scholarly journals A Rare Case of Extra-Gonadal Oestrogen-Secreting Choriocarcinoma in a Male

2021 ◽  
Author(s):  
Yuxuan Zhou
Keyword(s):  
Weight Loss ◽  
Male Patient ◽  
Rare Case ◽  
Tumour Progression ◽  
Shortness Of Breath ◽  
History Of ◽  
Deteriorating Patient

This report describes a rare case of an extra-gonadal oestrogen-secreting tumour in a male patient. An otherwise healthy 60-year-old man presented to our hospital with a 3-month history of shortness of breath and weight loss. Blood panels and histology supported the diagnosis of an oestrogen-secreting choriocarcinoma. Unfortunately, the patient died soon after his diagnosis. The highlighting features of this case are: (1) the difficulty of confirming a diagnosis in a rapidly deteriorating patient; (2) the rarity of oestrogen-secreting extra-gonadal tumours in males; and (3) the aggressive rate of tumour progression seen on sequential imaging.

scholarly journals Intratracheal myiasis followed by tracheal-esophageal fistula: report of a rare case and literature review

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Wendi Huang ◽  
Chao Zeng ◽  
Weidong Song ◽  
Ping Xu
Keyword(s):  
Literature Review ◽  
Clinical Features ◽  
Male Patient ◽  
Stent Placement ◽  
Rare Case ◽  
Healthcare Providers ◽  
Living Environment ◽  
Esophageal Fistula ◽  
Case Presentation ◽  
History Of

Abstract Background To enhance awareness of the clinical features and prevention of endotracheal myiasis. Case presentation A case of intratracheal myiasis is reported. A 61-year-old male patient with a history of laryngectomy was admitted to hospital due to tracheostomal hemorrhage of 3 h duration. Intratracheal myiasis was confirmed by bronchoscopy, and the patient underwent bronchoscopic intervention, which was complicated by a tracheal-esophageal fistula and resolved by endotracheal stenting. Twenty months after stent placement, the fistula had not healed. Conclusion Intratracheal myiasis has serious complications and is difficult to treat. For post-tracheostomy patients, healthcare providers and caregivers should pay attention to the care and monitoring of wounds and maintenance of a tidy, clean living environment to prevent intratracheal myiasis.

scholarly journals Miliary Tuberculosis Presenting with ARDS and Shock: A Case Report and Challenges in Current Management and Diagnosis

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Keevan Singh ◽  
Saara Hyatali ◽  
Stanley Giddings ◽  
Kevin Singh ◽  
Neil Bhagwandass
Keyword(s):  
Septic Shock ◽  
Weight Loss ◽  
Case Report ◽  
Treatment Initiation ◽  
Miliary Tuberculosis ◽  
Shortness Of Breath ◽  
Current Management ◽  
Tb Treatment ◽  
History Of ◽  
Hiv Negative

Miliary tuberculosis, complicated by ARDS and septic shock, is a rare and lethal presentation of this disease. Here we present a case of such a patient, following which we discuss the management of tuberculosis in the ICU and some of the challenges that may be faced. A young HIV negative female presented to us with an acute history of worsening shortness of breath on a background of weight loss, nonproductive cough, and fever. CXR and CT scan showed bilateral miliary type opacities and the patient was admitted to the hospital. Within forty-eight hours of admission she became hypoxemic and was intubated and transferred to the ICU. There she experienced worsening organ dysfunction and developed circulatory shock. Despite escalating doses of noradrenaline, she continued to decline and died before specific anti-TB treatment could be started. Timely diagnosis and treatment initiation are the keys to improving outcomes in critically ill TB patients. However there are many challenges in doing so, especially in a general ICU located in a country with a low TB incidence.

scholarly journals Case Report: A rare case of BCGitis in a patient with bladder cancer treated with the BCG vaccine

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1399
Author(s):  
Domingos Sousa ◽  
Sérgio Antunes Silva ◽  
Catarina Jorge ◽  
Ana Isabel Rodrigues ◽  
Rita Martins Fernandes ◽  
...  
Keyword(s):  
Weight Loss ◽  
Bladder Cancer ◽  
Case Report ◽  
Liver Biopsy ◽  
Rare Case ◽  
Empirical Therapy ◽  
Bcg Vaccine ◽  
Bacillus Calmette Guerin ◽  
History Of ◽  
Disseminated Disease

The Bacillus Calmette Guérin (BCG) vaccine was initially produced as a vaccine against tuberculosis. BCG is an attenuated live strain of Mycobacterium bovis and has been widely used as an immunotherapy over the last years in bladder cancer. We describe a case of a 61-year-old Caucasian male with previous bladder cancer, who had been treated for the last 15 months with instillation of BCG, admitted with 3-week evolution history of fever (38ºC), asthenia, anorexia and a weight loss of 6kg. The patient’s condition deteriorated leading to sepsis. A liver biopsy was performed showing granulomatous dispersed through all the parenchyma. Empirical therapy for M. bovis was started with good response. Even though it is rare, BCGitis must be ruled out in any patient submitted to immunotherapy with BCG and prompt therapy started if disseminated disease is present, which improves the outcome.

scholarly journals Favipiravir-Induced Nephrotoxicity in a Patient with COVID-19: a case report

2021 ◽  
Author(s):  
Asmaa Abdelbary ◽  
Ahmad Alharafsheh ◽  
Afif Ahmed ◽  
Abdulqadir Nashwan
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Male Patient ◽  
Shortness Of Breath ◽  
Runny Nose ◽  
History Of

This report describes a case of 45 years old male patient who tested positive for COVID-19 presented to the emergency department on March 2021 complaining of fever, cough, runny nose, and shortness of breath. The patient denied any history of nausea or diarrhea who has eventually developed favipiravir-induced nephrotoxicity.

scholarly journals A Rare Case of Hepatic Abscess That Resolved after Drainage of Pleural Empyema

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1732
Author(s):  
Oluwafemi Augustine Ajibola ◽  
Taiwo Opeyemi Aremu ◽  
Oluwatosin Esther Oluwole ◽  
Olawunmi Olayiwola ◽  
Nida Khokhar ◽  
...  
Keyword(s):  
Rare Case ◽  
Hepatic Abscess ◽  
Pleural Empyema ◽  
Productive Cough ◽  
Shortness Of Breath ◽  
Abscess Drainage ◽  
History Of

Empyema has rarely been associated with hepatic abscess. In patients with concurrent empyema and hepatic abscess, hepatic abscess drainage is usually required after drainage of the pleura. We present a rare case of a 91-year-old Caucasian man who presented with a 2-week history of productive cough, fever, shortness of breath, and generalized malaise. The patient was found to have concurrent streptococci empyema and hepatic abscess, and, interestingly, the hepatic abscess resolved after the drainage of the empyema and initiation of antibiotics.

scholarly journals A Rare Case of Spontaneous Empyema by Clostridium perfringens

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Sijan Basnet ◽  
Izza Mir ◽  
Elan Mohanty ◽  
Rashmi Dhital ◽  
Biswaraj Tharu ◽  
...  
Keyword(s):  
Clostridium Perfringens ◽  
Chest Tube ◽  
Rare Case ◽  
Pleural Cavity ◽  
Tube Placement ◽  
Shortness Of Breath ◽  
Nonproductive Cough ◽  
Chest Tube Placement ◽  
Swallowing Dysfunction ◽  
History Of

Empyema caused by clostridial infections is rare especially in the absence of invasive thoracic procedures. We present the case of an 81-year-old man without a history of preceding trauma who presented with shortness of breath and nonproductive cough and grew Clostridium perfringens only in the pleural cavity. He was predisposed to the infection due to his swallowing dysfunction. He was treated with penicillin and chest tube placement for drainage and subsequently improved.

scholarly journals CK-MB Elevation in Mild Hypothermia: What We Did and We Should Have Done

2021 ◽  
Vol 9 ◽  
pp. 232470962199533
Author(s):  
Khalid Sawalha ◽  
Krishna Vedala ◽  
Eddie Liu
Keyword(s):  
Creatine Kinase ◽  
Medical History ◽  
Male Patient ◽  
Rare Case ◽  
Mild Hypothermia ◽  
Past Medical History ◽  
Elevated Creatine Kinase ◽  
Cardiac Symptoms ◽  
History Of

An 88-year-old male patient with a past medical history of hypertension and gastroesophageal disease presented with nausea, vomiting, and hypothermia. He was admitted for further testing, which revealed elevated creatine kinase and its MB isoenzyme (CK-MB) and troponin with no significant electrocardiogram changes. He denied cardiac symptoms or any previous cardiac history. The patient was treated with fluids and antibiotics in which improvement in his symptoms was noted. In this article, we share this rare case of hypothermia associated with elevation of CK-MB.

scholarly journals Subcutaneous Emphysema without Pneumothorax or Pneumomediastinum in Pulmonary Tuberculosis

2012 ◽  
Vol 13 (2) ◽  
pp. 250-251
Author(s):  
Ahmad Mursel Anam ◽  
Farzana Shumy ◽  
AHM Waliur Rahman ◽  
Mohammad Ferdous Ur Rahaman ◽  
MA Jalil Chowdhury
Keyword(s):  
Weight Loss ◽  
Pulmonary Tuberculosis ◽  
Subcutaneous Emphysema ◽  
Rare Case ◽  
Mantoux Test ◽  
High Concentration ◽  
Oxygen Inhalation ◽  
History Of ◽  
Background History

We report a rare case of subcutaneous emphysema without pneumothorax or pneumomediastinum. A 20-year-old gentleman presented with swelling of face and neck, dysphagia and dyspnoea, with the background history of fever, dry cough and weight loss. On examination, there was feeling of crepitus all over the swollen areas, and crackles heard over both lung fields. He had high ESR, with positive Mantoux Test and sputum was positive for AFB. He was put on high concentration oxygen inhalation along with anti-tubercular chemotherapy. Following treatment he was clinically and radiologically improved, and was discharged with the advice to complete the anti-tubercular chemotherapy. DOI: http://dx.doi.org/10.3329/jom.v13i2.12773 J Medicine 2012; 13 : 250-251

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