Acetabular chemical neurolysis in a dog with hip dysplasia – case report

2020 ◽  
Vol XXV (144) ◽  
pp. 52-56
Author(s):  
Pierre Barnabé Escodro ◽  
Marcia Kikuyo Notomi ◽  
Raquel C. A. Collado ◽  
Jackellyne L. F. Lins ◽  
Rayane C. M. Nascimento
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Hip Dysplasia ◽  
Therapeutic Option ◽  
Joint Capsule ◽  
Post Injection ◽  
Single Application ◽  
History Of ◽  
History Of Pain ◽  
Canine Hip Dysplasia

We report the use of neurolytic ethanolic suspension (NES) to promote acetabular desensitization in a dog with canine hip dysplasia (CHD). A male Dogo Argentino presented with a 120 days history of pain and lameness not responsive to conservative treatment. Acetabular chemical neurolysis was performed with a single application of NES The degrees of sensitivity and lameness were evaluated at 24, 48, 72 and 96 hours post-injection, and at 15, 30, 60, 90, 120, 150 and 180 days after the procedure. The use of NES in the hip joint capsule resulted in remission of lameness seven days after treatment, and was still effective at 180 days. This technique still requires further study, but demonstrates good prospects as a therapeutic option in the management of pain caused by Canine Hip Dysplasia.

scholarly journals Case Report. Extracorporeal Membrane Oxygenation in Nivolumab Associated Pneumonitis

2017 ◽  
Vol 3 (2) ◽  
pp. 84-88
Author(s):  
Thomas-Michael Schneider ◽  
Friederike Klenner ◽  
Franz Brettner
Keyword(s):  
Case Report ◽  
Extracorporeal Membrane Oxygenation ◽  
Therapeutic Option ◽  
High Dose ◽  
Great Success ◽  
Case Presentation ◽  
Computed Tomographic ◽  
Rehabilitation Hospital ◽  
Membrane Oxygenation ◽  
History Of

Abstract Background: Newly approved immunotherapeutic agents, like CTLA-4 inhibitors and antibodies against PD-1, are a promising therapeutic option in cancer therapy. Case presentation: A 74-year-old man, with a history of advanced stage melanoma and treatment with ipilimumab, pembrolizumab and nivolumab, was admitted to the hospital due to respiratory failure with hypoxemia and dyspnoea. He rapidly developed severe acute respiratory distress syndrome (ARDS), which required treatment in the intensive care unit which included mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Computed tomographic imaging (CT) showed signs of a pneumonitis, with an ARDS pattern related to the use of PD-1 antibodies. Treating the patient with high-dose immunosuppressive steroids led to an overall improvement. He was transferred to a rehabilitation hospital and subsequently to his home. Discussion and conclusion: This is a unique case report of a patient suffering a grade 4 adverse event under nivolumab who survived having been treated with ECMO. It highlights the possibility of associated adverse reactions as well as the use of ECMO in palliative care patients. ECMO can be of great success even in patients with malignancies, but careful decision making should be done on a case by case basis.

scholarly journals Giant retroperitoneal lipoma: a case report

2003 ◽  
Vol 40 (4) ◽  
pp. 251-255 ◽  
Author(s):  
Carlos Augusto Real Martinez ◽  
Rogério Tadeu Palma ◽  
Jaques Waisberg
Keyword(s):  
Case Report ◽  
Histological Study ◽  
Abdominal Mass ◽  
Benign Neoplasm ◽  
Large Mass ◽  
White Female ◽  
Ascending Colon ◽  
Abdominal Ultrasonography ◽  
History Of ◽  
History Of Pain

BACKGROUND: Retroperitoneal lipoma is an extremely rare neoplasm. AIMS: The authors report a case of giant retroperitoneal lipoma in a 32-year-old white female, with a history of pain and an abdominal mass over a 2-year period. Total abdominal ultrasonography and barium enema showed a large mass located in the retroperitoneal space behind the ascending colon. Laparotomy showed a large encapsulated tumor measuring 20 x 13 x 10 cm and weighing 3.400 g. The histological study revealed a benign neoplasm of fatty cells. CONCLUSION: The patient remains well 17 years after surgery, without recurrentce of the disease.

scholarly journals Bone Remineralization around Dental Implants following Conservative Treatment after Peri-Implantitis

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Algirdas Puisys ◽  
Viktorija Auzbikaviciute ◽  
Renata Simkunaite-Rizgeliene ◽  
Dainius Razukevicius ◽  
Rokas Linkevicius ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Dental Implants ◽  
Dental Implant ◽  
Posterior Part ◽  
Treatment Method ◽  
Color Changes ◽  
Implant Placement ◽  
History Of

The aim of this case report is to show that bone remineralization around dental implants with a history of peri-implantitis is possible after irritant factors are removed and only conservative treatment is performed. Patient came to the clinic after three years of dental implant placement complaining about swelling, sensitivity and gingiva color changes at the posterior part of the maxilla. During radiographic and intraoral examinations peri-implantitis of the #24 implant site was diagnosed. The surgical treatment method was rejected and performed conservative treatment instead. The outcome is promising; periapical radiographs three months later showed bone remineralization as well as stable bone after 10 years. A key clinical message: Bone remineralization around dental implants with a history of peri-implantitis is possible after irritant factors are removed and conservative treatment performed.

Juvenile Rheumatoid Arthritis Sparing the Lower Extremities in a Girl with Myelodysplasia

PEDIATRICS ◽  
1984 ◽  
Vol 73 (3) ◽  
pp. 400-400
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Lower Extremity ◽  
Motor Neuron ◽  
Juvenile Rheumatoid Arthritis ◽  
Upper Limb ◽  
Joint Disease ◽  
Joint Involvement ◽  
History Of ◽  
History Of Pain

It is well recognized that a paralyzed limb may be spared from the effects of joint disease in patients with rheumatoid arthritis (RA),1 osteoarthritis,2,3 and gout.4 The paralysis may result from upper or lower motor neuron lesions.5-7 The striking freedom from lower extremity joint involvement in a child with polyarticular juvenile rheumatoid arthritis (JRA) represents a further example of this association, the first reported in a child. CASE REPORT An 8½-year-old girl had a 2-year history of pain in the metacarpophalangeal joints, hands, neck, and shoulders. She had noted decreased upper limb strength, inability to extend her elbows fully, and a recent diminution of range of motion in her wrists and shoulders.

Vortioxetine Efficiency in Controlling Obsessive Symptoms in Patients with Depression. A Case Report

2017 ◽  
Vol 41 (S1) ◽  
pp. S715-S715
Author(s):  
G. Pardo de Santayana ◽  
R. Landera ◽  
M. Juncal ◽  
O. Porta ◽  
L. Sánchez ◽  
...  
Keyword(s):  
Case Report ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Depressive Episode ◽  
Therapeutic Option ◽  
Recurrent Depression ◽  
Patient Reported ◽  
History Of ◽  
Competing Interest ◽  
Stress At Work

IntroductionObsessive symptomatology can sometimes be worsened when a patient with this personality trait suffers through a period of increased stress.AimTo review articles in PubMed related to how vorticoxetine affects obsessive symptoms in patients with depression.MethodsWe review the case of a 45-year-old male with obsessive personality traits diagnosed of recurrent depression. He was going through a period of stress at work that had worsened his obsessive symptoms (primarily obsessive thoughts). In a previous depressive episode, he was treated with an antidepressant that triggered sexual dysfunction as a side effect. Trying to prevent another antidepressant-induce sexual dysfunction, we decided to use voricoxetine because of its low tendency to interact with the sexual function.ResultsWe started treatment with vorticoxetine reaching a dose of 10 mg/day. Three weeks later the patient reported a decrease in his levels of anxiety, a slight upturn of his mood and a relieve of his obsessive symptoms.ConclusionsVorticoxetine can be considered a good therapeutic option in the treatment of obsessive symptoms in a depressive episode with patients with a history of antidepressant-induce sexual dysfunction.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Impaired Extension of the Digits due to Bilateral Idiopathic Intrinsic Contracture: A Case Report

2019 ◽  
Vol 24 (03) ◽  
pp. 383-385
Author(s):  
Yuki Kawasaki ◽  
Soichi Ejiri ◽  
Michiyuki Hakozaki ◽  
Shinichi Konno
Keyword(s):  
Eating Disorder ◽  
Case Report ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Medical History ◽  
Rare Condition ◽  
Tendon Sheath ◽  
Past Medical History ◽  
Thenar Muscle ◽  
History Of

Idiopathic intrinsic contracture (IIC) with no history of trauma, ischemia, or spasticity is extremely rare. We report herein a case of impaired extension of the digits due to bilateral IICs occurred in a 30-year-old woman with a past medical history of eating disorder and amenorrhea. Although no previous case has been reported in the literature, eight similar cases of IIC have been presented at Japanese domestic conferences. In these eight cases and the present case, resection of the thenar muscle cords and unilateral resection of the lateral band were effective. Since IIC in patients with an eating disorder is a rare condition, it would be treated conservatively at first as tendon sheath inflammation or locking. However, this condition may be resistant to conservative treatment, and surgical treatment should be considered in such cases.

scholarly journals Posaconazole in the treatment of refractory Purpureocillium lilacinum (former Paecilomyces lilacinus) keratitis: the salvation when nothing works

2019 ◽  
Vol 12 (4) ◽  
pp. e228645 ◽  
Author(s):  
Mariana Almeida Oliveira ◽  
Analia Carmo ◽  
Andreia Rosa ◽  
Joaquim Murta
Keyword(s):  
Case Report ◽  
Clinical Condition ◽  
Penetrating Keratoplasty ◽  
Contact Lenses ◽  
Clinical Signs ◽  
Paecilomyces Lilacinus ◽  
Purpureocillium Lilacinum ◽  
History Of ◽  
History Of Pain

We report a case of a 41-year-old woman, wearer of contact lenses who was presented to the emergency room with a 2-month history of pain and red eye. She presented with a severe keratitis refractory to quinolones, fortified antibiotics and clotrimazole. Due to the risk of perforation, a tectonic penetrating keratoplasty (PK) was performed. Clinical signs of keratitis recurrence were observed and cultures were positive for Purpureocillium lilacinum (former Paecilomyces lilacinus). The patient did not improve on topical amphotericin B and intracameral voriconazole. Worsening of clinical condition required a new PK. Oral posaconazole was initiated postoperatively and suspended at the fourth postoperative month. The cornea remains clear until the last follow-up visit, 12 months after the second graft. To our knowledge, this is the second case report that documents the effectiveness of oral posaconazole in a refractory P. lilacinus keratitis, resistant to other second-generation triazoles and conventional antifungals.

scholarly journals Epitheliotropic lymphoma with heart and kidney metastasis in a dog: case report

2017 ◽  
Vol 69 (6) ◽  
pp. 1461-1465
Author(s):  
C.M.T.D. Araújo ◽  
B.D. Pacheco ◽  
J.L.C. Castro ◽  
M.R. Farias ◽  
J.R. Engracia Filho
Keyword(s):  
Case Report ◽  
Postmortem Examination ◽  
Female Adult ◽  
Renal Masses ◽  
Renal Metastasis ◽  
Intense Pruritus ◽  
History Of ◽  
History Of Pain ◽  
Kidney Metastasis ◽  
Thoracic And Abdominal

ABSTRACT A female adult dog, with a four-month history of pain and intense pruritus, which eventually resulted in sudden death, was referred for necropsy. Postmortem examination showed thoracic and abdominal serum-sanguineous exudates, multifocal infiltrative renal masses, and similar tumors in the heart. Histopathology revealed midsize infiltrative neoplastic proliferation composed of round cells, sparse cytoplasm, and large hyperchromatic nuclei. Immunohistochemistry revealed CD3+ and CD20-immunoexpression. Histopathological and immunohistochemical findings confirmed the diagnosis of epitheliotropic lymphoma with cardiac and renal metastasis.

scholarly journals Evaluation of Plasma-Assisted Noninvasive Surgery (PANIS) as a New Technique for Sublimating Large Benign Conjunctival Nevus with Amniotic Membrane Transplantation (AMT); A Clinical Case Report

2021 ◽  
Author(s):  
Farhad Nejat ◽  
Khosrow Jadidi ◽  
Shima Eghtedari ◽  
Maryam Moradi ◽  
Nazanin Sadat Nabavi
Keyword(s):  
Case Report ◽  
Amniotic Membrane ◽  
Therapeutic Option ◽  
Amniotic Membrane Transplantation ◽  
Surgical Removal ◽  
Ocular Surface Disease Index ◽  
Noninvasive Surgery ◽  
Ocular Lesions ◽  
History Of ◽  
A New Technique

Abstract Background: conjunctival nevi are benign ocular lesions with a low risk of malignant transformation to melanoma. Due to cosmetic reasons patients usually consider surgical removal options. In this case report, we are presenting a new approach using plasma-assisted noninvasive surgery (PANIS) with amniotic membrane transplantation (AMT) to sublimate the nevus border and fuse the AMT with the remaining conjunctiva.Case presentation: A 33-year-old man with a history of large conjunctival nevus in his left eye, that its benignity was proved by an expert ophthalmologist through years of examination, has visited our center in September 2020. Plasma spots were used to sublimate the nevus border and fuse AMT with the conjunctiva. The patient was discharged fully satisfied without any complications and no recurrences were seen in a year of follow-up. Visual parameters were not significantly changed while the Ocular Surface Disease Index (OSDI) was reduced dramatically. Conclusion: Conjunctival nevi removal using the PANIS method with AMT is a safe, minimally invasive, and inexpensive therapeutic option. Plasma spots are suitable for AMT adhesion to the remaining conjunctiva after the nevus removal.

Multiple Osseous Tarsal Coalitions: A Case Report and Review of the Literature

2003 ◽  
Vol 24 (8) ◽  
pp. 653-656 ◽  
Author(s):  
Sujit S. Kadambande ◽  
Kartik Hariharan
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Previous History ◽  
Valgus Deformity ◽  
X Rays ◽  
Review Of The Literature ◽  
History Of ◽  
History Of Pain

A patient with multiple tarsal coalitions presenting with symptoms at the age of 47 years is reported. The report highlights the presentation of symptomatic coalitions following trauma in adulthood. Coalitions can pose difficulties in diagnosis, particularly without previous history of pain or disability in childhood. A decrease or loss of subtalar movement, painful movement, and valgus deformity of the hindfoot are usually present in the adult patient but are not often pathognomonic and present a diagnostic conundrum, particularly with x-rays being misinterpreted. This report highlights the problem of diagnosing such a condition with the attendant difficulties in formulating treatment.

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