scholarly journals Brucellar Pericarditis: You Can Get from Your Pet!

2020 ◽  
pp. 1-3
Author(s):  
Abeer M Shawky ◽  
Keyword(s):  
Infectious Disease ◽  
Rare Case ◽  
Clinical Presentation ◽  
Exceptional Case ◽  
Cardiac Symptom ◽  
Case Presentation ◽  
Night Sweats ◽  
Cardiac Manifestation ◽  
Mild Fever

Background: Brucellosis is a worldwide zoonotic systemic infectious disease with a diverse clinical presentation. Cardiovascular affections are not frequent, and the main cardiac manifestation of Bru-cellosis is endocarditis. Pericarditis without endocarditis is extremely rare. Case Presentation: In this case report, we present an exceptional case of pericarditis caused by Brucellosis in the absence of concomitant endocarditis in a 30-year-old woman, one-month postpar-tum, from the countryside. The lady presented with night sweats, mild fever, weight loss, dyspnea and chest pain. A diagnostic workup revealed positive titers for Brucella, indicating that the patient was suffering from systemic Brucellosis. The patient recovered completely, after receiving appropri-ate oral non-steroidal anti-inflammatory and dual antibiotics treatment, and responded well without any sign of relapse during a six month follow-up period. Conclusion: Pericarditis can occur during Brucellosis as an isolated cardiac symptom. Brucellar per-icarditis should always be kept in mind in patients with pericarditis and pericardial effusion, alt-hough the prevalence of pericarditis in Brucellosis is very low.

scholarly journals A Case Presentation on Acute Lymphonodular Pharyngitis with a Review

2021 ◽  
Vol 12 (1) ◽  
pp. 392-395
Author(s):  
Mohammed Malik Afroz ◽  
Karthiga Kannan ◽  
Chanchala H P ◽  
Priyanka Talwade ◽  
Avinash Tejasvi M L ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Early Years ◽  
Posterior Aspect ◽  
Prodromal Symptoms ◽  
Case Presentation ◽  
Detection And Identification ◽  
Dental Office ◽  
Mild Fever ◽  
Apparently Healthy

Acute lymphonodular pharyngitis is a viral infection predominantly caused by coxsackievirus and is seen in children. The infection is characterized by typical prodromal symptoms of mild fever, sore throat, difficulty in deglutition. The characteristic clinical presentation reveals multiple raised, discrete, yellowish-white non-vesicular lesions with surrounding erythematic appearance commonly seen on the roof of the posterior aspect of the oral cavity. The lesions have been identified as early as 1962, described in detail in the literature. These lesions may be common but are often overlooked due to less knowledge among the patients or rather the patients not directly reporting to the dental office. We present with a case of a five-year-old apparently healthy child with a detailed description of symptoms, clinical features, follow up, differential diagnosis and review. This article aims to bring awareness of the disease in the present form to the readers with the purpose of early detection and identification of condition for treatment. We found very less review in the literature over past years which bring us to understand that it is overlooked though it has been identified in the early years. The disease may be reported less, but it is not obsolete to be discarded.

A case of severe SARS-CoV-2 infection with negative nasopharyngeal PCR in pregnancy

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Anna Fuchs ◽  
Lauren Harris ◽  
Ashley Huber ◽  
Mia Heiligenstein ◽  
Cassandra Heiselman ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Clinical Status ◽  
Igg Antibodies ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Case Presentation ◽  
Preterm Premature Rupture ◽  
High Clinical Suspicion ◽  
Maternal Status

Abstract Objectives SARS-CoV-2 remains a pressing issue for our obstetric community during the current pandemic. We present a case of a 22-year-old nulliparous woman 31 weeks pregnant, with significant clinical SARS-CoV-2 disease, in the setting of negative nasopharyngeal PCR testing but positive IgG antibodies. Case presentation This was a 22-year-old patient 31 weeks pregnant who presented with fever, tachycardia, and subsequently preterm premature rupture of membranes (PPROM) and pulmonary emboli with multifocal pneumonia. The patient underwent three negative SARS-CoV-2 tests via nasopharyngeal PCR testing during her hospital stay as well as a negative workup for fever. After a cesarean section for worsening maternal status after 7 days of hospitalization, the patient was admitted for worsening clinical status to the SICU. At the time of SICU admission patient was found to have serum IgG positive antibodies and was managed with intubation, antibiotics, and anticoagulation. Patient eventually left hospital against medical advice on hospital day 16 on oral antibiotics but was found to be recovering well at later outpatient follow up. Conclusions Diagnosis of SARS-CoV-2 remains a complicated picture in the setting of testing limitations. This case highlights an antepartum clinical presentation of severe SARS-CoV-2 and recommends a high clinical suspicion for diagnosis of SARS-CoV-2 and initiation of treatment in the pregnant population, even in the presence of negative nasopharyngeal PCR testing.

scholarly journals A man with recurrent fever, arthritis, and rashes-brucellosis? A case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Wen Wang ◽  
Xu Lu ◽  
Chengbo Li ◽  
Myong Jun Ri ◽  
Wei Cui
Keyword(s):  
Infectious Disease ◽  
Bone Marrow ◽  
Case Report ◽  
Myelodysplastic Syndrome ◽  
Skin Biopsy ◽  
Rare Case ◽  
Glucocorticoid Therapy ◽  
Recurrent Fever ◽  
Neutrophilic Dermatosis ◽  
Case Presentation

Abstract Background We report a rare case of chronic brucellosis accompanied with myelodysplastic syndrome and neutrophilic dermatosis, which to the best of our knowledge, has never been reported. Case presentation A young man was admitted to our hospital complaining of recurrent fever, arthritis, rashes and anemia. He had been diagnosed with brucellosis 6 years prior and treated with multiple courses of antibiotics. He was diagnosed with myelodysplastic syndrome and neutrophilic dermatosis following bone marrow puncture and skin biopsy. After anti-brucellosis treatment and glucocorticoid therapy, the symptoms improved. Conclusions Clinicians should consider noninfectious diseases when a patient who has been diagnosed with an infectious disease exhibits changing symptoms.

scholarly journals Trichofolliculoma of the Nose: A Rare Disease

2013 ◽  
Vol 6 (3) ◽  
pp. 152-153
Author(s):  
AK Agarwal ◽  
JC Passey ◽  
Tripti Brar ◽  
Shilpi Dabas ◽  
Nikhil Arora
Keyword(s):  
Rare Disease ◽  
Rare Case ◽  
Clinical Presentation ◽  
Benign Lesion ◽  
Diagnosis And Treatment ◽  
Histopathological Diagnosis ◽  
Total Removal ◽  
Histopathological Findings ◽  
Plastic Reconstruction

ABSTRACT Purpose The author wants to present a rare case of trichofolliculoma of nose. Patients and methods Clinical presentation, radiology, histopathological findings and management of the case has been presented. Results Patient has been on regular follow-up and planned for plastic reconstruction. Conclusion Trichofolliculoma, a benign hamortomatous lesion that develops at any age, usually presenting as a skin-colored nodule, correct histopathological diagnosis and treatment therefore, can lead to total removal of the benign lesion. How to cite this article Brar T, Passey JC, Dabas S, Agarwal AK, Arora N. Trichofolliculoma of the Nose: A Rare Disease. Clin Rhinol An Int J 2013;6(3):152-153.

scholarly journals Central giant cell granuloma of the maxilla: a case re-port

2017 ◽  
Vol 5 (2) ◽  
pp. 145
Author(s):  
Najwa Alchalabi ◽  
Hayder Salih ◽  
Ahmed Merza
Keyword(s):  
Giant Cell ◽  
Unusual Case ◽  
Clinical Presentation ◽  
Benign Lesion ◽  
Giant Cell Granuloma ◽  
Case Presentation ◽  
Central Giant Cell Granuloma ◽  
First Choice ◽  
Bone Cortex

Introduction: Central giant-cell is a benign lesion that predominantly involves the bone of the mandible and maxilla with a wide variation of its behavior. Surgery usually is the first choice in treatment of central giant cell granuloma.Case Report: In this case report we present a 29 years-old female with well define swelling on left maxilla. Diagnosis through incisional biopsy showed a central giant cell granuloma. Surgery with curettage was our treatment option with a follow up( 2 years ), No recurrence was reported.Discussion: Information on the maxillary central giant cell granuloma in published studies is insufficient. So here we present our case as unusual case presentation. Differential diagnosis of this case included osteosarcoma (parosteal type) since the tumor clinical presentation in periosteous tissue adjacent to the bone cortex and showed rapid growth. We chose the conventional surgical treatment by simple surgical curettage by mid-face degloving approach to avoid any facial scaring.

scholarly journals APPENDICEAL MUCOCOELE WITH PARTIAL NON ROTATION OF GUT – A RARE CASE REPORT

2020 ◽  
pp. 1-2
Author(s):  
Shirish Bhagvat ◽  
Nikhil Dhimole
Keyword(s):  
Abdominal Pain ◽  
Rare Case ◽  
Patient Management ◽  
Clinical Presentation ◽  
Delayed Diagnosis ◽  
Laparoscopic Approach ◽  
Intermittent Abdominal Pain ◽  
Atypical Clinical Presentation ◽  
Rare Case Report

Mucocoele of appendix and partial non-rotation of gut are rare pathological entities, and when they are present together they pose diagnostic and therapeutic difficulties due to atypical clinical presentation. This dilemma of varied clinical presentation can lead to delayed diagnosis and complications, thereby adversely affecting patient management and outcome. We report a 33 year old lady, presenting with intermittent abdominal pain in the periumbillical since 3 months diagnosed to have an appendiceal mucocoele with partial non rotation of gut on imaging. The patient underwent laparoscopic appendectomy and was discharged on post operative day 1 following an uneventful course with no recurrence on 6 months of follow up. Histopathology of the specimen confirmed the diagnosis of mucocoele of appendix with no evidence of malignancy. To our knowledge, this is the first reported case of mucocoele of appendix with partial non rotation of gut managed with minimally invasive laparoscopic approach.

scholarly journals Corneal erforation casused by eyelid margin trichilemmal carcinoma: A case report

2019 ◽  
Author(s):  
Liying Zhang ◽  
Zhirong Lin ◽  
Huping Wu
Keyword(s):  
Rare Case ◽  
The Elderly ◽  
Corneal Perforation ◽  
Slit Lamp ◽  
Blurred Vision ◽  
Eyelid Margin ◽  
Case Presentation ◽  
Adnexal Tumor ◽  
History Of

Abstract Background: Trichilemmal carcinoma (TLC) is a rare malignant adnexal tumor predominantly affecting the scalp, eyelids, neck and face of the elderly. Here, we firstly report a rare case of corneal perforation caused by TLC grown in eyelid margin. Case presentation: A 68-year-old female presented with two months history of unprovoked redness, pain and blurred vision in the left eye. On slit-lamp examination, a 1×2mm aseptic corneal perforation embedded by iris prolapsed was noted. After excluding other causes through examinations and case history inquiry, we speculated that the severe MGD and subsequent BKC might be the cause. In order to prevent the ulcer enlargement and intraocular infection, the patient was treated with penetrating keratoplasty immediately. However, a terrible phenomenon has aroused our concern that several small nodules gradually developed on the eyelid margin, accompanied with bleeding, burst and madarosis postoperatiely. The biopsy revealed the eyelid was involved by TLC and then the lesionectomy was performed immediately. There was no evidence of local recurrence and metastasis during 1 year follow-up. Conclusions: The involvement of eyelid margin by TLC, and subsequent BKC and corneal perforation were very rare and it has not been reported yet. The concomitant BKC can be gradually healed after rectifying eyelid margin by total excision of TLC. It is very important to offer careful follow-up to all patients.

scholarly journals Disseminated neurocysticercosis with bilateral papilledema: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Ruchi Shrestha ◽  
Amin Kumar Shrestha
Keyword(s):  
Case Report ◽  
Optic Nerve ◽  
Clinical Evaluation ◽  
Rare Case ◽  
Clinical Presentation ◽  
Case Presentation ◽  
Loss Of Vision ◽  
Subcutaneous Nodules ◽  
Gradual Loss ◽  
Ocular Cysticercosis

Abstract Background Ocular cysticercosis is a disease which rarely involves cutaneous skin and the optic nerve. Patients with clinical presentation of subcutaneous nodules and papilledema should always be evaluated for cysticercosis. Case presentation We report a rare case of ocular cysticercosis with multiple disseminated subcutaneous nodules and papilledema in both eyes. A 22-year-old Brahmin man presented with complaints of gradual loss of vision in both eyes and multiple small masses all over his body. On clinical evaluation, multiple subcutaneous nodules were seen on his face, mandibular area, elbow, arm, and abdomen. A fundus evaluation showed bilateral blurred disc margin. The case was managed with steroids and anti-parasitic drugs. Conclusion This case report highlights the importance of ruling out neurocysticercosis in cases with multiple disseminated subcutaneous nodules and papilledema.

scholarly journals Ganglioneuroma of the External Auditory Canal and Middle Ear

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Hesham Saleh Almofada ◽  
Michael Steven Timms ◽  
M. Anas Dababo
Keyword(s):  
Bone Marrow ◽  
Temporal Bone ◽  
Middle Ear ◽  
External Auditory Canal ◽  
Rare Case ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Stage Iv ◽  
Posterior Mediastinum

Objective. We report an extremely rare case of ganglioneuroma involving the external auditory canal and middle ear. Case Report. Ganglioneuromas are rare benign mature tumors thought to originate from sympathetic ganglions, with the highest incidence in the retroperitoneum, adrenal medulla, and posterior mediastinum. We present a case of ganglioneuroma of the external auditory canal and middle ear. At the age of 12 months, the patient was diagnosed with neuroblastoma stage IV with metastasis to the squamous temporal bone, bone marrow, and skull base. He received a high-risk protocol regimen resulting in complete remission. The patient later presented with recurrent right ear discharge at the age of six years and was diagnosed with ganglioneuroma of external auditory canal and middle ear after appropriate investigations. We report in this article the clinical presentation, investigations, surgical intervention, and follow-up. Conclusion. After the literature review and to our knowledge, this is the first reported case of its kind. Ganglioneuroma maturing from neuroblastoma is one of the theories describing pathophysiology of the disease. Ganglioneuroma should be considered in the differential diagnosis of patients presenting with recurrent ear discharge and decreased hearing in treated cases of neuroblastoma with metastases to temporal bone.

Favorable Conservative Management of a Rare Primary Aortitis Secondary to Listeria Monocytogenes: Case Report and Review of the Literature

2021 ◽  
pp. 153857442110040
Author(s):  
Luis H. Arzola ◽  
Javier E. Anaya-Ayala ◽  
Gabriel Lopez-Pena ◽  
Lizeth Luna ◽  
Christopher Ruben-Castillo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Listeria Monocytogenes ◽  
Conservative Management ◽  
Rare Case ◽  
Clinical Presentation ◽  
Clinical Course ◽  
Diabetic Woman ◽  
Review Of The Literature ◽  
Thoracic Computed Tomography

Primary aortitis (PA) secondary to Listeria monocytogenes is extremely rare with only a few cases reported in the literature. Presently, there is no consensus concerning the best treatment when no complications are found in the thoracic computed tomography (CT) imaging. This report illustrates the clinical presentation and favorable clinical course of a rare case of PA secondary to Listeria monocytogenes in an 82-year-old diabetic woman, successfully treated with conservative management with 18 months of follow up. Included in this article, we additionally present a review of the literature of this uncommon etiology of infectious aortitis.

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