Propionibacterium acnes Is an Unusual Cause of Acute Scrotal Abscess in a Preterm Infant

Acute scrotal abscess is an extremely rare condition in neonates and may mimic testicular torsion. Most of these abscesses have reportedly been due to Staphylococcus and Salmonella spp. infections. We herein report a unilateral acute scrotal abscess in a preterm infant born at 26 weeks in whom Propionibacterium acnes was isolated from the collected scrotal fluid culture. To our knowledge, this is the first case report implicating P. acnes as a causative agent of neonatal scrotal abscess. Based on such findings, P. acnes infection should be considered in differential diagnosis of acute scrotal abscess in neonates, particularly in preterm infants.

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Spontaneous pneumocephalus associated with pneumocele of the frontal sinus

Cephalalgia ◽

10.1177/0333102410378047 ◽

2010 ◽

Vol 30 (11) ◽

pp. 1400-1402 ◽

Cited By ~ 6

Author(s):

Chong Yoon Park ◽

Kyung Soo Kim

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Paranasal Sinus ◽

Paranasal Sinuses ◽

Frontal Sinus ◽

Soft Tissues ◽

Rare Condition ◽

Severe Headache ◽

First Case

Background: Pneumoceles of the paranasal sinuses are a very rare condition; characterized by a distended air-filled paranasal sinus extending beyond the margins of the paranasal bone, with bony defects and extension of air into the surrounding soft tissues. Also, spontaneous pneumo-cephalus is a rare condition which represented only 0.6% in the largest reported series of pneumocephalus. Although pneumocephalus caused by sinogenic origins, such as osteoma, has been reported, spontaneous pneumocephalus has not been reported as a complication associated with pneumocele of the frontal sinus. Methods: We report a case of spontaneous pneumocephalus associated with a pneumocele involving the frontal sinus which presented as acute severe headache. Results: To the best of our knowledge, this is the first case report in literature reporting spontaneous pneumocephalus in association with pneumocele of the frontal sinus. Conclusions: Although pneumocele of the frontal sinus is a very rare condition, it can develop into spontaneous pneumocephalus, and thus it needs to be included in the differential diagnosis of acute severe headache.

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Case Report: Segmental Testicular Infarction

Journal of Surgery Open Access ◽

10.16966/2470-0991.227 ◽

2020 ◽

Vol 6 (6) ◽

Author(s):

Aumeerally MI

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Testicular Torsion ◽

Radical Surgery ◽

Rare Condition ◽

Surgical Exploration ◽

Testicular Pain ◽

Testicular Infarction ◽

Segmental Testicular Infarction ◽

Australian Hospital

Segmental testicular infarction is a rare condition that presents with acute testicular pain. The diagnosis can be clinically challenging and include important differential diagnoses such as testicular torsion, testicular tumour and infection. This case report describes a 27-year-old male presenting to a regional Australian hospital with acute left testicular pain. The diagnosis was made intra-operatively during surgical exploration and on histopathologic assessment after the patient underwent a partial orchidectomy. While segmental testicular infarction is a rare condition, it should be considered in the differential diagnosis for acute testicular pain as awareness may help to avoid unnecessary radical surgery.

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Inflammatory Pseudotumor of the Liver Complicated by Lung Necrosis and Pleural Empyema: A Case Report

Case Reports in Surgery ◽

10.1155/2011/504619 ◽

2011 ◽

Vol 2011 ◽

pp. 1-3

Author(s):

Klaus Steinbrück ◽

Marcelo Enne ◽

Reinaldo Fernandes ◽

Jose M. Martinho ◽

Lúcio F. Pacheco-Moreira

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Inflammatory Pseudotumor ◽

Liver Tumors ◽

Rare Condition ◽

Pleural Empyema ◽

Important Differential Diagnosis ◽

Uncommon Complication

Inflammatory pseudotumor of the liver (IPTL) is a rare condition, but an important differential diagnosis of hepatic space-occupying lesions. It may regress spontaneously and mimic other liver tumors. Complications are usually intrahepatic. Herein, we present a case of IPTL which developed pleural empyema and lung necrosis as an uncommon complication.

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Solitary Fibrous Tumor of the Postcricoid Region: A Case Report and Literature Review

Case Reports in Otolaryngology ◽

10.1155/2013/908327 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4

Author(s):

Brian Cervenka ◽

Brenda Villegas ◽

Uttam Sinha

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Solitary Fibrous Tumor ◽

Management Strategies ◽

The Body ◽

Surgical Approaches ◽

Current Management ◽

First Case ◽

Mesenchymal Neoplasm ◽

Fibrous Tumor

Solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm that can present essentially anywhere in the body. Presentations in the hypopharynx are extremely rare with only two previous cases reported. We report the first case of postcricoid SFT occurring in a 58-year-old male requiring a microsuspension laryngoscopy excision following an unsuccessful transoral robotic attempt. The excision was uneventful, and the patient is currently without recurrence. Current management strategies of the hypopharyngeal SFT, the unique differential diagnosis, and challenges in surgical approaches in the postcricoid region are discussed.

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Solitary tentorial sarcoid granuloma associated with Propionibacterium acnes infection: case report

Journal of Neurosurgery ◽

10.3171/2016.8.jns16480 ◽

2017 ◽

Vol 127 (3) ◽

pp. 687-690 ◽

Cited By ~ 2

Author(s):

Jiro Akimoto ◽

Kenta Nagai ◽

Daisuke Ogasawara ◽

Yujiro Tanaka ◽

Hitoshi Izawa ◽

...

Keyword(s):

Central Nervous System ◽

Immune Response ◽

Nervous System ◽

Case Report ◽

Propionibacterium Acnes ◽

Granulomatous Disease ◽

Tentorium Cerebelli ◽

First Case ◽

Sarcoid Granuloma ◽

The Central Nervous System

Sarcoidosis is a systemic granulomatous disease with unknown cause, which very rarely occurs exclusively in the central nervous system. The authors performed biopsy sampling of a mass that developed in the left tentorium cerebelli that appeared to be a malignant tumor. The mass was diagnosed as a sarcoid granuloma, which was confirmed with the onset of antibody reaction product against Propionibacterium acnes. Findings suggesting sarcoidosis to be an immune response to P. acnes infection have recently been reported, and they give insight for diagnosis and treatment of this disease. The authors report the possible first case that was confirmed with P. acnes infection in a meningeal lesion in solitary neurosarcoidosis.

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Bullough’s bump: unusual protuberant fibro-osseous tumor of the temporal bone. Case report

Journal of Neurosurgery Pediatrics ◽

10.3171/2017.8.peds17391 ◽

2018 ◽

Vol 21 (2) ◽

pp. 107-111 ◽

Cited By ~ 6

Author(s):

Bowen Jiang ◽

Harry Mushlin ◽

Lei Zhang ◽

Aaron W. James ◽

Alan R. Cohen

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Temporal Bone ◽

Histological Examination ◽

Pediatric Neurosurgery ◽

Intracranial Extension ◽

En Bloc ◽

Postoperative Course ◽

Fibrous Stroma ◽

First Case

Scalp and calvarial masses are common in children and the differential diagnosis is broad. The authors recently cared for a child with an unusual fibro-osseous lesion of the temporal bone that has previously not been described in the pediatric neurosurgery literature. A 10-year-old girl presented with a firm, slowly enlarging protuberant mass arising from the squamous suture of the temporal bone without intracranial extension. The mass was removed en bloc through a temporal craniectomy and cranioplasty was performed. The patient had a smooth postoperative course. Histological examination showed multiple oval osseous islands dispersed throughout a bland fibrous stroma. The pathological diagnosis was “Bullough’s bump,” a rare, benign fibro-osseous neoplasm first described in 1999, and only 8 reported cases appear in the literature. Here the authors report the first case of Bullough’s bump in a child.

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Coexistence of Ectopic Posterior Pituitary and Sellar/Suprasellar Arachnoid Cyst: A Case Report

Current Medical Imaging Formerly Current Medical Imaging Reviews ◽

10.2174/1573405616666200530210847 ◽

2020 ◽

Vol 16 (8) ◽

pp. 1055-1057

Author(s):

Suzan Saylisoy ◽

Goknur Yorulmaz

Keyword(s):

Case Report ◽

Rare Condition ◽

Optic Chiasm ◽

Magnetic Resonance Images ◽

Bright Spot ◽

Posterior Pituitary ◽

First Case ◽

History Of ◽

Diaphragma Sellae ◽

Ectopic Posterior Pituitary

Background: The ectopic posterior pituitary (EPP) is a rare condition characterized by the ectopic location of the posterior pituitary lobe associated with varying degrees of stalk anomalies. The arachnoid cysts (AC) are benign lesions of the arachnoid, which account for 1% of all intracranial space-occupying lesions. Sellar/suprasellar ACs account for approximately 1% of all ACs. This is the first case of coexistence EPP with sellar/suprasellar AC. Case Report: A 67-year-old woman presented with 6 months history of fatigue. Her medical history was positive for irregular menstruation. Her endocrine examinations indicated low free thyroxine level with low TSH level, low oestradiol with low gonadotrophin level, slightly elevated prolactin level. Her Insulin-like growth factor-1 was below the normal levels. Dynamic contrast hypophysis MRI revealed a sellar cystic lesion with a dimension of 18 × 14 × 14 mm, extending from the suprasellar cistern, traversing the diaphragma sellae and reaching the level of the floor of the 3rd ventricle, consistent with sellar/suprasellar AC. There was no wall enhancement. The optic chiasm was compressed. The precontrast T1-weighted magnetic resonance images did not demonstrate the characteristic bright spot of posterior pituitary within the sella, which was higher in position, in the region of the median eminence. The pituitary stalk was not present. Conclusion: Although speculative, we have a hypothesis to explain how the EPP and sellar/- suprasellar AC coexist in this patient. Due to the absence of stalk, CSF may enter the sella tursica from the central aperture of the diaphragma sellae through which normally the stalk passes.

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Supercharged End-to-Side Anterior Interosseous to Ulnar Motor Nerve Transfer for Hirayama Disease: A Case Report

Hand ◽

10.1177/15589447211063556 ◽

2021 ◽

pp. 155894472110635

Author(s):

Aleixo Abreu Tanure ◽

Luis Guilherme Rosifini Alves Rezende ◽

Ana Carolina Pazim ◽

Marcel Leal Ribeiro

Keyword(s):

Case Report ◽

Ulnar Nerve ◽

Motor Nerve ◽

Hand Function ◽

Rare Condition ◽

Nerve Transfer ◽

Late Presentation ◽

Hirayama Disease ◽

Nerve Transfers ◽

First Case

Hirayama disease is a rare condition of cervical myelopathy. Its early identification and correction can optimize functional outcomes. However, late presentation and some more severe cases may be associated with loss of hand function. Among the cases described, there are no reports of nerve transfers for this condition. We presented the first case report of a Hirayama disease of isolated ulnar nerve impairment managed with nerve transfer. Electroneuromyography showed isolated preganglionic involvement of C7, C8, and T1, with no sensory changes. The patient underwent nerve transfer with anterior interosseous nerve to ulnar nerve supercharge end-to-side, recovering hand function in 7 months.

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Complete Midline Cleft of Lower Lip, Mandible, Tongue, Floor of Mouth with Neck Contracture: A Case Report and Review of Literature

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0035-1549013 ◽

2015 ◽

Vol 8 (4) ◽

pp. 363-369 ◽

Cited By ~ 6

Author(s):

Anantheswar Y. N. Rao

Keyword(s):

Case Report ◽

World Literature ◽

Rare Condition ◽

Female Child ◽

Flexion Contracture ◽

Lower Lip ◽

Floor Of The Mouth ◽

First Case ◽

Manubrium Sterni ◽

Midline Cleft

Midline cleft of the lower lip and mandible is an extremely rare condition. Since 1819, when the first case was reported by Couronne, fewer than 80 cases have been described in the world literature so far. The cleft has also been described as facial cleft no. 30 by Paul Tessier. The condition varies in severity from a mild variety in which there is a submucous cleft and notching in the lower lip to a severe variety, involving the tongue, floor of the mouth, mandible, absent hyoid, atrophic neck muscles, and sternum. In this case report, a female child having complete midline cleft of the lower lip and mandible, with bifid tongue stuck to the floor of the mouth, absent hyoid bone and flexion contracture band extending from the confluence of the tip of the tongue, floor of the mouth, cleft mandible to the manubrium sterni is described, with special emphasis on surgical planning and management.

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