Isolated Dislocation of Fourth Carpometacarpal Joint: Case Report

We present a case of dislocation of the fourth carpometacarpal joint without associated fractures. This is the first case to be reported in the literature. Carpal injuries are uncommon; it is even rare for isolated carpometacarpal dislocation to occur without associated fractures. The injury is difficult to diagnose because of the swelling of the hand and may be missed on several occasions. A lateral radiograph of the wrist has been found to be mandatory to its precise diagnosis if suspected. Early recognition and anatomical reduction are essential in achieving good long-term outcomes.

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Treatment options and long-term outcomes in pediatric spinal cord vascular malformations: a case report and review of the literature

Child s Nervous System ◽

10.1007/s00381-020-04624-4 ◽

2020 ◽

Vol 36 (12) ◽

pp. 3147-3152

Author(s):

Helen J. Zhang ◽

Nicole Silva ◽

Elena Solli ◽

Amanda C. Ayala ◽

Luke Tomycz ◽

...

Keyword(s):

Spinal Cord ◽

Case Report ◽

Vascular Malformations ◽

Treatment Options ◽

Review Of The Literature ◽

Long Term Outcomes

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Hypocalcemic cardiomyopathy after parathyroidectomy in a patient with uremia: A case report and literature review

Journal of International Medical Research ◽

10.1177/0300060520942115 ◽

2020 ◽

Vol 48 (7) ◽

pp. 030006052094211

Author(s):

Wei Zhang ◽

Feng Xue ◽

Quandong Bu ◽

Xuemei Liu

Keyword(s):

Heart Failure ◽

Case Report ◽

Secondary Hyperparathyroidism ◽

Calcium Supplementation ◽

Severe Heart Failure ◽

Cardiac Complications ◽

Refractory Heart Failure ◽

First Case ◽

Insight Into

Hypocalcemia is a rare, but reversible, cause of dilated cardiomyopathy. Although cardiomyopathy may cause severe heart failure, calcium supplementation can reverse heart failure. We report here a patient with uremia and secondary hyperparathyroidism, who was complicated by persistent hypocalcemia and refractory heart failure. The cardiac failure was refractory to treatment with digitalis and diuretics, but dramatically responded to calcium therapy and restoration of normocalcemia. As a result, the patient was eventually diagnosed with hypocalcemic cardiomyopathy. To the best of our knowledge, this is the first case of this disease to be reported in a patient with uremia. Findings from our case may help clinicians to better understand hypocalcemic cardiomyopathy. Our case might also provide new insight into long-term cardiac complications and prognoses of patients undergoing parathyroidectomy due to secondary hyperparathyroidism.

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Local Anesthetic Systemic Toxicity following Peribulbar Block: A Case Report

Journal of Medical Academics ◽

10.5005/jp-journals-10070-0059 ◽

2020 ◽

Vol 3 (2) ◽

pp. 67-68

Author(s):

Abdul Nasser ◽

Faheem Raja

Keyword(s):

Case Report ◽

Cataract Surgery ◽

Local Anesthetic ◽

Lipid Emulsion ◽

Early Recognition ◽

Systemic Toxicity ◽

Peribulbar Block ◽

Local Anesthetic Systemic Toxicity ◽

Symptoms And Signs

ABSTRACT Cataract surgery is performed routinely under regional orbital blocks including retrobulbar and peribulbar blocks. Several complications have been reported while performing these blocks, the most significant of which is the local anesthetic systemic toxicity (LAST). The symptoms and signs present in a varied spectrum, but every such case requires early recognition and immediate resuscitation to avoid long-term morbidity and even death. Lipid emulsion therapy forms the mainstay of treatment. We present a case of a 49-year-old man who planned to undergo cataract surgery under the peribulbar block, who developed LAST and was successfully treated with 20% lipid emulsion without any adverse sequelae. How to cite this article Nasser A, Raja F. Local Anesthetic Systemic Toxicity following Peribulbar Block: A Case Report. J Med Acad 2020;3(2):67–68.

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Bromism caused by mix-formulated analgesic injectables

Human & Experimental Toxicology ◽

10.1177/0960327107087797 ◽

2007 ◽

Vol 26 (12) ◽

pp. 971-973 ◽

Cited By ~ 7

Author(s):

PF Hsieh ◽

YT Tsan ◽

DZ Hung ◽

CL Hsu ◽

YC Lee ◽

...

Keyword(s):

Case Report ◽

Neck Pain ◽

Head And Neck ◽

Blood Tests ◽

Internet Searching ◽

First Case ◽

Bromide Intoxication ◽

Unstable Gait ◽

Negative Anion Gap

Bromism, chronic bromide intoxication, can be caused by a variety of medicines, but bromism due to pain-relieving injectable medications has not been reported. In this study, the methods used were internet searching on bromide-containing injectables available in Taiwan and the first case report of bromism due to mixed-formulated injectable medication. Many analgesic/antipyretic and antihistamine injections containing bromides are still being used in Taiwan. They contain sodium bromide up to 1000 mg/ampoule or calcium bromide up to 800 mg/amp. A 25-year-old female suffered from forgetfulness and unstable gait after long-term frequent injections of a preparation to relieve head and neck pain. Blood tests showed hyperchloremia (171 mEq/L) and a negative anion gap (−48.7 mEq/L). Serum bromide measured 2150 mg/L. She recovered completely in 3 days with saline treatment. Many bromide-containing injections are still being used in Taiwan. Clinicians should keep alert on this issue to avoid iatrogenic bromism or making misdiagnoses.

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Congenital thrombocytopenia with nephritis: The first case of MYH9 related disorder in Serbia

Vojnosanitetski pregled ◽

10.2298/vsp121127001k ◽

2014 ◽

Vol 71 (4) ◽

pp. 395-398 ◽

Cited By ~ 1

Author(s):

Milos Kuzmanovic ◽

Shinji Kunishima ◽

Jovana Putnik ◽

Natasa Stajic ◽

Aleksandra Paripovic ◽

...

Keyword(s):

Case Report ◽

Immune Thrombocytopenia ◽

Early Recognition ◽

Giant Platelets ◽

Adequate Treatment ◽

Related Disorder ◽

First Case ◽

Gene Coding ◽

Function Impairment ◽

End Stage

Introduction. The group of autosomal dominant disorders - Epstein syndrome, Sebastian syndrome, Fechthner syndrome and May-Hegglin anomaly - are characterised by thrombocytopenia with giant platelets, inclusion bodies in granulocytes and variable levels of deafness, disturbances of vision and renal function impairment. A common genetic background of these disorders are mutations in MYH9 gene, coding for the nonmuscle myosin heavy chain IIA. Differential diagnosis is important for the adequate treatment strategy. The aim of this case report was to present a patient with MYH9 disorder in Serbia. Case report. A 16-year-old boy was referred to our hospital with the diagnosis of resistant immune thrombocytopenia for splenectomy. Thrombocytopenia was incidentally discovered at the age of five. The treatment with corticosteroids on several occasions was unsuccessful. Although the platelet count was below 10 ? 109/L, there were no bleeding symptoms. Besides thrombocytopenia with giant platelets, on admission the patient also suffered sensorineuronal hearing loss and proteinuria. The diagnosis was confirmed with immunofluorescence and genetic analyses. Conclusion. Early recognition of MYH9-related diseases is essential to avoid unnecessary and potentially harmful treatments for misdiagnosed immune thrombocytopenia, and also for timely and proper therapy in attempt to delay end-stage renal failure and improve quality of life.

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Long-term Outcomes of Patients with Anti–Leucine-Rich Glioma-Inactivated 1 Encephalitis

10.21203/rs.3.rs-76702/v1 ◽

2020 ◽

Author(s):

Shan Qiao ◽

Huai-kuan Wu ◽

Ling-ling Liu ◽

Ke-jun Zang ◽

Xuewu liu

Keyword(s):

Clinical Symptoms ◽

Early Recognition ◽

Chinese Patients ◽

Long Term Outcomes ◽

Ancillary Test ◽

Behavioral Abnormalities ◽

Long Term Follow Up ◽

And Behavior

Abstract Background: This report aims to provide a detailed description of the clinical manifestation, immunotherapy, and long-term outcomes of 117 Chinese patients with anti-leucine-rich glioma-inactivated 1 (LGI1) encephalitis. Methods: We retrospectively selected 117 patients diagnosed with anti-LGI1 encephalitis from the databases of multiple clinical centers from September 2014 to December 2019. The clinical features, ancillary test results, and details of long-term outcomes were analyzed.Results: Among the 117 anti-LGI1 encephalitis patients, 81 (69%) were male and 36 (31%) were female; the median onset age was 51 years (range: 30-77 years). The median time from symptom onset until diagnosis was 8.7 weeks (range: 2-49 weeks). The main features evaluated in our cohort were seizures, cognitive impairment, and mental and behavioral abnormalities. One hundred and nine patients were treated with immunotherapy, After 3-5 days of treatment, the clinical symptoms were somewhat alleviated in all the patients, and their memory, mental ability, and behavior improved. The median follow-up time was 33 months (range: 6-59 months). A total of 19 (16%) patients experienced a relapse; the median duration from onset to the first relapse was 5 (0.3-27) months. There were no mortalities during the follow-up period.Conclusions: The outcome of patients with anti-LGI1 encephalitis is mostly favorable, although some patients continue to suffer from cognitive dysfunction. Early recognition is of great significance for the treatment of anti-LGI1 encephalitis. Prompt adequate immunotherapy has positive implications for the improvement of clinical symptoms of anti-LGI1 encephalitis. Long-term follow-up is important for the assessment of LGI1 antibody-mediated encephalitis.

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Pediatric Malignant Glomus Tumor of the Cervical Paraspinal Tissue: Case Report and Review of the Literature

Journal of Pediatric Neurology ◽

10.1055/s-0040-1721402 ◽

2020 ◽

Author(s):

Andrea Ziegler ◽

Eric Thorpe

Keyword(s):

Glomus Tumor ◽

En Bloc Resection ◽

Bloc Resection ◽

The Body ◽

Long Term Outcomes ◽

Mesenchymal Tumors ◽

En Bloc ◽

Glomus Tumors ◽

First Case

AbstractGlomus tumors are mesenchymal tumors that arise from glomus bodies and most frequently occur in the distal extremities. These tumors can occur throughout the body and are typically benign. However, a very small fraction of glomus tumors displays aggressive features and are considered atypical or malignant. We report on our experience and management of the first case in the literature of a malignant glomus tumor in a child originating in the paraspinal region with involvement of the cervical spine. Malignant glomus tumors tend to be locally aggressive, and en bloc resection is difficult, especially when the tumors occur in the head and neck. Additional studies on disease progression and adjuvant treatment outcomes are necessary to determine the best treatment approach and long-term outcomes in patients with malignant glomus tumors.

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Midaortic Syndrome due to Takayasu Arteritis in a Child with Acute Decompensated Cardiac Failure Managed by an Emergency Axillo-External Iliac Artery Bypass: A Follow-Up Case Report of Long-Term Outcomes

Annals of Vascular Surgery ◽

10.1016/j.avsg.2019.09.026 ◽

2020 ◽

Vol 64 ◽

pp. 408.e5-408.e9 ◽

Cited By ~ 1

Author(s):

Hirofumi Sugawara ◽

Hitoshi Goto ◽

Daijirou Akamatsu ◽

Yoh Hamada ◽

Ken Tsuchida ◽

...

Keyword(s):

Case Report ◽

Cardiac Failure ◽

Takayasu Arteritis ◽

Iliac Artery ◽

Artery Bypass ◽

External Iliac Artery ◽

Long Term Outcomes ◽

Midaortic Syndrome

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Subcutaneous and Intramuscular Injection of Petrol (Hydrocarbon): A Case Report and Review of the Literature

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835518720104 ◽

2018 ◽

Vol 23 (01) ◽

pp. 149-152

Author(s):

Evelyn Patricia Murphy ◽

Deirdre Seoighe ◽

Suzanne Beecher ◽

Joseph F. Baker ◽

Alan Hussey

Keyword(s):

Case Report ◽

Intramuscular Injection ◽

Review Of The Literature ◽

Hand Therapy ◽

Long Term Outcomes ◽

Anterior Compartment ◽

Self Harm ◽

Work Up

Deliberate injection of hydrocarbon remains an uncommon method of self harm. There is a paucity of information pertaining to soft tissue toxicity throughout the literature. Prompt recognition of the potential ramifications is needed to try salvage limb function. Hydrocarbon toxicity can result in multi organ failure. This case report demonstrates the recommended diagnostic approach, work up and treatment involved in such a case. A 26 year old male deliberately injected petrol into the anterior compartment of his non dominant forearm in a suicide attempt. Multidisciplinary involvement from surgeons, psychiatrists and hand therapists was needed to maximize functional outcome. He avoided systemic toxicity but required an urgent fasciotomy. He required significant follow up with hand therapy to regain usage of the limb. However his long term outcomes were poor with a power grading 3/5 in the anterior compartment muscles.

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