scholarly journals The role of the laboratory in the diagnosis process in a patient with mildly elevated hCG: a case report

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Mehmet Fatih Alpdemir ◽  
Medine Alpdemir ◽  
İlknur Toka
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Female Patient ◽  
Outpatient Clinic ◽  
Endometrial Biopsy ◽  
Obstetrics And Gynecology ◽  
Case Presentation ◽  
Potential Problems ◽  
Clinical Problems

AbstractObjetivesIn this case report, the role of the laboratory in the diagnosis process of the patient was treated with methotrexate (Mtx) who was diagnosed with ectopic pregnancy by endometrial biopsy as a result of the exclusion of the possibility of phantom HCG following the patient with βHCG values was discussed.Case presentationOur 25-year-old female patient admitted to our hospital obstetrics and gynecology outpatient clinic with irregular menstruation was evaluated with a pre-diagnosis of pregnancy. The hCG level was examined and ultrasonographically evaluated by the clinician. In the initial evaluation of the 25-year-old patient, the HCG concentration of 47 mIU/mL was determined.ConclusionLaboratory specialists should be aware of potential problems in hCG measurement. Clinicians and laboratory specialists should always be on consultation to solve clinical problems.

scholarly journals The Role of Trichoscopy in Keratosis Follicularis Spinulosa Decalvans: Case Report and Review of the Literature

2020 ◽  
pp. 1-7
Author(s):  
Aurora Alessandrini ◽  
Giancarlo Brattoli ◽  
Bianca Maria Piraccini ◽  
Ambra Di Altobrando ◽  
Michela Starace
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Clinical Features ◽  
Diagnosis And Treatment ◽  
Skin Involvement ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Keratosis Follicularis ◽  
Scarring Alopecia

<b><i>Introduction:</i></b> Keratosis follicularis spinulosa decalvans (KFSD) is a rare, X-linked, hereditary disorder of keratinization, characterized by skin involvement and progressive scarring alopecia of scalp, eyebrows, and eyelashes. The diagnosis is helped by the particular clinical features, but pathology is mandatory. <b><i>Case Presentation:</i></b> We described a case of a female patient referred to the outpatient’s hair consultation of our department, in which we performed trichoscopy as a very useful tool for the diagnosis, followed by pathology that confirmed KFSD. <b><i>Conclusion:</i></b> In our article, we underlined the importance of trichoscopy for the diagnosis of this hair disease, with also a review of the literature on diagnosis and treatment.

A Case Report on the Surgical Management of Subhepatic Perforated Appendicitis: A Rare Presentation

2020 ◽  
Author(s):  
Mumin Hakim ◽  
Rania Mostafa ◽  
Mohammed Al Shehri ◽  
Sherif Sharawy
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Female Patient ◽  
Surgical Management ◽  
Perforated Appendicitis ◽  
Exploratory Laparotomy ◽  
Atypical Presentation ◽  
Review Of Literature ◽  
Rare Presentation ◽  
Case Presentation

Abstract Background: Subhepatic appendicitis is an exceedingly rare presentation accounting for 0.01% of Acute appendicitis. It is of prime importance to be aware of various variants and thereby managing such challenging cases accordingly.Case presentation: We present a middle-aged female patient with subhepatic perforated appendicitis and peritonitis who underwent an exploratory laparotomy and appendectomy.Conclusions: Surgical management of such patients is challenging due to an atypical presentation. The surgical management of such patients is discussed with a brief review of literature.

scholarly journals Becker’s nevus syndrome: a case report 

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ugo N. Chikani ◽  
Ijeoma N. Ohuche ◽  
Ada I. Bisi-Onyemaechi
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Pediatric Endocrinology ◽  
Ipsilateral Breast ◽  
Epidermal Nevus ◽  
Case Presentation ◽  
Breast Hypoplasia ◽  
Becker’S Nevus ◽  
Nigeria Teaching Hospital ◽  
Endocrinology Clinic

Abstract Background Becker’s nevus syndrome is a syndrome characterized by the presence of a Becker’s nevus with ipsilateral breast hypoplasia or hypoplastic defects of the muscle, skin, or skeleton. The nevus usually consists of a circumscribed, unilateral, irregularly shaped hyperpigmented macule, commonly occurring around the anterior upper trunk, with/without hypertrichosis and/or acneiform lesions. This rare syndrome has not been reported in our locality to the best of our knowledge. Case presentation We report the case of a 15-year-old Igbo female patient who presented to our pediatric endocrinology clinic, University of Nigeria Teaching Hospital, Enugu, with complaints of asymmetry of the breasts and hyperpigmented macules on the side. Based on her symptoms, diagnosis of Becker’s nevus syndrome was made. The diagnosis of Becker’s nevus syndrome is mostly clinical, based on the presence of a Becker’s nevus with ipsilateral breast hypoplasia or hypoplastic defects of the muscle, skin, or skeleton. In our patient, there was a Becker’s nevus with ipsilateral breast hypoplasia. This syndrome, belonging to the class of epidermal nevus syndromes, is very rare, and is usually benign. She was placed on spironolactone tablets 50 mg daily, which have been associated with an improvement in the size of the hypoplastic breast, and her fears were allayed. Conclusion This syndrome has not been reported in our locality to the best of our knowledge and, therefore, has a propensity for misdiagnosis by clinicians because of its rarity. We therefore report this to create awareness among clinicians regarding this condition that is associated with much psychosocial trauma among patients, and that can be easily managed with oral spironolactone.

ROLE OF NAVAN NASYA KARMA AS AN ANTI-WRINKLE TREATMENT IN AGEING PROCESS: A CASE REPORT

2018 ◽  
Vol 6 (06) ◽  
Author(s):  
Akshaya Patil
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Rating Scale ◽  
Ageing Process ◽  
Early Age ◽  
Severity Rating ◽  
Wrinkle Treatment ◽  
Wear And Tear ◽  
Married Female

Aging of the skin is the result of continuous "wear and tear" processes.  This study gives a case report of 35years married female patient with complaints of wrinkles formation in early age. This study was planned to evaluate the Role of Navan Nasya Karma as an anti-wrinkle treatment in ageing process. Navan Nasya was done by instilling drops of Yashtimadhukadi tail in the nostrils for 21 days. The improvement evaluation was done by Wrinkle Severity Rating Scale (WSRS).It was observed that before treatment the score was 4 and improvement was seen until score 2. Further studies may be conducted by taking more samples with more number of sittings.

scholarly journals Levonorgestrel intrauterine system embedded within tubal ectopic pregnancy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Dorothy Makena ◽  
Ingrid Gichere ◽  
Khadija Warfa
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Intrauterine Device ◽  
African Woman ◽  
Rare Occurrence ◽  
Intrauterine Pregnancy ◽  
Case Presentation ◽  
Tubal Ectopic Pregnancy ◽  
Left Fallopian Tube

Abstract Background The presence of the levonorgestrel-releasing intrauterine system embedded within an ectopic pregnancy is a rare occurrence. Tubal migration of an intrauterine device is not well understood and has not been extensively studied in literature. Case presentation A 34-year-old African woman, para 1, gravida 2, presented with symptoms of ruptured ectopic pregnancy. She underwent a laparoscopy where a ruptured left ectopic pregnancy was found with a levonorgestrel-releasing intrauterine system inserted 2 years prior embedded within the tube. A left salpingectomy was performed with removal of the levonorgestrel-releasing intrauterine system. The patient recovered well and proceeded to have an intrauterine pregnancy 3 months later. Conclusion Migration of the levonorgestrel-releasing intrauterine system into the fallopian tube is a rare occurrence that is not well understood. In the case presented, levonorgestrel-releasing intrauterine system was found embedded within the fimbrial end of the left fallopian tube, which had a ruptured ectopic pregnancy. Surgical treatment with laparoscopy is recommended for intraabdominal intrauterine device to prevent complications.

scholarly journals Case Report of Infectious Spondylitis Caused by Kytococcus sedentarius

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 797
Author(s):  
Kyoung Ree Lim ◽  
Jun Seong Son ◽  
Soo-youn Moon
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Female Patient ◽  
Surgical Procedure ◽  
Case Presentation ◽  
First Case ◽  
Infectious Spondylitis

Background: Kytococcus species has not been considered a pathogen, but infections caused by this species are increasing. There are several cases of infections caused by Kytococcus sedentarius, but no case of infectious spondylitis has been reported yet. Case presentation: A 79-year-old female patient was hospitalized because of back pain for several months. She was diagnosed with infectious spondylitis, and K. sedentarius was cultured from the pus and specimen obtained during the surgical procedure. The patient recovered completely without recurrence after 6 months of treatment with ciprofloxacin alone for 8 weeks. Conclusion: This is the first case report of infectious spondylitis caused by K. sedentarius.

scholarly journals Interstitial lung disease occurring shortly after tocilizumab infusion in a patient with polyarticular juvenile idiopathic arthritis: a case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Koichi Sugihara ◽  
Risa Wakiya ◽  
Hiromi Shimada ◽  
Mikiya Kato ◽  
Tomohiro Kameda ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Female Patient ◽  
Interleukin 6 ◽  
Subcutaneous Administration ◽  
Glucocorticoid Therapy ◽  
Polyarticular Juvenile Idiopathic Arthritis ◽  
Case Presentation

Abstract Background Tocilizumab has been shown to be effective for treatment of juvenile idiopathic arthritis (JIA). To our knowledge, this is the first reported case of interstitial lung disease occurring shortly after tocilizumab infusion in a patient with JIA. Case presentation A 14-year-old female patient with polyarticular JIA developed interstitial lung disease after intravenous and subcutaneous administration of tocilizumab. Her condition improved with glucocorticoid therapy. Conclusion Our results suggest that increased interleukin-6 levels in the blood following tocilizumab treatment may be linked to development of interstitial lung disease.

scholarly journals Case Report: SARS-CoV-2 as an unexpected causal agent of isolated febrile hepatitis

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 400
Author(s):  
Paraskevas Filippidis ◽  
Francois van Ouwenaller ◽  
Alberto Cerutti ◽  
Anaïs Geiger-Jacquod ◽  
Christine Sempoux ◽  
...  
Keyword(s):  
Case Report ◽  
Respiratory Symptoms ◽  
Unknown Origin ◽  
Causal Agent ◽  
Nasopharyngeal Swab ◽  
Serological Testing ◽  
Case Presentation ◽  
Pcr Screening ◽  
Work Up

Background: Respiratory symptoms and pneumonia are the predominant features of Coronavirus disease 2019 (COVID-19) due to emerging SARS-CoV-2 virus, but extrapulmonary manifestations are also observed. For instance, some degree of liver injury has been described among patients requiring hospital admission for severe COVID-19. However, acute febrile hepatitis as an initial or predominant manifestation of COVID-19 has been rarely reported. Case presentation: A 34-year-old man without underlying medical conditions presented with fever of unknown origin for two weeks in the absence of respiratory symptoms or other complaints. Laboratory testing revealed isolated acute hepatitis, for which an extensive microbiological work-up did not reveal identification of the causal agent. PCR testing for SARS-CoV-2 on a nasopharyngeal swab was negative on two occasions and initial serology for SARS-CoV-2 (at 15 days from symptoms onset) was also negative. However, repeated SARS-CoV-2 serological testing at 30 days demonstrated seroconversion leading to the diagnosis of COVID-19-related hepatitis. The patient's condition progressively improved, while transaminases steadily declined and eventually returned back to normal within 30 days. Conclusions: We describe here a unique case of SARS-CoV-2 isolated febrile hepatitis in a young and previously healthy man, which was diagnosed by demonstration of seroconversion, while PCR screening was negative. This case report highlights the role of repeated serological testing for the diagnosis of extrapulmonary manifestations of COVID-19.

scholarly journals Successfully Treatment of Application Awake Extracorporeal Membrane Oxygenation in Critical COVID-19 Patient: A Case Report

2020 ◽  
Author(s):  
Junyi Tang ◽  
Wencan Li ◽  
Fanli Jiang ◽  
Tao Wang
Keyword(s):  
Public Health ◽  
Case Report ◽  
Infectious Diseases ◽  
Extracorporeal Membrane Oxygenation ◽  
Female Patient ◽  
Cardiac Failure ◽  
Public Health Emergency ◽  
Case Presentation ◽  
Membrane Oxygenation

Abstract Background: A newly infectious diseases named coronavirus disease 2019 (COVID-19) emerged in China and now has spread in many countries, and constituted a public health emergency of international concern. Extracorporeal membrane oxygenation (ECMO) is used as salvage therapies in critical COVID-19 patients with respiratory/cardiac failure. Case presentation: A 49-year-old female patient was diagnosed with COVID-19 and progressed to critical cases, she was successfully treated with the application of awake extracorporeal membrane oxygenation. This case is the first reported successfully treatment of application awake ECMO in critical COVID-19 patient in China.Conclusions: Here we present the first reported successfully treatment of application awake ECMO in critical COVID-19 patient, however, whether awake ECMO can be widely used in the treatment of critical COVID-19 patients need more practice.

Sign in / Sign up

Export Citation Format

Share Document