Spontaneous muscle hematoma in older patients with COVID-19: two case reports and literature review

Abstract Background In late December 2019, a cluster of pneumonia cases due to a novel betacoronavirus, SARS-CoV-2 was reported in China. The so-called COVID 19 is responsible not only for respiratory symptoms, from mild up to pneumonia and even acute respiratory distress syndrome, but also for extrapulmonary involvement. Cases presentation Here we present two cases of spontaneous muscle hematoma in patients with SARS-CoV-2 infection, both on therapeutic LMWH for atrial fibrillation: the first one was an 86-year-old Caucasian female with a history of hypertensive cardiomyopathy and the second one was an 81-year-old Caucasian male with a history of hypertension, diabetes and ischemic heart disease. Blood tests revealed a considerable drop of hemoglobin and alterations of coagulation system. In both cases, embolization of femoral artery was performed. A few other cases of bleeding manifestations are reported in literature, while a lot has been published about the hypercoagulability related to COVID-19. Conclusions Our reports and literature review highlight the need of active surveillance for possible hemorrhagic complications in patients with SARS-CoV-2 infection.

Download Full-text

Poorly Differentiated Ovarian Sertoli-Leydig Cell Tumor in a 16-Year-Old Single Woman: A Case Report and Literature Review

Case Reports in Obstetrics and Gynecology ◽

10.1155/2013/858501 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

Ahmed Abu-Zaid ◽

Ayman Azzam ◽

Lama Abdulhamid Alghuneim ◽

Mona Tarek Metawee ◽

Tarek Amin ◽

...

Keyword(s):

Literature Review ◽

Leydig Cell ◽

Ovarian Neoplasms ◽

Case Reports ◽

Leydig Cell Tumor ◽

Cell Tumor ◽

Single Woman ◽

History Of ◽

Poorly Differentiated ◽

Sex Cord Stromal Tumors

Sertoli-Leydig cell tumor (SLCT) of ovary is an exceedingly unusual neoplasm that belongs to a group of sex cord-stromal tumors of ovary and accounts for less than 0.5% of all primary ovarian neoplasms. Very few case reports have been documented in the literature so far. Herein, we report a case of primary poorly differentiated ovarian Sertoli-Leydig cell tumor (SLCT) involving the left ovary in a 16-year-old single woman who presented with a 3-month history of a pelviabdominal mass, acne, hirsutism, and menstrual irregularities. In addition, a literature review on ovarian SLCTs is provided.

Download Full-text

Acute Respiratory Distress Syndrome and Feculent Airway Casts due to Severe Constipation

10.22541/au.162458123.33418948/v1 ◽

2021 ◽

Author(s):

Eric Mull ◽

Brooke Gustafson ◽

Brent Adler ◽

Katelyn Krivchenia

Keyword(s):

Differential Diagnosis ◽

Acute Respiratory Distress Syndrome ◽

Abdominal Pain ◽

Respiratory Failure ◽

Respiratory Distress Syndrome ◽

Respiratory Distress ◽

Distress Syndrome ◽

Case Reports ◽

Severe Constipation ◽

History Of

Acute respiratory distress syndrome (ARDS) is a disabling and potentially lethal syndrome requiring prompt recognition and urgent interventions to prevent morbidity and mortality[1]. Although constipation is not generally recognized as a cause for ARDS or usually listed within the differential diagnosis, there have been case reports describing such an association[2,3]. We present the case of a patient with history of intermittent constipation presenting with progressive abdominal pain and an acute abdomen that required emergent surgical fecal decompaction. This was followed by hypoxemic respiratory distress leading to respiratory failure in the setting of severe constipation and aspirated feculent material. To our knowledge, this is the first published case report describing aspirated feculent material in a child with respiratory failure due to ARDS.

Download Full-text

Spontaneous rupture of the uterus following salpingectomy: a case report and literature review

Journal of International Medical Research ◽

10.1177/0300060519874903 ◽

2019 ◽

Vol 47 (10) ◽

pp. 5328-5336

Author(s):

Zhifen Hua ◽

Minjun Wu

Keyword(s):

Literature Review ◽

Case Reports ◽

Third Trimester ◽

Interstitial Pregnancy ◽

Spontaneous Uterine Rupture ◽

Close Observation ◽

History Of ◽

Laparoscopic Salpingectomy ◽

Timely Treatment ◽

Better Than

Laparoscopic salpingectomy (LPSC) is the main treatment for ectopic pregnancy, which leads to spontaneous uterine rupture (UR) during pregnancy. We report the characteristics of a woman who had spontaneous UR during pregnancy with a history of salpingectomy. We experienced a 31-year-old woman with a UR in pregnancy with a history of LPSC twice. The patient had a successful pregnancy. We also performed a literature review including cases with spontaneous UR after LPSC. Twenty-seven case reports of 48 women were included in our review. Thirty-five (83.33%, 35/42) women previously received LPSC and 15 (31.25%) developed interstitial pregnancies. The interval between pregnancy and the last surgery did not affect the frequency of interstitial pregnancy and gestational age. Fetal outcomes in patients with UR at the third trimester were better than those at the first and second trimesters. We suggest that close observation and timely treatment by experienced clinicians lead to good outcomes of pregnant women with suspected UR.

Download Full-text

Hemifacial Spasm as a Rare Clinical Presentation of Idiopathic Intracranial Hypertension: Case Report and Literature Review

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489420920319 ◽

2020 ◽

Vol 129 (8) ◽

pp. 829-832 ◽

Cited By ~ 1

Author(s):

Charles B. Poff ◽

Noga Lipschitz ◽

Gavriel D. Kohlberg ◽

Joseph T. Breen ◽

Ravi N. Samy

Keyword(s):

Case Report ◽

Literature Review ◽

Intracranial Hypertension ◽

Hemifacial Spasm ◽

Idiopathic Intracranial Hypertension ◽

Case Reports ◽

English Literature ◽

Anterior Inferior Cerebellar Artery ◽

First Report ◽

History Of

Objectives: To report a rare case of idiopathic intracranial hypertension (IIH) presenting with hemifacial spasm (HFS) and review the current literature. Methods: Case report and literature review. The patient’s medical record was reviewed for demographic and clinical data. For literature review, all case reports or other publications published in English literature were identified using PUBMED. Results: A 43-year-old obese female presented with a 2-year history of left HFS. Electroencephalography and head computed tomography were unremarkable. Magnetic resonance imaging demonstrated bilateral anterior inferior cerebellar artery vascular loops involving the internal auditory canals as well as IIH-associated findings. A lumbar puncture was performed and revealed an elevated opening pressure of 26 cm H20 cerebrospinal fluid. Acetazolamide treatment was then initiated, resulting in complete resolution of the HFS. Conclusion: HFS may be a rare presenting manifestation of IIH, and treatment of IIH may result in improvement of HFS symptoms. This is the first report of IIH presenting with HFS in the absence of headache or visual change. As a result, this is the first report of HFS as a presenting manifestation of IIH in Otolaryngology literature.

Download Full-text

Diagnosing Bird Fancier's Disease in Children

PEDIATRICS ◽

10.1542/peds.85.5.848 ◽

1990 ◽

Vol 85 (5) ◽

pp. 848-852

Author(s):

WILLIAM F. H. YEE ◽

ROBERT G. CASTILE ◽

AMIEL COOPER ◽

MARY ROBERTS ◽

ROY PATTERSON

Keyword(s):

Weight Loss ◽

Environmental History ◽

Respiratory Symptoms ◽

Hypersensitivity Pneumonitis ◽

Case Reports ◽

Low Grade ◽

Poor Appetite ◽

The Family ◽

History Of ◽

Respiratory Complaints

Bird fancier's disease is a form of hypersensitivity pneumonitis resulting from inhalation of various avian proteins. It is rarely diagnosed in childhood but should be considered in any child with persistent unexplained respiratory symptoms.1,2 We describe two patients referred to our pulmonary clinic with nonspecific respiratory complaints, in whom the diagnosis of avian protein-related hypersensitivity pneumonitis was initially not confirmed by serologic studies. CASE REPORTS Patient 1 An 11-year-old boy was admitted to the hospital with a 1-year history of a mild nonproductive cough, poor appetite, weight loss, malaise, and an intermittent low-grade fever. According to an environmental history, the boy's father had been breeding pigeons, canaries, and parakeets in the family yard for years.

Download Full-text

Perioperative latex hypersensitivity reactions: an integrative literature review

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692012000200026 ◽

2012 ◽

Vol 20 (2) ◽

pp. 411-420 ◽

Cited By ~ 6

Author(s):

Aline Nair Biaggio Mota ◽

Ruth Natalia Teresa Turrini

Keyword(s):

Literature Review ◽

Case Reports ◽

Primary Source ◽

Allergic Reactions ◽

Hypersensitivity Reactions ◽

Anesthetic Induction ◽

Prevalence Studies ◽

Latex Gloves ◽

Anesthetic Drugs ◽

History Of

This article characterizes hypersensitivity reactions during anesthetic-surgical procedures. This integrative literature review was conducted in the LILACS, CINAHL, COCHRANE and MEDLINE databases including papers published from 1966 to September 2011. A total of 17 case reports, two prevalence studies and one cohort study were identified. Latex reactions were mainly type III and the primary source of intraoperative reaction was latex gloves. The average time for clinical manifestation was 59.8 minutes after anesthetic induction; 44.4% of patients reported a reaction to latex at the pre-anesthetic evaluation. It was determined that the history of allergic reactions to latex obtained in the pre-anesthetic evaluation does not ensure the safety of patients if the staff is inattentive to the severity of the issue. There is also a tendency to initially attribute the anaphylactic event to the anesthetic drugs.

Download Full-text

Mature (Benign) Cystic Retroperitoneal Teratoma Involving the Left Adrenal Gland in a 22-Year-Old Male: A Case Report and Literature Review

Case Reports in Oncological Medicine ◽

10.1155/2013/610280 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 4

Author(s):

Adnan Bhatti ◽

Hindi Al-Hindi ◽

Ayman Azzam ◽

Tarek Amin ◽

Ahmed Abu-Zaid

Keyword(s):

Literature Review ◽

Adrenal Gland ◽

Adrenal Glands ◽

Case Reports ◽

Healthy Male ◽

Left Adrenal Gland ◽

Retroperitoneal Teratoma ◽

History Of ◽

Left Flank Pain ◽

Primary Retroperitoneal

Primary retroperitoneal teratomas involving adrenal glands are exceedingly uncommon accounting for only 4% of all primary teratomas. They are more common in childhood and rarely occur in adults. Only a very few case reports have been documented in literature so far. Herein, we report a mature (benign) cystic retroperitoneal teratoma in the region of left adrenal gland in a 22-year-old otherwise healthy male patient who presented with a 1-month history of left flank pain. In addition, a literature review on teratomas is included.

Download Full-text

A Rare Case of Bilateral Patellar Tendon Ruptures: A Case Report and Literature Review

Case Reports in Orthopedics ◽

10.1155/2016/6912968 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Nadim Tarazi ◽

Padhraig O’loughlin ◽

Amin Amin ◽

Peter Keogh

Keyword(s):

Literature Review ◽

Patellar Tendon ◽

Tendon Rupture ◽

Primary Repair ◽

Case Reports ◽

Systemic Disease ◽

Minimal Trauma ◽

History Of ◽

Tendon Ruptures ◽

Early Primary

Bilateral patellar tendon ruptures are rare. The majority of case reports describing bilateral patellar tendon ruptures have occurred in patients with predisposing factors to tendinopathy. We describe a case of bilateral patellar tendon rupture sustained following minimal trauma by a patient with no systemic disease or history of steroid use. Due to the rarity of this injury, clinical suspicion is low. It is reported that 38% of patellar tendon ruptures are misdiagnosed initially. Therefore careful history taking and physical examination is integral in ensuring a diagnosis is achieved for early primary repair. We discuss the aetiology of spontaneous tendon rupture and report a literature review of bilateral patellar tendon ruptures.

Download Full-text

A huge haemorrhagic suprarenal pseudocyst: an unusual presentation of a rare condition

BMJ Case Reports ◽

10.1136/bcr-2020-235158 ◽

2021 ◽

Vol 14 (2) ◽

pp. e235158

Author(s):

Adekunle A Olowu ◽

Adel Abbas Alzehairy

Keyword(s):

Case Report ◽

Literature Review ◽

Incidental Findings ◽

Respiratory Symptoms ◽

Rare Condition ◽

Shortness Of Breath ◽

Primary Healthcare Centre ◽

History Of ◽

Intraperitoneal Bleeding ◽

Endocrine Symptoms

Haemorrhagic suprarenal pseudocysts are very rare and are often incidental findings at surgery or autopsy, though they can sometimes present with predominantly gastrointestinal or endocrine symptoms, including intraperitoneal bleeding or sepsis. Our case report is of a 48-year-old man who presented at our primary healthcare centre with 2-month history of predominantly respiratory symptoms of cough and shortness of breath. CT scan revealed a suprarenal cyst measuring 14.2×13.5×13.1 cm for which he was operated and made a full recovery. A detailed literature review reveals that there has never been a case of a haemorrhagic suprarenal pseudocyst presenting with predominantly respiratory symptoms, which is why we decided to document this case report.

Download Full-text

Clinical Characteristics And Outcomes of 16 Cases With COVID19 and Mucormycosis: Experience From A Tertiary Care Center In India and Review of Literature

10.21203/rs.3.rs-533347/v1 ◽

2021 ◽

Author(s):

Saurav Sekhar Paul ◽

Rohit Kumar ◽

Ved Prakash Meena ◽

Aishwarya Ramprasad ◽

Prerna Garg ◽

...

Keyword(s):

Literature Review ◽

Clinical Characteristics ◽

Case Reports ◽

Care Center ◽

Tertiary Care ◽

Review Of Literature ◽

Rt Pcr ◽

Tertiary Centre ◽

History Of ◽

Eleven Case

Abstract Background-The sharp uptick in the cases of mucormycosis in the background of the COVID19 pandemic is a cause of concern and the reasons and it’s impact remains to be seen. We studied the clinical characteristics in patients with mucormycosis and COVID19 co-infection and performed a literature review.Methods-This retrospective study was conducted at tertiary centre in India. All patients admitted with COVID19 and mucormycosis were included, clinical details were obtained from hospital records. We did review of literatures using the terms “SARS-CoV2” OR “COVID19” AND “Mucormycosis” AND “co-infection” on Pubmed published before February 20, 2021.Results-Sixteen cases (M:F–13:3), mean age 46·5 years (24-75years), were included. Fourteen had known risk factors for mucormycosis, the most common being diabetes mellitus. Most patients (n=14) were symptomatic with mucormycosis before diagnosis of COVID19. There was delay in surgery by 22.5 days (IQR–>17.75–29.5), pending SARS-CoV-2 RT-PCR negativity. There were six deaths in this cohort, unrelated to the COVID19 severity. The literature review revealed eleven case reports on co-infection. Patients who had developed mucormycosis were found to have history of mechanical ventilation.Conclusion-The apparent increase in the incidence of mucormycosis may be due to decompensation of underlying comorbidities (decreased access to healthcare), and increased use of immunosuppressants in COVID19. Patients with co-infection were noted to have poorer outcomes.

Download Full-text