Recurrent Hemoptysis: A Bronchial Dieulafoy’s Lesion in a Pediatric Patient

2020 ◽  
pp. 000348942096213
Author(s):  
Jeremy S. Ruthberg ◽  
Anish Abrol ◽  
N. Scott Howard
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Stable Condition ◽  
Selective Embolization ◽  
Dieulafoy’S Lesion ◽  
Tertiary Center ◽  
Pediatric Pulmonology ◽  
The Right

Objective: This paper presents a case of a bronchial Dieulafoy’s lesion in a pediatric patient with recurrent hemoptysis. Case report: A 11-year old female presented multiple times with dry cough and hemoptysis to an outside hospital, each time leading to a diagnosis of epistaxis and subsequent discharge. When she arrived to our tertiary center with heavy hemoptysis and no evidence of epistaxis, the patient was urgently taken to the operating room by both the otolaryngology and pediatric pulmonology services. Active bleeding from a Dieulafoy’s lesion on the right lower bronchus was found and selective embolization of two tortuous arteries was subsequently performed. The patient was discharged in stable condition without recurrence of hemoptysis over the last two months. Conclusion: While rare, especially in pediatric patients, bronchial Dieulafoy’s lesions may cause severe hemoptysis and should be considered in the differential diagnosis when the etiology for hemoptysis is unclear.

scholarly journals Neuroschistosomiasis mimicking lower back pain: case report of a rare differential diagnosis in a pediatric patient

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Abdulrahman Hamad Al-Abdulwahhab ◽  
Abdulaziz Mohammad Al-Sharydah ◽  
Sari Saleh Al-Suhibani ◽  
Saeed Ahmad Al-Jubran ◽  
Ali Khalaf Al-Haidey ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Back Pain ◽  
Case Report ◽  
Pediatric Patient ◽  
Lower Back Pain ◽  
Lower Back ◽  
Rare Differential Diagnosis

scholarly journals Bilateral Destructive Hip Disease from Untreated Juvenile Idiopathic Arthritis

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Arash Calafi ◽  
Alton W. Skaggs ◽  
Trevor J. Shelton ◽  
Brian M. Haus
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Femoral Head ◽  
Pediatric Patient ◽  
Acetabular Dysplasia ◽  
Pediatric Patients ◽  
Similar Case ◽  
Hip Pain ◽  
Complete Destruction ◽  
Hip Disease

We report a novel case of a pediatric patient with bilateral hip destruction from untreated Juvenile idiopathic arthritis (JIA). She was presented at the age of 9 with hip pain associated with bilateral acetabular dysplasia and a dislocated left femoral head. Only 1.5 years later, the patient developed complete destruction of the left femoral head and dislocated right femoral head. The authors have not identified literature describing a similar case report of bilateral femoral head destruction resulting from Persistent Oligoarticular JIA. Pediatric patients presenting with rapidly evolving destructive process should be evaluated for rheumatologic, infectious, and spinal etiologies.

scholarly journals Abernethy Malformation Type II and Concurrent Nodular Hyperplasia in a Rare Female Case

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Zhen Kang ◽  
Xiangde Min ◽  
Liang Wang
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Type I ◽  
Type Ii ◽  
Malignant Tumours ◽  
Abernethy Malformation ◽  
Vascular Abnormality ◽  
Female Case ◽  
Nodular Hyperplasia ◽  
The Right

Background. Abernethy malformation is a rare splanchnic vascular abnormality characterizing extrahepatic abnormal shunts that is classified into types I and II. Abernethy malformation type I has a female predilection and is associated with a variety of concurrent hepatic benign or malignant tumours while type II with concurrent tumours is very rare in females. Case Report. We report a rare female case of Abernethy malformation type II with concurrent occupying lesion in the right liver, which was successfully transplanted; the occupying lesion was pathologically proven to be nodular hyperplasia. Conclusion. This case might provide further knowledge regarding Abernethy malformation. On imaging, the anatomy of portal vein should be carefully investigated to categorize Abernethy malformation, and a wide variety of differential diagnosis of concurrent occupying lesions should be taken into account.

scholarly journals A case report of DOPA-responsive dystonia in a young woman

2020 ◽  
pp. 45-48
Author(s):  
NA Belykh ◽  
MA Akhkyamova ◽  
VV Gusev ◽  
OA Lvova
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Genetic Predisposition ◽  
Emergency Treatment ◽  
Sanger Sequencing ◽  
Clinical Case ◽  
Young Female ◽  
Considerable Improvement ◽  
The Right ◽  
Pediatric Onset

Dopa-responsive dystonia (DRD) is a rare progressive genetically heterogenous disorder with pediatric onset. DRD is 3 times as prevalent in women than in men. This article reports a clinical case of DRD in a young female presenting with paraparesis, foot dystonia (more pronounced in the right foot) and pronounced walking impairment, who was admitted for emergency treatment to a Neurology Unit. Based on the additional tests, which included a levodopa trial and Sanger sequencing, the patient was diagnosed with DRD. Levodopa caused a considerable improvement of the symptoms. The article describes the clinical features of the disease, talks about its differential diagnosis, genetic predisposition and treatment strategy.

scholarly journals Differential diagnosis of HaNDL syndrome in a case report of a pediatric patient: The role of SPECT with 99mTc-HMPAO

2020 ◽  
Vol 19 ◽  
pp. 100240
Author(s):  
Paula Fernández-Rodríguez ◽  
José Antonio Lojo-Ramírez ◽  
Manuel Medina Rodríguez ◽  
José Manuel Jiménez-Hoyuela García ◽  
David García-Solís
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Pediatric Patient ◽  
99Mtc Hmpao

scholarly journals Solar keratoma: An atypical case

2015 ◽  
Vol 86 (1) ◽  
Author(s):  
Sean M. Miller ◽  
Ralph H. Katzwinkel
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Atypical Case ◽  
Short Period ◽  
The Right

This case report shows that keratomas can occur in both hind feet of equine patients and should be considered as a diagnosis for long-standing, intermittent lameness localised to the hooves. A Thoroughbred racehorse presented with long-standing abscessation of the right hind hoof. Owing to the long-standing nature, the abscess draining tract was surgically explored. A focal mass was found within the solar horn. Histopathology revealed the mass to be a keratoma. A similar mass was removed from the left hind hoof a few months later after similar presenting signs. This case shows that keratomas can occur in more than one hoof within a short period and should be considered a differential diagnosis for long-standing lameness localised to the hoof.

scholarly journals Thrombosis of Right Spermatic Vein: A Case Report

2021 ◽  
Author(s):  
Arvin Barzanji ◽  
Mahfouz Ghaderi ◽  
Payman Rezagholi
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Physical Examination ◽  
Rare Event ◽  
Spermatic Vein ◽  
Unexpected Finding ◽  
Hernia Surgery ◽  
Vein Thrombosis ◽  
Testicular Pain ◽  
The Right

Spermatic vein thrombosis is a rare event that mostly affects the left vein thrombosis, but, in our report, it had developed on the right one that requires a meticulous physical examination for diagnosis. The purpose of this case report is to introduce an adult patient with right spermatic vein thrombosis in a 30-year-old man admitted to the operating room for hernia surgery. Spermatic vein thrombosis is an unexpected finding in the differential diagnosis of acute testicular pain.

scholarly journals Spotted fever: case report

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Thais Wyatt ◽  
Manoella Carrera ◽  
Thaís Lacerda ◽  
Janinne Rocha ◽  
Bárbara Pinto ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Rural Area ◽  
Pediatric Patient ◽  
Indirect Immunofluorescence ◽  
Clinical Symptoms ◽  
Spotted Fever ◽  
Immunofluorescence Test ◽  
Fever Case ◽  
Indirect Immunofluorescence Test

Spotted fever is a severe and emergent zoonosis caused by Rickettsia and transmitted by ticks, it can be fatal if not diagnosed and treated in the begging of clinical symptoms. The following report is the description of a case of a pediatric patient residing in a rural area in the countryside of the state of Espírito Santo, Brazil, with spotted fever presenting unfavorable evolution. The diagnosis was confirmed by the indirect immunofluorescence test after death. Considering the high lethality and prevalence of the disease in the southeastern and southern regions of Brazil, this differential diagnosis should be considered in the presence of symptomatology and epidemiology suggestive of this disease, in order to reduce the morbidity and mortality of the affected population.

scholarly journals Case Report: Pediatric Patient with COVID-19 and Multisystem Inflammatory Syndrome in Children

2020 ◽  
Vol 4 (4) ◽  
pp. 513-516
Author(s):  
MacKenzie Burger ◽  
Marcus Moore ◽  
John Wilburn
Keyword(s):  
Case Report ◽  
Risk Stratification ◽  
Extracorporeal Membrane Oxygenation ◽  
Cardiogenic Shock ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Signs And Symptoms ◽  
Unique Case ◽  
Venoarterial Extracorporeal Membrane Oxygenation ◽  
Inflammatory Syndrome

Introduction: Coronavirus disease 2019 (COVID-19) rarely manifests with severe complications in pediatric patients. An association between COVID-19 and a Kawasaki-like inflammatory syndrome has recently presented in pediatric patients. Case Report: We report a unique case of multisystem inflammatory syndrome in children presenting with characteristic findings in a child who later developed cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation. Conclusion: Recognition of these early signs and symptoms facilitates screening and risk stratification of pediatric COVID-19 cases associated with increased morbidity.

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