scholarly journals Bilateral Septic Hip Epiphyseal Detachment in Children: A Case Report and Review of the Literature

2021 ◽  
Vol 7 (2) ◽  
Keyword(s):  
Septic Arthritis ◽  
Lower Limb ◽  
Neonatal Period ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Delayed Treatment ◽  
Bilateral Involvement ◽  
Keywords Septic Arthritis

Background: Diagnosed and treated fairly early, children’s septic arthritis of the hip has few or no complications. Septic epiphyseal detachment of the hip in children is a rare complication due to delayed treatment. Unilateral forms have been reported, but bilateral involvement has never been described in the literature. Case presentation: We report the case of an 8-year-old girl who presented with hip pain associated fever and diminished lower limb movements, approximately 4 months after the onset of symptoms. The diagnosis of bilateral septic epiphyseal detachment of the hips was made and computerized tomography (CT) scan revealed osteonecrosis of both femoral heads. The necrotic epiphyses required removal in order to control the infection. Conclusion: This report highlights the importance of early diagnosis of septic arthritis of the hip in the neonatal period. Any delay in presentation, diagnosis or management can result in irrecoverable sequelae for the developing hip and seriously impact long-term function. Keywords: Septic arthritis, Bilateral, Epiphysis detachment, Hip, Ablation.

scholarly journals Management of Acute Lateral Condyle Fractures of Humerus

2021 ◽  
Vol 7 (2) ◽  
Keyword(s):  
Septic Arthritis ◽  
Lower Limb ◽  
Neonatal Period ◽  
Rare Complication ◽  
Lateral Condyle ◽  
Case Presentation ◽  
Delayed Treatment ◽  
Bilateral Involvement ◽  
Keywords Septic Arthritis

Background: Diagnosed and treated fairly early, children’s septic arthritis of the hip has few or no complications. Septic epiphyseal detachment of the hip in children is a rare complication due to delayed treatment. Unilateral forms have been reported, but bilateral involvement has never been described in the literature. Case presentation: We report the case of an 8-year-old girl who presented with hip pain associated fever and diminished lower limb movements, approximately 4 months after the onset of symptoms. The diagnosis of bilateral septic epiphyseal detachment of the hips was made and computerized tomography (CT) scan revealed osteonecrosis of both femoral heads. The necrotic epiphyses required removal in order to control the infection. Conclusion: This report highlights the importance of early diagnosis of septic arthritis of the hip in the neonatal period. Any delay in presentation, diagnosis or management can result in irrecoverable sequelae for the developing hip and seriously impact long-term function. Keywords: Septic arthritis, Bilateral, Epiphysis detachment, Hip, Ablation.

scholarly journals Thoracic Empyema as Rare Complication of an Appendicular Mass: A Case Study and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
George Vasquez-Rios ◽  
Lesly Calixto-Aguilar ◽  
Richard Pajuelo ◽  
Wilder Alarcon
Keyword(s):  
Clinical Course ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Female Ratio ◽  
Case Presentation ◽  
Thoracic Empyema ◽  
Source Of Infection ◽  
Male Female Ratio ◽  
Appendicular Mass

Introduction. Thoracic empyema is an infrequent complication of appendicitis that has rarely been reported in the literature. Case Presentation and Review of the Literature. The case of a 11-year-old boy who was admitted for medical management of an appendicular mass is presented. His clinical course was complicated by the development of an appendicular abscess and an extensive right-sided empyema. A comprehensive review of the literature was conducted including the most representative cases. The data were collected and analyzed by two independent investigators. Ten cases were found. Most patients were young individuals (mean age: 25.1 years; male : female ratio: 0.5). Risk factors for thoracic empyema included pregnancy (10%) and age (60%). The most frequent organisms isolated were Escherichia coli, Bacteroides spp., and Klebsiella spp. The survival rate was 100%. Conclusion. Thoracic empyema should be considered a potential cause of respiratory distress in patients with appendicitis. Furthermore, the abdomen should be carefully evaluated as a source of infection in patients with thoracic empyema without an underlying lung disease.

scholarly journals Leptomeningeal Cyst in the Adult: Case Report and Review of the Literature

2021 ◽  
pp. 1-3
Author(s):  
Paula Pilar Morales Cejas ◽  
Paula Pilar Morales Cejas ◽  
Yanire Sánchez Medina ◽  
Marta García Berrocal ◽  
Luis Francisco Gómez Perals
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Adult Case ◽  
Leptomeningeal Cyst ◽  
Case Presentation ◽  
Affected Area ◽  
Previous Trauma ◽  
History Of ◽  
Childhood Fractures

Background: Leptomeningeal cysts are a rare complication of childhood fractures, being very rare in adulthood and usually related to previous trauma generated in children. Case Presentation: We present a case of “growing fracture” in a 70-year-old woman with a history of head injury in childhood, who clinically debuted with paresthesia-dysesthesia in the left hemicranium and hypersensitivity and pain in the affected area, and who was treated with surgical treatment. Conclusion: We review the pathogenesis, diagnosis and treatment of this injury today.

scholarly journals Anabolic Steroid Use for Weight and Strength Gain in Critically Ill Patients: A Case Series and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Matthew Anstey ◽  
Shilpa Desai ◽  
Luke Torre ◽  
Bradley Wibrow ◽  
Jason Seet ◽  
...  
Keyword(s):  
Critical Illness ◽  
Critically Ill ◽  
Anabolic Steroid ◽  
Critically Ill Patients ◽  
Case Series ◽  
Recovery Phase ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Significant Weakness

Background. An important long-term complication of critical illness is significant weakness and its resulting functional impairment. Recent advances have aimed to prevent critical illness weakness via early mobilisation of patients, minimising sedation, and optimising nutrition. One other potential treatment may be to provide anabolic support in the recovery phase, especially as patients have decreased levels of anabolic hormones. Case Presentation. We describe a case series of 4 patients who had either (1) profound critical illness myopathy and (2) profound weight loss. All patients were already receiving appropriate nutritional support and physiotherapy. All patients had functional improvements in their muscle strength. Conclusions. For patients in the recovery phase of critical illness, we provide examples of when anabolic steroid supplementation may assist the treating clinicians in rehabilitating their patients who are still in the Intensive Care Unit. We discuss patient selection and the current supporting literature for anabolic supplementation in critically ill patients.

The Case of the Missing Nose: Congenital Arhinia Case Presentation and Management Recommendations

2020 ◽  
Vol 129 (7) ◽  
pp. 645-648
Author(s):  
Andrew K. Fuller ◽  
Hilary C. McCrary ◽  
M. Elise Graham ◽  
Jonathan R. Skirko
Keyword(s):  
Neonatal Period ◽  
Rare Condition ◽  
Male Infant ◽  
Nasal Patency ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Magnetic Resonance Imaging Mri ◽  
Management Recommendations ◽  
Work Up

Objectives: To discuss the presentation and management of infants with arhinia or congenital absence of the nose. Methods: This case report describes an infant with arhinia that was diagnosed prenatally. In addition to a discussion of the case, a review of the literature was completed to define appropriate postnatal work-up and management. Results: The patient is a term male infant, diagnosed with arhinia on ultrasound and magnetic resonance imaging (MRI) performed at 21-weeks gestational age. Upon birth, the patient was subsequently intubated, followed by tracheostomy due to complete nasal obstruction. Through a genetics evaluation, the patient was found to be heterozygous for the SMCHD1 gene, with hypomethylation at the D4Z4 locus. Plans for reconstruction will be based on future imaging and the development of any nasal patency, however, the patient’s family plans to utilize a prosthetic nose until the patient is older. Conclusion: Arhinia is a rare condition causing respiratory distress in the neonatal period. While stabilization of the airway is the first priority, further management is not clearly defined given the rarity of the malformation. This case discusses stabilization of the airway with a review of treatment and reconstructive options.

scholarly journals Antiphospholipid syndrome may induce non-thrombus internal jugular vein stenosis - Two cases report and literature review

2019 ◽  
Author(s):  
Song Si-ying ◽  
Rajah Gary ◽  
Ding Yu-chuan ◽  
Ji Xun-ming ◽  
Ran Meng
Keyword(s):  
Internal Jugular Vein ◽  
Antiphospholipid Syndrome ◽  
Jugular Vein ◽  
High Titer ◽  
Rare Complication ◽  
Case Presentation ◽  
Venous Stenosis ◽  
Vein Stenosis

Abstract Background: Antiphospholipid syndrome (APS) is associated with artery or venous thrombosis. However, non-thrombus venous stenosis is rarely reported.Case presentation: This study described two young women with APS-related internal jugular vein stenosis (IJVS) and reviewed current literatures on this issue, including clinical features, diagnosis and treatment.Conclusions: IJVS is a rather rare complication of APS. This is first report of non-thrombus venous stenosis resulted from aPL mediated vessel wall damage. High titer of aPL could induce stenosis without thrombosis formation due to long-term standardized anticoagulation. Follow-up of autoantibodies are necessary to be done dynamically. Treatment for patients with IJVS of autoimmune etiology should be concomitant use of anticoagulants and steroids.

scholarly journals Apoplejía hipofisiaria durante el embarazo. [Pituitary apoplexy during pregnancy]

2020 ◽  
Vol 24 (2) ◽  
Author(s):  
A Martinz ◽  
O Reyes
Keyword(s):  
World Literature ◽  
Pituitary Apoplexy ◽  
Rare Complication ◽  
Review Of The Literature ◽  
The World ◽  
Diagnostic Difficulties ◽  
Life Threatening ◽  
Short And Long Term ◽  
In Pregnancy

<p><strong>Resumen:</strong></p><p>La apoplejía hipofisiaria es una complicación poco frecuente, con escasos casos descritos en la literatura mundial. Su asociación con el embarazo genera dificultades diagnósticas, con secuelas a corto y largo plazo que ponen en peligro la vida de la paciente de no darse el seguimiento apropiado. Presentamos un caso de apoplejía hipofisiaria de presentación durante el embarazo y revisión de la literatura.</p><p>Palabras claves: Apoplejía hipofisiaria, hipófisis, embarazo.</p><p><strong>Abstract:</strong></p><p>Pituitary apoplexy is a rare complication, with few cases described in the world literature. Its association with pregnancy creates diagnostic difficulties, with short- and long-term sequelae that are life threatening if not properly followed up. We present a case of pituitary apoplexy in pregnancy and a review of the literature.</p><p>Key words: Pituitary apoplexy, hypophysis, pregnancy.</p>*

scholarly journals Intraparenchymal pericatheter cyst after cerebrospinal fluid shunt: A rare complication with challenging diagnosis – Case presentation and review of the literature

2019 ◽  
Vol 14 (2) ◽  
pp. 581 ◽  
Author(s):  
Ploutarchos Karydakis ◽  
Ioannis Nikas ◽  
Dimitrios Panagopoulos ◽  
Maria Filippidou ◽  
George Sfakianos ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Rare Complication ◽  
Cerebrospinal Fluid Shunt ◽  
Review Of The Literature ◽  
Case Presentation
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