scholarly journals Complications and Management of a Rare Case of Disseminated Coccidioidomycosis to the Vertebral Spine

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Sammy G. Nakhla
Keyword(s):  
Medical Therapy ◽  
Rare Case ◽  
Pulmonary Infection ◽  
Surgical Intervention ◽  
Compression Fracture ◽  
Endemic Region ◽  
Valley Fever ◽  
Skeletal Involvement ◽  
Bone Infections ◽  
Lumbar Vertebral Body

Coccidioidomycosis, also known as San Joaquin Valley Fever or Valley Fever, is mostly a pulmonary infection caused by inhalation of spores in an endemic region. Dissemination to bone, joints, meninges, and skin occurs less than one percent of the time. Skeletal involvement accounts for approximately half of the disseminated coccidioidomycosis with the vertebrae as the most common skeletal region. We present a very rare case of disseminated coccidioidomycosis with osteomyelitis and compression fracture of the lumbar vertebral body. This case depicts some of the potential issues that can arise in managing coccidioidomycosis, especially when noncompliance to initial azoles occurs, that can lead to dissemination and complicated bone infections necessitating surgical intervention along with continuous medical therapy.

scholarly journals The Changing Prognosis of Ulcerative Colitis and Crohn’s Disease by Decades

2021 ◽  
Author(s):  
Burton I Korelitz ◽  
Judy Schneider
Keyword(s):  
Ulcerative Colitis ◽  
Inflammatory Bowel Disease ◽  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Medical Therapy ◽  
Bowel Disease ◽  
Surgical Intervention ◽  
Inflammatory Bowel

Abstract We present a bird’s eye view of the prognosis for both ulcerative colitis and Crohn’s disease as contained in the database of an Inflammatory Bowel Disease gastroenterologist covering the period from 1950 until the present utilizing the variables of medical therapy, surgical intervention, complications and deaths by decades.

scholarly journals Heterotopic caval valve implantation for the management of severe tricuspid regurgitation: a case series

2020 ◽  
Author(s):  
Aidan Sharkey ◽  
Ronny Munoz Acuna ◽  
Kiran Belani ◽  
Ravi K Sharma ◽  
Omar Chaudhary ◽  
...  
Keyword(s):  
Medical Therapy ◽  
Tricuspid Regurgitation ◽  
Surgical Intervention ◽  
Symptom Relief ◽  
Vena Cava ◽  
Case Series ◽  
High Morbidity ◽  
Severe Tricuspid Regurgitation ◽  
Maximal Medical Therapy ◽  
Valve Implantation

Abstract Background Severe tricuspid regurgitation (TR) is a complex condition that can be difficult to treat medically, and often surgical intervention is prohibited due to the high morbidity and mortality associated with this intervention. In patients who have failed maximal medical therapy and have progressive symptoms related to their severe TR, heterotopic caval valve implantation (CAVI) offers potential for symptom relief for these patients. Case summary We present two cases of patients with severe TR with symptoms of heart failure that were refractory to medical therapy. Due to extensive comorbidities in these patient’s surgical intervention was deemed unsuitable and the decision was made to proceed with heterotopic CAVI in order to try and control their symptoms. Both patients successfully underwent the procedure and had an Edwards SAPIEN 3 valve (Edwards Lifesciences, Irvine, CA, USA) implanted in the inferior vena cava/right atrium junction. In both patients, there was improvement in the postoperative haemodynamics as measured by invasive and non-invasive methods. Successful discharge was achieved in both patients with improvement in their symptoms. Discussion Selective use of heterotopic CAVI to treat symptomatic severe TR that is refractory to medical therapy may be a viable option to improve symptoms in those patients that are unsuitable for surgical intervention.

The rare case ofAlternaria alternatacutaneous and pulmonary infection in a heart transplant recipient treated by azole antifungals

2013 ◽  
Vol 27 (3) ◽  
pp. 140-143 ◽  
Author(s):  
Zuzana Sečníková ◽  
Kateřina Jůzlová ◽  
Naděžda Vojáčková ◽  
Dmitry V. Kazakov ◽  
Lenka Hošková ◽  
...  
Keyword(s):  
Transplant Recipient ◽  
Heart Transplant ◽  
Rare Case ◽  
Pulmonary Infection ◽  
Heart Transplant Recipient ◽  
Azole Antifungals

scholarly journals Primary thyroid angiosarcoma in a non-endemic region – a rare case

2020 ◽  
Vol 61 (1) ◽  
pp. 267-271
Author(s):  
Adrian Daniel Tulin ◽  
◽  
Adelaida Avino ◽  
Laura Răducu ◽  
Florentina Raluca Tulin ◽  
...  
Keyword(s):  
Rare Case ◽  
Endemic Region

scholarly journals Tumoral calcinosis, a diagnostic dilemma: a case report

2020 ◽  
Vol 7 (8) ◽  
pp. 1286
Author(s):  
Javed Altaf ◽  
Tajamul Rashid ◽  
Musharraf Husain ◽  
Mohammad Arif ◽  
Manzoor Ahmad
Keyword(s):  
Renal Failure ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Soft Tissue ◽  
Medical Therapy ◽  
Surgical Intervention ◽  
Tumoral Calcinosis ◽  
Diagnostic Dilemma ◽  
Biochemical Assessment ◽  
Rare Diagnosis

Tumoral calcinosis is a rare diagnosis characterized by deposition of calcium salts in peri-articular soft tissue regions. It is divided into primary and secondary varieties. The primary tumoral calcinosis is further divided into two types; primary hyperphosphatemic type and primary normophosphatemic type. The secondary variety occurs in association with chronic renal failure. Biochemical assessment and typical radiographic features help in diagnosis. Mainstay of treatment for primary variety is surgical. Secondary variety is mainly treated by medical measures. Surgical intervention is reserved for patients who do not respond to medical therapy.

ACUTE INTESTINAL OBSTRUCTION DUE TO MIGRATED INGUINAL HERNIOPLASTY MESH-A CASE REPORT

2021 ◽  
pp. 60-61
Author(s):  
Parth Manek ◽  
Parth Patel ◽  
Kishor Jain ◽  
Sharvari Pujari ◽  
Ramkrishna Prabhu ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Gold Standard ◽  
Rare Case ◽  
Surgical Intervention ◽  
Acute Intestinal Obstruction ◽  
Inguinal Hernioplasty ◽  
Elderly Male ◽  
Mesh Migration ◽  
Mechanical Bowel Obstruction ◽  
Mesh Hernioplasty

Mesh Hernioplasty is the gold standard for Inguinal hernia.However, it is not free of complications. Mesh migration causing intestinal obstruction, albeit rare, is a serious and complications. Timely surgical intervention is very important in the management of this condition. We report a rare case of an elderly male patient with mechanical bowel obstruction due to mesh migration 9 years after a right inguinal hernia meshplasty.

scholarly journals A Rare Case of Extraskeletal Primary Osteosarcoma of Breast: How We Managed

2018 ◽  
Vol 04 (02) ◽  
pp. 077-078
Author(s):  
Kailash Sharma ◽  
Yogendra Singh ◽  
Rajiv Kumar ◽  
Udip Maheshwari ◽  
Sunil Pasricha ◽  
...  
Keyword(s):  
Young People ◽  
Rare Case ◽  
Medical Literature ◽  
Histopathological Examination ◽  
Age Group ◽  
Breast Cancers ◽  
Elderly Age ◽  
Rare Form ◽  
Skeletal Involvement ◽  
Primary Osteosarcoma

AbstractPrimary osteosarcoma arising in breast is a rare form of extra skeletal osteosarcoma, accounting for less than 1% of all breast cancers and 12.5% of sarcomas arising in breast. Fewer than 150 cases of primary osteosarcoma of breast have been reported in the medical literature in the last 50 years. It was reported to have worse outcome compared to typical skeletal osteosarcoma. Osteosarcoma of breast presents in elderly age group unlike skeletal osteosarcoma, which occurs in young people. Diagnosis is by histopathological examination of malignant osteoid and ruling out underlying skeletal involvement.

scholarly journals Symptomatic intracranial arterial disease: incidence, natural history, diagnosis, and management

2011 ◽  
Vol 30 (6) ◽  
pp. E14 ◽  
Author(s):  
Ananth K. Vellimana ◽  
Andria L. Ford ◽  
Jin-Moo Lee ◽  
Colin P. Derdeyn ◽  
Gregory J. Zipfel
Keyword(s):  
Natural History ◽  
Medical Therapy ◽  
Endovascular Therapy ◽  
Medical Management ◽  
Surgical Intervention ◽  
Disease Incidence ◽  
Arterial Disease ◽  
High Rate ◽  
Diagnosis And Management ◽  
Ischemic Events

Symptomatic intracranial arterial disease is associated with a high rate of recurrent ischemic events. The management of this condition is controversial, with some advocating medical therapy as a sole means of treatment and others recommending endovascular therapy in addition to best medical management. In rare cases, surgical intervention is considered. A thorough review of the available literature was performed, and treatment recommendations based on these data are provided.

Sign in / Sign up

Export Citation Format

Share Document