Case Series of Irritated Giant Acrochordons Arising from Skin Folds

BACKGROUND: Acrochordons are pedunculated papules or nodules with a soft consistency and smooth contour, sometimes apparently growths often hang on thin stalk, with the most acrochordons size was 2–5 mm. Occasionally, due to frictions of the pedicle, acrochordon can become inflamed, tender, and even gangrenous. CASE PRESENTATION: We report a case series of three giant acrochordons, first case, 19-year-old female come to my OPD clinic with a big mass on her left vagina, with pain and hot while being touched, and fever. On examination big nodule on the right labia mayor was found, with diameter 20 × 20 cm, short stalk, firm, warmed, and pain sensation while touched, with several excoriated skin surface. Second case, 23-year-old female presented in my OPD with a mass in her left vagina, associated with pain and several bleeding spots while being touched, with diameter of 5 × 5 cm. Third case, 31-year-old female consulted to OPD clinic with a year of history having a mass on her right buttock, which gradually increases in size and causing a light pain. On examination, short pedunculated nodule was found at the right buttock, diameter 10 × 6 cm, oval shape, firm, and several excoriated plaques. All cases were diagnosed as giant acrochordons and were performed excision. The previous studies state that the larger lesions of acrochordons in the groin or upper thighs maybe associated with diabetes mellitus and obese individuals. Due to the twisting or strangulated of the pedicle, all three cases of giant acrochordons become inflamed, tender, irritated, infarction, and even gangrenous. In general, it was advised to have the acrochordons removed, particularly in the skin fold of axillae, groin, or vagina, since they will gradually develop in size. CONCLUSION: Giant acrochordons usually relate to the growth hormone like activity. Hence, they may associate with endocrine disorder. It may occasionally become inflamed, tender, and even gangrenous due to frictions. General principle is to have the acrochordons removed, particularly in skin fold area.

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Emphysematous pyelonephritis with air bubble in the inferior vena cava

African Journal of Urology ◽

10.1186/s12301-020-00081-2 ◽

2020 ◽

Vol 26 (1) ◽

Author(s):

Tiffany A. Perkins ◽

Alberic Rogman ◽

Murali K. Ankem

Keyword(s):

Septic Shock ◽

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Rare Presentation ◽

Emphysematous Pyelonephritis ◽

Case Presentation ◽

Air Bubble ◽

First Case ◽

The Right

Abstract Background Emphysematous pyelonephritis (EPN) with gas in the inferior vena cava (IVC) is a rare presentation and to our knowledge, this is the first case report in the urologic literature. Case presentation A 35-Year-old obese diabetic Hispanic female presented to the emergency room with a clinical picture of septic shock. Prompt computerized tomography scan revealed EPN with gas throughout the right renal parenchyma and extending to the right renal vein, IVC, and pulmonary artery. She died before surgical intervention Conclusion This case demonstrates that patients presenting with severe EPN have a high mortality risk and providers should acknowledge that septic shock, endogenous air emboli, or a combination of both could result in cardiovascular collapse and sudden death.

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Sudden Cause of Cardiac Death—Be Aware of Me: A Case Report and Short Review on Brugada Syndrome

Case Reports in Medicine ◽

10.1155/2010/823490 ◽

2010 ◽

Vol 2010 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Jagadeesh K. Kalavakunta ◽

Vishwaroop Bantu ◽

Hemasri Tokala ◽

Mihas Kodenchery

Keyword(s):

Brugada Syndrome ◽

Past History ◽

Short Review ◽

Case Presentation ◽

St Segment Elevation ◽

First Case ◽

St Segment ◽

The Right ◽

Malignant Arrhythmias

Introduction. Brugada syndrome accounts for about 4% of sudden cardiac deaths (SCD). It is characterized by an ST-segment elevation in the right precordial electrocardiogram (EKG) leads.Case Presentation. We describe a 39-year-old healthy Caucasian man who was admitted to the intensive care unit after being cardioverted from ventricular fibrillation (VF) arrest. His past history was significant for an episode of syncope one month prior to this presentation for which he was admitted to an outlying hospital. EKG during that admission showed ST elevations in V1 and V2 leads, a pattern similar to Type 1 Brugada. A diagnosis of Brugada syndrome was missed and the patient had a cardiac arrest a month later. We discuss a short review of Brugada syndrome and emphasize the need to look for it in patients presenting with SCD and malignant arrhythmias.Conclusion. Physicians should always consider Brugada syndrome in the differential diagnosis of ST-segment elevation in anterior precordial leads of EKG and associated VT/VF. Although more than 17 years have passed since the first case was reported, increased awareness of this syndrome is needed to identify patients with EKG changes and treat them accordingly to prevent incidence of (SCD) and its deleterious complications.

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Patient re-presents to the clinic with reactive arthritis in the right hip after covid-19 infection: A case report

10.21203/rs.3.rs-230354/v1 ◽

2021 ◽

Author(s):

Kamyar Shokraee ◽

Soroush Moradi ◽

Tahereh Eftekhari ◽

Rasoul Shajari ◽

Maryam Masoumi

Keyword(s):

Case Report ◽

Reactive Arthritis ◽

Respiratory Symptoms ◽

Gastrointestinal Infection ◽

Case Presentation ◽

Sexually Transmitted ◽

Methyl Prednisolone ◽

First Case ◽

The Right

Abstract Background: SARS-COV-2, first reported in December 2019, usually presents with respiratory symptoms but can have various other manifestations and sequelae. One of the rare complications of COVID-19 infection is Reactive Arthritis. This complication is more likely to occur following sexually transmitted or gastrointestinal infection.Case presentation: Herein, we report a 58 years old woman hospitalized following COVID-19 infection and was discharged after a week. She consequently presented to the clinic ten days after her discharge, complaining of walking difficulties and radiating pain in her right hip. After ultrasound and MRI, she was diagnosed with reactive arthritis inflammation in the hip’s neck. Other known microorganisms responsible for reactive arthritis were ruled out before attributing it to the earlier COVID-19 infection. She reached remission after being treated using a combination of indomethacin and depot methyl-prednisolone for 14 days. Conclusion: To our knowledge, this is the first case of reactive arthritis caused by SARS-COV-2 in the hip. Further attention should be paid to symptoms occurring after an episode of infection with COVID-19 in order to expand our understanding of the disease and the symptoms with which it can manifest.

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The first case of gland inclusion in an intrapulmonary lymph node: a mimic of metastasis

World Journal of Surgical Oncology ◽

10.1186/s12957-019-1726-1 ◽

2019 ◽

Vol 17 (1) ◽

Author(s):

Chenglong Wang ◽

Yijia Cao ◽

Min Zeng ◽

Lijuan Wang ◽

Xiaojing Cao ◽

...

Keyword(s):

Lymph Node ◽

Mediastinal Lymph Node ◽

Needle Aspiration ◽

The Body ◽

Case Presentation ◽

Ectopic Tissue ◽

First Case ◽

Primary Lung Adenocarcinoma ◽

The Right

Abstract Background Lymph node inclusions are foci of ectopic tissue in lymph nodes, which were reported in different areas of the body. However, inclusions in the mediastinal lymph node are rare. Here, we report the first case of glandular inclusion within the parenchyma of the intrapulmonary lymph node in a patient with primary lung adenocarcinoma. Case presentation A computed tomography (CT) scan showed a solid pulmonary nodule in the right upper lobe in a 44-year-old man. After a fine needle aspiration biopsy diagnosis of adenocarcinoma, lobectomy and lymph dissection were performed. Histological sections of the lung demonstrated a papillary predominant adenocarcinoma and one intrapulmonary lymph node, which displayed glandular inclusion occupying the node parenchyma. The gland inclusion was very similar to metastasis, but was formed by two layers of epithelial cells, and the abluminal cells were positive for P63, P40, and CK5/6. The patient has remained alive without recurrence and metastasis at the last follow-up before publication. Conclusions It is very important to correctly diagnose a lymph node inclusion for proper clinical management.

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Malignant Gastrointestinal Neuroectodermal Tumor in the Right Atrium: The First Case Report Presenting with an Extra-Gastrointestinal Mass

10.21203/rs.3.rs-620292/v1 ◽

2021 ◽

Author(s):

Zhiwen Li ◽

Xiaohong Pu ◽

Yao Fu ◽

Lin Li ◽

Yuemei Xu ◽

...

Keyword(s):

Case Report ◽

Right Atrium ◽

Tumor Location ◽

Neuroectodermal Tumor ◽

Case Presentation ◽

First Case ◽

Mitotic Figures ◽

The Right ◽

Whole Transcriptome

Abstract Background: Malignant gastrointestinal neuroectodermal tumor is an extremely rare soft tissue sarcoma which was firstly described in 2003 but until recently it had been designated as a definite new entity. According to the previous literatures, Malignant gastrointestinal neuroectodermal tumor was almost exclusively occurred in gastrointestinal tract.Case presentation: A 62-year-old male showed a mass in right atrium and the occupying mass was founded on the right ventricular diaphragm and involved the right atrium along the coronary sinus during the operation. Microscopically, the tumor characterized by the solid sheet and pseudopapillary focally architectures, and was composed of small to medium cells with round or oval nuclei, variable amount of eosinophilic or clear, and frequent mitotic figures. Immunohistochemically, the neoplastic cells were positive for S100 and SOX-10 but negative for HMB-45, A103 and CD99. EWSR1-AFTF1 rearrangement was detected by fluorescence in situ hybridization and further confirmed involving fusion of EWSR1 exon 8 with ATF1 exon 4 by whole transcriptome sequence analysis.Conclusions: This is the first case report of extra-gastrointestinal Malignant gastrointestinal neuroectodermal tumor that occurring in the right atrium，which remind of the new prospect of the tumor location.

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A Rare Case of Human Residual Root Myiasis Caused by Clogmia Albipunctata Larvae(Diptera: Psychodidae)

10.21203/rs.3.rs-259478/v1 ◽

2021 ◽

Author(s):

Ying-jie Liu ◽

Jin-rui Liu ◽

Yun Liu ◽

Juan Chen

Keyword(s):

Oral Hygiene ◽

Care Hospital ◽

Case Presentation ◽

Medical College ◽

Recommended Treatment ◽

First Case ◽

Mandibular Molar ◽

Clogmia Albipunctata ◽

The Right ◽

And Child Health

Abstract Background: Clogmia albipunctata is cosmopolitan in distribution. The adult flies can survive and spread outdoors during the temperate seasons while continuously breeding in buildings during the winter months. Because they are non-biting, tiny and quite, most of people do not pay special attention to them. It is the first case reported that Clogmia albipunctata larvae cause human residual root myiasis.Case presentation: In December 2020, a 26-year-old woman was referred from Kaifeng New District Maternal and Child Health Care Hospital to the Department of Pathogenic Biology, Medical College of Henan University with chief complaint that two active alive larvae were found in the mouth while brushing her teeth in the morning. The intraoral examination revealed nice oral hygiene and no larvae was found directly. The right second mandibular molar was a residual root and the mucosa above it was mild erythematous and edematous and no bleeding on probing was present. While some 50℃ normal saline was injected in the residual root with syringe, four larvae swarmed out from the residual root. The larvae were observed by naked eyes and light microscope and the larvae were reared. One adult fly was got 11 days later. They were identified as Clogmia albipunctata larvae. Because the patient was in lactation, medication was not recommended. Treatment included the removal of all visible larvae followed by debridement. The patient was followed-up for 1 month and healed. The patient’s residual root myiasis was associated with sleeping with the mouth open and the smell of rotten food in the residual root attracted Clogmia albipunctatus to lay eggs in the residual root.Conclusions: This report implies that even if the oral hygiene is nice in general, the existence of residual roots maybe results in oral myiasis. The myiasis caused by Clogmia albipunctata larvae should be paid attention to. It is necessary to treat residual roots in time.

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Trichorionic Triamniotic Triplets After Single Embryo Transfer: A Case Series and Literature Review

International Journal of Women s Health and Reproduction Sciences ◽

10.15296/ijwhr.2019.67 ◽

2018 ◽

Vol 7 (3) ◽

pp. 408-411

Author(s):

Isao Takehara ◽

Toshifumi Takahashi ◽

Kuniaki Ota ◽

Nobuhiko Ohta ◽

Hideki Mizunuma ◽

...

Keyword(s):

Embryo Transfer ◽

Fetal Heart ◽

Hormone Replacement ◽

Case Series ◽

Single Embryo Transfer ◽

Heart Beat ◽

Assisted Hatching ◽

Triplet Pregnancy ◽

Case Presentation ◽

First Case

Objectives: Monozygotic triplet pregnancy very rarely occurs in assisted reproductive technology (ART) treatment. The present study reported two cases of trichorionic triplet pregnancies after single embryo transfer (SET) and reviewed the literature in this regard. Case Presentation: In the first case, a 29-year-old female underwent the long protocol using gonadotropin-releasing hormone analogue and one full blastocyst was transferred in a fresh cycle. At 6 gestational weeks, three gestational sacs were clearly observed, while only one fetus with fetal heart beat was found after one week. In the second case, a 39-year-old female underwent intracytoplasmic sperm injection treatment and seven embryos were frozen accordingly. After assisted hatching, one completely expanded blastocyst was transferred during a hormone replacement cycle. Three gestational sacs with three yolk sacs were observed at 6 gestational weeks. Finally, two fetuses with fetal heart beat were found after one week. Conclusions: Overall, although the developmental mechanisms of monozygotic triplets are unknown, clinicians should be aware of the possibility of multiple pregnancies under SET.

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The First Case of Reactive Arthritis Associated with SARS-CoV-2-Infection in A 4-Year Old Child

10.21203/rs.3.rs-106976/v1 ◽

2020 ◽

Author(s):

Stephanie Gabriele Werner ◽

Hans-Eckhard Langer

Keyword(s):

Severe Acute Respiratory Syndrome ◽

Reactive Arthritis ◽

Virus Disease ◽

The Novel ◽

Case Presentation ◽

Corona Virus ◽

First Case ◽

Novel Coronavirus ◽

The Right

Abstract Background: The novel coronavirus SARS‐CoV‐2 (severe acute respiratory syndrome coronavirus 2) and its associated disease COVID‐19 (Corona Virus Disease 19) has become a worldwide pandemic since its first cases in December 2019 in Wuhan Province in China. In Germany the pandemic started in February 2020.Case presentation: A 4 year old boy was presented and suffered from pain in the right hip. Arthrosonography demonstrated a significant effusion in the involved joint. The extended history revealed a slight but long lasting cold before. Serological findings were inconspicuous except for positive ELISA (Enzyme-linked Immuno Sorbent Assay) - test for SARS-CoV-2. Conclusion: In conclusion we believe that we can report the first case of reactive arthritis associated with SARS-CoV-2 in children.

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Vibrio cholerae non-O1 - the first reported case of keratitis in a healthy patient

BMC Infectious Diseases ◽

10.1186/s12879-019-4475-4 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Wei-Dar Chen ◽

Li-Ju Lai ◽

Wei-Hsiu Hsu ◽

Tsung-Yu Huang

Keyword(s):

Vibrio Cholerae ◽

Corneal Ulcer ◽

Positive Outcome ◽

Ocular Injury ◽

Significant Morbidity ◽

Chain Reaction ◽

Case Presentation ◽

First Case ◽

Polymerase Chain ◽

The Right

Abstract Background Vibrio cholerae non-O1 is a virulent pathogen that causes significant morbidity and mortality in humans. Herein, we report a case of corneal ulcer caused by this pathogen. Case presentation A 59-year-old fisherman with no systemic history was struck in the right eye by a marine shrimp and developed keratitis. Corneal scrapping culture revealed the presence of the V. cholerae non-O1, and its identification was confirmed by Analytical Profile Index 20E system and polymerase chain reaction. He was successfully treated with topical levofloxacin (0.3%) and fortified amikacin (12.5 mg/mL) for 2 weeks. The visual acuity recovered to 20/25 after treatment without complications. Conclusions This is the first case report of keratitis caused by V. cholerae non-O1 strain. Ocular injury by marine creatures and contaminated seawater can contribute to severe corneal ulcer. Early diagnosis can be achieved by meticulous history taking and a comprehensive laboratory workup. Simultaneously, an effective antibiotic therapy can lead to a positive outcome.

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Case report: an unusual unilateral pterygium — a secondary pterygium caused by parasitosis in the scleral fistula

BMC Ophthalmology ◽

10.1186/s12886-021-02083-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Wenjie Zeng ◽

Zhaoyi Pan ◽

Jun Wang ◽

Xianghui Deng ◽

Wenmin Jiang

Keyword(s):

Unusual Case ◽

Slit Lamp ◽

Case Presentation ◽

Slit Lamp Examination ◽

First Case ◽

Nasal Side ◽

Long Time ◽

Eye Damage ◽

Eye Symptoms ◽

The Right

Abstract Background Ocular parasitosis can cause eye damage, which contribute to eye symptoms such as burning, itching and even blindness. It is uncommon to see the parasitosis lying in the sclera layer, neither it causing pterygium. Here, we present an unusual case of a secondary pterygium caused by intrascleral worm. Case presentation A 52-year-old women complained about discomfort in right eye for 6 years. Slit-lamp examination indicated a thickened triangular layers of conjunctiva extending from the nasal edge to the cornea. The diagnosis was pterygium in the right eye. To our surprise, after scleral of nasal side exposed, we could see a tiny fistula right in the sclera which lied right under the pterygium, with an alive and motile worm inside. An intrascleral fistula was noted. Then the worm was removed by forceps from the fistula, which was creamy white, thread-like and 1 cm long. Discussion and conclusions As far as we known, it is the first case of an intrascleral worm hidden beneath the conjunctiva which caused the secondary pterygium. It is hard to know the etiology of the secondary pterygium which caused by parasitosis in the scleral fistula untill excision surgery. It is hard to imagine the worm was living in the sclera of the patient for a long-time.

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