scholarly journals Amalgam restoration or just a deposit? A riveting incidental finding- a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anka Sharma ◽  
Vikrant O. Kasat ◽  
Amit R. Parate ◽  
Anirudh Upmanyu ◽  
Jaishri S. Pagare
Keyword(s):  
Case Report ◽  
Incidental Finding ◽  
Female Child ◽  
History Taking ◽  
Hard Tissue ◽  
Case Presentation ◽  
Traumatic Injuries ◽  
Amalgam Restoration ◽  
The Impact ◽  
Comprehensive History

Abstract Background Parafunctional oral habits are known to cause deleterious effects on maxillofacial structures. One such effect is traumatic injuries secondary to chewing inanimate objects like pencils. Following trauma, the lead of the pencil has been reported to embed in the soft tissue of the oral cavity, appearing as a grayish pigmentation (graphite tattoo). However, such pigmentation has never been reported in the hard tissue (teeth). Case presentation We hereby report an interesting, first of its kind case in a four-year-old female child. She had been misdiagnosed and referred for the management of a carious tooth; which was, in reality, an exogenous deposit. Conclusions The authors highlight the impact of comprehensive history taking on arriving at the diagnosis. Counselling of the child and the parents goes a long way in flouting such deleterious habits.

scholarly journals Periapical Cyst Following Replantation of Avulsed Teeth: A Case Report

2020 ◽  
pp. 1-6
Author(s):  
T. A. Oyedele ◽  
B. Sodipo ◽  
O. A. Adetayo ◽  
A. O. Ajimoko ◽  
E. Olawale
Keyword(s):  
Case Report ◽  
Cystic Lesion ◽  
Benign Lesion ◽  
Radiographic Examination ◽  
Dental Clinic ◽  
Case Presentation ◽  
Traumatic Injuries ◽  
Periapical Cyst ◽  
Histology Report

Introduction: Avulsion has been described as the traumatic displacement of the tooth out of the socket, and it accounts for 0.5% to 16% of traumatic injuries in the permanent dentition. Many complications have been associated with avulsed tooth following replantation. This paper aimed at presenting a case of the large cystic lesion following replantation of avulsed teeth. Case Presentation: A case of a 17-year-old undergraduate student who presented in the dental clinic for medical screening as a mandatory exercise upon gaining admission. During the examination, a purulent pus discharge was noticed on the labial sulcus about tooth 11. History revealed that she had avulsion of teeth 11 and 12 about 4-years earlier that was replanted and splinted for 2-3 weeks and subsequently she was discharged from the clinic without any further treatment. Radiographic examination revealed periapical radiolucency without well define margin about teeth 11 and 12. Periapical surgery was carried out and two large cystic cavities were seen at about teeth 11 and 12 during surgery. The histology report of the specimen revealed a benign lesion suggesting periapical cyst. Conclusion: There is the need for adequate follow-up and monitoring of replanted teeth the following avulsion to arrest any complication that might arise from the procedure. Also, the importance of endodontic treatment following replantation of the avulsed tooth cannot be overemphasized.

An incidental dense bone island: A review of potential medical and orthodontic implications of dense bone islands and case report

2020 ◽  
Vol 47 (3) ◽  
pp. 251-256 ◽  
Author(s):  
Paula Mairead Sinnott ◽  
Samantha Hodges
Keyword(s):  
Case Report ◽  
Incidental Finding ◽  
Root Tip ◽  
Alveolar Process ◽  
Lateral Aspect ◽  
Radiographic Appearance ◽  
Space Closure ◽  
Bone Island ◽  
The Right ◽  
The Impact

Dense bone islands (DBIs) are usually asymptomatic and do not require any treatment. This case report presents a DBI of an unusual presentation, which was an incidental finding on a radiograph of a 15-year-old orthodontic patient. The DBI lesion was 24 mm in size, occupying at least 50% of the alveolar process between the upper right canine and lateral incisor, extending up the lateral aspect of the anterior margin of the right nasal fossa. Generally, DBIs are 2–3 mm in size and more commonly found in the mandible in the molar and premolar region. This article further discusses the impact of DBIs on orthodontic treatment such as difficulty with achieving space closure and adequate root tip or torque. We also examine the potential medical implications of DBIs. This is clinically important, especially if multiple DBIs, or osteomas which have a similar radiographic appearance to DBIs, are found in a patient as they may be associated with adenomatous intestinal polyps, which, if not treated, have a 100% chance of becoming malignant transformation

scholarly journals Impact of SARS-CoV-2 on Fetal Malformation During Pregnancy: A Case Report of Fetal Autopsy

2020 ◽  
Author(s):  
Yuping Guo ◽  
Jiacai Ren ◽  
Jingping Yuan ◽  
Di Lei ◽  
Nawsherwan . ◽  
...  
Keyword(s):  
Case Report ◽  
Congenital Defects ◽  
Fetal Malformation ◽  
Second Trimester ◽  
Fetal Anomalies ◽  
Fetal Autopsy ◽  
Case Presentation ◽  
Multiple Risk Factors ◽  
Second Trimester Pregnancy ◽  
The Impact

Abstract Background: Little is known about the impact of SARS-CoV-2 on fetal anomalies. Case presentation: We described a case report of fetal anomalies during second-trimester (25+3 weeks) pregnancy. The fetal autopsy was found with abnormal heart anatomy (including ventricular septal defect, oval hole valve missing, and pericardial effusion), polycystic kidney, and acute chorioamnionitis. Conclusions: SARS-CoV-2 infection in second-trimester pregnancy not the direct factor resulted in congenital defects, and multiple risk factors contribute to these changes.

scholarly journals An 8-year-old-girl with juvenile dermatomyositis and autoimmune thyroiditis in Tanzania: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Fatima Mussa ◽  
Neema Nalitolela ◽  
Francis Fredrick
Keyword(s):  
Case Report ◽  
Autoimmune Thyroiditis ◽  
Juvenile Dermatomyositis ◽  
Female Child ◽  
Skin Lesions ◽  
Limited Resources ◽  
Case Presentation ◽  
Rare Association ◽  
High Index Of Suspicion ◽  
Typical Skin

Abstract Background Juvenile dermatomyositis is an inflammatory disease of muscles, skin, and blood vessels of unknown cause affecting all age and ethnic groups, with a reported incidence of 1.9–4.1 per million. It manifests with weakness in axial and proximal muscles and typical skin lesions. Historically, the Bohan and Peter classification schema has been used to diagnose juvenile dermatomyositis. Case presentation We report an 8-year-old African female child, who presented with features of juvenile dermatomyositis and a rare association with subclinical autoimmune thyroiditis. This case illustrates the typical presentation, diagnosis, and treatment outcomes of this highly misdiagnosed condition. Conclusion Due to the limited resources and knowledge about this under-reported disease in resource-constrained settings, the characteristic manifestations of juvenile dermatomyositis can be easily missed and thus requires a high index of suspicion for earlier diagnosis and management.

scholarly journals Giant Intraparenchymal Meningioma in a Female Child: Case Report and Literature Review

2020 ◽  
Author(s):  
Huachao Guo ◽  
Zhen Ma ◽  
Shuo Wen ◽  
Yong Wang ◽  
Jiaguang Wang ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Temporal Lobe ◽  
Histopathological Examination ◽  
Female Child ◽  
Postoperative Rehabilitation ◽  
Case Presentation ◽  
Generalized Seizures ◽  
Female Children ◽  
Dural Attachment

Abstract Background: ntraparenchymal meningiomas without dural attachment are extremely rare, especially in female children. To our knowledge, fibrous intraparenchymal meningioma located in the temporal lobe has never been reported in female children. The significance in the differential diagnosis of lesions in the temporal lobe should be emphasized.Case presentation: A 12-year-old girl was admitted to our hospital, complaining of recurrent generalized seizures for 2 months. Magnetic resonance imaging demonstrated a solid lesion located in the temporal lobe. The lesion underwent gross total resection. Histopathological examination indicated that the lesion was a fibrous meningioma. Postoperative rehabilitation was uneventful. Conclusions: This case report presents an extremely unusual intraparenchymal fibrous meningioma of the temporal lobe with peritumoral edema and reviewed 20 intraparenchymal meningioma cases in children and to discuss the clinical presentation and treatment, differential diagnosis, and radiological features.

scholarly journals Presence of one ecto- and two endoparasite species of the black stork (Ciconia nigra) in Portugal

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
David W. Ramilo ◽  
Inês Caetano ◽  
Erica Brazio ◽  
Manuela Mira ◽  
Leonor Antunes ◽  
...  
Keyword(s):  
Case Report ◽  
Post Mortem ◽  
Case Presentation ◽  
Western Palearctic ◽  
Palearctic Region ◽  
Ciconia Nigra ◽  
Black Stork ◽  
Southern Portugal ◽  
Electric Cables ◽  
The Impact

Abstract Background The black stork (Ciconia nigra Linnaeus, 1758) is a recognized endangered species in Europe and most of the specimens from the Western Palearctic region breed in the Iberian Peninsula. Available works regarding parasites in black storks are scarce. This work reports the presence one ecto- and two endoparasite species from a black stork in Portugal. Case presentation A black stork was found in southern Portugal after colliding against electric cables. The specimen did not survive its sustained injuries and a post-mortem exam was performed. During the procedure, several ecto- and endoparasite specimens were found. The collected parasites were lice (Neophilopterus tricolor), nematodes (Desportesius sagittatus) and trematodes (Cathaemasia hians). Conclusions Three different species of parasites are reported from a black stork in Portugal. Ecto- and endoparasites of C. nigra have not frequently been described in the literature, and this case report is a contribution to the field. Additional studies will be important to better understand the impact that parasites can have on C. nigra health and survival.

scholarly journals Intellectual Decline in a Patient with Migraine and APT1A2 Mutation: A Case Report

2021 ◽  
Author(s):  
Pian Wang ◽  
Yan-Rong Yang ◽  
Hong-Bo Zhang ◽  
Jiang-Hong Wang ◽  
Yan Wang
Keyword(s):  
Case Report ◽  
Intellectual Disabilities ◽  
Intelligence Quotient ◽  
Three Dimensional ◽  
Clinical Manifestations ◽  
Specific Area ◽  
Hemiplegic Migraine ◽  
Rare Type ◽  
Case Presentation ◽  
The Impact

Abstract Background: Hemiplegic migraine (HM) is a rare type of migraine with aura. Some reports have described the clinical manifestations in HM patients with the ATP1A2 mutation. But the impact of the ATP1A2 mutation on intelligence in HM patients has not been evaluated in detail. Here we report a patient with intellectual decline in specific area.Case presentation: A 15-year-old boy with an aura that included disturbances in consciousness, associated with fever, vomiting, hemiplegia, and aphasia. He was diagnosed HM with the ATP1A2 mutation before. He had trouble in mathematics and depicting three-dimensional things.Conclusions: The HM with ATP1A2 patient could develop permanent intellectual disabilities. Therefore, the intelligence quotient should be carefully and comprehensively evaluated.

scholarly journals Segmental dilatation of ileum in a child with juvenile idiopathic arthritis, localized myopathy with focal stasis induced immunogenic injury as a possible etiology: a case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Santosh Kumar Mahalik ◽  
Susama Patra ◽  
Bikasha Bihary Tripathy ◽  
Akash Bihari Pati ◽  
Manoj Kumar Mohanty ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Abdominal Distension ◽  
Female Child ◽  
Case Presentation ◽  
Ileocecal Junction ◽  
Immune Mediated ◽  
Segmental Dilatation ◽  
Segmental Dilatation Of Ileum

Abstract Background Segmental dilatation of the intestine (SDI) though uncommon is a well-known entity and more than 150 cases of SDI are reported in the literature. The presentation and association of SDI are well described; however, the association of SDI with juvenile idiopathic arthritis (JIA) has not been reported earlier. We described a case of SDI with JIA, who presented with malnutrition and chronic abdominal distension. Case presentation A 5-year-old female child was getting treated for JIA and referred to us for evaluation of chronic abdominal distension. On laparotomy, a huge SDI was found approximately 40 cm from the ileocecal junction and resection of the dilated part with approximately 2–3 cm of healthy ileum on each side and anastomosis was performed. The child recovered well and the features of arthritis also resolute 6 weeks later. From histologic analysis, we have suggested role of localized myopathy in development of segmental dilatation. We have further emphasized the link between the SDI with development of arthritis. Conclusion Etiology of SDI is multifactorial with architectural malformation of the smooth muscle due to localized myopathy is the key. Focal stasis in SDI affecting permeability and increased exposure to macromolecules, and antigens may give rise to immune-mediated arthritis. Surgical management can reduce and cure the symptoms of such patients.

scholarly journals Anaesthesia management in Chronic Kidney Disease (CKD) patient undergo repair pseudoaneurysms surgery: a case report

2021 ◽  
Vol 1 (2) ◽  
pp. 41-45
Author(s):  
Tan Andi ◽  
Tjahya Aryasa ◽  
Tjokorda Gde Agung Senapathi
Keyword(s):  
Chronic Kidney Disease ◽  
Case Report ◽  
Kidney Disease ◽  
General Anesthesia ◽  
Pharmacologic Therapy ◽  
Estimated Gfr ◽  
Case Presentation ◽  
The Impact ◽  
Drug Pharmacokinetics ◽  
Reduced Renal Function

Introduction: Chronic kidney disease (CKD) is marked by the presence of kidney damage (usually defined as estimated GFR < 60 mL/ min/1.73 m2) for 3 or more months, and it may be caused by a multitude of disease processes. Management of patients with CKD includes aggressive treatment of the underlying cause, pharmacologic therapy to delay disease progression and prevent complications, and preparation for hemodialysis as ESRD ensues. Case presentation: In this case report, a 48-year-old man with a pseudoaneurysms due to the insertion of a vascular access for hemodialysis, undergo repair pseudoaneurysms surgery under general anesthesia, at the Sanglah General Hospital, October 2020. The patient came with fully awareness, blood pressure 145/95 mmHg, heart rate 85 times per minute regular and oxygen saturation 97% with room air. Conclusion: General anesthesia in patients with CKD requires an understanding of the pathologic changes that accompany renal disease, co-existing medical conditions, and the impact of reduced renal function on drug pharmacokinetics.

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