scholarly journals Iliopsoas Abscess

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Bader Sobaih ◽  
Loay Sobaih ◽  
Fahad Al Zamil
Keyword(s):  
Ct Scan ◽  
Signs And Symptoms ◽  
Abdominal Ultrasound ◽  
Iliopsoas Abscess ◽  
Creative Commons ◽  
Intravenous Antibiotics ◽  
Uncommon Condition ◽  
Clinical Triad ◽  
Hip Flexion ◽  
First Time

Iliopsoas abscess (IPA) is uncommon condition in children, diagnosis might be delayed because of nonspecific signs and symptoms. Only few patients have classical clinical triad at presentation in the form of fever, back pain, and inguinal pain at hip flexion. The diagnosis most likely to be reached in the first time by the use of abdominal computed tomography (CT) scan. We present a Saudi child with nonspecific signs and symptoms of fever, flank pain, and limping who was diagnosed as IPA by abdominal ultrasound and CT scan. The case was managed with intravenous antibiotics along with transcutaneous abscess drainage. doi: https://doi.org/10.12669/pjms.37.2.3816 How to cite this:Sobaih B, Sobaih L, Al-Zamil F. Iliopsoas Abscess. Pak J Med Sci. 2021;37(2):---------.   doi: https://doi.org/10.12669/pjms.37.2.3816 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Adenocarcinoma of the Appendix in Elderly: Diagnostic dilemma

2020 ◽  
Vol 01 ◽  
Author(s):  
Heba Nofal ◽  
Hayder Al-Masari ◽  
Marwan Mohammed Rashed ◽  
Reham Ainawi ◽  
Desh Idnani ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Ct Scan ◽  
Laparoscopic Appendectomy ◽  
Signs And Symptoms ◽  
Morbidity And Mortality ◽  
Diagnostic Dilemma ◽  
Increased Risk

: Acute appendicitis in elderly continue to be a diagnostic dilemma as it raises both the suspicion of malignancy and increased risk of morbidity and mortality. Cancers of the appendix are rare and most of them are found accidentally on appendectomies performed for acute appendicitis. When reviewed, majority of the tumors were carcinoid, adenoma, and lymphoma. Adenocarcinomas of appendix are only 0.08% of all cancers and the treatment remains controversial. This paper presents a case of 75-year-old female presented to emergency (ER) with signs and symptoms mimicking acute appendicitis, laparoscopic appendectomy was planned after a CT scan was done as it was suggesting acute appendicitis. The specimen then was sent foe pathology lab and a diagnosis of adenocarcinoma of the appendix was made.

First record of Pestalotiopsis spp. from affected leaves of mastic shrubs (Pestacia lentiscus L.) in northeastern of Libya.

2016 ◽  
Vol 5 (08) ◽  
pp. 4744
Author(s):  
Zahra Ibrahim El-Gali
Keyword(s):  
Signs And Symptoms ◽  
Pathogenic Fungi ◽  
First Record ◽  
Plant Pathogenic Fungi ◽  
Pistacia Lentiscus ◽  
Plant Materials ◽  
Al Jabal Al Akhdar ◽  
First Time

This study was carried out to identify the unknown different symptoms and their causes as plant pathogenic fungi from Al-Jabal Al-Akhdar District. Plant materials with fungal signs and symptoms were collected and examined. The main fungi consistently isolated from symptomatic leaves and twigs were Pestalotiopsis spp. Morphology, colony characteristics, and pathogenicity of the isolates were examined. My report the occurrence of Pestalotiopsis spp. on leaves of mastic (Pistacia lentiscus) for the first time in Libya.

scholarly journals A rare case of right-sided varicocele in right renal tumor in the absence of venous thrombosis and IVC compression

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Priyabrata Adhikari ◽  
Siddalingeshwar I. Neeli ◽  
Shyam Mohan
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Renal Vein ◽  
Renal Tumor ◽  
Vena Cava ◽  
Signs And Symptoms ◽  
Spermatic Vein ◽  
Careful Study ◽  
Rare Presentation ◽  
Grade 3

Abstract Background The presence of unilateral right-sided varicocele hints at a serious retroperitoneal disease such as renal cell neoplasm. Such tumors are usually associated with a thrombus in renal vein or spermatic vein. We report a rare presentation of right-sided renal tumor causing right-sided varicocele in the absence of thrombus in renal vein and spermatic vein but due to an anomalous vein draining from the tumor into the spermatic vein as demonstrated by computed tomography angiogram. Case presentation A 54-yr-old hypertensive male presented with unilateral grade 3 right-sided varicocele and no other signs and symptoms. Ultrasound examination of his abdomen showed the presence of a mass lesion in the lower pole of right kidney. Computed tomography confirmed the presence of right renal mass, absence of thrombus in right renal vein or inferior vena cava. The angiographic phase of CT scan showed an anomalous vein from the tumor draining into the pampiniform plexus causing varicocele. Conclusion The presence of right-sided varicocele should raise a suspicion hidden serious pathological retroperitoneal condition, renal malignancy in particular, and should prompt the treating physician to carry out imaging studies of the retroperitoneum and careful study of the angiographic phase of the CT scan can ascertain the pathogenesis of the varicocele.

scholarly journals The role of lumbar puncture in the diagnosis of subarachnoid hemorrhage when computed tomography is unavailable

CJEM ◽  
2002 ◽  
Vol 4 (02) ◽  
pp. 102-105 ◽  
Author(s):  
David Mann
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Subarachnoid Hemorrhage ◽  
Ct Scan ◽  
Lumbar Puncture ◽  
Uncommon Condition ◽  
Noncontrast Computed Tomography ◽  
Acute Headache ◽  
Interpretation Of Results

ABSTRACTSubarachnoid hemorrhage (SAH) is an important but uncommon condition in the differential diagnosis of acute headache. Most authorities recommend that patients with suspected SAH undergo noncontrast computed tomography (CT) as a first diagnostic intervention. If the results of the CT scan are negative, a lumbar puncture should be performed. Many nonurban Canadian hospitals do not have CT scanners and must either transfer patients or consider performing lumbar puncture prior to CT. In selected patients, performing lumbar puncture first may be an option, but timing of the procedure and the interpretation of results is important.

scholarly journals Congenital Toxoplasmosis presenting as multiple ring enhancing lesions in brain on neuroimaging

2018 ◽  
Vol 5 (5) ◽  
pp. 2020
Author(s):  
Pareshkumar A. Thakkar ◽  
Aakashi Shah ◽  
Bakul B. Javadekar ◽  
Saurabh Modasia
Keyword(s):  
Ct Scan ◽  
Past History ◽  
Stable Condition ◽  
Congenital Toxoplasmosis ◽  
Cellular Reaction ◽  
Protein Levels ◽  
Elevated Protein ◽  
Intravenous Antibiotics ◽  
History Of ◽  
Multiple Ring

We report a case of congenital toxoplasmosis in a male child who presented at 1 month 21 days of life. He had a past history of meningitis on third day of life which resolved with intravenous antibiotics. This time, the child presented with progressive enlargement of head and CSF (Cerebrospinal fluid) showed elevated protein levels with cellular reaction and CT scan showed dilated ventricular system with aqueductal obstruction and multiple ring-enhancing lesions in bifrontal and bioccipital regions with a right porencephalic cyst. Repeat CSF after 14 days of intravenous antibiotics showed elevated protein with no cellular reaction. Fundus examination was normal. Toxoplasma blood serology (IgG and IgM) in baby and mother were positive. The child received treatment with Pyrimethamine, Clindamycin, Folinic acid and Prednisolone. CSF parameters got normalized and multiple ring-enhancing lesions disappeared on repeat CT scan. He underwent a Ventriculo-Peritoneal shunt surgery for the hydrocephalus and was discharged in a stable condition.

scholarly journals Facial and ocular presentations of Carbimazole induced agranulocytosis: A case report

2018 ◽  
Vol 17 (4) ◽  
pp. 678-679 ◽  
Author(s):  
Teoh Soo Huat ◽  
Liyana Salleh
Keyword(s):  
Case Report ◽  
Medical Science ◽  
Signs And Symptoms ◽  
Intravenous Antibiotics

We report a case of 61-year-old lady who presented with signs and symptoms of acute dacryocystitis, preseptal and facial cellulitis secondary to carbimazole induced agranulocytosis. Her condition was complicated by sepsis whereby she was admitted for intravenous antibiotics, subcutaneous Filgrastim administration and surgical intervention.Bangladesh Journal of Medical Science Vol.17(4) 2018 p.678-679

scholarly journals Feasibility and Efficacy of a Decision Aid for Emergency Department Patients with Suspected Ureterolithiasis: Protocol for an Adaptive Randomized Controlled Trial

2021 ◽  
Author(s):  
Elizabeth M Schoenfeld ◽  
Kye E Poronsky ◽  
Lauren M Westafer ◽  
Paul Visintainer ◽  
Brianna M DiFronzo ◽  
...  
Keyword(s):  
Emergency Department ◽  
Randomized Controlled Trial ◽  
Ct Scan ◽  
Radiation Exposure ◽  
Kidney Stone ◽  
Decision Aid ◽  
Controlled Trial ◽  
Signs And Symptoms ◽  
Patient Knowledge ◽  
Randomized Controlled

Abstract Background: Approximately 2 million patients present to Emergency Departments in the US annually with signs and symptoms of ureterolithiasis (or renal colic, the pain from an obstructing kidney stone). Both ultrasound and CT scan can be used for diagnosis, but the vast majority of patients receive a CT scan. Diagnostic pathways utilizing ultrasound have been shown to decrease radiation exposure to patients but are potentially less accurate. Because of these and other trade-offs, this decision has been proposed as appropriate for Shared Decision-Making (SDM), where clinicians and patients discuss clinical options and their consequences and arrive at a decision together. We developed a decision aid to facilitate SDM in this scenario. The objective of this study is to determine the effects of this decision aid, as compared to usual care, on patient knowledge, radiation exposure, engagement, safety, and healthcare utilization. Methods: This is the protocol for an adaptive randomized controlled trial to determine the effects of the intervention – a decision aid (“Kidney Stone Choice”) – on patient-centered outcomes, compared with usual care. Patients age 18-55 presenting to the Emergency Department with signs and symptoms consistent with acute uncomplicated ureterolithiasis will be consecutively enrolled and randomized. Participants will be blinded to group allocation. We will collect outcomes related to patient knowledge, radiation exposure, trust in physician, safety, and downstream healthcare utilization. Discussion: We hypothesize that this study will demonstrate that “Kidney Stone Choice,” the decision aid created for this scenario, improves patient knowledge and decreases exposure to ionizing radiation. The adaptive design of this study will allow us to identify issues with fidelity and feasibility and subsequently evaluate the intervention for efficacy. Trial registration: ClinicalTrials.gov - NCT04234035https://clinicaltrials.gov/ct2/show/NCT04234035Registered January 21, 2020 – Retrospectively Registered

scholarly journals Post spinal meningitis with subdural collection: an uncommon complication after spinal anaesthesia for caesarean section

2018 ◽  
Vol 1 (2) ◽  
pp. 10-14
Author(s):  
Seng Wee Cheo ◽  
Qin Jian Low ◽  
Yee Ann Tan ◽  
Yuen Kang Chia
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia ◽  
Signs And Symptoms ◽  
Emergency Caesarean Section ◽  
Neurological Sequela ◽  
Subdural Collection ◽  
Intravenous Antibiotics ◽  
Spinal Meningitis ◽  
Uncommon Complication

Meningitis after spinal anaesthesia is a rare yet devastating complication of spinal anaesthesia. The exact incidence is unknown. Our patient developed signs and symptoms of meningitis 48 hours after spinal anaesthesia and required intensive care unit admission. Her cerebrospinal fluid was sterile. Computed tomography of brain showed left subdural collection. She recovered well after 6 weeks of intravenous antibiotics. No neurological sequela noted from subsequent follow-up examinations. Our case provides an important insight of meningitis with subdural collection after spinal anaesthesia for emergency caesarean section.

scholarly journals Reinterpretation of the enigmatic Ordovician genus Bolboporites (Echinodermata)

Zoosymposia ◽  
2019 ◽  
Vol 15 (1) ◽  
pp. 44-70
Author(s):  
EMERIC GILLET ◽  
BERTRAND LEFEBVRE ◽  
VERONIQUE GARDIEN ◽  
EMILIE STEIMETZ ◽  
CHRISTOPHE DURLET ◽  
...  
Keyword(s):  
Ct Scan ◽  
Body Wall ◽  
The Body ◽  
Precise Nature ◽  
Definitive Evidence ◽  
Wide Range ◽  
Ft Ir ◽  
First Time

Bolboporites is an enigmatic Ordovician cone-shaped fossil, the precise nature and systematic affinities of which have been controversial over almost two centuries. For the first time, a wide range of techniques (CT-scan, SEM, cathodoluminescence, XPL, UV epifluorescence, EBSD, FT-IR and XRF spectrometry) were applied to well-preserved specimens of Bolboporites from Norway and Russia. Our main finding confirms its echinoderm affinities, as shown by its stereomic microstructure and by the first definitive evidence of its monocrystalline nature. Each cone consists in a single, microporous calcitic crystal with a narrow longitudinal internal canal. These results are combined with all previous data on Bolboporites to critically discuss five alternative interpretations of this fossil, namely theca, basal cone, spine, columnal, and holdfast, respectively. The most parsimonious scenario considers Bolboporites as an isolated spine, which was articulated in life by a short biserial appendage to the body wall of an unknown echinoderm, possibly of echinozoan affinities.

scholarly journals First Report of the Association of Myriogenospora atramentosa with the Plant Genus Hemarthria

2019 ◽  
Vol 20 (4) ◽  
pp. 244-246
Author(s):  
Ko-Hsuan Chen ◽  
Ann Blount ◽  
Brittany Justesen ◽  
Joseph H. Walter ◽  
Marcelo Wallau ◽  
...  
Keyword(s):  
Perennial Grass ◽  
Warm Season ◽  
Signs And Symptoms ◽  
Cattle Industry ◽  
Osceola County ◽  
The Family ◽  
Human Usage ◽  
Cattle Health ◽  
First Time ◽  
Animal Consumption

Myriogenospora atramentosa is an epibiont fungus that produces black, linear stromata on the leaves of warm-season grasses including Paspalum and Andropogon. Because M. atramentosa is in the family Clavicipitaceae containing several ergot alkaloid-producing fungi, its mycotoxin production and the potential risk to cattle health are of concern. Limpograss (Hemarthria altissima) is a warm-season perennial grass that plays a key role in the cattle industry of the southeastern United States. Limpograss plants with tangletop signs and symptoms were collected in October 2018 from Osceola County, Florida, U.S.A. M. atramentosa was confirmed. M. atramentosa is reported to be associated with the plant genus Hemarthria for the first time, through morphological and molecular investigations. Because of the increasing human usage, animal consumption, and global distribution of H. altissima, understanding its codistribution with M. atramentosa and the potential mycotoxin content is critical to protect plants and animals.

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