scholarly journals Pancreatic Tuberculosis: A Case Report

2009 ◽  
Vol 22 (2) ◽  
pp. 264-268
Author(s):  
H Sarkar ◽  
M Hassan ◽  
S Ali ◽  
RN Laila
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Mycobacterium Tuberculosis ◽  
Case Report ◽  
Surgical Treatment ◽  
Pancreatic Carcinoma ◽  
Preoperative Diagnosis ◽  
Histopathological Analysis ◽  
Pancreatic Tuberculosis ◽  
High Index Of Suspicion

The pancreas is rarely affected by Mycobacterium tuberculosis infections, probably because of the presence of pancreatic enzymes and only few cases are reported. The differential diagnosis with pancreatic carcinoma represents a challenge because of clinical and radiological similarities. We report a case of 30 year-old women presented with pain and lump in epigastric region with constitutional symptoms - weight loss, nausea and occasional vomiting. Preoperative diagnosis of pancreatic tuberculosis requires a high index of suspicion and usually its diagnosis is established after surgical treatment. The diagnosis of this reported case was confirmed by histopathological analysis following laparotomy. The response of the disease to anti tubercular drugs was good.TAJ 2009; 22(1): 264-268

scholarly journals Pulmonary Tuberculosis in Coronavirus Disease-19 Patients: A Report of Two Cases from Nigeria

2020 ◽  
Vol 8 (T1) ◽  
pp. 272-275
Author(s):  
Tekobo Abiodun Gbenga ◽  
Taofeek Oloyede ◽  
Olayinka Rasheed Ibrahim ◽  
Abdallah Sanda ◽  
Bello Muhammed Suleiman
Keyword(s):  
Weight Loss ◽  
Mycobacterium Tuberculosis ◽  
Case Report ◽  
Respiratory Symptoms ◽  
Endemic Area ◽  
Case Reports ◽  
First Case ◽  
History Of ◽  
High Index Of Suspicion ◽  
The Impact

BACKGROUND: Despite the concern on the impact of coronavirus disease (COVID)-19 on tuberculosis (TB), there is a paucity of information from the developing countries inclusive of Nigeria. CASE REPORT: Hence, we report two cases of Nigerian’ adults with coinfections of severe acute respiratory syndrome coronavirus 2 and Mycobacterium tuberculosis (MTB). The two cases were males and aged 30 and 33 years, respectively. They presented with cough, fever, and weight loss with features of acute respiratory symptoms and a history of contact with a confirmed COVID-19. The GeneXpert for MTB detected was high, and chest radiographs showed both features suggestive of TB, and COVID-19. They both received quadruple anti-TB regimen, along with lopinavir/ritonavir. The first case was discharged after 15 days, while the second patient died 6 days into the admission. CONCLUSION: This case reports showed that COVID-19 superimposed on TB may not be uncommon in our environment and may have a poorer outcome. Hence, there is a need for a high index of suspicion for TB infection in endemic area during the COVID-19 pandemic.

scholarly journals Large intraperitoneal lipoleiomyoma in a pre-menopausal woman: a case report

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sara L. Schaefer ◽  
Amy L. Strong ◽  
Sheena Bahroloomi ◽  
Jichang Han ◽  
Michella K. Whisman ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Smooth Muscle ◽  
Case Report ◽  
Smooth Muscle Actin ◽  
Abdominal Mass ◽  
Histopathological Analysis ◽  
Menopausal Woman ◽  
En Bloc ◽  
Cross Sectional

Abstract Background Lipoleiomyoma is a rare, benign variant of the commonplace uterine leiomyoma. Unlike leiomyoma, these tumors are composed of smooth muscle cells admixed with mature adipose tissue. While rare, they are most frequently identified in the uterus, but even more infrequently have been described in extrauterine locations. Case presentation We describe a case report of a 45-year-old woman with a history of in vitro fertilization pregnancy presenting 6 years later with abdominal distention and weight loss found to have a 30-cm intra-abdominal lipoleiomyoma. While cross-sectional imaging can narrow the differential diagnosis, histopathological analysis with stains positive for smooth muscle actin, desmin, and estrogen receptor, but negative for HMB-45 confirms the diagnosis of lipoleiomyoma. The large encapsulated tumor was resected en bloc. The patients post-operative course was uneventful and her symptoms resolved. Conclusions Lipoleiomyoma should be considered on the differential diagnosis in a woman with a large intra-abdominal mass. While considered benign, resection should be considered if the mass is symptomatic, and the diagnosis is unclear or there is a concern for malignancy.

scholarly journals Preoperative Diagnosis and Treatment of Middle Ear Adenoma: A Case Report and Literature Review

2021 ◽  
pp. 014556132110002
Author(s):  
Aleksander Zwierz ◽  
Krystyna Masna ◽  
Paweł Burduk
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Literature Review ◽  
Middle Ear ◽  
Surgical Procedures ◽  
Preoperative Diagnosis ◽  
Proper Treatment ◽  
Second Stage ◽  
Middle Ear Adenoma ◽  
Histopathological Results

Most reported cases of middle ear adenoma (MEA) have focused on histopathology because MEA is usually diagnosed postoperatively, which is considered as a major setback. We focused on the surgical aspect of the disease to facilitate a preoperative diagnosis, resulting in prompt and proper treatment, without requiring a second stage of surgical treatment. In this report, we present the differential diagnoses in a 40-year-old man with MEA requiring surgical treatment. Preoperatively, the patient was suspected to have an MEA. An analysis of the surgical procedures in similar misdiagnosed tumors has enabled us to assess surgical procedures in cases wherein the preoperative diagnosis does not coincide with the postoperative histopathological results.

scholarly journals Bilateral Charcot hip Arthropathy Due to Tabes Dorsalis: A Case Report

2018 ◽  
Vol 25 (1) ◽  
pp. 21-23
Author(s):  
Ip Hoi Yeung ◽  
Yeung Yip Kan ◽  
Luk Kristine Shik ◽  
Lam Polly Wy ◽  
Wong Kwok Ho
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Course ◽  
High Index ◽  
Tabes Dorsalis ◽  
High Index Of Suspicion

This article illustrates the clinical course of a patient diagnosed to have bilateral Charcot hip arthropathy secondary to tabes dorsalis from delayed untreated syphilitic infection. This differential diagnosis of rapid bilateral hip destruction was a near-extinct entity, and a high index of suspicion is needed to prevent untoward sequelae.

scholarly journals Clinical features, histopathological analysis and surgical treatment of a free floating vitreous cyst: a case report

2006 ◽  
Vol 69 (5) ◽  
pp. 753-755 ◽  
Author(s):  
Rodrigo Pessoa Cavalcanti Lira ◽  
Patrícia Jungmann ◽  
Luis Felipe Lynch de Moraes ◽  
Ana Paula Teles Silveira
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Clinical Features ◽  
Histopathological Analysis ◽  
Vitreous Cyst

scholarly journals Dieulafoy Lesion of Ileum: A Case Report

2020 ◽  
Vol 3 (1) ◽  
pp. 64-66
Author(s):  
Prakash Poudel ◽  
Ramesh Dhakwa
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Gastrointestinal Bleeding ◽  
Gastrointestinal Haemorrhage ◽  
Definitive Diagnosis ◽  
Gi Bleeding ◽  
Mucosal Defect ◽  
Life Threatening ◽  
High Index Of Suspicion ◽  
Dieulafoy Lesion

Dieulafoy lesion is a rare cause of massive GI bleeding. It’s an abnormal sub-mucosal artery protruding from a minute mucosal defect (≤3 mm). A 31 yearold male presented with complaints of hematochezia. Preliminary investigations failed to locate the exact source of bleed. Enteroscopy suggested distal ileal bleed. At laparotomy, an ulcerated nodular lesion, approximately 0.5 cm was identified in distal ileum. 30 cm of ileum along with mesentery was resected. Histology revealed it to be Dieulafoy lesion. Dieulafoy lesion is uncommon but one of the causes of obscure gastrointestinal bleeding that could result in treacherous and life-threatening gastrointestinal haemorrhage. This lesion is difficult to identify and high index of suspicion is required to make diagnosis. Hence, it should be considered in the differential diagnosis of active GI bleeding. The definitive diagnosis is based only on histopathology.

scholarly journals Disseminated Histoplasmosis in an Elderly Man Presented with Fever, Weight loss, Abdominal Pain and Haemoptysis - A Case Report with Literature Review

2011 ◽  
Vol 12 (1) ◽  
pp. 81-85
Author(s):  
Mohammad Robed Amin ◽  
Farzana Shumi ◽  
Hasibuddin Khan ◽  
Syed Ahmed Abdullah ◽  
Shafiul Alam ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Weight Loss ◽  
Abdominal Pain ◽  
Case Report ◽  
Literature Review ◽  
Disseminated Histoplasmosis ◽  
History Of ◽  
Background History ◽  
Recurrent Haemoptysis ◽  
High Index Of Suspicion

An elderly patient presented with prolonged fever, gross weight loss, recurrent haemoptysis and abdominal pain. He had a background history of adrenal tuberculosis with completion of treatment without any obvious improvement. Clinically he was diagnosed as a case of adrenocotical insufficiency. Evaluation including histopathology revealed the diagnosis as disseminated histoplasmosis involving adrenal gland and lungs. The disease is a rarity without any underneath immunosuppression and hence high index of suspicion with appropriate steps for investigation is the key to achieve a diagnosis of disseminated histoplasmosis in Bangladesh. Keyword: . DOI: 10.3329/jom.v12i1.6936J Medicine 2011; 12 : 81-85

scholarly journals Invasive Basidiobolomycosis Presenting as Retroperitoneal Fibrosis: A Case Report

2020 ◽  
Vol 17 (2) ◽  
pp. 535
Author(s):  
Abdulmalek Alsharidah ◽  
Yahya Mahli ◽  
Nayef Alshabyli ◽  
Mohammed Alsuhaibani
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Fungal Infection ◽  
Surgical Intervention ◽  
Retroperitoneal Fibrosis ◽  
Healthy Woman ◽  
Retroperitoneal Mass ◽  
Cutaneous Infection

Basidiobolomycosis is an uncommon emerging fungal infection caused by Basidiobolus ranarum. It frequently causes cutaneous infection, but it rarely infects visceral tissues in humans. Here, a 39-year-old previously healthy woman presented with severe left-sided abdominal pain and weight loss. She had visited several hospitals and had provisionally been diagnosed as having either a retroperitoneal malignancy or retroperitoneal fibrosis before being referred to our hospital. Abdominal computerized tomography and biopsy of the retroperitoneal mass revealed retroperitoneal basidiobolomycosis infection. She was started on antifungal treatment. This led to significant improvement, without surgical intervention. Gastrointestinal basidiobolomycosis can present in many forms, commonly involving the colon and liver with multifocal inflammatory masses. Nonetheless, retroperitoneal basidiobolomycosis presentation is extremely rare and should be considered in the differential diagnosis of a retroperitoneal mass with eosinophilia.

scholarly journals Case Report: 44-Year-Old Male with Shortness of Breath, Cough, and Weight Loss

2021 ◽  
Vol 1 (1) ◽  
pp. 73-77
Author(s):  
Kelsey Keverline
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Case Report ◽  
Respiratory Symptoms ◽  
Severe Disease ◽  
Unknown Etiology ◽  
Shortness Of Breath ◽  
Respiratory Pathology ◽  
Proper Diagnosis ◽  
Clinical Considerations

Statement of Significance Lower respiratory pathologies exhibit a broad spectrum of clinical courses ranging from self-limited to chronic and from benign to fatal. During the present COVID-19 pandemic, the prompt and proper diagnosis of respiratory disease carries even greater importance. Apart from this patient’s presentation with respiratory symptoms during a respiratory pandemic, he demonstrated several concerning features for severe disease including 20 lbs of weight loss and hemoptysis. This teaching case examine the differential diagnosis, workup, clinical considerations, and management of patients presenting with severe respiratory pathology of unknown etiology.

scholarly journals Bronchoesophageal Fistula due to Esophageal Tuberculosis

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Pathik Desai ◽  
Prachi Mayenkar ◽  
Thomas F. Northrup ◽  
Vijaya Mallela
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Case Report ◽  
Bronchoesophageal Fistula ◽  
Pulmonary Tb ◽  
Esophageal Tuberculosis ◽  
Important Differential Diagnosis ◽  
Immunocompetent Patients

This is a case report regarding a patient who presented with 6 months of dysphagia and subsequent 40-pound weight loss. The patient underwent imaging, suggestive of pulmonary TB. Further workup of his dysphagia with esophagogastroduodenoscopy and bronchoscopy revealed two bronchoesophageal fistulas. Tuberculosis is an important differential diagnosis of prolonged dysphagia in immunocompetent patients.

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