scholarly journals Tubular colonic duplication in an adult patient with long-standing history of constipation and tenesmus

2021 ◽  
Vol 11 ◽  
pp. e2021260
Author(s):  
Hisham F. Bahmad ◽  
Luis E. Rosario Alvarado ◽  
Kiranmayi P. Muddasani ◽  
Ana Maria Medina
2021 ◽  
Vol 14 (3) ◽  
pp. e241410
Author(s):  
Avery Kopacz ◽  
Cameron Ludwig ◽  
Michelle Tarbox

Establishing accurate symptomatology associated with novel diseases such as COVID-19 is a crucial component of early identification and screening. This case report identifies an adult patient with a history of clotting dysfunction presenting with rare cutaneous manifestations of COVID-19, known as ‘COVID-19 toes’', previously described predominantly in children. Additionally, this patient presented with possible COVID-associated muscle spasticity of the lower limbs, as well as a prolonged and atypical timeline of COVID-19 infection. The rare occurrence of ‘COVID-19 toes’' in this adult patient suggests that her medical history could have predisposed her to this symptom. This supports the coagulopathic hypothesis of this manifestation of COVID-19 and provides possible screening questions for patients with a similar history who might be exposed to the virus. Additionally, nervous system complaints associated with this disease are rare and understudied, so this novel symptom may also provide insight into this aspect of SARS-CoV-2.


2021 ◽  
pp. 247412642110287
Author(s):  
Diana Driscoll ◽  
David Callanan

Purpose: This work reports retinal findings in an adult patient with vitamin B6 deficiency. Methods: A case review of a single patient is presented. Results: A patient with a Roth-type retinal lesion and a history of nonepileptic seizures was found to have lymphocytic colitis. She was treated with pyridoxine, which resolved her seizures and the white-centered hemorrhage. Conclusions: Vitamin B6 deficiency should be considered in the differential diagnosis of patients presenting with white-centered hemorrhages and a history of nonepileptic seizures.


2018 ◽  
Vol 59 (3) ◽  
pp. 102-103
Author(s):  
Mari Matsuo ◽  
Toshiyuki Yamamoto ◽  
Kayoko Saito

2020 ◽  
Vol 11 (3) ◽  
pp. 364-365 ◽  
Author(s):  
Christopher R. Broda ◽  
Daniel A. Castellanos ◽  
Tam Dan N. Pham ◽  
W. Jeff Dreyer ◽  
Angeline D. Opina ◽  
...  

Fontan-associated protein-losing enteropathy is difficult to treat and associated with poor prognosis. Cardiac rehabilitation and exercise are thought to have beneficial effects for patients with Fontan circulation. We report the case of a young adult patient palliated to Fontan circulation, with a decade-long history of symptoms related to protein-losing enteropathy. At age 23 years, he appreciated an improvement in symptoms and laboratory values after cardiac rehabilitation and prescriptive exercise.


Author(s):  
Ferit Aslan ◽  
İnanç Güvenç ◽  
Aydın Aslan ◽  
Elif Günaydın

: Cystic lymphangioma presenting with multiple bone lesions in an adult patient is a rare occurrence, with a limited number of reported cases in the literature. In this case report, we describe a 32-year old female patient with chronic neck and pelvic pain, and multiple lytic bone lesions on radiological imaging, which were eventually discovered to originate from cystic hygroma and widespread bone lymphangiomas that were present for more than 10 years. It should be kept in mind that there may be benign causes in the differential diagnosis in patients presenting with findings suggestive of diffuse bone metastasis.Because misdiagnosis may cause the patient to receive unnecessary treatments, especially radiotherapy. In this case, we reached the diagnosis of benign disease, diffuse bone lymphangiomatosis, and the long and stable medical history of the patient with the findings of BT, ultrasound and bone scintigraphy. We think that as long as there are no stable and serious results in the company with the clinical and radiological findings of the patient, it should be approached with medical follow-up without treatment.


1993 ◽  
Vol 27 (3) ◽  
pp. 302-303 ◽  
Author(s):  
Wayne M. Samuelson ◽  
Roy A. Pleasants ◽  
Martha S. Whitaker

OBJECTIVE: To report a case of possible ciprofloxacin-induced arthropathy in an adult patient with cystic fibrosis (CF). CASE SUMMARY: A 25-year-old man with CF received three separate courses of ciprofloxacin therapy at usual doses for acute pulmonary exacerbations of his disease. During the second and third courses, the patient experienced bilateral swelling of his knees between two to three weeks after initiation of each course. Both times symptoms markedly decreased after discontinuation of the drug. The patient had no prior history of arthropathy. Furthermore, during the last two acute exacerbations of his CF, he did not receive ciprofloxacin and did not experience any symptoms of arthropathy. DISCUSSION: Prior cases of quinolone-induced arthropathy involving pediatric CF patients or adult patients without CF have been reported in the literature. We report the first case of such an arthropathy in an adult patient with CF. The findings are supported by a rechallenge with the drug. CONCLUSIONS: It is likely that ciprofloxacin may produce arthropathy in adult as well as pediatric patients with CF. Quinolones should be considered as a possible cause of arthropathy in adult CF patients.


2007 ◽  
Vol 39 (10) ◽  
pp. A71
Author(s):  
P.L. Calvo ◽  
S. Pagliardini ◽  
M. Baldi ◽  
A. Pucci ◽  
C. Barbera ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Marta Martínez-García ◽  
Nicolás Silvestre-Torner ◽  
Antonio Aguilar-Martínez ◽  
Fernando Burgos-Lázaro

Adult multiple xanthogranuloma (XG) is a rare late-onset variant of juvenile XG. It is characterized by the appearance of papules or nodules located preferably on the trunk. A case of a 54-year-old man with myelodysplastic syndrome is presented as a history of interest, who consulted due to the appearance of multiple brownish papules distributed mainly in the trunk. So far, there are only 22 cases of this clinical form reported in the literature, 9 of them associated with malignant hematological processes. We highlight the importance of this entity as a possible cutaneous marker of blood dyscrasias.


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