scholarly journals A Rare Case of Flare-Up of PID in Infertility Treatment

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Leena Wadhwa ◽  
Sanjana N. Wadhwa ◽  
Sunita Jindal
Keyword(s):  
Ovulation Induction ◽  
Rare Case ◽  
Infertility Treatment ◽  
Emergency Laparotomy ◽  
Low Grade ◽  
High Grade Fever ◽  
Genital Tuberculosis ◽  
Case Presentation ◽  
Aggressive Management ◽  
One Year

Case Presentation. Mrs. X, 35 years old, case of primary infertility, was diagnosed to have genital tuberculosis on the basis of PCR positive and hysterolaparoscopy findings and received category I ATT for 6 months. Following ATT completion, her USG revealed no evidence of tuboovarian mass or hydrosalpinx. Since her tubes were patent, she underwent 3 cycles of ovulation induction and 2 cycles of IUI. The women presented with acute PID, five days after IUI, and was conservatively managed. She again presented 24 days after IUI with persistent low grade fever and abdominal pain. Suspecting relapse of genital tuberculosis, she was started on category II ATT. She had acute episodes of high grade fever with chills 2 weeks after starting ATT and MRI revealed bilateral TO masses suggestive of pyosalpinx. Emergency laparotomy was done, pus was drained, and cyst wall was removed and HPE was suggestive of chronic inflammation with few granulation tissues. ATT was continued for one year and the woman improved.Conclusion. The possibility of flare-up of PID (pelvic inflammatory disease) in treated case of tuberculosis undergoing infertility management should be kept in mind and aggressive management should be done.

scholarly journals Cutaneous mucinosis of infancy: a rare case of joint involvement

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Cristina Morreale ◽  
Dario Bleidl ◽  
Angela Rita Sementa ◽  
Clara Malattia
Keyword(s):  
Rare Case ◽  
Steroid Injection ◽  
Left Knee ◽  
Joint Involvement ◽  
Normal Range ◽  
Reticular Dermis ◽  
Case Presentation ◽  
Left Elbow ◽  
Inflammatory Drugs ◽  
One Year

Abstract Background Primary cutaneous mucinosis are a heterogeneous group of diseases characterized by the deposition of glycosaminoglycans in the dermis and the follicles. These diseases are rare in children therefore their diagnosis and management are still challenging. Joint involvement has been reported in patients with secondary cutaneous mucinosis and, rarely, in primary mucinosis. We describe a case of Cutaneous Mucinosis of Infancy with joint involvement. Case presentation An healthy 5-year-old boy showed acute arthritis of the left knee and left elbow confirmed by ultrasound. Laboratory tests were within normal range. Symptoms disappeared after a course of nonsteroid anti-inflammatory drugs. One year later, the knee swelling reappeared; juvenile idiopathic arthritis was diagnosed and intra-articular steroid injection was performed. Due to persistence of arthritis of the knee he was admitted to our hospital. On physical examination variable skin-colored lesions were observed, which had been in existence for over 2 years. We performed a skin biopsy that showed an interstitial mucine deposition in the reticular dermis. Cutaneous Mucinosis of Infancy was diagnosed. Discussion and conclusions Cutaneous Mucinosis of Infancy is a persistent dermatosis with benign prognosis and no treatment is generally required. Our case report is particularly interesting because it is the first in which joint involvement has been reported in CMI, a disorder that has so far been described as limited to skin involvement. Further studies will be necessary in order to clarify the pathogenesis of joint involvement in primary mucinosis.

scholarly journals Vulvar tuberculosis

2020 ◽  
Vol 13 (2) ◽  
pp. e232880
Author(s):  
Vishwajeet Singh ◽  
Gyanendra Singh ◽  
Rahul Janak Sinha ◽  
Suresh Babu
Keyword(s):  
Chronic Disease ◽  
Genital Tract ◽  
Rare Case ◽  
Low Grade ◽  
Fallopian Tubes ◽  
Genital Tuberculosis ◽  
Large Ulcer

Genital tuberculosis (TB) in women is a chronic disease with low-grade symptoms. Genital tract tuberculosis is usually secondary to extragenital TB. The fallopian tubes are most commonly affected, and along with endometrial involvement, it causes infertility in such patients. Involvement of the cervix and the vulva is very rare. We present one such rare case of vulvar tuberculosis presented with a large ulcer diagnosed on histopathology and treated with antitubercular chemotherapy.

scholarly journals A Rare Case of Acute Renal Failure Secondary to Rhabdomyolysis Probably Induced by Donepezil

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Osman Zikrullah Sahin ◽  
Teslime Ayaz ◽  
Suleyman Yuce ◽  
Fatih Sumer ◽  
Serap Baydur Sahin
Keyword(s):  
Emergency Department ◽  
Renal Failure ◽  
Creatine Kinase ◽  
Acute Renal Failure ◽  
Rare Case ◽  
Laboratory Studies ◽  
Case Presentation ◽  
History Of ◽  
One Year ◽  
Renal Function Tests

Introduction. Acute renal failure (ARF) develops in 33% of the patients with rhabdomyolysis. The main etiologic factors are alcoholism, trauma, exercise overexertion, and drugs. In this report we present a rare case of ARF secondary to probably donepezil-induced rhabdomyolysis.Case Presentation. An 84-year-old male patient was admitted to the emergency department with a complaint of generalized weakness and reduced consciousness for two days. He had a history of Alzheimer’s disease for one year and he had taken donepezil 5 mg daily for two months. The patient’s physical examination revealed apathy, loss of cooperation, and decreased muscle strength. Laboratory studies revealed the following: urea: 128 mg/dL; Creatinine 6.06 mg/dL; creatine kinase: 3613 mg/dL. Donepezil was discontinued and the patient’s renal function tests improved gradually.Conclusion. Rhabdomyolysis-induced acute renal failure may develop secondary to donepezil therapy.

scholarly journals Anti-OJ (Anti-isoleucyl-tRNA Synthetase) Autoantibody- Positive Anti-synthetase Syndrome: a Case Report

2021 ◽  
Author(s):  
Ji-Na Gu ◽  
Wang Yan ◽  
Qiao-Ling Gao ◽  
Lin Chen
Keyword(s):  
Joint Pain ◽  
Rare Case ◽  
Clinical Symptoms ◽  
Inflammatory Myopathy ◽  
Trna Synthetase ◽  
Systemic Autoimmune Diseases ◽  
Case Presentation ◽  
Recurrent Hepatocellular Carcinoma ◽  
Atypical Manifestations ◽  
One Year

Abstract Background: Anti-OJ (anti-isoleucyl-tRNA synthetase) autoantibody-positive anti-synthetase syndrome(ASS) is a rare systemic autoimmune diseases that manifest as an inflammatory myopathy and interstitial lung diseas.Case presentation: We present a case of anti-OJ antibody-positive ASS with recurrent joint pain, fever, significantly elevated inflammatory markers, occult myositis but no interstitial pneumonia in a 75-year-old male patient. The patient was misdiagnosed for more than one year. Recurrent hepatocellular carcinoma (HCC) was confirmed after 1 year of the diagnosis of ASS, and the clinical symptoms were relieved after surgical resection. Conclusion: We report this rare case of anti-OJ antibody-positive ASS with atypical manifestations to raise awareness of the disease for clinicians.

scholarly journals A rare case of failed healing in previously burned skin after a secondary burns

2017 ◽  
Vol 5 ◽  
Author(s):  
Stephen J. Goldie ◽  
Shaun Parsons ◽  
Hana Menezes ◽  
Andrew Ives ◽  
Heather Cleland
Keyword(s):  
Surface Area ◽  
Rare Case ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Early Stage ◽  
Total Body Surface Area ◽  
Case Presentation ◽  
Burned Skin ◽  
Aggressive Management ◽  
Total Body

Abstract Background Patients presenting with large surface area burns are common in our practice; however, patients with a secondary large burn on pre-existing burn scars and grafts are rare and not reported. Case presentation We report on an unusual case of a patient sustaining a secondary large burn to areas previously injured by a burn from a different mechanism. We discuss the potential implications when managing a case like this and suggest potential biological reasons why the skin may behave differently. Our patient was a 33-year-old man who presented with a 5% TBSA burn on skin scarred by a previous 40% total body surface area (TBSA) burn and skin grafts. Initially assessed as superficial partial thickness in depth, the wounds were treated conservatively with dressings; however, they failed to heal and became infected requiring surgical management. Conclusions Burns sustained in areas of previous burn scars and grafts may behave differently to normal patterns of healing, requiring more aggressive management and surgical intervention at an early stage.

scholarly journals Brain Abscess Due to Neglected Tetralogy of Fallot: A Case Report

2021 ◽  
Vol 9 (T3) ◽  
pp. 285-287
Author(s):  
Ririe F. Malisie ◽  
Hafaz Abdillah ◽  
Hariadi E. Saputra ◽  
Bayu Dewanto ◽  
Josephine Gloriana
Keyword(s):  
Tetralogy Of Fallot ◽  
Brain Abscess ◽  
Oxygen Deficiency ◽  
Pulmonary Stenosis ◽  
Emergency Laparotomy ◽  
High Grade Fever ◽  
Cardiac Manifestation ◽  
One Year ◽  
The Right ◽  
First Year Of Life

Backgroiund: Tetralogy of Fallot (TOF) is a type of congenital heart disease accounts for about 10% of all congenital cardiac deformities, and is the most common cyanotic lesion after the first year of life. The ideal age for correction of tetralogy of Fallot is still under discussion. Non-cardiac manifestation due to oxygen deficiency has to be aware of in cyanotic patient is brain abscess, because of the right-left shunt in long standing TOF. Objectives: To report a case of neglected TOF. Case And Discussion: A one-year-old male presented to Murni Teguh Memorial Hospital with the chief complaint of stiffed neck for the past 3 days and got fever for 10 days before admitted, with nausea and vomiting. He was diagnosed with Tetralogy of Fallot through an echocardiography examination when he was 2 months old, but never go through any medical nor surgical treatment. The boy responded to verbal, no eye contact, high grade fever, stiffed neck, Kernig sign and Brudzinski sign was found, and the right extremities were spastic, clubbing finger. On cardiac examination, there was systolic murmur grade ¾ in the left second intercostal space. Echocardiography evaluation revealed dilated RA-RV, no PDA shunt, large mal alignment ventricular septal defect, overriding aorta > 50%, right ventricular hypertrophy, and severe infundibular pulmonary stenosis, consistent with Tetralogy of Fallot. During hospitalization, there were several episodes of seizure and decreased of consciousness, brain CT investigation was done. The abscess was evacuated and a ventriculoperitoneal shunt was performed. One week after the operation, the patient developed abdominal distention, green bile like vomiting, decreased bowel movement and soon muscular defense. From the plain abdominal x-ray and CT revealed peritonitis and intestinal obstruction. An emergency laparotomy was performed, followed by adhesiolysis and jejunostomy due to jejunal perforation. The boy passed away after several episodes of septic shock. Conclusions: We would like to emphasis the consequence of the neglected treatment in infant with TOF.

scholarly journals Low Grade Appendiceal Mucinous Neoplasm-A Rare Case Presentation

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Rahman S ◽  
Juneja B ◽  
Alam F ◽  
Akhtar K
Keyword(s):  
Rare Case ◽  
Low Grade ◽  
Case Presentation ◽  
Mucinous Neoplasm

scholarly journals A Rare Case of Keratoacanthoma of the Palm: Special Considerations when Treating Keratoacanthoma of the Hand

2021 ◽  
pp. 1-3
Author(s):  
Ofelia Leroux ◽  
Ofelia Leroux ◽  
Y Vu Robert Van ◽  
Ryan Engdahl
Keyword(s):  
Rare Case ◽  
Relevant Literature ◽  
Surgical Excision ◽  
Complete Removal ◽  
Skin Tumor ◽  
Low Grade ◽  
Mucous Membranes ◽  
Soles Of The Feet ◽  
One Year

Keratoacanthoma (KA) is a low grade, rapidly growing skin tumor which is thought to originate from the pilosebaceous unit from hyperkeratosis of the infundibulum and are often thought to originate on hair bearing skin or sun exposed surfaces. There are very scarce reports demonstrating they may occur in other areas such as mucous membranes or soles of the feet. We present a rare case of palmar KA in a 65-year-old female with no known antecedent history. Surgical excision was performed with complete removal of the tumor. Following surgical excision, the pathology of the irregularly elevated 0.7 x 0.2 cm lesion revealed a keratoacanthoma. The patient remained without evidence of recurrence at one year follow-up. We believe there is only one other report of isolated palmar KA to date in the literature. We review relevant literature on hand KA.

scholarly journals Life-threatening bleeding with intussusception due to gastrointestinal stromal tumor: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Min Sung Kim ◽  
In Teak Woo ◽  
Young Min Jo ◽  
Jin Hyung Lee ◽  
Byung Sam Park
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Rare Case ◽  
Massive Bleeding ◽  
Stromal Tumor ◽  
Emergency Laparotomy ◽  
Immunochemical Analysis ◽  
Case Presentation ◽  
Rare Finding ◽  
Low Blood Pressure ◽  
Life Threatening

Abstract Background Massive intraluminal bleeding requires urgent intervention and management. However, the source of bleeding on the small intestine is difficult to determine. Intestinal tumor with intussusception is a rare and normally not an urgent condition. Herein, we present a rare case of intestinal intussusception with massive bleeding due to jejunal gastrointestinal stromal tumor (GIST) that required emergency surgical treatment. Case presentation A 51-year-old male was admitted to the emergency department complaining of abdominal pain and acute hematochezia. Esophagogastroduodenoscopy (EGD) and colonoscopy could not determine the source of the bleeding site. Abdominal pelvic computed tomography (AP-CT) revealed GIST with intussusception, strongly suggestive of distal jejunal bleeding. Unresponsive transfusion with low blood pressure and continuous hematochezia led to emergency laparotomy. GIST, which was the leading point for intussusception, was located in the jejunum and showed mucosal ulceration of approximately 3.5 cm in diameter. Following resection and functional anastomosis, histology revealed a GIST with low mitotic count (< 5 per 50HPF). Moreover, immunochemical analysis revealed positivity for c-kit (CD117) and DOG-1. There were no complications 2 months after surgery. Conclusions Intussusception associated with GIST is a rare finding that can be life-threatening if it occurs with an ulcer. This case showed that the early detection of bleeding and emergency surgery could prevent severe complications.

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