scholarly journals A case report of Sino-orbital Mucormycosis in a COVID-19 patient from eastern India: a “Red-alert” to physicians emphasizing the importance of early microbiological diagnosis

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Nidhi Dawar Pal ◽  
Anirban Pal ◽  
Debi Kundu ◽  
Puspendu Dutta
Keyword(s):  
Case Report ◽  
Clinical Diagnosis ◽  
Microbiological Diagnosis ◽  
Eastern India ◽  
Fatal Disease ◽  
Direct Smear ◽  
History Of ◽  
Timely Treatment

A 65 years old diabetic female, presented with swelling of left eye and multiple discharging sinuses near the inner canthus of the left eye. She had a history of recent COVID-19 infection and was treated with steroids. The pus from peri-orbital sinuses, in KOH stain showed presence of broad, non-septate, right-angle branching fungal filaments. An early microbiological diagnosis of Mucormycosis, based on the direct smear findings substantiated the clinical diagnosis and helped the patient to get timely treatment. We emphasize that a request for an early microbiological diagnosis may affect the outcome in this highly invasive fatal disease.

scholarly journals Successful treatment of fatal asthma combined with a silent chest: A case report

2020 ◽  
Vol 48 (5) ◽  
pp. 030006052092568
Author(s):  
Hui Guo ◽  
Qian Zhao ◽  
Su-Yan Li ◽  
Xin Xu ◽  
Ning Xu ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Case Report ◽  
Persistent Asthma ◽  
Muscle Relaxants ◽  
Good Effect ◽  
Comprehensive Treatment ◽  
Fatal Disease ◽  
Fatal Asthma ◽  
History Of ◽  
Suitable Treatment

Fatal asthma is a rare and potentially fatal disease. This disease requires suitable treatment to achieve rehabilitation, especially when accompanied by other complications, such as a silent chest and severe bronchial spasm. A 36-year-old man presented with a 10-year history of asthma that broke out into persistent asthma attacks and cardiac arrest, and was accompanied by a silent chest for 18 hours. He recovered and was discharged without any sequelae after being treated by a ventilator, hormones, epinephrine, analgesics, sedation, and muscle relaxants. Comprehensive treatment with a ventilator, hormones, epinephrine, analgesics, sedation, and muscle relaxants has a good effect on fatal asthma combined with a silent chest.

scholarly journals Caliber Persistent Artery in the Upper Lip: A Case Report with Unusual Histopathological Findings

2020 ◽  
Vol 31 (3) ◽  
pp. 344-348
Author(s):  
Carla Samily de Oliveira Costa ◽  
Larissa Santos Amaral Rolim ◽  
Rodrigo Porpino Mafra ◽  
Lélia Batista de Souza ◽  
Leão Pereira Pinto
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Clinical Diagnosis ◽  
Excisional Biopsy ◽  
Germinal Centers ◽  
Systemic Diseases ◽  
Upper Lip ◽  
Lymphoid Follicles ◽  
Local Bleeding ◽  
History Of

Abstract Caliber persistent labial artery (CPLA) consists in a dilated portion of the main branch of the labial artery without loss of size. The aim of this study is to report a case of a patient diagnosed with CPLA in the upper lip, emphasizing unusual histopathological and immunohistochemical findings. A 67-year-old female patient with complaint of a pulsating upper lip lesion without painful symptomatology. Under a clinical diagnosis of CPLA, and considering that the patient was edentulous and used a total prosthesis, an excisional biopsy of the lesion was performed to avoid future traumas in the region and consequently possible exuberant local bleeding. At anatomopathological examination structures suggestive of lymphoid follicles and germinal centers were visualized. Immunohistochemistry showed positivity for CD20, CD68, desmin and CD34 and negativity for CD4. The patient did not have a history of allergies, cardiovascular, rheumatic or systemic diseases that could justified the findings. The case presents unusual histopathological structures, evidencing the necessity of more studies about this pathology so scarce in the literature.

scholarly journals Miller Fisher Syndrome: a case report

2017 ◽  
Vol 4 (4) ◽  
pp. 1193
Author(s):  
Shubhransu Patro ◽  
Vipin S. ◽  
Pankaj K. Khora ◽  
Payod K. Jena
Keyword(s):  
Case Report ◽  
Clinical Diagnosis ◽  
Clinical Features ◽  
Antibody Titer ◽  
Conservative Management ◽  
Recovery Phase ◽  
Miller Fisher Syndrome ◽  
Fisher Syndrome ◽  
Positive Serum ◽  
History Of

Miller Fisher Syndrome (MFS) is an uncommon variant of Guillain Barre syndrome (GBS). It is largely a clinical diagnosis based on the cardinal clinical features of ophthalmoplegia, ataxia and areflexia. The following case report is that of a patient who presented with an acute history of reeling of head, difficulty in opening the eyelids and swaying while walking, on clinical examination revealed the above-mentioned cardinal features and on investigation showed positive serum anti GQ1b antibody titer. The patient started recovering with conservative management and was discharged in the recovery phase.

scholarly journals Unusual clinical presentation of Guillain Barre syndrome: a case report

2018 ◽  
Author(s):  
Aristides Marenco ◽  
Juan Manuel Lozada
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Infectious Agents ◽  
Fatal Disease ◽  
The World ◽  
History Of ◽  
Ventilatory Failure ◽  
Clinical Variants ◽  
Genetic And Environmental Factors ◽  
Multiple Etiology

Background: Guillen barre syndrome is the most frequent cause of flaccid paralysis in the world, it is characterized by an acute demyelinating, autoimmune and multiple etiology polyneuropathy, among which are included infectious agents such as Campylobacter jejuni, Zika virus, of genetic and environmental factors. Case Report: We present the case of a 56-year-old Colombian male patient with a history of hypertension, who entered the intensive care unit with symptoms of atypical asymmetric motor neurological compromise, which rapidly progressed to ventilatory failure and subsequent confinement síndrome. Discussion: Guillen barre síndrome establishes a potentially fatal disease, the semiology of pain, paresthesia, symmetric-progressive, distal weakness, instability, hipo/areflexia, constitute a neurological emergency. There are Clinical variants establishing a great.

scholarly journals Early Experience in Surgical Treatment of Adolescence Idiopathic Scoliosis: A Report of Four Cases

2020 ◽  
Author(s):  
Muhammad Wafiuddin Ahmad ◽  
Ed Simor Khan ◽  
Rajandra Kumar ◽  
Zamzuri Zakaria ◽  
Ahmad Faizal ◽  
...  
Keyword(s):  
Case Report ◽  
Idiopathic Scoliosis ◽  
Surgical Intervention ◽  
Spinal Instrumentation ◽  
Early Experience ◽  
Skin Closure ◽  
History Of ◽  
Risk And Benefit ◽  
Early Surgical Intervention ◽  
Timely Treatment

Adolescent idiopathic scoliosis (AIS) is the most common spinal deformity among teenager. For those indicated, early surgical intervention allows better surgical correction due to flexibility of the spine during teenage years, hence good functional outcome and better cosmetic can be expected. In this case report, there is the management of four patients surgically using the posterior spinal instrumentation and fusion. Pre-operatively patients were examined at IIUM Medical Centre spine clinic, all necessary investigations were carried out. A thorough explanation was done to patient and parents regarding procedure, risk and benefit. All patients were treated using the same surgical technique. Neuromonitoring was used throughout the whole surgery until skin closure. All patients were hospitalized around one week. Post-operatively patients were followed up at two weeks, six weeks, three months, and every six months thereafter. It is important for clinicians to identify patients with AIS as early detection and timely treatment will change the natural history of curve progression. Surgical intervention when necessary will be easier and with less risk of complications when surgery was carried out during teenage years as the spine is more flexible and the deformity is less severe.

scholarly journals Efficacy of tympanometry screening methods for early clinical diagnosis of otosclerosis

2020 ◽  
Vol 6 (2) ◽  
pp. 400
Author(s):  
Prabina R. Mohanty ◽  
Abam Fasal
Keyword(s):  
Computed Tomography ◽  
Hearing Loss ◽  
Case Report ◽  
Family History ◽  
Clinical Diagnosis ◽  
Middle Ear ◽  
Screening Methods ◽  
Medical College ◽  
Significant Family History ◽  
History Of

The diagnosis is suspected clinically based on microscopic otoscopy, audiometry, and tympanometry. Thin-section computed tomography of the temporal bone helps to confirm the diagnosis. This case report aimed to promote the importance of tympanometry screening as a diagnostic tool for middle ear pathology. A case of 27-year-old patient came to ENT-OPD at Al-Ameen Medical College and Hospital, Vijayapur with the complaint of decreased hearing since 2 years. The history of intermittant tinnitus and swimming habit with head bath regularly were found in the patient. Also, there were no significant family history of hearing loss, ear discharge, and ear pain. This case report concluded that the continuous head bath may leads to middle ear pathologies like otosclerosis and give importance to tympanometry test for early clinical diagnosis and suggesting for avoiding swimming, and also use of ear plugs as necessary during head bath.

scholarly journals A Case of Choriocarcinoma with Lung Metastasis as the First Symptom

2020 ◽  
Author(s):  
Jin Tian ◽  
YaNan Xiao ◽  
TengLong Zhang ◽  
Jie Wang ◽  
CaiLong Jin ◽  
...  
Keyword(s):  
Clinical Diagnosis ◽  
Clinical Manifestations ◽  
Primary Lung Cancer ◽  
Diagnosis And Treatment ◽  
Clinical Feature ◽  
Rapid Progression ◽  
Immunohistochemical Examination ◽  
Case Presentation ◽  
History Of ◽  
Timely Treatment

Abstract Background: Pure testicular choriocarcinoma is very rare in clinic and the patient's age is 20-39 years (median age 29 years). Because of its polymorphic manifestations, it is not always suspected and patients are sometimes misdiagnosed. The case should be reported due to the rarity of the disease ,the onset age and the rapid progression of the disease. This case with primary lung cancer as the first diagnosis is a misdiagnosis. We hope we can provide some experience for clinical diagnosis and treatment. Case presentation: We report the case of a 46-year-old man who was admitted to our hospital with bloodshot sputum. Histopathological and immunohistochemical examination revealed pure choriocarcinoma. The patient had received radiotherapy, chemotherapy, immunotherapy, Over the next 5 months, the patient developed symptoms of multiple system metastases and died soon. Conclusions: Testicular choriocarcinoma is progressing rapidly. The clinical feature of choriocarcinoma is hemorrhaging at the metastatic site. Early diagnosis and timely treatment should be combined with the clinical manifestations and medical history of patients to strive for a longer survival time. We hope this case can provide guidance for the clinical diagnosis and treatment of the disease.

scholarly journals Autoimmune Pancreatitis after a Seven-Year History of Suspicious Pancreatic Cancer

2021 ◽  
pp. 195-201
Author(s):  
Erhan Ergin ◽  
Nevin Oruc ◽  
Ömer Özütemiz
Keyword(s):  
Pancreatic Cancer ◽  
Case Report ◽  
Autoimmune Pancreatitis ◽  
Accurate Diagnosis ◽  
Invasive Procedures ◽  
History Of ◽  
Proper Diagnosis ◽  
Timely Treatment

In this case report, we present a case of autoimmune pancreatitis (AIP) diagnosis in a patient after a 7-year history of suspicious pancreatic cancer. Kim’s and Japanese criteria were used to diagnose AIP. Our case avoided undesirable invasive procedures and recovered thanks to the proper diagnosis and timely treatment with prednisone. Early and accurate diagnosis of AIP, in this case, had a significant impact on the treatment and prognosis process.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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