scholarly journals Successful treatment of tubercular multifocal serpiginous-like choroiditis without use of anti-inflammatory drugs: A case report with multimodal imaging

2019 ◽  
Vol 31 (2) ◽  
pp. 229-233
Author(s):  
Mohammad Zarei ◽  
Navid Mohsenzadeh ◽  
Ramak Roohipoor ◽  
Hamid Riazi-Esfahani
Keyword(s):  
Case Report ◽  
Successful Treatment ◽  
Multimodal Imaging ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

scholarly journals Beyond the guidelines management of juvenile idiopathic arthritis: a case report of a girl with polyarticular disease refractory to multiple treatment options and Leri Weill syndrome

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vana Vukić ◽  
Ana Smajo ◽  
Mandica Vidović ◽  
Rudolf Vukojević ◽  
Miroslav Harjaček ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Treatment Options ◽  
Janus Kinase ◽  
Musculoskeletal Symptoms ◽  
Multiple Treatment ◽  
Number Of Patients ◽  
Systemic Glucocorticoids ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Abstract Background The last two decades brought new treatment options and high quality guidelines into the paediatric rheumatologic practice. Nevertheless, a number of patients still present a diagnostic and therapeutic challenge due to combination of vague symptoms and unresponsiveness to available treatment modalities. Case presentation We report a case of sixteen years old girl suffering from polyarticular type of juvenile idiopathic arthritis refractory to multiple treatment options. She first presented at the age of 4 with swelling and contractures of both knees. Her symptoms were initially unresponsive to nonsteroidal anti-inflammatory drugs and progressed despite treatment with intraarticular and systemic glucocorticoids and methotrexate. Throughout the years, she received several biologics together with continuous administration of nonsteroidal anti-inflammatory drugs and disease modifying anti-rheumatic drugs as well as intraarticular and systemic glucocorticoids in disease flares. However, none of this options  provided a permanent remission, so various other modalities, as well as other possible diagnoses were constantly being considered. Eventually she became dependent on a daily dose of systemic glucocorticoids. In 2018, the treatment with Janus kinase inhibitor tofacitinib was initiated, which led to gradual amelioration of musculoskeletal symptoms, improvement of inflammatory markers and overall well-being, as well as to the weaning of systemic glucocorticoids. As the swelling of the wrists subsided for the first time in many years, Madelung’s deformity was noticed, first clinically, and later radiographically as well. Genetic analysis revealed short-stature homeobox gene deficiency and confirmed the diagnosis of Leri Weill syndrome. Conclusions This case report emphasizes the need for reporting refractory, complicated cases from everyday clinical practice in order to build-up the overall knowledge and share experience which is complementary to available guidelines. Individual reports of difficult to treat cases, especially when additional diagnoses are involved, can be helpful for physicians treating patients with common rheumatological diseases such as juvenile idiopathic arthritis.

scholarly journals Acute Myopericarditis in a Pediatric Patient after First Dose of Pfizer BioNTech COVID - 19 Vaccination: First Case Report in the Kingdom of Bahrain

2021 ◽  
Vol 33 (4) ◽  
pp. 29-32
Author(s):  
Ghada Al Qassim ◽  
Vimalarani Arulselvam ◽  
Suad R Al Amer ◽  
Salah Al Ghanem ◽  
Neale Nicola Kalis
Keyword(s):  
Case Report ◽  
Adverse Events ◽  
Pediatric Patient ◽  
Task Force ◽  
Limited Data ◽  
First Case ◽  
National Task ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Coronavirus disease 201 9 (COVID - 1 9 ) vaccination for children over 12 years of age began on May 2021 in the kingdom of Bahrain. Very limited data is available regarding the adverse events related to COVID -19 vaccination in children. This is a case report of a 12-year-old previously healthy boy with acute myopericarditis who presented on day 5 after the first dose of Pfizer COVID - 19 vaccination. Other causes of acute myopericarditis were ruled out. He was treated with non - steroidal anti-inflammatory drugs and recovered fully. This case of vaccine-induced myocarditis was reported to the national task force of Bahrain for combating COVID - 19.

scholarly journals Gynecomastia in a Patient Taking Meloxicam—A Case Report

2020 ◽  
Vol 11 ◽  
pp. 215013272095262
Author(s):  
Steven L. Rosas ◽  
Mark E. Deyo-Svendsen ◽  
Rachel Z. Oldfather ◽  
Michael R. Phillips ◽  
T. Andrew Israel ◽  
...  
Keyword(s):  
Case Report ◽  
Male Breast ◽  
Medical Illness ◽  
Glandular Tissue ◽  
Adult Men ◽  
Antiretroviral Medications ◽  
Causative Agents ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Gynecomastia is benign enlargement of glandular tissue in the male breast. It occurs due to an imbalance of estrogen and testosterone. It may be unilateral or bilateral. Physiologic gynecomastia commonly occurs in infants and during puberty and is self-limited. Gynecomastia may affect up to 50% of adult men over age 50 years old and can be related to underlying medical illness or caused by certain medications. Known causative agents include anti-androgenic and estrogenic drugs. Probable agents include alcohol and anti-ulcer, psychoactive, and antiretroviral medications. Non-steroidal anti-inflammatory drugs (NSAIDs) are not commonly associated with the development of gynecomastia. This case presents an instance in which the NSAID, meloxicam, was the only identified variable in a patient who developed unilateral gynecomastia. His breast tenderness and abnormal exam resolved spontaneously within 4 weeks of cessation of meloxicam therapy.

scholarly journals Nonsteroidal anti‐inflammatory drugs are effective against postorgasmic illness syndrome: A case report

2020 ◽  
Vol 3 (4) ◽  
pp. 96-97
Author(s):  
Kenta Arata ◽  
Risa Tamagawa‐Mineoka ◽  
Akifumi Ohshita ◽  
Koji Masuda ◽  
Norito Katoh
Keyword(s):  
Case Report ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

scholarly journals Chronic Recurrent Multifocal Osteomyelitis of the First Metatarsal Bone: A Case Report

2009 ◽  
Vol 17 (1) ◽  
pp. 119-122 ◽  
Author(s):  
CK Chiu ◽  
VA Singh
Keyword(s):  
Case Report ◽  
Symptomatic Relief ◽  
Chronic Recurrent Multifocal Osteomyelitis ◽  
Metatarsal Bone ◽  
First Metatarsal ◽  
History Of ◽  
Multifocal Osteomyelitis ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

We report a case of chronic recurrent multifocal osteomyelitis in a 9-year-old girl. She presented with a 9-month history of gradually worsening pain and swelling in her left foot. Non-steroidal anti-inflammatory drugs were prescribed but the symptoms persisted. She underwent curettage through a small oval corticotomy window on the first metatarsal bone. The pain and swelling improved promptly and she was able to walk without pain 2 weeks later. Curettage enabled rapid symptomatic relief and induced remission, with little risk of complications.

scholarly journals  Computed tomographic findings in a calf with actinomycosis: a case report

2011 ◽  
Vol 56 (No. 5) ◽  
pp. 255-259 ◽  
Author(s):  
T. Mohamed ◽  
F. Al-Sobayil ◽  
T. Kurwasawa ◽  
T. Nakade ◽  
M. Floeck
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Deep Sedation ◽  
Ct Imaging ◽  
Computed Tomographic ◽  
Non Invasive ◽  
Serum Biochemical ◽  
Biochemical Profiles ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

In this report a case of actinomycosis in a five-month-old Holstein calf is described. The patient displayed a hard and immobile swelling in the mandible and fever. Computed tomography (CT) imaging of the skull was performed under deep sedation and revealed an asymmetrical appearance of the mandible with the presence of intra-mandibular hypodense lesions. Haematologic and serum biochemical profiles revealed leukocytosis, neutrophilia, hypoalbuminaemia and hypergammaglobulinaemia. Treatment consisted of flushing the lesion and administration of antibiotics and non-steroidal anti-inflammatory drugs. The calf responded to therapy and had recovered almost completely four months later. The present case indicates that CT is an effective non-invasive means of identifying mandibular lesions in cattle.

scholarly journals CARBAMAZEPINE-INDUCED TOXIC EPIDERMAL NECROLYSIS: A CASE REPORT

2018 ◽  
Vol 11 (12) ◽  
pp. 3 ◽  
Author(s):  
Sherin Alexander ◽  
Devayani Santhu ◽  
Narendran T ◽  
Julie Mariam Joshua ◽  
Meenu Vijayan ◽  
...  
Keyword(s):  
Case Report ◽  
Toxic Epidermal Necrolysis ◽  
Alcohol Withdrawal ◽  
Chemical Exposure ◽  
Withdrawal Symptoms ◽  
Life Threatening ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Systemic Infections

Toxic epidermal necrolysis (TEN) is a life-threatening dermatological disorder characterized by erythematous lesions, necrosis, exfoliation, sepsis, and death. This may be due to different reasons such as chemical exposure, systemic infections, or some reactions of drugs such as carbamazepine, phenytoin, allopurinol, lamotrigine, and nonsteroidal anti-inflammatory drugs. In this case, the patient was on carbamazepine for the management of alcohol withdrawal symptoms. Moreover, this might be the reason for the occurrence of TEN. For his condition, he had given corticosteroids, antibiotics for sepsis, and other supportive measures.

Desmopressin and non-steroidal anti-inflammatory drugs: A case report of severe water intoxication during replacement therapy

2012 ◽  
Vol 73 (2) ◽  
pp. 152
Author(s):  
Elisa Verrua ◽  
Giovanna Mantovani ◽  
Andrea Noto ◽  
Emanuele Ferrante ◽  
Elisa Sala ◽  
...  
Keyword(s):  
Case Report ◽  
Replacement Therapy ◽  
Water Intoxication ◽  
Inflammatory Drugs ◽  
Anti Inflammatory
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