scholarly journals Eumycetoma Osteomyelitis Calcaneus in Adolescent; report of case and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ammar Awad ◽  
Adnan Alnaser ◽  
Hozifa Abd-elmaged ◽  
Reyad Abdallah ◽  
Hussam S. Khougali
Keyword(s):  
Initial Assessment ◽  
Ankle Pain ◽  
Incision And Drainage ◽  
Case Presentation ◽  
X Ray ◽  
Important Differential Diagnosis ◽  
Adolescent Report ◽  
Culture And Sensitivity ◽  
Aggressive Debridement

Abstract Background Mycetoma is the most common neglected disease in humans. It is a chronic, progressive, and destructive disease primarily caused by fungi or bacteria characterized by formation of dark pale grains commonly involve skin, soft tissue and rarely bone. Case presentation A 19 year old male patient with chronic right ankle pain, swelling and abscess formation for more than 1 year, patient was treated repeatedly with incision and drainage without any success. No X-ray, biopsy or swab for culture and sensitivity had been considered through the course of presentation. Patient was referred to Omdurman hospital where osteomyelitis secondary euomycetoma infection has been confirmed based on radiological and pathological assessment. Patient was treated surgically with aggressive debridement and bone curettage plus postoperative Itraconazole for 1 year. Conclusion Clinicians must consider osteomyelitis as important differential diagnosis during initial assessment Eumycetoma infection in adults. Aggressive bone curettage followed by regular X-ray follow up can be limb saving procedure in such cases.

scholarly journals Eumycetoma Osteomyelitis Calcaneus in Adolescent; Report of Case and Review in Literature.

2021 ◽  
Author(s):  
Ammar Alwad ◽  
Adnan Alnaser ◽  
Hozifa Abdelmaged ◽  
Reyad Abdallah ◽  
Hussam S Khougali
Keyword(s):  
Soft Tissues ◽  
Poor Response ◽  
Response To Treatment ◽  
Internal Organs ◽  
Case Presentation ◽  
X Ray ◽  
Adolescent Report ◽  
Deep Mycosis ◽  
Aggressive Debridement

Abstract Background: Mycetoma is the most common deep mycosis in humans. It is a chronic, progressive, and destructive disease primarily caused by actinomycetes (98%). It involves the skin, soft tissues and occasionally bone, central nervous system as well as internal organs, and characterized by formation of black grains and poor response to treatment. Case presentation: We present a case report about 19 year old male patient with annoying Right ankle pain and swelling for more than 1 year. Diagnosed initially as abscess and drainage was done 8 months ago without any improvement. No X-ray, biopsy or swab for culture and sensitivity done at time of first presentation. On his current presentation at Omdurman hospital mycetoma foot with osteomyelitis was diagnosed based on radiological and pathological assessment. Patient treated with aggressive debridement and bone curettage plus postoperative Itraconazole for 1 year. Conclusion: Surgical Debridement with aggressive bone curettage followed by regular follow up and X-ray can improve the prognosis and achieve good surgical outcome with very low risk of recurrence.

scholarly journals Incidental Findings of Brugada Syndrome Type-1 and Epsilon-Like Pattern in Otherwise Healthy Man: a Case Report

2022 ◽  
Author(s):  
Brian Mendel ◽  
Valerie Dirjayanto ◽  
Radityo Prakoso ◽  
Sisca Siagian
Keyword(s):  
Brugada Syndrome ◽  
Unknown Origin ◽  
Initial Assessment ◽  
Structural Abnormality ◽  
Bundle Branch Block ◽  
Case Presentation ◽  
Electrophysiology Study ◽  
Esc Guidelines

Abstract Background: Brugada Syndrome (BrS) and arrhythmogenic right ventricle dysplasia (ARVD) are rare cardiomyopathies predisposing to sudden cardiac death (SCD). Comprehending the electrocardiographic features of these cardiomyopathies are crucial especially in emergency settings.Case presentation: A 25-year old medical student presented with no complaints, but had episodes of syncope, chest pain, and palpitations of unknown origin 10 years ago. The initial assessment showed stable hemodynamics. During examination, the ECG demonstrated incomplete right bundle branch block, Brugada-type 1 pattern, with signs of Epsilon wave. The following year, assessment of the ECG was repeated and findings were found suggestive of Brugada syndrome, although his echocardiography showed no structural abnormality. According to ESC guidelines, asymptomatic Brugada patients should undergo electrophysiology study.Conclusion: Careful follow-up with electrophysiology study is recommended for this patient in order to identify the likelihood of true Brugada and suitability for radiofrequency ablation or implantation of implantable cardioverter defibrillator (ICD).

scholarly journals Ipsilateral Radial Head Dislocation And Proximal One-Third Radial Shaft Fracture In An Adult: A Case Report

2018 ◽  
Vol 12 (1) ◽  
pp. 189-195 ◽  
Author(s):  
Jagdeep Singh ◽  
Anoop Kalia ◽  
Anshul Dahuja
Keyword(s):  
Functional Outcome ◽  
Radial Head ◽  
Shaft Fracture ◽  
Radial Head Dislocation ◽  
Rare Injury ◽  
Case Presentation ◽  
X Ray ◽  
Good Functional Outcome ◽  
Traumatic Dislocation

Introduction: Dislocation of the radial head in adults is quite uncommon. A simultaneous dislocation of the radial head with a fracture of ipsilateral shaft radius without any other associated injury is even rare. Case Presentation: We are reporting a case of a young adult male who was operated for proximal one-third radial shaft fracture at some peripheral centre by Open Reduction and Internal Fixation (ORIF), but came to our centre on the fourth post-operative day with complaints of painful restricted movements of the elbow joint. On careful look at the postoperative x-ray, radial head was found to be dislocated. Radial head dislocation was reduced under general anesthesia and at 2 years follow up, patient fracture has fully united having good functional outcome. Conclusion: Traumatic dislocation of radial head with ipsilateral fracture shaft radius is a rare injury in adults and it is very important to timely diagnose it and manage it appropriately in order to give good functional outcome to the patient.

scholarly journals Recurrent spontaneous pneumothoraces and vaping in an 18-year-old man: a case report and review of the literature

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Alex Bonilla ◽  
Alexander J. Blair ◽  
Suliman M. Alamro ◽  
Rebecca A. Ward ◽  
Michael B. Feldman ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Electronic Cigarettes ◽  
Diagnostic Testing ◽  
Cigarette Use ◽  
Case Presentation ◽  
X Ray ◽  
History Of ◽  
Chest X Ray ◽  
Tomography Scan

Abstract Background Primary spontaneous pneumothorax is a common disorder occurring in young adults without underlying lung disease. Although tobacco smoking is a well-documented risk factor for spontaneous pneumothorax, an association between electronic cigarette use (that is, vaping) and spontaneous pneumothorax has not been noted. We report a case of spontaneous pneumothoraces correlated with vaping. Case presentation An 18-year-old Caucasian man presented twice with recurrent right-sided spontaneous pneumothoraces within 2 weeks. He reported a history of vaping just prior to both episodes. Diagnostic testing was notable for a right-sided spontaneous pneumothorax on chest X-ray and computed tomography scan. His symptoms improved following insertion of a chest tube and drainage of air on each occasion. In the 2-week follow-up visit for the recurrent episode, he was asymptomatic and reported that he was no longer using electronic cigarettes. Conclusions Providers and patients should be aware of the potential risk of spontaneous pneumothorax associated with electronic cigarettes.

scholarly journals An Unusual Histology for a Lung Nodule: A Case Report of Primary Pulmonary Paraganglioma

2021 ◽  
Vol 8 ◽  
Author(s):  
Alessandra Mazzucco ◽  
Eleonora Poirè ◽  
Andrea Leporati ◽  
Matteo Chiari ◽  
Laura Moneghini ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Histopathological Examination ◽  
Incidental Finding ◽  
Lung Nodule ◽  
Pulmonary Tissue ◽  
Case Presentation ◽  
X Ray ◽  
Asymptomatic Patients ◽  
Chest X Ray

Introduction: Primary pulmonary paraganglioma is a rare tumor with few cases reported in literature and unspecific clinical presentation.Case Presentation: A 49-year-old woman presented to our department with an incidental finding of a pulmonary mass at chest X-ray and no associated clinical symptom. The CT scan and the FDG-PET showed mild uptake of contrast, but a definitive diagnosis was only possible after surgery through histopathological examination.Conclusion: Paragangliomas originating in the pulmonary tissue are generally non-functioning masses discovered incidentally in otherwise asymptomatic patients. Surgery appears to be the best treatment option, with only radiologic follow-up necessary afterwards.

scholarly journals Are High Doses of Corticosteroids Protective in COVID-19 Patient With Panhypopituitarism?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A574-A574
Author(s):  
Tina Ticinovic Kurir ◽  
Maja Mizdrak ◽  
Mladen Krnić
Keyword(s):  
Clinical Course ◽  
Protective Role ◽  
Pathophysiological Mechanism ◽  
Oxygen Supplementation ◽  
Case Presentation ◽  
X Ray ◽  
High Doses ◽  
Endothelium Damage ◽  
The Right

Abstract Introduction: Clinical course of COVID-19 infection is diverse and the best therapeutical guidelines are still lacking. Case Presentation: We present a case of 73 year old male COVID-19 positive patient. In 2017 transnasal hypophysectomy was performed due to prolactinoma. He receives therapy (hydrocortisone 20 + 10 mg/day, levothyroxine 75/50 µg/day, bromocriptine 2.5 mg twice/day). He suffers also from arterial hypertension. Present illness started with intensive dry cough, fever (37.5◦C), diarrhoea and loss of smell. On the first day patient was febrile up to 38.4◦C and later afebrile. Laboratory parameters showed abnormalities in several parameters: D-dimers 13.45 (RR:< 0.50) mg/L, creatinine 110 (49-90) µmol/L, ALT 73 (12-28) U/L, LDH 531 (25-241) U/L, creatine kinase 549 (<177) U/L, GGT 277 (9-35) U/L, CRP 38 (<5 mg/L), sedimentation rate 40 (5-28) mm/3.6ks, procalcitonine 0.07 (<0.05) ng/ml, sodium 128 (137-146) mmol/L, hs-TroponinT 18 (< 14) ng/L, neutrophils 8.56 (2.06-6.49 x109/L), lymphocytes 0.52 (1.19-3.35 x109/L) and pO2 6.1 (11.0-14.4) kPa. At the admission X-ray showed normal presentation, while four days later on the right side pneumonia was noticed as spotty inhomogeneous shading. He was treated with azithromycin, hydrocortisone (50 mg twice/day) and oxygen supplementation. At the beginning of hospitalization he was addicted to O2 10-12 L/min. After 22 days of hospitalization he was discharged without any symptom but with still positive SARS-CoV2 swabs. After a 30 days of follow-up, his swabs are now negative with no laboratory abnormalities. In the meantime, his two brothers, born in 1945 and 1940 died due to COVID-19 infection. They did not receive substitutional corticosteroid therapy. Conclusion: The main pathophysiological mechanism of infection is explained by cytokine storm. Hypercytokinemia causes myelosuppression and vascular endothelium damage. Corticosteroids are potent anti-inflammatory agents. High-doses of corticosteroids might beneficially modulate the host immune response to SARS-CoV2 virus and have protective role in this patient.

scholarly journals Inflammatory cap polyp of the sigmoid colon: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Narendra Pandit ◽  
Tek Narayan Yadav ◽  
Mona Dahal ◽  
Laligen Awale ◽  
Shailesh Adhikary
Keyword(s):  
Sigmoid Colon ◽  
Left Colon ◽  
Inflammatory Polyp ◽  
Case Presentation ◽  
Important Differential Diagnosis ◽  
History Of ◽  
Bleeding Per Rectum ◽  
Resection And Anastomosis ◽  
Partial Intestinal Obstruction

Abstract Background Inflammatory cap polyp is a very rare benign entity of the distal left colon, characterized by inflammatory polyp with a “cap” of fibrinopurulent exudates. They are usually multiple and commonly present with bleeding per rectum or mucoid discharge. Solitary polyp presenting with intermittent intussusceptions is rare. Case presentation We report the case of a 45-year-old Nepalese male with a solitary inflammatory sigmoid colon polyp. The patient presented with a 1-month history of rectal bleeding, mucoid discharge, and severe colicky abdominal pain due to intussusceptions. On colonoscopy, there was an exophytic mass with surface exudates. Colonic resection and anastomosis were performed, due to recurring partial intestinal obstruction. At a 6-month follow-up, the patient was asymptomatic. Conclusion Inflammatory cap polyp is a benign entity, and it should be kept in mind as an important differential diagnosis of exophytic colonic mass with surface exudates.

scholarly journals Adamantinoma Arising in the Distal End of the Fibula

Rare Tumors ◽  
2016 ◽  
Vol 9 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Shinichirou Yoshida ◽  
Takashi Murakami ◽  
Kentarou Suzuki ◽  
Shigemi Itou ◽  
Munenori Watanuki ◽  
...  
Keyword(s):  
Bone Tumor ◽  
Good Prognosis ◽  
Wide Resection ◽  
Low Grade ◽  
Malignant Bone Tumor ◽  
Ankle Pain ◽  
Open Biopsy ◽  
En Bloc ◽  
X Ray

Adamantinoma is a rare, low-grade, malignant bone tumor. It frequently occurs in the tibia but rarely arise in the distal end of the fibula. This study reported a case of adamantinoma arising in the distal end of the fibula, resulting in good prognosis. A 38-year old female felt left ankle pain, and was suspected as having a bone tumor at the distal end of the fibula by X-ray. She was diagnosed as the classical adamantinoma of the fibula by open biopsy. En bloc wide resection of the tumor, primary arthrodesis of the ankle was performed. During the follow-up period of 7 years after the surgery, she has lived without any metastasis and local recurrence. A wide resection and arthrodesis of the ankle joint can provide a good outcome for adamantinoma arising in the end of the fibula.

scholarly journals Successfully managed bilateral pneumothorax and subcutaneous emphysema after emergency open surgical tracheotomy

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Fulya Yilmaz
Keyword(s):  
Subcutaneous Emphysema ◽  
Mechanical Ventilator ◽  
Bilateral Pneumothorax ◽  
Case Presentation ◽  
X Ray ◽  
Surgical Tracheotomy ◽  
Chest X Ray ◽  
The Mind ◽  
Emergency Tracheotomy

Abstract Background The most common complications we encountered in tracheotomies are hemorrhage, pneumothorax, and tube displacement. In this case report, we describe bilateral pneumothorax following an emergency tracheotomy. Case presentation A 57-year-old woman, who was diagnosed with laryngeal carcinoma, was developed sudden respiratory distress in the ear nose throat (ENT) ward before surgery. The patient was taken to the operating room for emergency tracheotomy. After surgery, at the 5th minute of the mechanical ventilator follow-up in ICU, she developed subcutaneous emphysema on her eyes, face, neck, and chest. She was taken to re-operation. On the postoperative follow-up, bilateral pneumothorax was detected on chest X-ray and bilateral thorax tube was applied by thoracic surgeon. She was externed to ENT ward on the 3rd postoperative day. The left thorax tube was removed on the 2nd and right thorax tube was removed on the 6th postoperative day. Conclusion Here, we presented a successfully managed bilateral pneumothorax and subcutaneous emphysema after emergency open surgical tracheotomy. If persistence reduction of SPO2 levels after tracheotomy, pneumothorax should be kept in the mind.

scholarly journals Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Lluís Brunet-Llobet ◽  
Eduard Lahor-Soler ◽  
Elias Isaack Mashala ◽  
Jaume Miranda-Rius
Keyword(s):  
Minimally Invasive ◽  
Bone Cyst ◽  
Cost Effective ◽  
Invasive Technique ◽  
Case Presentation ◽  
X Ray ◽  
Solitary Bone Cyst ◽  
Radiological Studies ◽  
Minimally Invasive Decompression

Background. A solitary bone cyst or simple bone cyst is a nonneoplastic osseous lesion, with no epithelial lining, also considered as a pseudocyst. These lesions, with an intact bony wall and fluid-filled, are frequently discovered by chance in radiological studies. The etiopathogenesis has not been studied in depth, and the management remains controversial. Case Presentation. We present a clinical case of a 15-year-old boy who underwent an orthopantomography to assess the development and position of the third molars during a routine postorthodontic check-up. By chance, the X-ray identified an asymptomatic radiolucent image in the left jaw, measuring 12.0 mm×17.8 mm and compatible with a solitary bone cyst involving teeth 35 and 36. We describe our technique for performing minimally invasive decompression of the lesion using a microperforated catheter. We describe the entire course of the follow-up, both clinical and radiological, until complete cure. Conclusions. This straightforward continuous decompression technique poses no problems for the patient, has a low risk of sequelae, and is clearly cost-effective. In view of the highly satisfactory evolution, whenever possible, we favor this minimally invasive technique for the treatment of solitary bone cysts in the jaw.

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