Intramural Ova of Enterobius vermicularis in the Appendix—An Egg-Topic Location!

2021 ◽  
pp. 106689692110324
Author(s):  
Angelina Mendos ◽  
Blaine A. Mathison ◽  
Bobbi S. Pritt ◽  
Laura W. Lamps ◽  
Sanjay A. Pai
Keyword(s):  
Unusual Case ◽  
Correct Diagnosis ◽  
Enterobius Vermicularis ◽  
The Family ◽  
Necrotizing Granulomas

We report an unusual case of appendicitis in a 9-year-old girl in whom the wall of the appendix contained necrotizing granulomas, as well as eggs of Enterobius vermicularis. Although luminal E vermicularis adult parasites are commonly identified in the appendix and luminal eggs are occasionally seen, intramural worms and eggs are rare. We are unaware of earlier reports of ectopic intramural eggs in the appendix. It is important to and make a correct diagnosis, as both, the patient, as well as the family should be treated for enterobiasis.

SOLITARY PERIOSTEAL CHONDROMA PRESENTING AS A SNAPPING FINGER: AN UNUSUAL LOCATION

Hand Surgery ◽  
2008 ◽  
Vol 13 (02) ◽  
pp. 51-54 ◽  
Author(s):  
Toru Yamauchi ◽  
Osamu Oshiro ◽  
Shuji Hiraoka
Keyword(s):  
Unusual Case ◽  
Correct Diagnosis ◽  
Ring Finger ◽  
Extensor Tendon ◽  
Ct Scans ◽  
Unusual Location ◽  
Periosteal Chondroma ◽  
Pip Joint

We report an unusual case of a solitary periosteal chondroma presenting as a snapping finger and pain in the ring finger in a 37-year-old man. The snapping symptom was caused by impingement of this solitary chondroma. In this case, the periosteal chondroma was detached due to a finger sprain. Thus, the solitary chondroma was impinged between basal phalanx and extensor tendon, causing the pain and snapping finger. When patients with snapping finger present, CT scans can be helpful to make a correct diagnosis. To the best of our knowledge, this condition has not been described in the PIP joint.

scholarly journals Dissecting the Diagnosis – An Unusual Case of Pericarditis

2017 ◽  
Vol 16 (4) ◽  
pp. 200-203
Author(s):  
Louise Mundy ◽  
◽  
Purav Desai ◽  
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Unusual Case ◽  
Correct Diagnosis ◽  
Timely Manner ◽  
Medical Unit ◽  
Coronary Syndrome ◽  
Acute Medical Unit

Chest pain is an extremely common presenting complaint on the acute medical unit. It is important to distinguish between patients who have serious pathology and those without. Often, the focus is on ruling out an acute coronary syndrome and inadequate consideration is given to other possible causes. This case highlights the importance of performing relevant investigations in a timely manner, in order to ensure that a correct diagnosis is made.

Shark teeth: a case of multiple supernumerary teeth

2021 ◽  
Vol 14 (3) ◽  
pp. 135-137
Author(s):  
Fionnuala Loy ◽  
Victoria Elton
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Unusual Case ◽  
Treatment Options ◽  
Cone Beam ◽  
Supernumerary Teeth ◽  
Shark Teeth ◽  
Adjacent Structures ◽  
The Family ◽  
Dental Hospital

A 44-year-old male was referred to the Department of Orthodontics at Manchester Dental Hospital. He presented with pain from his heavily restored, lower right second premolar, which had an apical supplemental tooth, visible radiographically. The dentist queried whether the second premolar tooth could be extracted and the supplemental tooth aligned in its place. Clinical examination revealed no relevant abnormalities. The family and medical history were non-contributory. Panoramic tomography revealed multiple supplemental supernumerary teeth in the canine and premolar regions. Cone beam computed tomography and multidisciplinary team input were required to plan the treatment for this unusual case. CPD/Clinical Relevance: These findings highlight the management and treatment options for a case of non-syndromic, multiple supernumerary teeth. Consideration must be given to the risk of damage to adjacent structures if surgically removing supernumerary teeth, and the risk that supernumerary teeth may be ankylosed and not amenable to alignment within the arch.

scholarly journals A case report: 46 XY-disorder of sexual development

2019 ◽  
Vol 8 (3) ◽  
pp. 1200
Author(s):  
Tejal Kansara ◽  
Tushar Shah ◽  
Yesha Umbharatwala
Keyword(s):  
Case Report ◽  
Sexual Development ◽  
Multidisciplinary Approach ◽  
Correct Diagnosis ◽  
External Genitalia ◽  
Peripheral Blood Lymphocytes ◽  
Dysmorphic Features ◽  
Disorder Of Sexual Development ◽  
The Family ◽  
Male Karyotype

Authors report a case of a 6-year-old child with syndromic 46, XY disorder of sexual development. From the birth patient was assigned female. Physical examination showed dysmorphic features and ambiguous external genitalia. Cytogenetic analysis of cultured peripheral blood lymphocytes revealed a male karyotype. The result of the chromosomal investigation showing male genetic sex, together with the ambivalent aspect of the external genitalia and gonads that are exclusively testes led to the diagnosis of 46, XY disorder of sexual development. The clinical management will help the child and the family deal effectively with this condition A multidisciplinary approach to this problem involving pediatricians, specialists in the field of endocrinology, genetics, surgery and psychiatry is necessary in order to reach a prompt and correct diagnosis and treatment.

scholarly journals The Advancements in the Early Detection of Zika Virus Infection

2018 ◽  
Vol 10 (10) ◽  
pp. 30
Author(s):  
Sharon Sherry Huang ◽  
Erick Ceasar Huang ◽  
Chao Shen Huang
Keyword(s):  
Zika Virus ◽  
Correct Diagnosis ◽  
Turnover Time ◽  
Cross Reactivity ◽  
Access To Treatment ◽  
The Family ◽  
Timely Access ◽  
Alternative Approaches ◽  
Global Population ◽  
Slow Turnover

The Zika Virus (ZIKV) was propelled to international attention during its outbreak from 2015-2016. Interestingly, the most recent outbreak was not ZIKV’s first, although it proved to be the most widespread and impactful, with millions affected in South America, Asia and Africa. Presently no longer considered a global emergency, ZIKV has managed to invoke fear and realization of the susceptibility of the global population to rapidly evolving viruses. In addition, the difficulty of diagnosing the virus demonstrates a deficiency in a rapid, virus specific, and accurate diagnostic tool for the family of flaviviruses that ZIKV belongs to. This paper reviews the approved identification methods along with an analysis of the advantage and disadvantages of each, as well as emerging alternative approaches in ZIKV diagnosis. Common problems with currently utilized methods include slow turnover time, limited throughput, need for further testing to confirm diagnosis, narrow sample compatibility, and cross reactivity to DENV and other similar viruses, Although newer methods discussed in the paper, namely Electrogenerated Chemiluminescence (ECL) and Reporter Virus Neutralization Test (RVNT), show improvement in throughput quantity, speed, and efficiency, it is not certain whether these tests are virus specific and will not react in the presence DENV. The rapidity of diagnosis is important in ensuring timely access to treatment as well as tracking and containing future possible epidemics, Concurrently, virus specificity is equally crucial in ensuring correct diagnosis. Thus, the challenge lies in finding the balance between the two.

scholarly journals LAMA2 Congenital Muscle Dystrophy: A Novel Pathogenic Mutation in Bulgarian Patient

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Ivanka Dimova ◽  
Ivo Kremensky
Keyword(s):  
Nonsense Mutation ◽  
Correct Diagnosis ◽  
Pathogenic Mutation ◽  
Orphan Drugs ◽  
Muscle Dystrophy ◽  
Nonsense Mutations ◽  
Reproductive Risk ◽  
Recessive Type ◽  
The Family ◽  
Clinical Diagnoses

Congenital muscle dystrophies (CMD) are genetically and clinically heterogeneous hereditary myopathies mainly with autosomal recessive type of inheritance. The most common form worldwide is considered to be merosin-deficient muscle dystrophy type 1A, called MDC1A (due to laminin-α2 defects as a result of LAMA2 gene mutation), accounting for 30-40% of total cases of CMD. The exact molecular and clinical diagnoses, respectively, are a prerequisite for the most effective treatment; sometimes orphan drugs exist for some rare diseases. One of such drugs is Tarix, which was FDA approved and announced in 2016 for treatment of MDC1A. Here we present a patient diagnosed postmortem as having early-onset LAMA2-related muscular dystrophy as a result of mutations in LAMA2, identified by Sanger sequencing in his parents: a novel nonsense mutation c.4452T>A in exon 31, identified in the mother, and a known pathogenic nonsense mutation c.2901C>A in exon 21, detected in the father. The truncating nature of both nonsense mutations made the clinical presentation severe and the outcome fatal. Genetic analysis in such cases of muscle dystrophy is of utmost impact, because it makes the correct diagnosis with at least some specific options for treatment, makes the prognosis depending on the severity of mutation discovered, determines reproductive risk, and offers prophylaxis in the family by means of prenatal or preimplantation diagnostics.

scholarly journals Congenital Anomalies of The Ear in Newborns from Lviv Region (west Ukraine) for 2006-2018 YY.

2020 ◽  
Vol 2 (1) ◽  
pp. 01-05
Author(s):  
Kitsera Nataliya
Keyword(s):  
Birth Defects ◽  
Congenital Anomalies ◽  
Correct Diagnosis ◽  
Female Ratio ◽  
Family Doctors ◽  
Maternity Hospitals ◽  
The Family ◽  
The Village ◽  
The City ◽  
Male To Female

Objectives The ear’s congenital anomalies usually occur in the outer, middle or inner ear separately or in combination. We had determined the сongenital ear’s anomalies (CEA) in newborns (2006-2018 yy) in West Ukraine, Lviv region. Methods 14 newborns who were diagnosed according to the reporting form by the maternity hospitals with CEA were analyzed over a period of 13 years.Results During the study period (2006–2018), there were 366 147 births reported, and 8634 newborns with birth defects, 14 were with CEA, an average incidence of 0.4 per 10 000 births. Our study included 10 boys and 4 girls with CEA. Male-to-female ratio was 2.5:1. The number of newborns with ear pathology was 1.8 times higher in the city than in the village. The most common birth defects of the ear were Q16.1 congenital absence, atresia and stricture of auditory canal (external) – 4 (28.6%) and Q16.9 CEA causing impairment of hearing, unspecified – 4 (28.6%), especially the most common of right side. Microtia (Q17.2) was met very rarely -1 (7.1%) and other CEA Q16.9-1 (7.1%). During this period there were only 2 cases of anotia and 1 case of microtia. There was only 1 (7.1%) case of bilateral CEA in boy from town. Just one girl had CEA was associated with birth defect of musculoskeletal system. Conclusion This is necessary to establish the correct diagnosis in time, especially for mind of the family doctors, genetic counseling for relatives family for has benefited earlier prophylaxis.

scholarly journals An unusual case of pemphigus erythematosus

2017 ◽  
Vol 4 (4) ◽  
pp. 14
Author(s):  
Dartri Cahyawari ◽  
Eva K Sutedja ◽  
Unwati Sugiri ◽  
Hendra Gunawan ◽  
Oki Suwarsa
Keyword(s):  
Unusual Case ◽  
Systemic Corticosteroid ◽  
Correct Diagnosis ◽  
Skin Lesions ◽  
Complement C3 ◽  
Direct Immunofluorescence ◽  
Small Plaque ◽  
Pemphigus Erythematosus ◽  
Histopathology Examination ◽  
Careful Assessment

Pemphigus erythematosus is characterized by fragile vesicles or bullae, erosions, crusts, and scales in seborrheic area. There are several forms of atypical lesions such as erythematous papules and plaques, verrucous plaques, pustules, and lichenification. Here, we report an atypical pemphigus erythematosus with erythematous papules, plaques, and pustules skin lesions. A 52-year-old Indonesian man presented with prominent pruritic erythematous macules, papules, plaques on the scalp, trunk, and extremities, and also a pustule for each on the back and right arm. Clinically, the patient was diagnosed as small-plaque parapsoriasis, but histopathology examination on the pustule revealed a subcorneal acantholysis and direct immunofluorescence staining showed immunoglobulin G and complement C3 on the cell surface of keratinocytes. These result suitable for pemphigus erythematosus. The patient was treated with topical and systemic corticosteroid, and there were significant improvements in the skin lesions. Pemphigus erythematosus may present with prominent erythematous papules, plaques, and a few pustules. A careful assessment of the clinical manifestation and histopathological findings enabled us to make a correct diagnosis and succesfully treat the patient.

scholarly journals Phaeochromocytoma presenting with polyuria: an uncommon presentation of a rare tumour

2014 ◽  
Vol 2014 ◽  
Author(s):  
N Atapattu ◽  
K A C P Imalke ◽  
M Madarasinghe ◽  
A Lamahewage ◽  
K S H de Silva
Keyword(s):  
Correct Diagnosis ◽  
List Type ◽  
Rare Tumour ◽  
Uncommon Presentation ◽  
The Family ◽  
History Of ◽  
Associated Conditions ◽  
Complete Physical Examination ◽  
Learning Points

Summary Children rarely present with phaeochromocytoma. Their presentation differs from that of adults. The classic triad of sweating, headache and palpitation may not always present in children with phaeochromocytoma. In this study, we present a 6-year-old girl who came to us with polyuria and polydipsia for evaluation of suspected diabetes insipidus. She gave a clear history of increased sweating in the recent past. On clinical examination, she was noted to have high blood pressure. Subsequent investigations revealed a phaeochromocytoma. Her polyuria and hypertension resolved immediately after the surgery. We did not have the facilities to arrange for genetic tests; however, the patient and the family members are under follow-up for other associated conditions. Learning points Polyuria and polydipsia are rare symptoms of phaeochromocytoma. Complete physical examination prevented unnecessary investigations for polyuria and led to a correct diagnosis. Classic features are not always necessary for diagnostic evaluation of rare diseases.

scholarly journals 672 Isolated pulmonic valve endocarditis. AN unusual case with giant vegetations detected by transthoracic echocardiography

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Vito Maurizio Parato ◽  
Luca Di Geso ◽  
Andrea Giovanni Parato ◽  
Simona Pelliccioni
Keyword(s):  
Pulmonary Embolism ◽  
Transthoracic Echocardiography ◽  
Surgical Planning ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Correct Diagnosis ◽  
Short Review ◽  
Direct Oral Anticoagulant ◽  
Rare Form ◽  
Pulmonic Valve

Abstract Aims Isolated pulmonic valve infective endocarditis (PV-IE) is a rare form of endocarditis. Methods and results The authors report a case of giant vegetations detected by transthoracic echocardiography on pulmonic valve in a 33 year-old patient, with drug abuse history (Figure 1). Patient underwent surgical intervention by pulmonary valved bioconduit implantation. After operation a pulmonary embolism episode was treated by a direct oral anticoagulant. The final outcome was favourable. We report a short review of this rare pathology. Conclusions The difficulty in diagnosing PV-IE is due to inability to properly visualize the pulmonic valve by echocardiography. In this case, with such large vegetations, transthoracic echocardiography (TTE) allowed a correct diagnosis and an effective surgical planning, confirming its importance as diagnostic tool.

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