scholarly journals Streptococcus intermediusCausing Necrotizing Pneumonia in an Immune Competent Female: A Case Report and Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Faris Hannoodi ◽  
Israa Ali ◽  
Hussam Sabbagh ◽  
Sarwan Kumar
Keyword(s):  
Tissue Sample ◽  
Systemic Disease ◽  
Surgical Drainage ◽  
Necrotizing Pneumonia ◽  
Review Of Literature ◽  
Radiological Findings ◽  
Streptococcus Intermedius ◽  
Fluid Analysis ◽  
Brain Abscesses ◽  
Caucasian Female

We report a case of a 52-year-old immunocompetent Caucasian female treated for necrotizingStreptococcus intermediuspneumonia and review available literature of similar cases. Our patient presented with respiratory failure and required hospitalization and treatment in the intensive care unit. Moreover, she required surgical drainage of right lung empyema as well as decortication and resection. The review of literature revealed three cases ofS. intermediuspneumonia, one of which was a mortality. Comparison of the published cases showed a highly varied prehospital course and radiological presentations, with a symptomatic phase ranging from 10 days to five months. Radiological findings varied from an isolated pleural effusion to systemic disease with the presence of brain abscesses. Immunocompetence appears to correlate well with the overall prognosis. In addition, smoking appears to be an important risk factor forS. intermediuspneumonia. In 2 (50%) of cases, pleural fluid analysis identifiedS. intermedius. In contrast, no organism was found in our patient, necessitating the acquisition of lung tissue sample for the diagnosis. In conclusion, both medical and surgical management are necessary for effective treatment ofS. intermediuspneumonia. The outcome of treatment is good in immunocompetent individuals.

Spontaneous pyohaemothorax in a teenager with von Willebrand disease: a case report and review of literature

2021 ◽  
Vol 14 (8) ◽  
pp. e241613
Author(s):  
Vaishnavi Divya Nagarajan ◽  
Asha Shenoi ◽  
Lucy Burgess ◽  
Vlad C Radulescu
Keyword(s):  
Case Report ◽  
Von Willebrand Factor ◽  
Von Willebrand Disease ◽  
Surgical Drainage ◽  
Review Of Literature ◽  
History Of ◽  
Factor Concentrate ◽  
Type 3 ◽  
Von Willebrand ◽  
Willebrand Factor

An 18-year-old man with a history of type 3 von Willebrand disease (VWD) presented with a spontaneous pyohaemothorax. Type 3 VWD may present with both mucocutaneous and deep-seated bleeds, such as visceral haemorrhages, intracranial bleeds and haemarthrosis. There have been very few cases described in children of spontaneous pyohaemothorax. Management of this patient was challenging due to risks of bleeding following surgical drainage, requiring constant replacement with von Willebrand factor concentrate, while monitoring factor VIII levels to balance the risks of thrombosis.

scholarly journals Metastasis from Penile Squamous Cell Carcinoma to Brain: A Case Report and Review of Literature

2017 ◽  
Vol 07 (02) ◽  
pp. 164-167
Author(s):  
Hanish Bansal ◽  
Ashwani Chaudhary ◽  
Dipesh Batra ◽  
Rohit Jindal
Keyword(s):  
Squamous Cell Carcinoma ◽  
Case Report ◽  
Brain Metastasis ◽  
Literature Review ◽  
Rare Case ◽  
Systemic Disease ◽  
Penile Carcinoma ◽  
Review Of Literature ◽  
Penile Squamous Cell Carcinoma

AbstractWe report a very rare case of a 63-year-old man with penile carcinoma who developed brain metastasis. Brain metastasis from penile carcinoma is very rare, and only six cases have been reported so far as per our literature review. In view of controlled primary tumor and absence of systemic disease, tumor was excised and the patient remained clinically controlled till 3 months after follow-up.

Optic neuritis classification in 2021

2021 ◽  
pp. 112067212110280
Author(s):  
Jean-Baptiste Ducloyer ◽  
Romain Marignier ◽  
Sandrine Wiertlewski ◽  
Pierre Lebranchu
Keyword(s):  
Optic Neuritis ◽  
Early Recognition ◽  
Systemic Disease ◽  
Systematic Screening ◽  
Clinical Criteria ◽  
Fluid Analysis ◽  
Biological Criteria ◽  
Adults And Children ◽  
The Central Nervous System ◽  
Over Time

Optic neuritis (ON) can be associated with inflammatory disease of the central nervous system or can be isolated, with or without relapse. It can also be associated with infectious or systemic disease. These multiple associations based on a variety of clinical, radiological, and biological criteria that have changed over time have led to overlapping phenotypes: a single ON case can be classified in several ways simultaneously or over time. As early, intensive treatment is often required, its diagnosis should be rapid and precise. In this review, we present the current state of knowledge about diagnostic criteria for ON aetiologies in adults and children, we discuss overlapping phenotypes, and we propose a homogeneous classification scheme. Even if distinctions between typical and atypical ON are relevant, their phenotypes are largely overlapping, and clinical criteria are neither sensitive enough, nor specific enough, to assure a diagnosis. For initial cases of ON, clinicians should perform contrast enhanced MRI of the brain and orbits, cerebral spinal fluid analysis, and biological analyses to exclude secondary infectious or inflammatory ON. Systematic screening for MOG-IgG and AQP4-IgG IgG is recommended in children but is still a matter of debate in adults. Early recognition of neuromyelitis optica spectrum disorder, MOG-IgG-associated disorder, and chronic relapsing idiopathic optic neuritis is required, as these diagnoses require therapies for relapse prevention that are different from those used to treat multiple sclerosis.

scholarly journals Chondroma of the mandibular condyle- rare location of a common benign cartilage tumour: case report and review of literature

2018 ◽  
Vol 4 (5) ◽  
pp. 1313
Author(s):  
Pradeep Goil ◽  
Manojit Midya ◽  
Pankaj Sharma ◽  
Gautam Prakash
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Mandibular Condyle ◽  
Interesting Case ◽  
Review Of Literature ◽  
Radiological Findings ◽  
Adequate Treatment ◽  
Rare Location ◽  
Slow Growing ◽  
Tubular Bones

<p>Chondroma is a benign tumour of mature hyaline cartilage.It is common in the tubular bones the hands and feetand conspicuous by its rarity in the mandible. We hereby present an interesting case of chondroma of the mandibular condyle that was managed in our department. The antecedent radiological findings and postoperative histopathological peculiarities of the case are discussed. This case also focuses the negligent attitude of our society towards one’s health problems until they are fraught with beliefs of cancer. Chondroma of the mandibular is a rare, benign slow growing tumour. Condylectomy is considered adequate treatment for all condylar masses. Surrounding margins of healthy soft tissue is also excised to prevent recurrences. </p>

scholarly journals A Rare Case of Synovial Osteochondromatosis of the Elbow

2019 ◽  
pp. 49
Author(s):  
Loh Li Loong ◽  
Wong Kai An ◽  
Zamzuri Zakaria @Mohamad
Keyword(s):  
Clinical Presentation ◽  
Histopathological Examination ◽  
Tissue Sample ◽  
Excisional Biopsy ◽  
Synovial Chondromatosis ◽  
Loose Body ◽  
Radiological Findings ◽  
Arthroscopic Synovectomy ◽  
Rare Presentation ◽  
Synovial Osteochondromatosis

We report here a rare presentation of a primary synovial osteochondromatosis of the elbow. Clinical presentation and radiological findings were suggestive of synovial osteochondromatosis. Arthroscopic synovectomy, debridement, excisional biopsy and loose body removal was performed and histopathological examination of the tissue sample is consistent with the diagnosis of synovial osteochondromatosis. This article highlights the surgical technique in managing synovial chondromatosis to achieve better functional outcome

scholarly journals Infection and immune-mediated meningococcal-associated arthritis: combination features in the same patient

2012 ◽  
Vol 54 (2) ◽  
pp. 109-112 ◽  
Author(s):  
Karim Yaqub Ibrahim ◽  
Noemia Barbosa Carvalho ◽  
Maria Luisa do Nascimento Moura ◽  
Felipe Maia de Toledo Piza ◽  
Evanthia Vetos Mimicos ◽  
...  
Keyword(s):  
Synovial Fluid ◽  
Neisseria Meningitidis ◽  
Clinical Improvement ◽  
Sudden Onset ◽  
Left Knee ◽  
Surgical Drainage ◽  
Upper Respiratory Infection ◽  
Fluid Analysis ◽  
Immune Mediated ◽  
Upper Respiratory

We present a case of a 16-year-old male patient with sudden-onset, rash, arthritis and meningitis by Neisseria meningitidis one week after an acute upper respiratory infection. On the 10th day of treatment followed by neurological and arthritis clinical improvement, he presented once again a tender and swollen left knee with a moderate effusion, and active and passive range of motion was severely limited secondary to pain, and when he was submitted to surgical drainage and synovial fluid analysis he showed inflammatory characteristics. A non-steroidal anti-inflammatory drug was taken for five days with complete improvement of symptoms. The case is notable for its combination of features of septic and immune-mediated arthritis, which has rarely been reported in the same patient.

scholarly journals A Novel Mutation in the Adult-Onset Alexander’s Disease GFAP Gene

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Dhillon B. Zaver ◽  
Nathan T. Douthit
Keyword(s):  
Genetic Analysis ◽  
Literature Search ◽  
Novel Mutation ◽  
Adult Onset ◽  
Radiological Findings ◽  
Radiologic Findings ◽  
Alexander's Disease ◽  
The Face ◽  
Broad Variety ◽  
Caucasian Female

The case describes a 25-year-old Caucasian female diagnosed with Alexander’s disease (AxD) as an outpatient after extensive inpatient workup. Her presenting complaints included incontinence, clumsiness, seizures, dysphagia, and dysarthria. She was also found to have pancytopenia and dysautonomia. A full neurologic and hematologic workup yielded very little results, until a thorough literature search of her presenting complaints and radiologic findings pointed to adult-onset Alexander’s Disease. Alexander’s disease is a rare genetic leukodystrophy with a broad variety of presentations. Despite its infrequency in adults and the difficulty in diagnosis, the prevalence of AxD has been increasing due to ease of genetic analysis and identification of key clinical and radiological findings. This case illustrates the necessity of vigilance and persistence in the face of unusual patient presentations; occasionally, the sound of hoofbeats is zebras.

Multiple Brain Abscesses Caused by Streptococcus intermedius: Prognostic Index of Mortality

2019 ◽  
Vol 09 (02) ◽  
Author(s):  
Spyridon-Gerasimos Moschonas ◽  
Theodoras Katsikas ◽  
Stylianos Drimis
Keyword(s):  
Prognostic Index ◽  
Streptococcus Intermedius ◽  
Brain Abscesses
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