Report ◽  
Mitral Valve ◽  
Pericardial Effusion ◽  
Rare Case ◽  
Pericardial Fluid ◽  
History Of

Mycobacterium Endocarditis is a very rare case. A 5 years old boy presented us with the history of fever and breathlessness. CXR shows huge cardiomegaly, patient is anemic and temperature is raised. On echo revels vegetation on Tricuspid &Mitral valve ç huge pericardial effusion ç features of early tamponade. Pericardial fluid was drawn and the symptoms improved. Pericardial fluid colour was milky and exudative in nature. ADA for mycobacterium tuberculosis was positive. The patient was given anti tuberculosis drug & improved with time. Cardiovasc j 2021; 14(1): 76-78

scholarly journals Atypical Reversible Leucoencephalopathy Syndrome after Bevacizumab/Folfox Regimen for Metastatic Colon Cancer

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Narimane Salmi ◽  
Ibrahim Elghissassi ◽  
Khadija Bellahammou ◽  
Asmaa Lakhdissi ◽  
Hind Mrabti ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Colon Cancer ◽  
White Matter ◽  
Intravenous Infusion ◽  
Symptomatic Treatment ◽  
Metastatic Colon Cancer ◽  
History Of ◽  
Occipital Lobes ◽  
The Brain ◽  
Visual Disturbances

We are reporting a case of multifocal reversible leucoencephalopathy syndrome induced by chemotherapy based on Folfox-Bevacizumab regimen. A 44-year-old female, with no history of hypertension, received a chemotherapy based on Folfox-Bevacizumab for her metastatic colon cancer (5 FU: 325 mg/m2 d1 by intravenous infusion, Oxaliplatin 80 mg/m2 d1, and Bevacizumab: 7.5 mg/Kg d1). During the fourth cure, she presented delirium, seizures, and visual disturbances. The computed tomography (CT) of the brain showed hypodense lesions of the white matter of frontal, parietal, and occipital lobes, which were bilateral and symmetrical. The clinical table was reversible under symptomatic treatment.

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