scholarly journals Ekbom’s syndrome in a bipolar disorder patient: a case report

2021 ◽  
Vol 11 ◽  
Author(s):  
Filipe Augusto Cursino de Freitas ◽  
Mateus Arruda Aleixo
Keyword(s):  
Bipolar Disorder ◽  
Case Report ◽  
Elderly Woman ◽  
Bipolar Depression ◽  
Case Reports ◽  
Psychiatric Service ◽  
Rare Condition ◽  
Previous Diagnosis ◽  
Ekbom Syndrome ◽  
Mental Ilness

Introduction: Ekbom syndrome is a rare condition in which the patient believes that his or her body is infested by worms or other parasites.This condition is associated to mental ilness in 81% of cases. There is not a final statement about the best psychofarmacological treatment of this condition. Objective: The present study presents a case report on which an elderly woman with bipolar disorder has shown Ekbom syndrome. Method: This study lists a case report of a 69 yerar-old woman with bipolar disorder. This patient had presented the belief that worms were walking under her skin during the past few months. She had a previous diagnosis of bipolar disorder. Depressive symptoms were intense. The patient was followed up in an outpatient psychiatric service for 120 days. Lurasidone was introduced and some drugs were discontinued. Result: One month after starting treatment with lurasidone, there was a significant improvement of delusional beliefs of Ekbom syndrome. Such improvement was associated with the improvement of the bipolar depressive condition in this case. Conclusion: Ekbom syndrome is a rare kind of delusion. Its etiology is not fully understood. We presented a case of an elderly woman with previous diagnosis of bipolar disorder with Ekbom syndrome. To our knowledge, there are no other case reports informing the use of lurasidone in bipolar depression associated with Ekbom syndrome.

Fournier's gangrene as Amyand's hernia complication

2019 ◽  
Vol 98 (7) ◽  
pp. 291-296
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Rare Condition ◽  
Sporadic Case ◽  
Fournier’S Gangrene ◽  
Amyand’S Hernia ◽  
Fournier's Gangrene ◽  
Randomized Controlled Studies ◽  
Based Medicine ◽  
Hernia Complication

Introduction: Fournier’s gangrene is a rare but fast deteriorating and serious condition with high mortality. In most cases, it is characterized as necrotizing fasciitis of the perineum and external genitals. Amyand’s hernia is a rare condition where the appendix is contained in the sac of an inguinal hernia. Inflammatory alterations in the appendix account only for 0.1 % of the cases when Amyand’s hernia is verified. Fournier’s gangrene as a complication of a late diagnosis of appendicitis located in the inguinal canal is described in the literature as rare case reports. Case report: The case report of a 70-year-old patient with Fournier’s gangrene resulting from gangrenous appendicitis of Amyand’s hernia. Conclusion: Fournier’s gangrene as a complication of Amyand’s hernia is a rare condition. Only sporadic case reports thereof can be found in the literature. Because of the rarity of this pathology and the lack of randomized controlled studies, it is difficult to determine the optimal treatment according to the principles of evidence-based medicine. An appropriate approach for this condition appears to be the combination of guidelines developed in Amyand’s therapy according to Losanoff and Basson, along with the recommended “gold standard” therapy for Fournier’s gangrene. This means early and highly radical surgical debridement, adequate antibiotic therapy and intensive care.

scholarly journals Surgical Treatment of Concomitant Scapular Spine Pseudoarthrosis and Rotator Cuff Impingement: A Case Report

2021 ◽  
Author(s):  
Hamid Rabie ◽  
Mohammad Reza Guity ◽  
Leila Oryadi Zanjani
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Rotator Cuff ◽  
Bone Grafting ◽  
Case Reports ◽  
Rare Condition ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Aggressive Approach ◽  
Scapular Spine

Background: Nonunion and pseudoarthrosis formation following scapular spine fracture is a rare condition and is limited only to case reports. Some authors reported its association with rotator cuff impingement. Standard treatment is not defined well as the condition is rare. Case Report: Our patient was a 61-year-old man with painful nonunion in addition to cuff impingement. Surgical treatment by open reduction, internal fixation with reconstruction plate and tension band wiring, along with bone grafting led to fracture union, as well as complete resolution of the rotator cuff tendinopathy. Conclusion: Surgical fixation seems to be the best choice in treating scapular spine pseudoarthrosis. The first attempt should be the best, so we took an aggressive approach by the use of plating, tension band wiring, and bone grafting altogether.

scholarly journals Ekbom Syndrome associated with Lewy Body Dementia: A case report

2020 ◽  
Vol 14 (1) ◽  
pp. 83-87
Author(s):  
Felippe José Pontes de Mendonça ◽  
Ivan Abdalla Teixeira ◽  
Valeska Marinho
Keyword(s):  
Case Report ◽  
Lewy Body ◽  
Psychiatric Symptoms ◽  
Neuropsychiatric Symptoms ◽  
Correct Diagnosis ◽  
Lewy Body Dementia ◽  
Rare Condition ◽  
Adequate Treatment ◽  
Thought Disorders ◽  
Ekbom Syndrome

ABSTRACT Ekbom Syndrome, also known as parasitosis delusion or psychogenic parasitosis, is a rare condition in which patients present with a fixed belief of being infested by parasites, vermin or small insects, along with tactile hallucinations (such as pruritus or sensations of the parasites crawling over or under the skin). The syndrome may occur idiopathically or be associated with other medical conditions and drug use. This case report describes the occurrence of Ekbom syndrome in a patient diagnosed with Lewy Body Dementia (LBD), a neurodegenerative disease that commonly presents with sensory perception and thought disorders and other neuropsychiatric symptoms. Although visual hallucination is considered a core diagnostic criterion, other modalities of psychiatric symptoms can also occur posing a further challenge for correct diagnosis. Proper recognition allows early diagnosis and adequate treatment, preventing hazardous antipsychotic use in these patients.

scholarly journals Bupropion Maintenance Treatment in Refractory Bipolar Depression: A Case Report

2017 ◽  
Vol 13 (1) ◽  
pp. 43-48
Author(s):  
Julia Dehning ◽  
Heinz Grunze ◽  
Armand Hausmann
Keyword(s):  
Bipolar Disorder ◽  
Case Report ◽  
Maintenance Treatment ◽  
Bipolar Depression ◽  
Antidepressant Treatment ◽  
Mood Stabilizer ◽  
Obvious Benefit ◽  
Insufficient Response ◽  
Bipolar Patients

Background:The optimal duration of antidepressant treatment in bipolar depression appears to be controversial due to a lack of quality evidence, and guideline recommendations are either vague or contradictive. This is especially true for second line treatments such as bupropion that had not been subject to rigourous long term studies in Bipolar Disorder.Case presentation:We report the case of a 75 year old woman who presented with treatment refractory bipolar depression. Because of insufficient response to previous mood stabilizer treatment and refractory depressive symptoms, bupropion was added to venlafaxine and lamotrigine. From there onwards, the patient improved continuously without experiencing deterioration of depression or a switch into hypomania. Our patient being on antidepressants for allmost four years experienced an obvious benefit from longterm antidepressant administration.Conclusion:Noradrenergic/dopaminergic mechanisms of action may play a more prominent role in bipolar depression, and may still be underused as a therapeutic strategy in the acute phase as well as in long-term maintenance in at least a subgroup of bipolar patients. There is still a lack of evidence from RCTs, but this case report further supports antidepressant long-term continuation and the usefulness of a noradrenergic/dopaminergic antidepressant in the acute and maintenance treatment of bipolar disorder.

scholarly journals Bilateral cavernous sinus thrombosis as first manifestation of primary Burkitt lymphoma of the thyroid gland

2017 ◽  
Vol 9 (2) ◽  
Author(s):  
Mehdi Moghaddasi ◽  
Mona Nabovvati ◽  
Saeed Razmeh
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Cavernous Sinus ◽  
Burkitt Lymphoma ◽  
Sinus Thrombosis ◽  
Case Reports ◽  
Rare Condition ◽  
Cavernous Sinus Thrombosis ◽  
First Case ◽  
Clinical Description

Cavernous sinus thrombosis (CST) is a rare condition that is usually associated with infections, pregnancy, vasculitis and some types of medication, such as the contraceptive pill and paraneoplastic. Primary Burkitt lymphoma (PBL) of the thyroid gland is very uncommon and the clinical description of such cases has been largely limited to case reports. In this paper, we present a case of CST as the first manifestation of PBL of the thyroid gland. To the best of our knowledge, our patient is the first case report of PBL of the thyroid gland that presents with bilateral CST.

scholarly journals Bipolar Disorder and Wilson’s Disease: A Case Report

2015 ◽  
Vol 3 (2) ◽  
pp. 50-52 ◽  
Author(s):  
S Bhagat ◽  
H Nepal ◽  
A K Verma
Keyword(s):  
Bipolar Disorder ◽  
Case Report ◽  
Wilson’S Disease ◽  
Bipolar Depression ◽  
Wilson's Disease ◽  
Serum Ceruloplasmin ◽  
Urinary Copper ◽  
Low Serum

Wilson’s disease is an uncommon inherited disorder characterized by low serum ceruloplasmin levels, hypercupriuria and Kayser-Fleischer rings. Here we describe the case of a young boy who presented with symptoms of bipolar depression along with bilateral hand tremors. He was started with Quetiapine but symptoms did not improve. Investigations revealed cirrhotic changes of liver, low serum ceruloplasmin levels, presence of Kayser-Fleischer rings. The diagnosis of Wilson’s disease was confirmed by high 24hr. urinary copper levels. Bipolar symptoms improved after 7 months of initiation of oral penicillamine treatment.J Psychiatric Association of Nepal Vol .3, No.2, 2014, pp: 50-52DOI: http://dx.doi.org/10.3126/jpan.v3i2.12399

scholarly journals Management of Acquired Bilateral Masseteric Hypertrophy-A Case Report

2015 ◽  
Vol 9 (2) ◽  
pp. 92-95
Author(s):  
S Yadav ◽  
V Dhupar ◽  
A Dhupar ◽  
F Akkara ◽  
HC Mittal
Keyword(s):  
Case Report ◽  
Masseter Muscle ◽  
Muscle Hypertrophy ◽  
Case Reports ◽  
Treatment Options ◽  
Young Male ◽  
Rare Condition ◽  
Mandibular Angle ◽  
Square Configuration ◽  
Prominent Mandibular Angle

ABSTRACT Masseter muscle hypertrophy is a rare condition of unknown cause, which is important due to growing cosmetic concern. A hypertrophied masseter may cause prominent mandibular angle, alter facial lines and characteristic square configuration of face, which may be unacceptable to the patient. Several treatment options reported for masseter hypertrophy, which range from conservative treatment options to invasive surgical procedure. The botulinum therapy offers good results but it's expensive and requires repeated injections with the chances of antibodies development. However, surgical treatment though invasive provides quick and permanent treatment for masseter muscle hypertrophy. The present case reports surgical management of young male patient with masseter hypertrophy due to cosmetic reasons.

scholarly journals Expanding the Neurological Phenotype of Ring Chromosome 10 Syndrome: A Case Report and Review of the Literature

Genes ◽  
2021 ◽  
Vol 12 (10) ◽  
pp. 1513
Author(s):  
Jacopo Pruccoli ◽  
Claudio Graziano ◽  
Chiara Locatelli ◽  
Lucia Maltoni ◽  
Hodman Ahmed Sheikh Maye ◽  
...  
Keyword(s):  
Case Report ◽  
Behavioral Problems ◽  
Case Reports ◽  
Brain Mri ◽  
Ring Chromosome ◽  
Rare Condition ◽  
Posterior Cranial Fossa ◽  
Chromosome 10 ◽  
Neurological Phenotype ◽  
Cranial Fossa

Ring chromosome 10 [r(10)] syndrome is a rare genetic condition, currently described in the medical literature in a small number of case report studies. Typical clinical features include microcephaly, short stature, facial dysmorphisms, ophthalmologic abnormalities and genitourinary malformations. We report a novel case of r(10) syndrome and review the neurological and neuroradiological phenotypes of the previously described cases. Our patient, a 3 year old Italian girl, represents the 20th case of r(10) syndrome described to date. Intellectual disability/developmental delay (ID/DD), microcephaly, strabismus, hypotonia, stereotyped/aggressive behaviors and electroencephalographic abnormalities were identified in our patient, and in a series of previous cases. A brain MRI disclosed a complex malformation involving both the vermis and cerebellar hemispheres; in the literature, posterior cranial fossa abnormalities were documented by CT scan in another case. Two genes deleted in our case (ZMYND11 in 10p and EBF3 in 10q) are involved in autosomal dominant neurodevelopmental disorders, characterized by different expressions of brain and posterior cranial fossa abnormalities, ID/DD, hypotonia and behavioral problems. Our case expands the neurological and neuroradiological phenotype of r(10) syndrome. Although r(10) syndrome represents an extremely rare condition, with a clinical characterization limited to case reports, the recurrence of specific neurological and neuroradiological features suggests the need for specific genotype-phenotype studies.

scholarly journals A Case Report of Aggressive Angiomyxoma in Pregnancy: Do Hormones Play a Role?

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Theofano Orfanelli ◽  
Chi-Son Kim ◽  
Sally F. Vitez ◽  
James Van Gurp ◽  
Neeti Misra
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Reproductive Age ◽  
Aggressive Angiomyxoma ◽  
The Right ◽  
Labium Majus ◽  
Growing Mass ◽  
In Pregnancy

Aggressive angiomyxoma is a rare, locally invasive tumor that generally affects the perineum and pelvis of reproductive age females. Aggressive angiomyxoma is often misdiagnosed, resulting in the delay of the treatment. Case reports show increased growth of the tumor during pregnancy, thus suggesting a hormonal dependency. We report this rare condition in a 29-year-old primigravid female with a growing mass on the right labium majus at 20 weeks’ gestation. The patient also developed a smaller mass on the left labium majus at 37 weeks’ gestation. The patient underwent a primary cesarean section with resection of the right labial mass, with a final diagnosis of aggressive angiomyxoma. The lesion on her left labium majus resolved spontaneously postpartum. This case report supports a hormonal involvement in this tumor.

Sign in / Sign up

Export Citation Format

Share Document