Tramadol-associated mania: A case report

2017 ◽  
Vol 13 (3) ◽  
pp. 197 ◽  
Author(s):  
Jamaluddin Nimah, MD ◽  
Alexander Chen, BA ◽  
Kelly N. Gable, PharmD, BCPP ◽  
Alan R. Felthous, MD
Keyword(s):  
Oxidative Stress ◽  
Bipolar Disorder ◽  
Case Report ◽  
Mood Disorder ◽  
Tricyclic Antidepressants ◽  
Unusual Case ◽  
Underlying Mechanism ◽  
Induced Mood ◽  
History Of

A variety of medications, most notably tricyclic antidepressants, and other antidepressants including venlafaxine have been reported to have triggered manic episodes in patients with bipolar disorder. The synthetic opioid tramadol has also been associated with mania activation. This report describes an unusual case of tramadol-associated mania in a patient without a charted diagnosis of bipolar disorder. However, she had a history of two prior episodes of mania following administration of tramadol that were also believed to be related to medication-induced mood disorder rather than underlying bipolar disorder. We hypothesize that tramadol-associated mania may have an underlying mechanism involving monoamine neurotransmission and increased oxidative stress.

scholarly journals Unusual case of Giardia lamblia causing eosinophilic ascites along with Plesiomonasshigelloides gastroenteritis

Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 321-323
Author(s):  
Ballal Mamatha ◽  
Shetty Vignesh ◽  
Agarwal Manali ◽  
Nayal Bhavna ◽  
Umakanth Shashikiran
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Giardia Lamblia ◽  
Complete Resolution ◽  
Unusual Case ◽  
Peripheral Eosinophilia ◽  
Short Trip ◽  
Eosinophilic Ascites ◽  
History Of

A case report of a healthy, immunocompetent male,an international traveller from Germany who had visited India for a short trip,presented at our OPD with a history of loose stools, fever and abdominal pain,for two months. After thorough investigations, he was diagnosed to have an infection withGiardia lambliaacute gastroenteritis (AGE) along witheosinophilic ascites with peripheral eosinophilia, withassociatedPlesiomonasshigelloidesdiarrhoea. He was then treated with metronidazole and cotrimoxazole, which resulted in complete resolution of the symptoms.

scholarly journals A Prolapsed Cecoureterocele in an Adult Treated Conservatively: Highly Rare, but Existent

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Löcherbach Florian ◽  
Preusser Stefan ◽  
Meier Mark
Keyword(s):  
Early Childhood ◽  
Case Report ◽  
Urinary Tract ◽  
Surgical Therapy ◽  
Surgical Procedure ◽  
Unusual Case ◽  
Ectopic Ureterocele ◽  
History Of ◽  
Urinary Tract Anomalies

Ectopic ureteroceles are one of the most common human urinary tract anomalies. They tend to be recognized and treated in early childhood, especially when they have prolapsed. In most cases surgical therapy is inevitable. In this case report, however, we present the unusual case of a 26-year-old woman suffering from a prolapsed cecoureterocele without any known history of an ectopic ureterocele so far. She was successfully treated without the need for a surgical procedure.

scholarly journals Unusual case of classic testicular seminoma in a 90-year-old patient: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Ahmad Al-Mousa ◽  
Mohammad Nour Shashaa ◽  
Mohamad Shadi Alkarrash ◽  
Mohamad Alkhamis ◽  
Lina Ghabreau ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Elderly Patients ◽  
Unusual Case ◽  
Medical Literature ◽  
Testicular Tumor ◽  
Testicular Seminoma ◽  
Case Presentation ◽  
History Of ◽  
Pure Seminoma

Abstract Background Seminoma is the most common subtype of testicular cancer and occurs most commonly in patients aged 30–49 years, but decreases to a very low level in men in their 60s or older. Case presentation A 90-year-old Syrian man with a 6-year history of an increase in size of his right scrotum, presented to the urological clinic and, on clinical examination, the findings suggested testicular tumor. After orchiectomy and histology results based on microscopic and immunohistochemical examinations, a pure seminoma was diagnosed, so we describe in this case report the second-oldest patient with classical seminoma in the medical literature. Conclusion This case report has been written to focus on the probability of any type of testicular tumor occurring at any age or decade; urologists should consider seminoma as a differential diagnosis with any testicular swelling even in elderly patients.

scholarly journals A case of methamphetamine use disorder presenting a condition of ultra-rapid cycler bipolar disorder

2019 ◽  
Vol 7 ◽  
pp. 2050313X1982773
Author(s):  
Haruki Ikawa ◽  
Sho Kanata ◽  
Akihisa Akahane ◽  
Mamoru Tochigi ◽  
Naoki Hayashi ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Mood Disorder ◽  
Depressive Mood ◽  
Mood Stabilizers ◽  
Psychotic Symptoms ◽  
High Dose ◽  
Distinctive Features ◽  
Methamphetamine Use ◽  
Induced Mood ◽  
Methamphetamine Use Disorder

Methamphetamine, a potent psychostimulant, may cause a condition of mood disorder among users. However, arguments concerning methamphetamine-induced mood disorder remain insufficient. This case study describes a male with methamphetamine-induced bipolar disorder not accompanied by psychotic symptoms, who twice in an 11-year treatment period, manifested an ultra-rapid cycler condition alternating between manic and depressive mood states with 3- to 7-day durations for each. The conditions ensued after a bout of high-dose methamphetamine use and shifted to a moderately depressive condition within 1 month after the use under a treatment regimen of aripiprazole and mood stabilizers. The cycler condition may be characteristic of a type of the bipolar disorder and a sign usable for characterization. Further efforts are needed to seek distinctive features and to improve diagnostic assessment of methamphetamine-induced mood disorders.

scholarly journals Backache could be an indication of multiple myeloma: An unusual case report

2018 ◽  
Vol 17 (2) ◽  
pp. 311-315
Author(s):  
Muhammad Rizwan Ullah ◽  
Muhammad Kashif ◽  
Ahmed Nadeem ◽  
Romeeza Tahir ◽  
Zain Rizwan ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Case Report ◽  
Malignant Disease ◽  
Unusual Case ◽  
Medical Science ◽  
Diagnostic Dilemma ◽  
The Past ◽  
History Of ◽  
Unusual Case Report ◽  
Rule Out

Unusual presentation of multiple myeloma (MM) poses a diagnostic dilemma. The objective of this case report is to document the unique presentation of MM and to highlight the importance of backache which could be the only indicator for the diagnosis of MM. Although a history of trauma in the past is present in this case, but there is no molecular basis/evidence to declare trauma as a risk factor for MM. It can be concluded that the patients with backache should be thoroughly investigated to rule out any possibility of malignant disease process.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.311-315

Temperament as a basic element of bipolar spectrum and subthreshold manifestations

2011 ◽  
Vol 26 (S2) ◽  
pp. 215-215
Author(s):  
D. Harnic ◽  
A. Koukopoulos ◽  
M. Mazza ◽  
P. Bria
Keyword(s):  
Bipolar Disorder ◽  
Clinical Practice ◽  
Mood Disorder ◽  
Mood Disorders ◽  
Affective Disorders ◽  
Basic Element ◽  
Bipolar Spectrum ◽  
Everyday Clinical Practice ◽  
History Of ◽  
Xix Century

ObjectivesTemperament represents one of the basic elements of bipolar spectrum.MethodsA systematic search was undertaken in MEDLINE (from 1977 to 2007) to obtain articles published in English regarding the association of temperament and bipolar disorder. Keywords used were “temperament”, “bipolar disorder”, “assessment”, “bipolar spectrum”, “subthreshold”.ResultsIn opposition to the dichotomic conception which up to the end of XIX century considered mania and depression as two distinct and separate categories, Kraepelin has postulated a psychopathological “continuum” between temperament and affective disorders called “bipolar spectrum”. This concept has been reintroduced in contemporary psychiatry by Akiskal's works. By rebuilding the history of patients affected by bipolar disorder, temperamental traits can be already observed in the pre-morbid period and can also persist during disorder-free intervals.ConclusionsBy interpreting and diagnosing multiple expressions of bipolar spectrum, psychiatrists today are facing one of the most important challenges in everyday clinical practice. The temperamental “dysregulation” is the pathological basis of mood disorders and some temperamental traits in individuals can reflect a predisposition to develop a mood disorder.

Angiomatous malformation of the floor of the mouth associated with fluctuating macroglossia in an adult: an unusual case report

1995 ◽  
Vol 109 (7) ◽  
pp. 665-668
Author(s):  
P. Murthy ◽  
P. K. Shenoy ◽  
L. G. McClymont
Keyword(s):  
Case Report ◽  
Clinical Features ◽  
Unusual Case ◽  
Rare Condition ◽  
Rapid Onset ◽  
Vascular Lesion ◽  
Floor Of The Mouth ◽  
History Of ◽  
Unusual Case Report

AbstractWe report an unusual case of a large vascular lesion of the floor of the mouth of rapid onset in a 50-year-old man who presented with an external swelling in the submental region and a history of fluctuating swelling of the tongue. The clinical features, investigations, treatment and course of this rare condition are discussed.

scholarly journals Progression of unilateral moyamoya disease resulted in spontaneous occlusion of ipsilateral cavernous dural arteriovenous fistula: Case report

2016 ◽  
Vol 22 (3) ◽  
pp. 362-364 ◽  
Author(s):  
Peng Liu ◽  
Ya Xu ◽  
Xianli Lv ◽  
Huijian Ge ◽  
Ming Lv ◽  
...  
Keyword(s):  
Case Report ◽  
Arteriovenous Fistula ◽  
Moyamoya Disease ◽  
Dural Arteriovenous Fistula ◽  
Unusual Case ◽  
Clinical Symptoms ◽  
Underlying Mechanism ◽  
Facial Vein ◽  
Unilateral Moyamoya Disease

The pathogenic association between cavernous dural arteriovenous fistula (CDAVF) and moyamoya disease remains unclear. This unusual case is the first report of a progression of unilateral moyamoya disease resulting in the spontaneous occlusion of ipsilateral CDAVF. A 52-year-old woman presented with two-week spontaneous exophthalmos, chemosis and tinnitus, and cerebral angiography showed a right CDAVF coexisting with ipsilateral moyamoya disease. Transvenous approaches through the inferior petrosal sinus and facial vein were attempted but failed. However, a progression of the moyamoya disease and disappearance of the CDAVF were observed on one month follow-up angiogram in accordance with the resolution of clinical symptoms. This extremely rare coincidental presentation may have deeper pathogenic implications. This case report may give a clue to the underlying mechanism of the progression of moyamoya disease and occlusion of the CDAVF.

scholarly journals Acute Felon as a Complication of Systemic Paclitaxel Therapy: Case Report and Review of the Literature

Hand ◽  
2007 ◽  
Vol 2 (3) ◽  
pp. 101-103 ◽  
Author(s):  
John B. Hijjawi ◽  
David G. Dennison
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Cancer Patient ◽  
Breast Cancer Patient ◽  
Upper Extremity ◽  
Unusual Case ◽  
Review Of The Literature ◽  
Nail Dystrophy ◽  
American Women ◽  
History Of

Breast cancer now affects 1 in 8 American women and the taxane agent paclitaxel (Taxol® Bristol-Myers Squibb) is a major tool in the treatment of many such patients. Hand surgeons are therefore likely to encounter upper extremity complications related to the use of taxane therapy. We present an unusual case of a felon developing in a breast cancer patient on paclitaxel therapy with no antecedent history of trauma. Whereas onycholysis and subungual hemorrhage are reported complications of taxane therapy ( Fig. 1 ), an acute felon with or without associated paronychia is an unusual and more aggressive manifestation of this drug-related nail dystrophy.

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