scholarly journals Thoracic Empyema as Rare Complication of an Appendicular Mass: A Case Study and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
George Vasquez-Rios ◽  
Lesly Calixto-Aguilar ◽  
Richard Pajuelo ◽  
Wilder Alarcon
Keyword(s):  
Clinical Course ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Female Ratio ◽  
Case Presentation ◽  
Thoracic Empyema ◽  
Source Of Infection ◽  
Male Female Ratio ◽  
Appendicular Mass

Introduction. Thoracic empyema is an infrequent complication of appendicitis that has rarely been reported in the literature. Case Presentation and Review of the Literature. The case of a 11-year-old boy who was admitted for medical management of an appendicular mass is presented. His clinical course was complicated by the development of an appendicular abscess and an extensive right-sided empyema. A comprehensive review of the literature was conducted including the most representative cases. The data were collected and analyzed by two independent investigators. Ten cases were found. Most patients were young individuals (mean age: 25.1 years; male : female ratio: 0.5). Risk factors for thoracic empyema included pregnancy (10%) and age (60%). The most frequent organisms isolated were Escherichia coli, Bacteroides spp., and Klebsiella spp. The survival rate was 100%. Conclusion. Thoracic empyema should be considered a potential cause of respiratory distress in patients with appendicitis. Furthermore, the abdomen should be carefully evaluated as a source of infection in patients with thoracic empyema without an underlying lung disease.

scholarly journals Mobiluncus curtisii Bacteremia: Case Study and Literature Review

2022 ◽  
Vol 14 (1) ◽  
pp. 82-87
Author(s):  
Cade Arries ◽  
Patricia Ferrieri
Keyword(s):  
Blood Culture ◽  
Gastrointestinal Surgery ◽  
Gastrointestinal Symptoms ◽  
Clinical Work ◽  
Review Of The Literature ◽  
Case Study Method ◽  
Culture Bottle ◽  
Source Of Infection ◽  
Curved Rod

Background: There are few reports of bacteremia caused by Mobiluncus curtisii in the literature. We present a review of the literature in addition to a case study. Method: We describe the case of an 82-year-old patient who underwent gastrointestinal surgery and subsequently presented with dehydration, nausea, and hyperkalemia secondary to diarrhea. Further clinical work included blood cultures, and the patient was started empirically on piperacillin/tazobactam. Results: After five days, the blood culture bottle showed growth of a gram-variable, curved rod-shaped organism. After culture under anaerobic conditions on sheep blood agar, the organism was identified as Mobiluncus curtisii by MALDI-TOF mass spectrometry and enzymatic technology. A review of the literature reveals five additional cases of Mobiluncus curtisii bacteremia. Conclusions: This is the sixth case in the literature describing Mobiluncus species bacteremia. This organism is rarely identified in blood culture and is most often thought of in the context of bacterial vaginosis. However, the reported cases of bacteremia show gastrointestinal symptoms and presumed gastrointestinal source of infection. The pathogenesis of infection of this organism requires further investigation.

scholarly journals Pneumomediastinum: a rare complication of anorexia nervosa in children and adolescents. A case study and review of the literature

2007 ◽  
Vol 167 (2) ◽  
pp. 171-174 ◽  
Author(s):  
Ina van Veelen ◽  
Paul H. G. Hogeman ◽  
Annemarie van Elburg ◽  
Fenny W. Nielsen-Abbring ◽  
Ben G. F. Heggelman ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Children And Adolescents ◽  
Rare Complication ◽  
Review Of The Literature

scholarly journals Leptomeningeal Cyst in the Adult: Case Report and Review of the Literature

2021 ◽  
pp. 1-3
Author(s):  
Paula Pilar Morales Cejas ◽  
Paula Pilar Morales Cejas ◽  
Yanire Sánchez Medina ◽  
Marta García Berrocal ◽  
Luis Francisco Gómez Perals
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Adult Case ◽  
Leptomeningeal Cyst ◽  
Case Presentation ◽  
Affected Area ◽  
Previous Trauma ◽  
History Of ◽  
Childhood Fractures

Background: Leptomeningeal cysts are a rare complication of childhood fractures, being very rare in adulthood and usually related to previous trauma generated in children. Case Presentation: We present a case of “growing fracture” in a 70-year-old woman with a history of head injury in childhood, who clinically debuted with paresthesia-dysesthesia in the left hemicranium and hypersensitivity and pain in the affected area, and who was treated with surgical treatment. Conclusion: We review the pathogenesis, diagnosis and treatment of this injury today.

scholarly journals Bilateral Septic Hip Epiphyseal Detachment in Children: A Case Report and Review of the Literature

2021 ◽  
Vol 7 (2) ◽  
Keyword(s):  
Septic Arthritis ◽  
Lower Limb ◽  
Neonatal Period ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Delayed Treatment ◽  
Bilateral Involvement ◽  
Keywords Septic Arthritis

Background: Diagnosed and treated fairly early, children’s septic arthritis of the hip has few or no complications. Septic epiphyseal detachment of the hip in children is a rare complication due to delayed treatment. Unilateral forms have been reported, but bilateral involvement has never been described in the literature. Case presentation: We report the case of an 8-year-old girl who presented with hip pain associated fever and diminished lower limb movements, approximately 4 months after the onset of symptoms. The diagnosis of bilateral septic epiphyseal detachment of the hips was made and computerized tomography (CT) scan revealed osteonecrosis of both femoral heads. The necrotic epiphyses required removal in order to control the infection. Conclusion: This report highlights the importance of early diagnosis of septic arthritis of the hip in the neonatal period. Any delay in presentation, diagnosis or management can result in irrecoverable sequelae for the developing hip and seriously impact long-term function. Keywords: Septic arthritis, Bilateral, Epiphysis detachment, Hip, Ablation.

Depression and Mania Associated with Kleine-Levin-Critchley Syndrome

1973 ◽  
Vol 18 (5) ◽  
pp. 439-444 ◽  
Author(s):  
J. Joel Jeffries ◽  
Arlette Lefebvre
Keyword(s):  
Affective Disorder ◽  
Temporal Association ◽  
Review Of The Literature ◽  
Female Ratio ◽  
Manic Depressive Psychosis ◽  
Functional Psychosis ◽  
Manic Depressive ◽  
The World ◽  
Male Female Ratio

This is the fortieth reported case of K-L-C syndrome in the world and the second case reported in Canada. A study of this particular case, together with a review of the literature, is presented to clarify the phenomenology of this syndrome. Three aspects are emphasized: a) The presence of this syndrome in women is confirmed although the male-female ratio is 9:1. b) Rather than occurring in schizoid persons, as previously suggested, the syndrome is in fact an affective disorder which is closely related to manic-depressive psychosis, which may also have periods of delirium or pre-delirium associated with the hypersomnia spells. c) The occasional temporal association of a disorder of sleeping and eating, with menstruation and often accompanied by evidence of organicity, suggests a diencephalic problem. The further association of this disorder with affective changes suggests that manic-depressive psychosis should be considered as a possible disease of the diencephalon, rather than as a ‘functional’ psychosis with diencephalic signs.

Cinacalcet therapy in an infant with an R185Q calcium-sensing receptor mutation causing hyperparathyroidism: a case report and review of the literature

2019 ◽  
Vol 32 (3) ◽  
pp. 305-310 ◽  
Author(s):  
Thomas E. Forman ◽  
Anna-Kaisa Niemi ◽  
Priya Prahalad ◽  
Run Zhang Shi ◽  
Laura M. Nally
Keyword(s):  
Side Effects ◽  
Pediatric Patients ◽  
De Novo ◽  
Clinical Course ◽  
Review Of The Literature ◽  
Calcium Sensing Receptor ◽  
Case Presentation ◽  
Calcium Sensing ◽  
Calcium Phosphorus ◽  
Pharmacologic Agents

Abstract Background Neonatal severe hyperparathyroidism (NSHPT) is commonly treated with either parathyroidectomy or pharmacologic agents with varying efficacy and numerous side effects. Reports of using cinacalcet for NSHPT have increased, however, the effective dose for pediatric patients from the onset of symptoms through infancy has not been established. Case presentation We describe the clinical course of a newborn with a de novo R185Q mutation in the calcium-sensing receptor (CASR) gene, causing NSHPT. The infant received cinacalcet from the first days of life until 1 year of age. Conclusions Cinacalcet therapy effectively controlled the patient’s serum calcium, phosphorus, and parathyroid hormone (PTH) levels without side effects.

scholarly journals Intraparenchymal pericatheter cyst after cerebrospinal fluid shunt: A rare complication with challenging diagnosis – Case presentation and review of the literature

2019 ◽  
Vol 14 (2) ◽  
pp. 581 ◽  
Author(s):  
Ploutarchos Karydakis ◽  
Ioannis Nikas ◽  
Dimitrios Panagopoulos ◽  
Maria Filippidou ◽  
George Sfakianos ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Rare Complication ◽  
Cerebrospinal Fluid Shunt ◽  
Review Of The Literature ◽  
Case Presentation

scholarly journals Death by cat bite: Pasteurella multocida: Autopsy findings and review of the literature

2020 ◽  
Vol 7 (1) ◽  
pp. 11
Author(s):  
William Humphrey ◽  
Jessica W. Crothers ◽  
Anne M. Stowman ◽  
Sharon L. Mount
Keyword(s):  
Pasteurella Multocida ◽  
Clinical Course ◽  
Human Infection ◽  
Review Of The Literature ◽  
Medical Assistance ◽  
Source Of Infection ◽  
Animal Source ◽  
Lethal Complications ◽  
History Of ◽  
Aggressive Clinical Course

Pasteurella multocida, a gram-negative bacillus, is present in the oropharyngeal secretions of livestock, wild animals, and domesticated pets and can cause infection in humans. The most common route of entry has been shown to be via an animal bite, but a significant portion of cases of human infection lack evidence of such a wound. Review of the literature reveals that patients with a history of an animal bite tend to have a less aggressive clinical course than patients without an animal source of infection.  We present a case, however, of Pasteurella multocida bacteremia which resulted in the death of an immunocompromised 80-year old woman in which the route of infection was found at autopsy to be a cat bite. This case highlights the importance of educating patients, particularly those with underlying immunocompromised conditions, of the possible lethal complications that can result from animal inflicted wounds and the importance of seeking medical assistance should a bite occur.

scholarly journals Calcified Catheter-Related Fibrin Sheath Forms Large Intravenous Cast In Hemodialysis Patient Causing Embolic Sequalae: A Case Report

2021 ◽  
Author(s):  
Justin Newman ◽  
Joshua Melamed ◽  
Chava Blivaiss ◽  
Vanessa Gibson ◽  
Shahriyour Andaz
Keyword(s):  
Methicillin Resistant Staphylococcus Aureus ◽  
Hemodialysis Patient ◽  
Clinical Course ◽  
Jugular Vein ◽  
Rare Complication ◽  
Diagnostic Methods ◽  
Case Presentation ◽  
Fibrin Sheath ◽  
Insight Into

Abstract Background: Catheter related sheath (CRS) formation secondary to chronic indwelling central venous catheters (CVC) is a well-documented complication. When these fibrin sheaths calcify, they can form a “cast” surrounding the catheter. Upon removal of the CVC a rare complication can occur where the calcified sheath remains in-situ leaving behind an intraluminal catheter-shaped cast. Case Presentation: We present the case of a 57-year-old dialysis dependent woman found to have a right internal jugular vein cast during the evaluation and treatment of methicillin resistant staphylococcus aureus (MRSA) bacteremia. Conclusions: This case reviews and discusses the embolic complications suspected to be a result of this cast. Our case provides insight into the clinical course, diagnostic methods, and imaging identification of a rare pathology and its unique complications.

scholarly journals Neonatal coning secondary to hypoxic ischaemic encephalopathy: A case study and literature review

2019 ◽  
Author(s):  
Yasser Soliman ◽  
Kamran Yusuf ◽  
Marc Blayney ◽  
Amr I El Shahed ◽  
Jaques Belik
Keyword(s):  
Therapeutic Hypothermia ◽  
Rare Complication ◽  
Marked Change ◽  
Neurological Status ◽  
Term Infant ◽  
Brain Herniation ◽  
Case Presentation ◽  
Head Computed Tomography ◽  
Diffuse Brain

Abstract Introduction Brain herniation is an extremely rare complication of hypoxic ischaemic encephalopathy (HIE) in the neonatal period with only a single report described. We report a 2-day-old term infant with severe HIE, who developed diffuse brain oedema and herniation. Case presentation and description A term female infant delivered by vacuum, required therapeutic hypothermia for severe encephalopathy. At 36 hours of age, a marked change in neurological status was noted with signs of brainstem involvement. A head Computed Tomography Scan showed uncal and tonsillar herniation. Conclusion Vigilance in monitoring neonatal neurological status during therapeutic hypothermia is imperative for early brain herniation detection.

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