Jamestown Canyon Virus (JCV) Encephalitis Mimicking Acute Stroke in Michigan: A Case Report and Review of the Literature

2021 ◽  
pp. 194187442110267
Author(s):  
Fnu Rameez ◽  
Meggen Walsh ◽  
Nabil Wees ◽  
Rushna Ali ◽  
Jiangyong Min ◽  
...  
Keyword(s):  
Case Report ◽  
Acute Stroke ◽  
Viral Encephalitis ◽  
Brain Biopsy ◽  
Neurological Deficits ◽  
Review Of The Literature ◽  
Antibody Testing ◽  
Igm Antibodies ◽  
Appropriate Treatment ◽  
Jamestown Canyon Virus

Jamestown canyon virus (JCV) is an arbovirus and is an under-recognized cause of mosquito-borne viral encephalitis. In this report we present a patient who presented with focal neurological deficits. Patient was initially evaluated for stroke. However, leptomeningeal enhancement on MRI and CSF studies were concerning for viral encephalitis. Brain biopsy and CSF sample from surgical site was positive for JCV IgM antibodies. Patients presenting with concern for viral encephalitis in endemic areas should undergo antibody testing for JCV to guide appropriate treatment.

scholarly journals Surgical management of congenital thoracic kyphosis and multilevel bilateral thoracic pedicle aplasia: case report

2019 ◽  
Vol 23 (1) ◽  
pp. 16-21
Author(s):  
Darryl Lau ◽  
Cecilia L. Dalle Ore ◽  
Kenneth W. Martin ◽  
James F. Policy ◽  
Peter P. Sun
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Thoracic Kyphosis ◽  
Neurological Deficits ◽  
Spinal Deformities ◽  
Optimal Management ◽  
Review Of The Literature ◽  
Vertebral Level ◽  
Multiple Levels ◽  
Severe Spinal Deformities

Pedicle aplasia is an uncommon congenital anomaly most frequently involving the absence of a single pedicle at a single vertebral level. Bilateral pedicle aplasia at multiple levels is exceedingly rare and has only been described once previously in the literature. While single-level pedicle aplasia is often asymptomatic and discovered incidentally, pedicle aplasia of multiple levels may produce severe spinal deformities and neurological deficits. Due to the rarity of this condition, optimal management remains uncertain. In this case report, the authors describe the surgical management of a healthy 9-year-old boy who presented with frequent falls, difficulty running, and severe thoracic kyphotic deformity and was found to have bilateral pedicle aplasia from T3 to T9. A review of the literature regarding pedicle aplasia is also presented.

Spontaneous axillary artery aneurysm: a case report and review of the literature

Vascular ◽  
2012 ◽  
Vol 20 (1) ◽  
pp. 46-48 ◽  
Author(s):  
Manmeet K Malik ◽  
Alexander I Kraev ◽  
Ekai K Hsu ◽  
Michael-Hunter C Clement ◽  
Gregg S Landis
Keyword(s):  
Case Report ◽  
Axillary Artery ◽  
Artery Aneurysm ◽  
Neurological Deficits ◽  
Vascular Territory ◽  
Review Of The Literature ◽  
Prompt Treatment ◽  
Vascular Insufficiency ◽  
Surgical Bypass ◽  
Arterial Aneurysms

Degenerative arterial aneurysms can occur in any vascular territory. However, they are exceedingly rare in the axillary artery. Complications of axillary artery aneurysms may result in acute vascular insufficiency and neurological deficits. Prompt treatment should be employed in the management of this condition. We report a case of an atraumatic degenerative axillary artery aneurysm that was treated with transaxillary open surgical bypass.

scholarly journals Mycobacterium Avium Complex Infection as a Rare Cause of Cerebral Mass Lesion and IRIS in a Patient with AIDS: Case Report and Review of the Literature

2021 ◽  
Author(s):  
Courtney Lane-Donovan ◽  
Emma Bainbridge ◽  
John Szumowski ◽  
Andrew D Kerkhoff ◽  
Michael J Peluso
Keyword(s):  
Case Report ◽  
Brain Abscess ◽  
Mycobacterium Avium ◽  
Diagnostic Tool ◽  
Mycobacterium Avium Complex ◽  
Brain Biopsy ◽  
Mass Lesion ◽  
Review Of The Literature ◽  
Clinicopathologic Characteristics ◽  
Brain Abscesses

Abstract A patient with advanced HIV/AIDS presented with a brain abscess. While brain biopsy culture and pathology were unrevealing, universal broad-range PCR (uPCR) demonstrated Mycobacterium avium complex (MAC). We review the clinicopathologic characteristics of MAC brain abscesses and highlight the effectiveness of uPCR as a diagnostic tool in partially-treated infections.

scholarly journals Long-lasting severe knee pain in a SLE patient after renal transplantation: what is the reason? A case report and literature review

2021 ◽  
Author(s):  
Anna Masiak ◽  
Iga Kościńska ◽  
Beata Rutkowska ◽  
Zbigniew Zdrojewski
Keyword(s):  
Kidney Transplantation ◽  
Case Report ◽  
Knee Pain ◽  
Case Reports ◽  
Immunosuppressive Treatment ◽  
The Body ◽  
Review Of The Literature ◽  
Letters To The Editor ◽  
Appropriate Treatment ◽  
The Right

AbstractMusculo-skeletal complaints in a patient suffering from systemic lupus, with co-existing chronic renal failure, undergoing immunosuppressive treatment after kidney transplantation, can have a varied etiology. The aim of this work was to present a case based review of differential diagnosis of knee pain in such a patient. A literature search was carried out using MEDLINE/PubMed, Google Scholar and EBSCO, with no time limit. We undertook a systematic review of the literature published in English, limited to full-text publications of original articles, letters to the editor, and case reports in peer-reviewed journals, for a discussion and analysis of studies reporting arthralgia in patients with lupus after kidney transplantation. We present a case report of a 45-year-old woman with lupus nephritis, after kidney transplantation, who started to complain of increasing pain in the knees, most pronounced at night and after physical activity approximately 2 years after transplantation. Extensive causal diagnostics were carried out, which revealed bilateral extensive regions of bone infarction in the femur and tibia, chondropathy, degenerative changes of medial meniscuses in the body and posterior horn as well as chondromalacia of the patella. Establishing the right diagnosis is crucial for implementing appropriate treatment.

scholarly journals Malakoplakia of the Pancreas with Simultaneous Colon Involvement: Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Surya Guha ◽  
Haiyan Liu
Keyword(s):  
Case Report ◽  
Needle Aspiration ◽  
Review Of The Literature ◽  
Aspiration Cytology ◽  
Treatment Protocols ◽  
Fine Needle ◽  
Image Guided ◽  
Colonic Involvement ◽  
Appropriate Treatment ◽  
Needle Aspiration Cytology

Although malakoplakia has been reported to occur at various body sites, pancreatic malakoplakia with simultaneous colonic involvement is very rare. Lesions of malakoplakia can masquerade as tumor masses leading to unwanted resections. Nevertheless, malakoplakia can occur in association with frank carcinomas, especially in the colon. By reporting a case of pancreatic malakoplakia diagnosed by fine needle aspiration cytology, this paper aims to describe cytologic features of malakoplakia and to further review findings from previous reported cases of pancreatic malakoplakia in the literature. With advances in minimally invasive, image-guided aspiration technologies, cytomorphological analyses can diagnose lesions of malakoplakia. This may help avoid surgeries that would have otherwise been carried out due to a misleading impression of tumor. However challenges remain as to the further management of patients diagnosed with this condition. More studies are necessary to determine the probability of malignancies arising in association with malakoplakia, in order to devise appropriate treatment protocols.

scholarly journals Pseudomigraine with transient neurological deficits and cerebrospinal fluid lymphocytosis or HaNDL syndrome: A case report with confusion and positive IgM antibodies to CMV in serum

Cephalalgia ◽  
2016 ◽  
Vol 37 (1) ◽  
pp. 99-100 ◽  
Author(s):  
Anastasia Verentzioti ◽  
Antonios Tavernarakis ◽  
Margarita Mamali ◽  
Anna Siatouni ◽  
Stylianos Gatzonis
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Neurological Deficits ◽  
Igm Antibodies

scholarly journals Cecal Volvulus: A Rare Cause of Intestinal Obstruction

2020 ◽  
Vol 14 (1) ◽  
pp. 206-211
Author(s):  
Carolina Solis Rojas ◽  
Ramon Vidrio Duarte ◽  
Diego Martín García Vivanco ◽  
Eduardo E. Montalvo-Javé
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Critical Review ◽  
Surgical Intervention ◽  
Right Hemicolectomy ◽  
Cecal Volvulus ◽  
Review Of The Literature ◽  
Appropriate Treatment ◽  
Early Surgical Intervention

Cecal volvulus is a rare cause of intestinal obstruction, with multifactorial etiologies. This is a case report describing a 52-year-old female with a cecal volvulus diagnosis made during the laparotomy procedure, which was treated with a right hemicolectomy with a side-to-side ileotransverse anastomosis. The aim of this report is to emphasize the importance of a diagnosis and appropriate treatment in this rare pathology in abdominal procedures. In this particular case, the patient benefited from an early surgical intervention without further complications, as well as an adequate postoperative evolution; it is important to acknowledge and consider this pathology during differential diagnosis, and not delay the treatment in patients with cecal volvulus. A critical review of the literature is included and discussed.

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