scholarly journals Septic Shock with Chlamydia Pneumoniae Secondary to Prostatic Abscess: A Rare Case Report

2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Călin Timar ◽  
Marcel Negrău ◽  
Carmen Pantiș ◽  
Cristian Daina ◽  
Sebastian-Dan Stanciu ◽  
...  
Keyword(s):  
Septic Shock ◽  
Rare Case ◽  
Chlamydia Pneumoniae ◽  
Case Reports ◽  
Lumbar Pain ◽  
Published Data ◽  
Prostatic Abscess ◽  
Rare Case Report ◽  
Acute Bacterial Prostatitis ◽  
Prostatic Abscesses

Prostatic abscesses are a rare clinical entity in current practice due to the widespread use of antibiotics. Management usually imposes a challenge to urologists that is due to the difficult diagnosis, as it may mimic other diseases of the lower urinary tract and the lack of guidelines for treatment. Prostate abscess (PA) usually develops in immunocompromised patients, including diabetic and HIV patients, as a consequence of acute bacterial prostatitis. The reason for the lack of guidelines as regards PA is that most of the published data in the literature are case reports due to the declining incidence of the disease today. We presented a male patient who was not foreknown with pathological or personal antecedents or a promiscuous lifestyle. He was hospitalized in the urology section with subfebrility and lumbar pain. His general condition changed rapidly within the span of a few hours, the patient entering septic shock without an etiology or a determined infection. After careful serial investigations, hemocultures (atypical germs) for IgM antibodies Chlamydia Pneumoniae were found in the serological complement fixation (cf) test. The patient responded well to empirically initiated antibiotic treatment upon admission to Intensive Care. Due to a favorable evolution, the patient was declared clinically healthy upon discharge. This was a rare case in medical literature of septic shock of initially unspecified etiology but which, upon thorough investigations and urological reevaluation, revealed a prostatic abscess with Chlamydia Pneumoniae, exteriorized through the urethra and highlighted through positive hemocultures only.

Linezolid Induced Skin Reactions in a Multi Drug Resistant Infective Endocarditis Patient: A Rare Case

2020 ◽  
Vol 15 (3) ◽  
pp. 222-226 ◽  
Author(s):  
Asha K. Rajan ◽  
Ananth Kashyap ◽  
Manik Chhabra ◽  
Muhammed Rashid
Keyword(s):  
Case Report ◽  
Infective Endocarditis ◽  
Rare Case ◽  
Case Reports ◽  
Multidrug Resistant ◽  
The Body ◽  
Prior History ◽  
Skin Reactions ◽  
Rare Case Report ◽  
Multiple Drugs

Rationale: Linezolid (LNZ) induced Cutaneous Adverse Drug Reactions (CADRs) have rare atypical presentation. Till date, there are very few published case reports on LNZ induced CADRs among the multidrug-resistant patients suffering from Infective Endocarditis (MDR IE). Here, we present a rare case report of LNZ induced CARs in a MDR IE patient. Case report: A 24-year-old female patient was admitted to the hospital with chief complaints of fever (101°C) associated with rigors, chills, and shortness of breath (grade IV) for the past 4 days. She was diagnosed with MDR IE, having a prior history of rheumatic heart disease. She was prescribed LNZ 600mg IV BD for MDR IE, against Staphylococcus coagulase-negative. The patient experienced flares of cutaneous reactions with multiple hyper-pigmented maculopapular lesions all over the body after one week of LNZ therapy. Upon causality assessment, she was found to be suffering from LNZ induced CADRs. LNZ dose was tapered gradually and discontinued. The patient was prescribed corticosteroids along with other supportive care. Her reactions completely subsided and infection got controlled following 1 month of therapy. Conclusion: Healthcare professionals should be vigilant for rare CADRs, while monitoring the patients on LNZ therapy especially in MDR patients as they are exposed to multiple drugs. Moreover, strengthened spontaneous reporting is required for better quantification.

scholarly journals Pleomorphic xanthoastrocytoma at the pineal region: rare case report with successful surgical management

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Saraj Kumar Singh ◽  
Krishan Kumar Sharma ◽  
Tarun Kumar
Keyword(s):  
Surgical Management ◽  
Rare Case ◽  
Case Reports ◽  
Internal Capsule ◽  
Pleomorphic Xanthoastrocytoma ◽  
Pineal Region ◽  
Low Grade ◽  
Pineal Region Tumors ◽  
Pediatric Age Group ◽  
Rare Case Report

Abstract Background Pineal region tumors are commonly present in the pediatric age group. However, pleomorphic xanthoastrocytoma (PXA) is very rare at this region, and only few case reports have been reported till now in literature. Case presentation Here, we report a rare case of pineal region, juxta-thalamic, pleomorphic xanthoastrocytoma (PXA) in an 11-year-old male child. The child presented with severe headache after which MRI was done. It was suggestive of pineal region low-grade tumor. The patient was operated in Parkbench position with SCIT (supracerebellar approach) in a retractor-free manner. Gross total resection was done. However, the patient developed postoperative left-sided hemiparesis. It got improved in 1 month, and the patient became ambulatory. Histopathology came out as pleomorphic xanthoastrocytoma. Conclusion Surgical management should include careful resection near the internal capsule to avoid postoperative hemiparesis. Also, shunt should be delayed in the cystic cavity created by resection of tumor.

HECK'S DISEASE – A RARE CASE REPORT

2021 ◽  
pp. 40-43
Author(s):  
Seema Patil ◽  
M. Ekta ◽  
Asha. R. Iyengar ◽  
Revan Kumar Joshi ◽  
Ritika Agarwal ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Mucosa ◽  
Rare Case ◽  
Unusual Case ◽  
Indian Subcontinent ◽  
Case Reports ◽  
Benign Lesion ◽  
Human Papilloma Viruses ◽  
Rare Case Report ◽  
Indian Male

Heck's disease is a familial benign lesion affecting the oral mucosa and skin caused by Human papilloma viruses 13 and 32. This condition is quite rare in the Indian subcontinent and till date less than 10 case reports have been published. Females are predominantly affected. It is important for an oral physician to be aware and possess sufcient knowledge about these lesions as these lesions are highly contagious. Further, the presence of these lesions may indicate an underlying immunodecient state of the patient. This paper reports an unusual case of Heck's disease in a 30 year old Indian male.

scholarly journals A new ultrasound and clinical classification for management of prostatic abscess

2015 ◽  
Vol 87 (3) ◽  
pp. 246 ◽  
Author(s):  
Lucio Dell’Atti
Keyword(s):  
Ultrasound Imaging ◽  
Case Reports ◽  
Published Data ◽  
Type I ◽  
New Classification ◽  
Prostatic Abscess ◽  
Type Iv ◽  
Type V ◽  
Sonographic Pattern

Objectives: In literature, most of the published data regarding prostatic abscess (PA) are case reports, whereas there is no standardization of the diagnostic and therapeutic routines. The purpose of this study is a new classification of ultrasound imaging of PA with clinical features correlation. Material and Methods: We retrospectively analysed the ultrasound database archives and performed a MEDLINE<sup>®</sup> research of the peer reviewed literature on diagnosis and case reports of PA using the terms “prostate and abscess”. Results: PA can be classified into five Types: Type I - PA is present focally in a prostate lobe (≤ 10 mm). Type II - PA is present in a prostate lobe (&gt; 10 mm) and/or partially overcrosses the border of the midline prostatic glandular. Type III - PA is present in both glandular lobes form of multifocal areas (≤ 10 mm). Type IV - PA is present in both glandular lobes form of multifocal areas (&gt; 10 mm). Type V - PA involving intra or extraprostatic structures (bladder, urethra, seminal vesicles and prostatic capsule). The different ultrasound imaging and diagnostic criteria are listed for each type and subtype. Conclusions: The sonographic pattern of PA is usually characteristic and easily differentiated from other glandular lesions. The purpose of the study was to associate the use of TRUS to a clinical standardized classification in order to facilitate PA diagnosis and localization directing the clinician treatment to the correct management and adequate therapeutic treatment.

scholarly journals Congenital absence of a part of the fallopian tube: a case report

2016 ◽  
Vol 6 (1) ◽  
pp. 320
Author(s):  
Mukta Agarwal ◽  
Hemali H. Sinha ◽  
. Anamika
Keyword(s):  
Case Report ◽  
Fallopian Tube ◽  
Genital Tract ◽  
Rare Case ◽  
Case Reports ◽  
Female Genital Tract ◽  
Fallopian Tubes ◽  
Rare Occurrence ◽  
Rare Case Report ◽  
Female Genital

Congenital malformations of female genital tract are frequently seen in Gynaecological clinics, incidence being upto 5-6% in cases of infertility. Most of these anomalies are related to uterus and vagina, abnormalities related to ovaries and fallopian tubes are of rare occurrence and the exact incidence of these anomalies are not known, only a few incidental case reports are available in literature. Here, we present a rare case report of absent mid- tubal segment of fallopian tube in a patient of infertility.

scholarly journals Gingival Calcifying Epithelial Tumor - A Rare Case Report

2015 ◽  
Vol 12 (3) ◽  
pp. 215-218
Author(s):  
MLA Tejasvi ◽  
BB Bangi ◽  
P Geetha ◽  
D Pavani ◽  
B Harsha
Keyword(s):  
Rare Case ◽  
Case Reports ◽  
English Literature ◽  
Odontogenic Tumor ◽  
Odontogenic Tumors ◽  
Epithelial Tumor ◽  
Calcifying Epithelial Odontogenic Tumor ◽  
Rare Case Report ◽  
Pubmed Search ◽  
Epithelial Odontogenic Tumor

Calcifying epithelial odontogenic tumors are rare odontogenic neoplasms that account for approximately one percent of all odontogenic tumors. Extra osseous variant is very rare with very few cases being reported in literature Peripheral Calcifying epithelial odontogenic tumor (CEOT) commonly resemble oral hyperplastic or reactive lesions and are histologically similar to their intraosseous counterparts. Here we report a rare case of gingival calcifying epithelial odontogenic tumor in the mandibular posterior region in a 31 year old female patient. Interestingly on literature review in on PubMed search only 22 case reports were available in, English literature, added to that this report will be the 23rd case.Kathmandu University Medical Journal Vol.12(3) 2014; 215-218

scholarly journals Malignant mixed germ cell tumours- A rare case report with unusual presentation in a 05 years old female child

2021 ◽  
Vol 8 (3) ◽  
pp. 425-428
Author(s):  
Harendra Kumar ◽  
Ritu Sonkar ◽  
Pooja Nagayach ◽  
Puneet Srivastava
Keyword(s):  
Germ Cell ◽  
Rare Case ◽  
Case Reports ◽  
Germ Cell Tumour ◽  
Female Child ◽  
Malignant Neoplasms ◽  
Germ Cell Tumours ◽  
Rare Case Report ◽  
Cell Components ◽  
Yolk Sac Tumour

Mixed germ cell tumours (MGCT) of the ovary are malignant neoplasms of the ovary comprising of two or more types of germ cell components. Most of the malignant MGCT consists of dysgerminoma accompanied by endodermal sinus tumours, immature teratoma or choriocarcinoma. There are only few case reports of MGCTs with different combinations of malignant components. We present a very rare case of malignant MGCT in a 05 years old female child, who presented with difficulty in defecation for 6 months, swelling over sacral region for 2 months, along with bilateral inguinal swellings and difficulty in urination for 1 week. Swelling was firm, non-mobile & non-tender measuring 6.6x5 cm. On cytology it was diagnosed as malignant germ cell tumour, which was confirmed on histology as malignant MGCT (predominantly yolk sac tumour &#62;90% and embryonal carcinoma (&#60;10%)), metastasizing into bilateral inguinal lymph nodes.

Multidisciplinary management of adult rampant dental caries - A rare case report.

2019 ◽  
Vol 11 (2) ◽  
pp. 49-53
Author(s):  
Dr. Nagaveni ◽  
Dr. Badami vijetha ◽  
Dr. Chandrashekar sajjan ◽  
Dr.Archana devanoorkar
Keyword(s):  
Case Report ◽  
Dental Caries ◽  
Rare Case ◽  
Control Strategies ◽  
Maintenance Phase ◽  
Published Data ◽  
Caries Risk ◽  
Self Confidence ◽  
Rare Case Report ◽  
Oral Dryness

The National Health and Nutrition Examination Survey for 1999-2002 recorded that 21% of children and 23% of adults had untreated dental caries in the permanent dentition. Ten percent of adults had untreated root caries. Though considerable literature exists on rampant caries in children, because of the lack of strict diagnostic criteria, there is little published data on the incidence and prevalence of adult rampant dental caries. Diagnosis requires assessment of caries activity, oral dryness, dietary risks and medical risks. Management of this condition requires a disease control phase involving Caries risk assessment and evaluation, with reassessment throughout the program. Restoration of all cavitated lesions and use of fluoride releasing materials followed by preventive and therapeutic control strategies, including diet modification. This is followed by extensive multidisciplinary corrective phase involving endodontic, periodontal and prosthetic rehabilitation. The maintenance phase involves preventive and therapeutic agents employed from several different fronts simultaneously, tailored to the source of the caries risk. This case report highlights the importance of proper diagnosis, treatment planning and comprehensive multidisciplinary approach to achieve the function, esthetics and to regain self confidence of the patient in a rare case of adult rampant dental caries.

scholarly journals Ameloblastic fibroma: A rare case report with 7-year follow-up

2015 ◽  
Vol 143 (3-4) ◽  
pp. 190-194 ◽  
Author(s):  
Araújo de ◽  
Adna Barros ◽  
Cássia de ◽  
Arlei Cerqueira ◽  
Dos Nunes
Keyword(s):  
Malignant Transformation ◽  
Rare Case ◽  
Case Reports ◽  
Permanent Teeth ◽  
Proliferation Index ◽  
Ameloblastic Fibroma ◽  
Rare Case Report ◽  
Long Term Follow Up

Introduction. Ameloblastic fibroma (AF) is a rare benign odontogenic tumor that usually occurs in the first two decades of life. It affects adolescents and young adults and is found in the mandible and with a higher frequency in the posterior region of this segment. There are rare case reports with a long-term follow-up. Case Outline. We report the case of a 6-year-old boy with extensive ameloblastic fibroma in the mandible. Treatment consisted of enucleation and bone curettage, with the preservation of permanent teeth adjacent to the tumor. Clinical and radiographic follow-up of the patient over a period of 7 years showed no signs of recurrence or malignant transformation. Conclusion. Patients with AF should be under follow-up for prolonged periods of time, even in cases exhibiting a low proliferation index, because of the potential for recurrence and malignant transformation of this tumor.

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