scholarly journals Case Report: Aortitis associated with rheumatoid arthritis: A challenging rheumatoid vasculitis presentation

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1370
Author(s):  
Zeineb Teyeb ◽  
Mohamed Ben Salah ◽  
Lobna Kharrat ◽  
Imen Abdellali ◽  
Taieb Jomni ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Chest Pain ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Rheumatoid Vasculitis ◽  
Rare Presentation ◽  
Blood Tests ◽  
High Doses ◽  
Inflammatory Syndrome

Rheumatoid vasculitis (RV) is a rare but serious extra-articular manifestation of rheumatoid arthritis (RA). Its varied clinical presentation makes it hard to diagnose and treat. Hereby we describe a case of an aortitis revealing RV, which is a rare presentation of a rare complication of RA. A 56-year-old man with rheumatoid arthritis treated with methotrexate presented with fever, chest pain and arthritis. Blood tests revealed inflammatory syndrome associated with cholestasis. The diagnosis of pericarditis associated with aortitis was retained. Cholestasis was mostly due to methotrexate. The patient was treated with cyclophosphamide pulses and high doses of prednisolone. The patient was in complete remission of articular and extra-articular manifestations after two months of treatment.

scholarly journals COVID-19 in Children

2021 ◽  
Vol 41 (1) ◽  
pp. 15-21
Author(s):  
Diana Didović ◽  
Srđan Roglić ◽  
Lorna Stemberger-Marić ◽  
Ivana Valenčak-Ignjatić ◽  
Andrea Nikčević
Keyword(s):  
Clinical Presentation ◽  
Viral Infections ◽  
Rare Complication ◽  
Older Children ◽  
Symptomatic Infection ◽  
Number Of Children ◽  
Multisystem Involvement ◽  
Laboratory Results ◽  
Inflammatory Syndrome

COVID-19 in children accounts for up to 8% of all the cases and is less severe than in adults. This could be an underestimation. A significant number of children are asymptomatic. Symptomatic infection is hard to distinguish from other respiratory tract viral infections based on symptoms and laboratory results. Anosmia is the only symptom in children that is highly suggestive of COVID-19. Infected children mostly have a positive household member. However, the role of children in SARS-CoV-2 transmission is still controversial. Data suggest that schoolchildren have a greater impact in SARS-CoV-2 transmission compared to younger children. Multisystem inflammatory syndrome in children is a new entity reported since April 2020 and is considered a rare complication of SARS-CoV-2 infection. It occurs in previously healthy older children and adolescents presenting with multisystem involvement and elevated inflammatory markers. Most children respond well to immune-modifying therapy. Treatment of COVID-19 in children is based solely on data received from adults and consists of supportive treatment and, in rare occasions, antiviral therapy (remdesivir), corticosteroids (dexamethasone) and monoclonal antibodies (tocilizumab). Further studies in children are needed in order to better understand this disease. This article discusses clinical presentation and therapeutic options for COVID-19 in children.

Delayed presentation of doxorubicin extravasation into pleural space: Case report and review of literature

2020 ◽  
pp. 107815522097584 ◽  
Author(s):  
Vera Kazakova ◽  
Yenny A Moreno Vanegas ◽  
Tyion A Torres ◽  
Olga Kozyreva
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Soft Tissues ◽  
Rare Complication ◽  
Delayed Presentation ◽  
Review Of Literature ◽  
Chemotherapy Administration ◽  
Chemotherapy Infusion ◽  
Space Case ◽  
Anthracycline Extravasation

Introduction Intrathoracic extravasation of anthracyclines is a dangerous and very rare complication of chemotherapy administration. While management of extravasation into soft tissues has been established, the data on treatment of mediastinal and intrapleural anthracycline extravasation is limited. Case Report We present a case of a 52-year-old woman with intrapleural doxorubicin extravasation who presented to the hospital 24-hrs after chemotherapy infusion with chest pain and shortness of breath. Management & Outcome The patient underwent urgent surgical intervention and received IV dexrazoxane 36-hrs after the event. Her pain improved, but she continued to have chest soreness and pleural effusion at the site of extravasation even 3 months later. Discussion We conducted review of literature using Medline/PubMed and Google Scholar databases and identified 7 cases of intrapleural and mediastinal anthracycline extravasation. No data is currently available regarding the outcome of delayed management of intrapleural anthracycline extravasation with dexrazoxane. Prevention and confirmation of adequate port catheter placement is the most important step to avoid such cases. Catheter misplacement should be suspected in any patient presenting with post procedural chest pain and should trigger a thorough evaluation prior to any chemotherapy administration.

scholarly journals Chest Pain Due to Pericardial Effusion as Initial Presenting Feature of Rheumatoid Arthritis: Case Report and Review of the Literature

2017 ◽  
Vol 8 (4) ◽  
pp. 161-164 ◽  
Author(s):  
Malahat Movahedian ◽  
Wais Afzal ◽  
Tannaz Shoja ◽  
Kelly Cervellione ◽  
Jebun Nahar ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Chest Pain ◽  
Pericardial Effusion ◽  
Review Of The Literature ◽  
Rheumatoid Arthritis Case

A rare cause of acute pancreatitis: Percutaneous mechanical rheolytic thrombectomy of deep venous thrombosis

Vascular ◽  
2014 ◽  
Vol 23 (5) ◽  
pp. 545-549 ◽  
Author(s):  
Param Dass ◽  
Jason Robertson ◽  
Carl Muthu ◽  
Andrew Holden
Keyword(s):  
Acute Pancreatitis ◽  
Deep Vein Thrombosis ◽  
Case Report ◽  
Venous Thrombosis ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Effective Treatment Option ◽  
Vein Thrombosis ◽  
Rheolytic Thrombectomy ◽  
Deep Vein

Introduction Percutaneous mechanical rheolytic thrombectomy is an effective treatment option for deep vein thrombosis as well as arterial and graft thromboses. Acute pancreatitis, a rare complication of this technique, is described in this case report. Case report A 40-year-old man underwent AngioJet mechanical rheolytic thrombectomy for iliocaval deep vein thrombosis. He subsequently developed acute pancreatitis. This case report outlines the clinical presentation of acute pancreatitis after rheolytic thrombectomy and also discusses the possible pathogenesis and etiological factors.

scholarly journals Duodenal Hematoma following Endoscopic Duodenal Biopsy: A Case Report and Review of the Literature

2006 ◽  
Vol 20 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Daniel R Diniz-Santos ◽  
Romilda C de Andrade Cairo ◽  
Hélio Braga ◽  
Cesar Araújo-Neto ◽  
Igelmar B Paes ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Duodenal Biopsy ◽  
Review Of The Literature ◽  
Duodenal Hematoma

Duodenal hematoma is a rare complication of endoscopic duodenal biopsy that occurs mainly in children or adults with impaired coagulation. The clinical presentation consists of signs of intestinal obstruction, and pancreatitis and direct hyperbilirubinemia are possible complications caused by ampullary obstruction. A case of a six-year-old girl who presented with a duodenal hematoma and acute pancreatitis after having an endoscopic duodenal biopsy is reported. A review of the literature and data from all similar cases reported so far are briefly presented and discussed.

scholarly journals Acute hemorrhagic encephalomyelitis – Rare presentation of pediatric multisystem inflammatory syndrome temporally associated with SARS-CoV-2: A case report

2021 ◽  
Vol 8 (4) ◽  
pp. 203
Author(s):  
PrasannaNarayanan Raju ◽  
PradheepSubramanian Raju ◽  
Muthukumaran Pooranalingam ◽  
Raju Subramanian
Keyword(s):  
Case Report ◽  
Rare Presentation ◽  
Inflammatory Syndrome

scholarly journals Neonatal COVID-19 with Rare Presentation in COVID Dedicated Hospital of Bangladesh: A Case Report

2021 ◽  
Vol 7 (1) ◽  
pp. 87-89
Author(s):  
Rifat Taher Anne ◽  
Md Zakirul Islam ◽  
Farhana Noman ◽  
Ferdousi Hasnat ◽  
Shamima Sharmin Shova ◽  
...  
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Respiratory Distress ◽  
Death Rate ◽  
Neonatal Death ◽  
Clinical Presentation ◽  
Age Groups ◽  
Atypical Presentation ◽  
Rare Presentation ◽  
Recurrent Seizure

Although Coronavirus disease (COVID-19) can affect all age groups, severity of clinical presentation among children and newborns are milder than in adults. Along with classical symptoms, atypical presentation could be noted in the neonate. We report here a case of neonatal COVID-19 where a newborn infant presented with fever, lethargy, respiratory distress and recurrent seizure. Early detection and prompt management is the prerequisite for limiting transmission and reducing neonatal death rate. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 87-89

scholarly journals Acute Myocardial Infarction in Snake bite Envenomation – A Case Report

2015 ◽  
Vol 16 (1) ◽  
pp. 46-47
Author(s):  
NS Neki
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Chest Pain ◽  
Rare Complication ◽  
Snake Bite ◽  
St Elevation Myocardial Infarction ◽  
History Of ◽  
Electrocardiographic Changes ◽  
St Elevation

Snake bite envenomation is a common problem in tropical countries, especially in rural parts of India. We came across a 30 year old male who presented to the hospital after 4 hours with history of Russell’s viper snake bite developing acute non ST elevation myocardial infarction (MI). Myocardial infarction was confirmed by history of left sided chest pain radiating to left arm with diaphoresis and electrocardiographic changes with increased serum troponin levels. Myocardial infarction is a rare complication of snake bite hence case report.DOI: http://dx.doi.org/10.3329/jom.v16i1.22401 J MEDICINE 2015; 16 : 46-47

scholarly journals Prosthetic Joint Infection due to Mycobacterium avium-intracellulare in a Patient with Rheumatoid Arthritis: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Nicholas E. Ingraham ◽  
Brenton Schneider ◽  
Jonathan D. Alpern
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Mycobacterium Avium ◽  
Hospice Care ◽  
Rare Complication ◽  
Joint Infection ◽  
Immunosuppressive Agents ◽  
Hip Osteoarthritis ◽  
Prosthetic Joint ◽  
Prosthetic Joint Infections

Nontuberculous mycobacteria (NTM) are a rare cause of prosthetic joint infections (PJI). However, the prevalence of NTM infections may be increasing with the rise of newer immunosuppressive medications such as biologics. In this case report, we describe a rare complication of immunosuppressive therapies and highlight the complexity of diagnosing and treating PJI due to NTM. The patient is a 79-year-old Caucasian male with a history of severe destructive rheumatoid arthritis on several immunosuppressive agents and right hip osteoarthritis s/p total hip arthroplasty 15 years previously with several complex revisions, presenting with several weeks of worsening right hip and abdominal pain. A right hip CT scan revealed periprosthetic fluid collections. Aspiration of three fluid pockets was AFB smear-positive and grew Mycobacterium avium-intracellulare. The patient was deemed a poor surgical candidate. He underwent a limited I&D and several months of antimycobacterial therapy but clinically deteriorated and opted for hospice care. PJI caused by NTM are rare and difficult to treat. The increased use of biologics and prosthetic joint replacements over the past several decades may increase the risk of PJI due to NTM. A high index of suspicion for NTM in immunosuppressed patients with PJI is needed.

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