scholarly journals When the story doesn’t fit

2016 ◽  
Vol 85 (2) ◽  
pp. 74-76
Author(s):  
Jason L Elzinga ◽  
Charles Jian
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Rare Case ◽  
Correct Diagnosis ◽  
Physical Appearance ◽  
Physical Exam ◽  
Atypical Presentation ◽  
Invasive Treatment ◽  
Patients With Cancer

Melanoma is an aggressive but easily preventable cancer. However, it may have a highly atypical presentation which makes early detection more difficult. This case report discusses a 25-year-old patient with a rare case of melanoma developing underneath the nail of the first toe. The case was originally diagnosed as trauma due to its rarity and epidemiological unlikeliness, however through the patient’s persistence for alternative opinions the correct diagnosis was eventually made. However, this led to an amputation as well as more intense, invasive treatment. There were several points on history (duration of the lesion, appearance of the lesion, and lack of healing progress) which when combined with the lesion’s physical appearance should have made such a presentation suspicious for a more malignant cause. This case highlights the importance of early detection in the prognosis and treatment of patients with cancer, the importance of considering all aspects of a history and physical exam, and the importance of listening to and addressing a patient’s concerns. As always, more common diagnoses should be first considered, but when the story does not match up with the presentation, one should move past the horses to consider the zebras.

scholarly journals Bacterial Pericarditis Caused by Penetration of a Migrated Biliary Stent from the Lateral Segment of the Liver: A Case Report

Medicina ◽  
2022 ◽  
Vol 58 (1) ◽  
pp. 132
Author(s):  
Hsiao-Yun Chao ◽  
Chih-Huang Li ◽  
Shou-Yen Chen
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Early Detection ◽  
Adverse Events ◽  
Patient Outcomes ◽  
Rare Case ◽  
Biliary Stent ◽  
Stent Insertion ◽  
Distal Migration ◽  
Bacterial Pericarditis

Endoscopic biliary stent insertion is a well-established procedure that is indispensable in the management of various benign and malignant biliary disorders, and one that helps prevent mortality related to invasive surgical procedures. We report a rare case of the distal migration of a biliary stent outside the abdomen to the pericardium, inducing constrictive pericarditis and septic shock. This case alerts clinicians to be aware of potential adverse events that can lead to unfavorable patient outcomes. Such adverse events can be effectively avoided through early detection and intervention.

scholarly journals A Rare Case Report of Persistent Hiccups as an Atypical Presentation of COVID-19

Cureus ◽  
2021 ◽  
Author(s):  
Raed Atiyat ◽  
Sindhusha Veeraballi ◽  
Neveen Al-Atiyat ◽  
Kok Hoe Chan ◽  
Jihad Slim
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Atypical Presentation ◽  
Rare Case Report

scholarly journals Unusual presentation of hepatocellular carcinoma: Case report and review of literature

2021 ◽  
pp. 20210033
Author(s):  
Poonamjeet Loyal ◽  
Samuel Gitau ◽  
Soraiya Manji ◽  
Sitna Mwanzi ◽  
John Weru
Keyword(s):  
Hepatocellular Carcinoma ◽  
Chronic Hepatitis ◽  
Case Report ◽  
Rare Case ◽  
Anterior Abdominal Wall ◽  
Atypical Presentation ◽  
Primary Cancer ◽  
Review Of Literature ◽  
Diagnostic Challenge ◽  
Positive Chronic Hepatitis

Hepatocellular carcinoma (HCC) is the most common primary cancer of the liver and a major cause of mortality globally. Atypical presentation of HCC can present a diagnostic challenge. We, therefore, present a rare case of hepatocellular carcinoma fungating through the anterior abdominal wall with concomitant lung and brain metastases in a young patient with non-cirrhotic liver but positive chronic hepatitis B serology.

scholarly journals Neonatal teeth concomitant with fibrous hyperplasia: A rare case report

2021 ◽  
Vol 3 (1) ◽  
pp. 36-39
Author(s):  
Arunima ◽  
Vipin Ahuja
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Oral Cavity ◽  
Ethnic Groups ◽  
Growth Retardation ◽  
Rare Case ◽  
New Born ◽  
Emotional Event ◽  
Natal Teeth ◽  
Rare Case Report

Eruption of tooth at about 6 months of age is a momentous stage in child’s life and is an emotional event for the parents. Though, a tooth present in the oral cavity of new born can lead to a lot of delusions. The occurrence of natal and neonatal teeth is a scarce anomaly, which for centuries has been associated with assorted superstitions among different ethnic groups. Natal teeth are more frequent than neonatal teeth, with the ratio being approximately 3: 1. Natal and neonatal teeth are of paramount importance not only for a dentist but also for a paediatrician since their presence may lead to numerous complications. Early detection and treatment of these teeth are recommended because they may induce deformity or mutilation of tongue, dehydration, inadequate nutrients intake by the infant, and growth retardation, the pattern and time of eruption of teeth and its morphology. This paper reports a rare case, wherein a neonatal tooth has led to the development of a fibrous hyperplasia in 10 months old infant.

scholarly journals Neonatal COVID-19 with Rare Presentation in COVID Dedicated Hospital of Bangladesh: A Case Report

2021 ◽  
Vol 7 (1) ◽  
pp. 87-89
Author(s):  
Rifat Taher Anne ◽  
Md Zakirul Islam ◽  
Farhana Noman ◽  
Ferdousi Hasnat ◽  
Shamima Sharmin Shova ◽  
...  
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Respiratory Distress ◽  
Death Rate ◽  
Neonatal Death ◽  
Clinical Presentation ◽  
Age Groups ◽  
Atypical Presentation ◽  
Rare Presentation ◽  
Recurrent Seizure

Although Coronavirus disease (COVID-19) can affect all age groups, severity of clinical presentation among children and newborns are milder than in adults. Along with classical symptoms, atypical presentation could be noted in the neonate. We report here a case of neonatal COVID-19 where a newborn infant presented with fever, lethargy, respiratory distress and recurrent seizure. Early detection and prompt management is the prerequisite for limiting transmission and reducing neonatal death rate. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 87-89

Early detection of Emanuel syndrome: a case report

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Taddei Edoardo ◽  
Sartori Elena ◽  
Raio Bulgheroni Luigi ◽  
Papadia Andrea
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Correct Diagnosis ◽  
In Utero ◽  
Postmortem Examination ◽  
Effective Management ◽  
Case Presentation ◽  
Anatomical Difference ◽  
Emanuel Syndrome ◽  
Mosaic Trisomy

AbstractObjectivesEmanuel syndrome is a rare inherited syndrome, a correct in utero diagnosis allows effective management for ongoing and future pregnancies.Case presentationHere, we report a case of a complete non-mosaic trisomy 22, with several prenatal sonographic findings, that was diagnosed in utero at 15 weeks’ gestation and then it was confirmed with chromosomal analysis and postmortem examination.ConclusionsEvery anatomical difference should always be further investigated in order to achieve the correct diagnosis.

scholarly journals Redundancy Is of No Good; Iatrogenic Hypervitaminosis D: A Rare Case of Persistent Vomiting Due to Hypercalcemia

2019 ◽  
Vol 12 ◽  
pp. 117954761982868 ◽  
Author(s):  
Muhammad Ishaq Ghauri ◽  
Syeda Beenish Bareeqa ◽  
Amir Riaz ◽  
Ajeet Kumar
Keyword(s):  
Diabetes Mellitus ◽  
Differential Diagnosis ◽  
Case Report ◽  
Rare Case ◽  
Correct Diagnosis ◽  
Clinical Suspicion ◽  
Persistent Vomiting ◽  
Hypervitaminosis D ◽  
First Case ◽  
Time Of Presentation

Introduction: Iatrogenic or physician-induced hypervitaminosis D is a rare cause of persistent vomiting. To the best of our knowledge, this is the first case report on iatrogenic hypervitaminosis D presenting with persistent vomiting in Pakistan. Case Report: We report a rare case of continual vomiting for 15 days in a 48-year-old woman of Pakistani descent. She was a known case of diabetes mellitus for 8 years, which was well controlled at the time of presentation. Conclusions: The correct diagnosis of our patient was based on clinical suspicion, appropriate lab tests, and deliberation of the differential diagnosis. It is important to consider hypervitaminosis D as a cause of persistent vomiting if no other obvious is apparent.

scholarly journals A Case of Unifocal Eosinophilic Granuloma of the Mandible in an Adult Female: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Anshita Agarwal ◽  
Gaurav P. Agrawal ◽  
Sarwar Alam ◽  
Benazeer Husain
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Adult Female ◽  
Rare Case ◽  
Eosinophilic Granuloma ◽  
Correct Diagnosis ◽  
Pathological Diagnosis ◽  
Maxillofacial Region ◽  
Uncommon Disease ◽  
Eosinophilic Granuloma Of Bone

Eosinophilic granuloma of bone is a disease with an incidence of one new case per 350,000 to 2 million per year, which is an uncommon disease of maxillofacial region, and presents in more than 90% in children under the age of ten with predominance for males. As a result, eosinophilic granuloma of the jaw is always unconsidered in the differential diagnosis of similar lesions by many clinicians. It is difficult to make a correct diagnosis on it without proof of a pathological diagnosis, which correlates with the diverse clinical and radiographic presentations of eosinophilic granuloma in the jaws. In the present paper we report a rare case of unifocal eosinophilic granuloma of mandible occurring in an adult female.

scholarly journals A Rare Case of Subependymoma with an Atypical Presentation: A Case Report

2011 ◽  
Vol 3 (3) ◽  
pp. 227-232 ◽  
Author(s):  
Mohankumar Kurukumbi ◽  
Amruta Muley ◽  
Ganga Ramidi ◽  
Zakiya Wynn ◽  
Annapurni Jayam Trouth
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Atypical Presentation

scholarly journals Isolated Sacrococcygeal Tuberculosis, A Case Report Of A Rare Atypical Presentation

2019 ◽  
Vol 1 (4) ◽  
Author(s):  
Daksh Gadi ◽  
Saket Nigam ◽  
Deepti Gupta ◽  
Akanksha Sinha
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Clinical Suspicion ◽  
Atypical Presentation ◽  
Rare Entity ◽  
Hematogenous Spread ◽  
Major Health Problem ◽  
Major Health ◽  
Rare Case Report ◽  
Atypical Presentations

Tuberculosis is a major health problem in India and in view of rise in the MDR tuberculosis atypical presentations are getting commoner these days and are difficult to diagnose. Musculoskeletal tuberculosis is very common among the  hematogenous spread cases of pulmonary tuberculosis involving thoracic spine the most. Involvement of sacrum and coccyx is rarest of  the possibility and isolated sacrococcygeal tuberculosis thus is very rare. Being a rare entity a high index of clinical suspicion is required to diagnose it. We hereby report a very rare case report of sacrococcygeal tuberculosis.

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