scholarly journals A Rare Case of Primary Meningococcal Myopericarditis in a 71-Year-Old Male

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Odilia I. Woudstra ◽  
Gerard J. J. Boink ◽  
Jacobus A. Winkelman ◽  
Ron van Stralen
Keyword(s):  
Heart Failure ◽  
Rare Case ◽  
Clinical Presentation ◽  
English Literature ◽  
Correct Diagnosis ◽  
Surgical Drainage ◽  
Pericardial Disease ◽  
The Third ◽  
Myocardial Involvement ◽  
Mild Clinical Presentation

We describe a case of primary meningococcal C pericarditis with myocardial involvement in a 71-year-old male that is thus far the oldest patient with isolated meningococcal pericardial disease and only the third patient with primary meningococcal myopericarditis described in English literature. Our patient was successfully treated by full sternotomy and surgical drainage combined with intravenous ceftriaxone. Mild symptoms unresponsive to anti-inflammatory treatment and leukocytosis may guide clinicians towards the correct diagnosis. It is important to recognize this cause of pericarditis as the relatively mild clinical presentation may rapidly progress into tamponade and right-sided heart failure.

scholarly journals A RARE CASE OF EMPHYSEMATOUS SPINAL OSTEOMYELITIS

2020 ◽  
pp. 1-2
Author(s):  
Shilpa S. Kuthe (Tulankar) ◽  
Nalini R. Humaney ◽  
Atharva Chintawar
Keyword(s):  
Rare Case ◽  
Clinical Presentation ◽  
Surgical Decompression ◽  
Thoracic Vertebrae ◽  
Surgical Drainage ◽  
Significant Morbidity ◽  
Transverse Myelopathy ◽  
Spinal Osteomyelitis ◽  
Empirical Antibiotics ◽  
Anti Tubercular Therapy

Emphysematous Osteomyelitis of the vertebrae is an extremely rare clinical presentation and is associated with significant morbidity and mortality. Here we report a case of a 52 years old man who presented with acute transverse myelopathy and was already started on anti-tubercular therapy for suspected Pott’s spine before being referred to us. We found him to have emphysematous osteomyelitis involving the thoracic vertebrae. We treated him with empirical antibiotics and surgical drainage, tissue culture revealed Escherichia coli. Early diagnosis and immediate surgical decompression are necessary for better outcomes in cases of Emphysematous Osteomyelitis.

Uterine cervix rhabdomyosarcoma: an uncommon entity in an adult patient

2020 ◽  
Vol 13 (11) ◽  
pp. e238596
Author(s):  
Latifa Almusalam ◽  
Nuorh Alghtani ◽  
Abdulmohsen Alkushi ◽  
Haitham Arabi
Keyword(s):  
Adult Patient ◽  
Uterine Cervix ◽  
Immunohistochemical Staining ◽  
Rare Case ◽  
English Literature ◽  
Correct Diagnosis ◽  
Malignant Neoplasm ◽  
Embryonal Rhabdomyosarcoma ◽  
Genitourinary System

Embryonal rhabdomyosarcoma (ERMS) is a malignant neoplasm mostly affecting the genitourinary system of children and is rarely seen in adults. ERMS in uterine cervix is rare and can be misdiagnosed in adult as adenosarcoma or carcinosarcoma. The use of immunohistochemical staining is highly recommended to make sure that the correct diagnosis is reached. To the best of our knowledge, only seven cases of cervical ERMS in women above the age of 50 have been reported in English literature. Herein, we report a rare case of cervical ERMS in a 50-year-old woman that was initially misdiagnosed as an adenosarcoma.

scholarly journals A rare case of deep vein and right atrial thrombosis in a patient with chronic heart failure and pulmonary embolism

2020 ◽  
Vol 90 (1) ◽  
Author(s):  
Akhmetzhan Sugraliyev ◽  
Shynar Aktayeva ◽  
Gulnur Tanbayeva ◽  
Almat Kodasbayev ◽  
Plinio Cirillo ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pulmonary Embolism ◽  
Chronic Heart Failure ◽  
Rare Case ◽  
Present Report ◽  
Correct Diagnosis ◽  
Right Atrial ◽  
Vein Thrombosis ◽  
Deep Vein ◽  
Acute Pe

Deep vein thrombosis (DVT) is frequently observed in patients with chronic heart failure (CHF), increasing the risk of pulmonary embolism (PE). Clinical evaluation of CHF patients with suspected acute PE is challenging since these diseases share several symptoms and signs such as dyspnea. Thus, it is intuitive that correct and fast diagnosis of PE in these patients might be able to significantly change their clinical outcome. In the present report, we describe a rare case of a patient with CHF and PE due to a huge thrombosis of deep veins and of right atrium in whom echo evaluation permitted the correct diagnosis and therapy.

scholarly journals Juvenile buccal pleomorphic adenoma: a rare case report

2017 ◽  
Vol 3 (2) ◽  
pp. 431
Author(s):  
Ali Abdullah AlShehri ◽  
Saad Nasser Al-Qarni ◽  
Jibril Yahia Hudise ◽  
Ibrahim Ali Sumaily
Keyword(s):  
Salivary Glands ◽  
Pleomorphic Adenoma ◽  
Rare Case ◽  
Pediatric Patients ◽  
English Literature ◽  
Age Group ◽  
Minor Salivary Glands ◽  
The Third ◽  
Pediatric Age Group ◽  
Rare Case Report

<p class="abstract">Salivary glands tumors are relatively uncommon in pediatric age group. Less incidence is expected in minor salivary glands of pediatric patients. In the buccal minor salivary glands only five cases reported as pleomorphic adenoma in english literature. Herein we present an 11 years old boy presented with right side buccal mass which is mobile on physical examination with normal overlying buccal mucosa. Histopathology revealed a pleomorphic adenoma. Such case is rare in this part of oral cavity especially in young age group. our case is the third youngest patients with buccal pleomorphic adenoma. Reporting it will add a material to the literature for further studies on such disease presentation<span lang="EN-IN">.</span></p>

scholarly journals Endometrioid adenocarcinoma arising from colon endometriosis

2017 ◽  
Vol 5 ◽  
pp. 2050313X1774520 ◽  
Author(s):  
Viktoria-Varvara Palla ◽  
Georgios Karaolanis ◽  
Theodora Bliona ◽  
Ioannis Katafigiotis ◽  
Ioannis Anastasiou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Malignant Transformation ◽  
Rare Case ◽  
Clinical Presentation ◽  
Correct Diagnosis ◽  
Endometrioid Adenocarcinoma ◽  
Intestinal Tumor ◽  
Exogenous Hormone ◽  
Immunohistochemical Examination ◽  
High Index Of Suspicion

Endometriosis-associated intestinal tumors represent the malignant transformation of gastrointestinal endometriosis. Approximately 50 cases have been reported in the literature. They are most commonly found among women aged 30–60 years, whereas exogenous hormone therapy and obesity are primary risk factors for the malignant transformation of endometriotic lesions. Clinical features simulate a primary colonic carcinoma. A high index of suspicion in conjunction with careful histological and immunohistochemical examination (CK7, CK20, CDX2, CD10, ER, and PR) is important for establishing a correct diagnosis. In this article, a rare case of a postmenopausal woman with no risk factors and conflicting clinical presentation, diagnosed with endometriosis-associated intestinal tumor, is described.

A Rare Case of Tuberculous Prostatitis

2016 ◽  
Vol 1 (2) ◽  
pp. 33
Author(s):  
Nurul Yaqeen Mohd Esa ◽  
Mohammad Hanafiah ◽  
Marymol Koshy ◽  
Hilmi Abdullah ◽  
Ahmad Izuanuddin Ismail ◽  
...  
Keyword(s):  
Rare Case ◽  
Correct Diagnosis ◽  
Immunocompetent Patient ◽  
Clinical Suspicion ◽  
Tuberculosis Infection ◽  
Advanced Age ◽  
Immunocompromised Patients ◽  
Prostatic Biopsy ◽  
High Clinical Suspicion

Tuberculous prostatitis is an uncommon form of tuberculosis infection. It is commonly seen in immunocompromised patients and in those of middle or advanced age. The diagnosis is often not straight forward due to the nature of its presentation. We report a case of tuberculous prostatitis in a young, healthy and immunocompetent patient, who initially presented with respiratory features, followed by episodes of seizures and testicular swelling. He was finally diagnosed with tuberculous prostatitis after prostatic biopsy. This case illustrates that in a high TB prevalence environment, when symptoms warrant, there should be a high clinical suspicion coupled with a thorough approach in order to arrive at a correct diagnosis of TB prostatitis.

scholarly journals The CONFINE (Comorbidities and Outcome iN patients with chronic heart Failure: a study in INternal mEdicine units) study: a new epidemiologic observational study on heart failure in the internal medicine departments in Italy

2013 ◽  
pp. 57-64
Author(s):  
P. Biagi
Keyword(s):  
Internal Medicine ◽  
Heart Failure ◽  
Observational Study ◽  
Inflammatory Diseases ◽  
Correct Diagnosis ◽  
Cognitive Disorders ◽  
Epidemiological Data ◽  
Chronic Kidney Failure ◽  
Chronic Obstructive ◽  
Quality Life

BACKGROUND The burden of heart failure (HF) is enormous and its prevalence increases sharply with age. It has been estimated that heart failure affects up to 3% of the general population and 10% of the elderly. It contributes to hospital admission for most of them, mainly elder adults (admitted in internal medicine units) with more than one comorbidity, cognitive disorders, impairment and so on. Despite the increasing prevalence of heart failure, its exact incidence and prevalence remain largely unknown and probably underestimated due to a lack of accurate epidemiological data and difficulties associated with comorbidities and correct diagnosis: over 40% of recurrent hospitalization causes, either cardiac or extracardiac, cannot be determined due to the lack of data. AIM OF THE STUDY The objective of this study estimated the prevalence and the primary care burden associated with comorbidities in internal medicine units. METHOD The design: a longitudinal multicentric observational study using spot analysis three data sheets were filled in during the hospital stay according to three crucial moments: enrolment (“the index day”), admission and discharge. Will be analyzed the following primary outcomes: total and cardiovascular mortality, intensive unit care admission, recurrent cardiovascular disorders, length of stay, hospital readmission, changes in activities of daily living, need for care. Second outcomes: clinical, therapeutic, instrumental and laboratory changes during the admission process. Deep analysis of the following comorbidities will be also taken into account: acute and chronic kidney failure, anaemia, chronic obstructive pulmonary disease, muscle loss, nutritional status, cirrhosis of the liver, neoplasms, blood cell disorders, chronic inflammatory diseases. Further evalutation items: cognitive impairment, self-sufficiency and perception of quality life.

Penile Lymphoepithelioma-Like Carcinoma: A Rare Case With PD-L1 Expression

2021 ◽  
pp. 106689692098834
Author(s):  
Raquel Machado-Neves ◽  
Bernardo Teixeira ◽  
Elsa Fonseca ◽  
Pedro Valente ◽  
Joaquim Lindoro ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Tumor Cells ◽  
Rare Case ◽  
Malignant Tumors ◽  
Squamous Cell Carcinomas ◽  
The Third ◽  
The Past ◽  
First Case ◽  
Lymphoplasmacytic Infiltrate

Most malignant tumors of the penis are squamous cell carcinomas (SCC), being divided in 2 groups, one human papillomavirus (HPV)-related and another non-HPV-related, with lymphoepithelioma-like carcinoma (LELC) being one of the rarest HPV-related SCC. In this article, we report a case of a 50-year-old man who presented testicular swelling and pain for the past 3 months. A penile mass was identified, and the patient was submitted to a total penectomy. The penectomy specimen showed an ulcerated lesion at the glans reaching the cavernous bodies. Microscopic examination showed undifferentiated epithelial cells with syncytial growth pattern mix with a dense lymphoplasmacytic infiltrate, consistent with LELC. The tumor cells expressed p16 and all 3 different clones of PDL1 (22C3, SP263, and SP142). The patient is alive and well with a follow-up of 3 months. To our knowledge, this is the third LELC of the penis reported in literature and the first case reported with PDL1 expression.

scholarly journals An unusually large aggressive adenomatoid odontogenic tumor of maxilla involving the third molar: A clinical case report

2016 ◽  
Vol 10 (02) ◽  
pp. 277-280 ◽  
Author(s):  
Vikas Dhupar ◽  
Francis Akkara ◽  
Pulkit Khandelwal
Keyword(s):  
Rare Case ◽  
Third Molar ◽  
Odontogenic Tumor ◽  
Adenomatoid Odontogenic Tumor ◽  
Impacted Tooth ◽  
The Third ◽  
Impacted Third Molar ◽  
Simultaneous Reconstruction ◽  
Odontogenic Lesion ◽  
Temporalis Myofascial Flap

ABSTRACTAdenomatoid odontogenic tumor (AOT) is a rare tumor comprising only 3% of all odontogenic tumors. It is a benign, encapsulated, noninvasive, nonaggressive, slowly growing odontogenic lesion associated with an impacted tooth. These lesions may go unnoticed for years. The usual treatment is enucleation and curettage, and the lesion does not recur. Here, we present a rare case of an unusually large aggressive AOT of maxilla associated with impacted third molar. The authors also discuss clinical, radiographic, histopathologic, and therapeutic features of the case. Subtotal maxillectomy with simultaneous reconstruction of the surgical defect with temporalis myofascial flap was planned and carried out.

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