scholarly journals Importance of screening in physical therapy: vertebral fracture of thoracolumbar junction in a recreational runner

2019 ◽  
Vol 12 (8) ◽  
pp. e229987 ◽  
Author(s):  
Filippo Maselli ◽  
Giacomo Rossettini ◽  
Antonello Viceconti ◽  
Marco Testa
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Signs And Symptoms ◽  
Low Back ◽  
Beneficial Effects ◽  
Recreational Runner ◽  
Red Flag ◽  
Recreational Runners ◽  
Potential Factors ◽  
Primary Problem

Running is one of the most popular sports worldwide. Studies suggest that 11%–85% of recreational runners have at least one running-related injury (RRI) each year, resulting in a reduction or interruption in training. A high risk for running-related injuries (RRIs) represents an important inconvenience counterbalancing the beneficial effects of running. RRIs primarily affect the joints of the lower limb and lumbar spine. Noteworthy, in some cases, the clinical presentation of signs and symptoms is confusing and may hide serious conditions; thus, clinicians have to pay special attention when potential factors arise, such as the presence of red flags. As reported in this case report, patients can present with low back pain (LBP) as a primary problem, mimicking a red flag such as a fracture of the spine. The aim of this case report was to describe a case of a recreational runner presenting with LBP as the sole symptom of an underlying thoracolumbar fracture.

Viral Characteristics and Clinical Presentation in Dengue Co-infection—Findings from a Facility Based Observational Study in Odisha, India

2020 ◽  
Author(s):  
Jyotirmayee Turuk ◽  
Subrata Kumar Palo ◽  
Sonalika Rath ◽  
Jyotsnamayee Sabat ◽  
Subhra Subhadra ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Signs And Symptoms ◽  
Recent Past ◽  
Standard Case ◽  
Pain Abdomen ◽  
Atypical Clinical Presentation ◽  
The World ◽  
Important Health ◽  
One Year

Abstract Background: Dengue is a widespread disease affecting many countries and about two fifth of the world is at risk for this disease. In India, the dengue incidence has increased in recent past and emerged as an important health problem in many states including Odisha. Cases with dengue co-infection with other diseases usually have atypical clinical presentation.Methods: A facility based longitudinal study was carried out over a period of one year to determine the dengue co-infection and its outcome. The suspected cases were clinically assessed following a standard case report format and serological investigations including serotyping were carried out.Results: 33.6% samples were dengue positive of which 78.5% were positive for NS1 Ag, 26.6% positive for dengue IgM and 5.1% to both. Among the dengue positive cases, 60.9% were male and mean age was 31.52 (+/- 17.03) years. High occurrence of cases was during May to November with maximum in August. Among the 975 dengue positives, 57 (5.8%) were found to have co-infection. Chikungunya was the most common co-infection in 71.9%, followed by herpes simplex (HSV) (7%) and other diseases. Fever was the most common presenting symptom (98.2%), followed by myalgia (91.2%), pain abdomen (12.3%), Rash/lesion (8.8%), burning micturition (5.3%), Petechiae (1.7%) and Pruritus (1.7%) among the co-infected cases.While DEN-2 serotype was observed in majority (74.1%) more than two serotypes was found in 5.85% of dengue positives .Conclusions: All the four dengue serotypes were found to be circulating with DEN-2 as the most predominant one. About 5.8% of dengue cases have co-infection (mainly with chikungunya) and clinically present with atypical signs and symptoms.

Low back pain and calf pain in a recreational runner masking peripheral artery disease: A case report

2019 ◽  
pp. 1-12
Author(s):  
Fabrizio Brindisino ◽  
Denis Pennella ◽  
Giuseppe Giovannico ◽  
Giacomo Rossettini ◽  
John D. Heick ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Peripheral Artery Disease ◽  
Low Back ◽  
Peripheral Artery ◽  
Recreational Runner ◽  
Artery Disease ◽  
Calf Pain

scholarly journals Arachnoid cyst at upper lumbar region - A case report

Mediscope ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 128-130
Author(s):  
Md Mohsin Ali Farazi ◽  
Ibrahim Khalil ◽  
Mamunur Rashid ◽  
SM Ikbal Kabir ◽  
Farhana Boby Moonmoon
Keyword(s):  
Low Back Pain ◽  
Case Report ◽  
Arachnoid Cyst ◽  
Young Male ◽  
Signs And Symptoms ◽  
Lumbosacral Spine ◽  
Dramatic Improvement ◽  
Lumbar Region ◽  
Low Back ◽  
Total Removal

A young male patient of 22 years was presented with the complaints of low back pain, hypoesthesia and inability to walk. MRI of lumbosacral spine reveals intradural mass lesion extending from L2-L3 with no enhancement of gadolinium. Hence an extensive laminectomy and total removal of the mass was done. Peroperative impression confirms arachnoid cyst. After operation there was dramatic improvement of signs and symptoms; patient was able to walk without support during discharge from the hospital after one week. Mediscope 2021;8(2): 128-130

scholarly journals Cavernous Hemangioma of the Mandible

2009 ◽  
Vol 24 (2) ◽  
pp. 32-35
Author(s):  
Enrique C. Papa ◽  
Emmanuel S. Samson ◽  
Francisco A. Victoria
Keyword(s):  
Case Report ◽  
Cavernous Hemangioma ◽  
Public Hospital ◽  
Clinical Presentation ◽  
Signs And Symptoms ◽  
Treatment Modalities ◽  
External Carotid ◽  
Carotid Ligation ◽  
Design Case ◽  
Segmental Mandibulectomy

Objectives:  To report a case of hemangioma arising from the mandible and its clinical presentation; describe the similarities with which mandibular hemangioma may mimic odontogenic and non-odontogenic lesions; and identify diagnostic and treatment modalities employed in these patients. Methods:   Design:  Case Report Setting: Tertiary Public Hospital Patient: One   Results:  A 12-year-old male with intractable gum bleeding exacerbated by intra-operative manipulation of a loose first premolar, and uncontrolled by left external carotid ligation, underwent segmental mandibulectomy. The resected segment revealed multiple porosities and a hollow blood-filled cavity.  Histopathology confirmed the diagnosis of cavernous hemangioma. Conclusion: Though rare, mandibular hemangiomas should be considered in lesions involving the mandible.  Diagnosis is difficult with an array of lesions that may appear clinically and radiographically similar. The non-specific signs and symptoms of mandibular hemangioma could lead to exsanguinating hemorrhage if not attended to promptly.   Keywords: cavernous hemangioma, mandible, hemorrhage, external carotid ligation, mandibulectomy

scholarly journals The frequency and clinical presentation of Zika virus coinfections: a systematic review

2020 ◽  
Vol 5 (5) ◽  
pp. e002350
Author(s):  
Ludmila Lobkowicz ◽  
Anna Ramond ◽  
Nuria Sanchez Clemente ◽  
Ricardo Arraes de Alencar Ximenes ◽  
Demócrito de Barros Miranda-Filho ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Zika Virus ◽  
Clinical Presentation ◽  
Clinical Signs ◽  
Clinical Manifestations ◽  
Case Series ◽  
Signs And Symptoms ◽  
Cross Sectional ◽  
Epstein Barr

BackgroundThere is limited knowledge on the influence of concurrent coinfections on the clinical presentation of Zika virus (ZIKV) disease.MethodsTo better understand the types, frequencies and clinical manifestations of ZIKV coinfections, we did a systematic review of four databases (PubMed, Embase, Web of Science, LILACS) without restrictions for studies on ZIKV coinfections confirmed by nucleic acid (quantitative real-time-PCR) testing of ZIKV and coinfecting pathogens. The review aimed to identify cohort, cross-sectional, case series and case report studies that described frequencies and/or clinical signs and symptoms of ZIKV coinfections. Conference abstracts, reviews, commentaries and studies with imprecise pathogen diagnoses and/or no clinical evaluations were excluded.ResultsThe search identified 34 articles from 10 countries, comprising 2 cohort, 10 cross-sectional, 8 case series and 14 case report studies. Coinfections were most frequently reported to have occurred with other arthropod-borne viruses (arboviruses); out of the 213 coinfections described, ZIKV infections co-occurred with chikungunya in 115 cases, with dengue in 68 cases and with both viruses in 19 cases. Other coinfecting agents included human immunodeficiency, Epstein-Barr, human herpes and Mayaro viruses, Leptospira spp, Toxoplasma gondii and Schistosoma mansoni. ZIKV-coinfected cases primarily presented with mild clinical features, typical of ZIKV monoinfection; however, 9% of cases in cohort and cross-sectional studies were reported to experience complications.ConclusionBased on the evidence collated in this review, coinfections do not appear to strongly influence the clinical manifestations of uncomplicated ZIKV infections. Further research is needed to confirm whether risk of severe complications is altered when ZIKV infection co-occurs with other infections.PROSPERO registration numberCRD42018111023.

scholarly journals Pseudotumor cerebri secondary to secondary hypoparathyroidism and association to Fahr´s yndrome: a case report

2020 ◽  
pp. 68-71
Author(s):  
Patrick Giordanni Gomes Sampaio ◽  
Hiago Diniz Maracajá ◽  
Francielle Lopes de Araújo Batista ◽  
Virgínia Gabriela Nóbrega Figueiredo ◽  
Nátalia Meg Adijuto de Melo
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Nodular Goiter ◽  
Signs And Symptoms ◽  
Pseudotumor Cerebri ◽  
Horizontal Position ◽  
History Of ◽  
Grade 3 ◽  
Orthostatic Position ◽  
Almost All

Introduction Headaches are extremely common complications in emergency departments, accounting for up to 16% of visits, according to some studies and are observed in almost all patients with Idiopathic Intracranial Hypertension (IIH), which is characterized by signs and symptoms that include, in addition to headache, nausea, vomiting, diplopia, decreased visual acuity, pulsatile tinnitus, back and neck pain, among other possible manifestations. However, the clinical presentation is highly variable, which can delay diagnosis. Case report A.T.F, female, 33 years old, BMI 40.17 kg / m², with grade 3 obesity, caucasian, single, with Down Syndrome. Presents a history of post-surgical hypothyroidism, whose thyroidectomy was performed 10 years ago, due to nodular goiter. This patient presented subacute nausea, visual turbidity, diarrhea and pulsatile holocranial headache, which worsened in the horizontal position and presented slight relief in the orthostatic position. Conclusion The conduct of Fahrs Syndrome, in this case, was focused on the treatment of hypoparathyroidism and which consists of correcting metabolism disorders of phosphorus and calcium, which naturally resulted in clinical and radiological improvement, however, without definitive resolution of the condition.

scholarly journals An Ayurvedic approach towards management of Ankylosing Spondylitis: A Case Report

2021 ◽  
Vol 12 (3) ◽  
pp. 723-725
Author(s):  
Sumeet Saini ◽  
Muralidhar P Pujar ◽  
Ashvini Kumar M
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Ankylosing Spondylitis ◽  
Early Adulthood ◽  
Signs And Symptoms ◽  
Clinical Findings ◽  
Low Back ◽  
Restricted Movement ◽  
Intervention Patient

Introduction: Ankylosing spondylitis(AS) is a rheumatic disease that comes under the category of Spondyloarthritides. The symptoms of the disease are usually first noticed in late adolescence or early adulthood, with male to the female prevalence of 3:1. Which can be better managed by a combination of Panchakarma procedures and Ayurveda drugs. Clinical findings - We present a case of AS, having symptoms of low back pain along with stiffness unable to bend forward completely, and pain in the nape of the neck with stiffness and restricted movement so it was considered to be Gambhira Vatarakta. Intervention: Patient was treated with Panchakarma treatment Vaitrana Basti(Enema with medicated drugs) in Kala Schedule for 9 days and Jambeera Pinda Swedana(JPS)  for 6 days along with oral medicines. Outcomes - As oral Medication along with Panchakarma procedures help in relieving signs and symptoms like pain and restricted movement and providing best comfort to the patient by reducing the severity of the disability. Conclusion - so it can be concluded that Panchakarma is effective in the management of Ankylosing Spondylitis. 

scholarly journals Miller fisher syndrome – A rare complication of covid-19 infection

2022 ◽  
Vol 7 (4) ◽  
pp. 334-336
Author(s):  
Priyanshu Bansal ◽  
Vineet Sehgal ◽  
Lucky Bhalla ◽  
Shaifali Arora
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Signs And Symptoms ◽  
Miller Fisher Syndrome ◽  
Fisher Syndrome ◽  
Nervous Systems ◽  
Neurological Signs ◽  
Electrophysiological Studies ◽  
Peripheral Nervous Systems

The COVID-19 virus can present with various neurological signs and symptoms involving both the central and peripheral nervous systems. Miller Fisher syndrome (M.F.S.), a variant of Landry Guillain Barre Syndrome (L.G.B.S.), presents with ataxia, areflexia, and ophthalmoplegia. It can develop during and after COVID-19 illness. We are reporting a case of the Miller Fisher variant of L.G.B.S. following a COVID-19 infection. We found no difference in clinical presentation, electrophysiological studies, severity, recovery, and treatment in our patient compared to a non-covid related M.F.S. Our goal is to add a case of the COVID-19-associated Miller Fisher variant of L.G.B.S. to already existing limited literature through this case report.

Odontoid cervical gout causing atlantoaxial instability: case report

2019 ◽  
Vol 30 (4) ◽  
pp. 541-544
Author(s):  
Justin Slavin ◽  
Marcello DiStasio ◽  
Paul F. Dellaripa ◽  
Michael Groff
Keyword(s):  
Rheumatoid Arthritis ◽  
Spinal Cord ◽  
Case Report ◽  
Physical Examination ◽  
Odontoid Process ◽  
Signs And Symptoms ◽  
Cord Compression ◽  
Atlantoaxial Instability ◽  
Posterior Stabilization ◽  
Rotatory Subluxation

The authors present a case report of a patient discovered to have a rotatory subluxation of the C1–2 joint and a large retroodontoid pannus with an enhancing lesion in the odontoid process eventually proving to be caused by gout. This patient represented a diagnostic conundrum as she had known prior diagnoses of not only gout but also sarcoidosis and possible rheumatoid arthritis, and was in the demographic range where concern for an oncological process cannot fully be ruled out. Because she presented with signs and symptoms of atlantoaxial instability, she required posterior stabilization to reduce the rotatory subluxation and to stabilize the C1–2 instability. However, despite the presence of a large retroodontoid pannus, she had no evidence of spinal cord compression on physical examination or imaging and did not require an anterior procedure to decompress the pannus. To confirm the diagnosis but avoid additional procedures and morbidity, the authors proceeded with the fusion as well as a posterior biopsy to the retroodontoid pannus and confirmed a diagnosis of gout.

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