Massive iridoschisis after penetrating keratoplasty successfully managed with nd:Yag punctures: A case report

Background: To describe the successful management of a massive iridoschisis after penetrating keratoplasty for keratoconus, using the nd:YAG punctures. Case presentation: A 73-year-old male patient has undergone four penetrating keratoplasties for keratoconus. Nine months after the last surgery, patient presented with massive iridoschisis involving the visual axis. Patient was successfully treated with nd:YAG laser iridopunctures. Conclusion: Massive iridoschisis could be a potential complication of keratoconus, especially after penetrating keratoplasty. This condition can be potentially treated with nd:YAG iridopunctures.

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Nasopharyngeal hirudiniasis: a hidden culprit—a case report

The Egyptian Journal of Otolaryngology ◽

10.1186/s43163-021-00132-7 ◽

2021 ◽

Vol 37 (1) ◽

Author(s):

Shreya Agarwal ◽

Nimish Gupta

Keyword(s):

Drinking Water ◽

Case Report ◽

Foreign Body ◽

Male Patient ◽

Natural Water ◽

Water Sources ◽

Endoscopic Examination ◽

Rare Occurrence ◽

Safety Measures ◽

Case Presentation

Abstract Background Leech infestation in the nose or nasopharyngeal region is a rare occurrence. The most common known cause is drinking water from natural water sources like ponds and rivers. Its hidden location of attachment in the nasopharynx and its uncommon occurrence make it easy to miss during diagnosis. Case presentation We present a case of a 61-year-old male patient with recurrent unilateral epistaxis without any apparent cause. He was diagnosed with leech infestation in the nasopharynx on endoscopic examination. This article reports the management of nasopharyngeal leech infestation and safety measures for this animate foreign body retrieval. Conclusion A vigilant approach, thorough history, and examination are a must. Though leeches are simple to remove most of the time, certain necessary precaution should be kept in mind for better management and prevention of further complications.

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Successful Management of Cryptococcal Meningitis and Bone Marrow Infiltration in a Young HIV/AIDS Patient: A Case Report and Review of the Literature

Case Reports in Infectious Diseases ◽

10.1155/2019/1613072 ◽

2019 ◽

Vol 2019 ◽

pp. 1-3

Author(s):

Sonika Patel ◽

Marla Jalbut ◽

Kimberly S. Esham ◽

David Stone

Keyword(s):

Bone Marrow ◽

Case Report ◽

Treatment Guidelines ◽

Newly Diagnosed ◽

Review Of The Literature ◽

Successful Management ◽

Related Complication ◽

Case Presentation ◽

Recommended Treatment ◽

Established Treatment

Bone marrow cryptococcosis has been rarely reported in the literature, and there are no established treatment guidelines specific to this AIDS-related complication. The recommended treatment for AIDS-related invasive fungal treatments include amphotericin B and flucytosine which are associated with an array of complications making optimal treatment recommendations difficult. This case presentation represents an example of a patient with newly diagnosed AIDS and bone marrow cryptococcosis, which was successfully managed with an antifungal regimen adjusted to her comorbidities.

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Management of psoriasis with Ayurveda Panchakarma and Manibhadragula as Shodhana Rasayana – a case report

Journal of Complementary and Integrative Medicine ◽

10.1515/jcim-2020-0433 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Chiravila Omanakuttan Pillai Sambhu ◽

Changuli Krishna Bhat Prathibha ◽

Kesavan Parameswaran Namboothiri ◽

Puthanmadom Venkataramana Sharma Anandaraman

Keyword(s):

Case Report ◽

Male Patient ◽

Plaque Psoriasis ◽

Skin Diseases ◽

The Body ◽

Case Presentation ◽

Special Mode ◽

Special Diet ◽

Temporary Relief ◽

Before And After

Abstract Background Plaque Psoriasis is very embarrassing condition of skin as it produces itchy rashes and scaly lesions which may not respond well to the treatment. It can be correlated with Kitibhakushta which is one among the 18 types of Kushta (skin diseases). Several corticosteroids for skin applications are used now a day’s which gives only temporary relief. Case presentation A 36 years old moderate built male patient complains of blackish skin rashes with itching, pain and scaling all over the body for three months. Based on the symptoms, Dosha (Biological humors) involved were assessed as Kapha (binding factors) and Vata (vital force of life) and suggestive of Kitibhakushta. Diagnosis of the Plaque psoriasis was further confirmed by biopsy. Classical Kushta treatment was adopted here. As Poorvakarma (pre-operative procedures), Rukshana (Dehydrating therapy) was done and then Snehapana (intake of medicated ghee) was administered. Then classical Vamana (emetic therapy) and Virechana (purgative therapy) were performed. This took almost one month. After Samsarjana (special diet) patient was administered Manibhadragula as Shodhana Rasayana for a period of one month. Results At the end of Manibhadragula intake, remarkable changes were observed in all the symptoms. There were significant changes seen in PASI, DLQI and photographs taken before and after treatment. Conclusions Here the special mode of administration of Manibhadragula as mentioned in Ashtanga Hridaya helps for Shodhana and the Shodhana itself has Rasayana action. Drugs also have Rasayana property. This made the authors to propose a new concept called Shodhana Rasayana. Classical treatment by considering the condition of Roga (disease) and Rogi (patient) helps for management of Kushta.

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Clonazepam-induced lichenoid drug eruption: a case report

BMC Psychiatry ◽

10.1186/s12888-021-03132-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Hee Won Yang ◽

Jong Bin Bae ◽

Jung-Im Na ◽

Ki Woong Kim

Keyword(s):

Case Report ◽

Adverse Effects ◽

Skin Eruption ◽

Lichen Planus ◽

Corticosteroid Therapy ◽

Male Patient ◽

Drug Eruption ◽

Case Presentation ◽

Cutaneous Eruption ◽

Lichenoid Eruption

Abstract Background Lichenoid drug eruption is rare and can mimic idiopathic lichen planus and other dermatoses. Clonazepam, a commonly used drug for the treatment of anxiety-related disorders and seizures, is known to be an unlikely cause of cutaneous adverse effects. Only one case report of LDE due to clonazepam has been reported. Case presentation A 81-year-old male patient with Alzheimer’s disease developed a lichenoid eruption after taking clonazepam. He developed a violaceous scaly patch on his lower extremities, from both buttocks to the feet. The cutaneous eruption resolved 2 months after cessation of clonazepam and with initiation of corticosteroid therapy. Conclusion A skin eruption that develops after clonazepam administration can be a lichenoid drug eruption, which is less likely to resolve spontaneously and requires discontinuation of clonazepam administration.

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Propofol-Remifentanil Combination for Management of Electroconvulsive Therapy in a Patient with Neuroleptic Malignant Syndrome

Case Reports in Medicine ◽

10.1155/2012/585713 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3

Author(s):

Modabber Arasteh ◽

Shoaleh Shami ◽

Karim Nasseri

Keyword(s):

Case Report ◽

Neuroleptic Malignant Syndrome ◽

Male Patient ◽

Electroconvulsive Therapy ◽

Muscle Relaxant ◽

Treatment Resistant ◽

Successful Management ◽

Therapy Sessions

Electroconvulsive therapy can be effective in severe or treatment resistant neuroleptic malignant syndrome patients. Anesthesia and use of muscle relaxant agents for electroconvulsive therapy in such patients may encounter anesthesiologists with specific challenges. This case report describes successful management of anesthesia in 28-year-old male patient undergoing eight electroconvulsive therapy sessions for treatment of neuroleptic malignant syndrome.

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Ileo-colonic tubular duplication with distal sigmoid colon stenosis in a neonate: A case report

Journal of Neonatal Surgery ◽

10.47338/jns.v9.535 ◽

2020 ◽

Vol 9 ◽

pp. 11

Author(s):

Raghunath BV ◽

Veerabhadra Radhakrishnan ◽

Varsha Jinnenahalli Srinivas ◽

Janaki Raghavan ◽

Prasad Nagadevanahalli Ashokkumar ◽

...

Keyword(s):

Case Report ◽

Intestinal Obstruction ◽

Alimentary Tract ◽

Duplication Cyst ◽

Successful Management ◽

Case Presentation ◽

Novel Technique ◽

Management Challenge ◽

Distal Sigmoid ◽

Colon Stenosis

Background: Though the duplication cysts presenting with intestinal obstruction are not uncommon in neonates, tubular duplications may pose a significant diagnostic and management challenge. Case Presentation: We present the successful management of a neonate presenting with intestinal obstruction. The diagnosis of ileocolonic tubular duplication cyst was made intra-operatively. The cyst was managed with a novel technique. Conclusion: Tubular duplications of the alimentary tract rarely encounter in neonates. The surgeons should improvise the surgical technique to manage such anomalies.

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A case report of intestinal obstruction caused by cryptogenic multifocal ulcerous stenosing enteritis

BMC Gastroenterology ◽

10.1186/s12876-020-01450-5 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Cheng Chang ◽

Chen Jiang ◽

Yaoyao Miao ◽

Bin Fang ◽

Lili Zhang

Keyword(s):

Small Intestine ◽

Case Report ◽

Surgical Treatment ◽

Intestinal Obstruction ◽

Rare Disease ◽

Male Patient ◽

Unknown Origin ◽

Case Presentation ◽

The Future

Abstract Background Cryptogenic multifocal ulcer stenosing enteritis (CMUSE) is a rare disease characterized by multiple superficial ulcers, stenosis, and obstruction of the small intestine of unknown origin, and the course can recur. Case presentation We encountered a 62-year-old male patient with intestinal obstruction. The patient was admitted to the hospital for surgical treatment due to intestinal obstruction, and was diagnosed with cryptogenic multifocal ulcer stenosis enteritis due to comprehensive surgery and postoperative pathological considerations. Conclusion In the future, we will continue to follow up the patient. The present study aims to remind clinicians of this disease, and reduce the incidence of misdiagnosis.

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ORAL PYOGENIC GRANULOMA: A CASE REPORT

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1703748 ◽

2014 ◽

Vol 04 (01) ◽

pp. 123-125

Author(s):

Swati Kejriwal ◽

Rahul Bhandary ◽

Biju Thomas

Keyword(s):

Case Report ◽

Oral Cavity ◽

Clinical Features ◽

Oral Mucosa ◽

Male Patient ◽

High Frequency ◽

Pyogenic Granuloma ◽

Successful Management ◽

Histopathologic Features

Abstract:Pyogenic granuloma is an inflammatory hyperplasia affecting the oral tissues. It is a tumour-like growth of the oral cavity, which usually arises in response to nonspecific infection. Because of the high frequency of pyogenic granuloma in the oral cavity, this case report describes a pyogenic granuloma in a 59-year-old male patient, discussing the clinical features and histopathologic features that distinguish this lesion from other similar oral mucosa lesions and also the successful management of the lesion.

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