scholarly journals Infection Related Inferior Alveolar Nerve Paresthesia in the Lower Premolar Teeth

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Rachele Censi ◽  
Virna Vavassori ◽  
Andrea Enrico Borgonovo ◽  
Dino Re
Keyword(s):  
Rare Complication ◽  
Inferior Alveolar Nerve ◽  
Nerve Fibers ◽  
Mechanical Pressure ◽  
Periapical Lesions ◽  
First Case ◽  
Appropriate Treatment ◽  
Chemical Irritation ◽  
Lower Premolar ◽  
Microbial Toxins

Introduction. The aim of this paper was to describe two cases of IAN infection-induced paresthesia and to discuss the most appropriate treatment solutions.Methods. For two patients, periapical lesions that induced IAN paresthesia were revealed. In the first case, the tooth was previously endodontically treated, whereas in the second case the lesion was due to pulp necrosis.Results. For the first patient, a progressive healing was observed only after the tooth extraction. In the second patient, the paresthesia had resolved after endodontic treatment.Conclusions. The endodontic-related paresthesia is a rare complication that can be the result of a combination of etiopathogenic mechanisms such as mechanical pressure on the nerve fibers due to the expanding infectious process and the production of microbial toxins. Paresthesia resulting from periapical lesions usually subsides through elimination of infection by root canal treatment. However, if there are no signs of enhancement, the immediate extraction of the tooth is the treatment of choice in order to prevent irreversible paresthesia because it was demonstrated that there is a correlation between the duration of mechanical or chemical irritation and the risk of permanent paresthesia.

scholarly journals Granulomatous Hepatitis Following Intra-Vesical Instillation of Bacillus Calmette–Guérin for Treatment of Bladder Cancer

2021 ◽  
Vol 13 (3) ◽  
pp. 611-618
Author(s):  
Elsa Alves Branco ◽  
Raquel Duro ◽  
Teresa Brito ◽  
António Sarmento
Keyword(s):  
Bladder Cancer ◽  
Hepatitis A ◽  
Adverse Reactions ◽  
Superficial Bladder Cancer ◽  
Rare Complication ◽  
Immunocompetent Patient ◽  
Clinical Suspicion ◽  
Bacillus Calmette Guerin ◽  
Granulomatous Hepatitis ◽  
Appropriate Treatment

Intra-vesical instillation of bacillus Calmette–Guérin (BCG) is an important treatment modality of superficial bladder cancer. It is usually well tolerated, although some adverse reactions can occur. One possible yet rare complication is granulomatous hepatitis, that is thought to be caused either by BCG infection or a hypersensitivity reaction to the bacillus. We present a case of a 79-year-old apparently immunocompetent patient who developed granulomatous hepatitis a few months after BCG administration for bladder cancer immunotherapy. It is important to notice that acid-fast smears and cultures are often negative, and these should not exclude diagnosis nor delay treatment. Our case highlights the importance of clinical suspicion and prompt initiation of appropriate treatment.

scholarly journals Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Guido Zarattini ◽  
Adam Farrier ◽  
Federico Sibona
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Cement Leakage ◽  
Clonic Seizure ◽  
Tonic Clonic Seizure ◽  
Leg Pain ◽  
Compression Fractures ◽  
First Case ◽  
Seizure Syndrome ◽  
Osteoporotic Compression Fractures

Background Context. Cement leakage is not a rare complication of vertebroplasty, but ascending tonic clonic seizure syndrome is exceptionally rare. We herein report the first case to our knowledge of this complication related to vertebroplasty.Purpose. We herein report the first case of ascending tonic clonic seizure syndrome following epidural cement leakage after percutaneous vertebroplasty in a patient with multiple osteoporotic compression fractures.Study Design. Case report.Methods. A 64-year-old woman with T8, T10, L2, and L4 osteoporotic compression fractures underwent percutaneous vertebroplasty using polymethylmethacrylate. 40 minutes after the procedure the patient started suffering back and leg pain, having repetitive myoclonic jerks lasting 15 seconds of the lower extremities, spasm of the back, dyspnea, sinus tachycardia, hypoxemia, and metabolic acidosis.Results. The patient recovered completely due to a combination of early effective resuscitation and considered definitive management.Conclusions. Percutaneous vertebroplasty with polymethylmethacrylate is relatively safe but has few dangerous complications, which should be prevented by a meticulous technique and excellent image quality.

Iatrogenic Intraprosthetic Dislocation of Dual Mobility Cup. Case Study

2021 ◽  
Vol 23 (1) ◽  
pp. 51-57
Author(s):  
Kamil Kurczyński ◽  
Artur Pepłoński ◽  
Piotr Cieślik ◽  
Marta Burbul(
Keyword(s):  
Closed Reduction ◽  
Rare Complication ◽  
Medical Institute ◽  
Dual Mobility Cup ◽  
Acetabular Cup ◽  
Dual Mobility ◽  
First Case ◽  
The Military ◽  
Intraprosthetic Dislocation

Intra-prosthetic dislocation of the dual-mobile acetabular cup is a rare complication. Most often, it is the result of wear of the polyethylene liner. It can also occur during a closed reduction of a dislocated dual-mobile cup. It is extremely important to recognize this complication immediately in order to avoid the consequences. This paper presents the first case of iatrogenic intraprosthetic dislocation at the Traumatology and Orthopaedics Department of the Military Medical Institute, our management of the case and suggestions for treating patients with a dislocation of the dual-mobile acetabular cup.

scholarly journals Inadvertent Trypan Blue Staining of Posterior Capsule during Cataract Surgery Associated with “Argentinian Flag” Event

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Robert A. Prinzi ◽  
Neeti M. Alapati ◽  
Shawn S. Gappy ◽  
Jason S. Dilly
Keyword(s):  
Cataract Surgery ◽  
Trypan Blue ◽  
Rare Complication ◽  
Posterior Capsule ◽  
Blue Staining ◽  
Anterior Surface ◽  
Anterior Capsule ◽  
Trypan Blue Staining ◽  
First Case

Trypan blue is common in visualizing the anterior capsule during cataract surgery. Inadvertent staining of the posterior capsule during phacoemulsification is a rare complication and there are few reports in the literature. The proposed mechanism of posterior capsule staining in previous reports includes a compromised zonular apparatus or iris retractors facilitating the posterior flow of trypan blue. We report the first case of trypan blue staining of the posterior capsule associated with the “Argentinian flag” sign. In our case, the “Argentinian flag” allowed the trypan blue to seep between the posterior capsule and the lens, staining the anterior surface of the posterior capsule.

scholarly journals Massive Spontaneous Hemothorax as a Complication of Apixaban Treatment

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
M. Abu Hishmeh ◽  
P. Srivastava ◽  
Q. Lougheide ◽  
M. Srinivasan ◽  
S. Murthy
Keyword(s):  
Pleural Effusion ◽  
Health Care Providers ◽  
Rare Complication ◽  
Pigtail Catheter ◽  
Care Providers ◽  
Nonvalvular Atrial Fibrillation ◽  
Vein Thrombosis ◽  
Spontaneous Hemothorax ◽  
First Case ◽  
Iatrogenic Trauma

Introduction. Hemothorax is usually related to chest or iatrogenic trauma from procedures such as central lines and thoracentesis. Spontaneous hemothorax is defined as pleural fluid hematocrit greater than 50% of serum hematocrit in absence of natural or iatrogenic trauma affecting the lung or pleural space. Coagulopathy secondary to anticoagulant use has been associated with spontaneous hemothorax. We present a case of spontaneous hemothorax in a patient taking apixaban for venous thromboembolism disease. To our knowledge, this is the first case report of apixaban as a cause of spontaneous hemothorax. Case Presentation. A 56-year-old woman with end-stage renal disease (ESRD) was diagnosed with upper extremity deep vein thrombosis (DVT) one month prior to presentation and was started on apixaban presented with dyspnea and left-sided pleuritic chest pain for two weeks. She was found to have left-sided large pleural effusion which was diagnosed as hemothorax. Other etiologies for spontaneous hemothorax were excluded and drainage by 12-French pigtail catheter achieved total resolution of hemothorax in three days. Discussion. Apixaban is a DOAC used to prevent stroke or thromboembolic events in patients with nonvalvular atrial fibrillation and to prevent recurrent venous thromboembolic disease. Events such as gastrointestinal, intracranial, and soft tissue bleeding have been well-documented. However, bleeding manifestation as hemothorax is seldom reported. Our patient presented with isolated left-sided large pleural effusion which was diagnosed as spontaneous hemothorax. 12-Fr pigtail catheter drainage was effective in the management of our patient and provided total resolution in three days. Conclusion. Spontaneous hemothorax is a rare complication of anticoagulant therapy and might not exhibit the usual radiological signs of traumatic hemothorax. Health care providers should have high index of suspicion for spontaneous hemothorax when evaluating new pleural effusion in patients receiving DOACs therapy. Drainage by small bore pigtail catheter might be as effective as larger chest tubes.

scholarly journals Escherichia Coli Subscapular Abscess as a Rare Complication of Manual Therapy in Frozen Shoulder: A Case Report

2021 ◽  
Author(s):  
Dong Hun Ham ◽  
Sungil Wang
Keyword(s):  
Escherichia Coli ◽  
Manual Therapy ◽  
Rare Complication ◽  
Fluid Collection ◽  
Frozen Shoulder ◽  
Etiologic Agent ◽  
Left Shoulder ◽  
Recent Infection ◽  
Limited Range Of Motion ◽  
First Case

Abstract Background: Subscapular abscess is a rare condition usually secondary to immunocompromised state and recent infection. Staphylococcus aureus (S. aureus) is the most common etiologic agent. To the best of our knowledge, we present the first case of a patient with a frozen shoulder performing manual therapy, which resulted in an Escherichia coli subscapular abscess.Case presentation: A 72-year-old male was referred from the respiratory department with pain and a limited range of motion in the left shoulder. He complained that the pain was exacerbated with popping sound during manual therapy for frozen shoulder two weeks ago. Magnetic resonance imaging revealed a large intramuscular complicated fluid collection at the level of the subscapularis muscle 10.0 × 5.2 × 11 cm in size, and a bloody but turbid pus-like discharge was observed upon aspiration. He underwent urgent surgical drainage. The cultures from the abscess fluid revealed extended-spectrum beta-lactamases (-) E. coli. After 4 weeks of Ceftazidime intravenous treatment, symptoms of the patient had improved. Conclusions: This case highlights the risks of aggressive manual therapy in severe frozen shoulder. It also presents a clinical scenario in which practitioners of manual therapy in frozen shoulder should be aware of the risk of subscapular abscess in patients undergoing recent infection therapy

Responses of nerve fibers to pulpal inflammation and periapical lesions in rat molars demonstrated by calcitonin gene-related peptide immunocytochemistry

1988 ◽  
Vol 14 (12) ◽  
pp. 577-587 ◽  
Author(s):  
Bertrand G. Khayat ◽  
Margaret R. Byers ◽  
Patrick E. Taylor ◽  
Kelly Mecifi ◽  
Charles L. Kimberly
Keyword(s):  
Calcitonin Gene Related Peptide ◽  
Nerve Fibers ◽  
Periapical Lesions ◽  
Related Peptide ◽  
Calcitonin Gene ◽  
Rat Molars

Diagnostic difficulties in a patient with multiple sclerosis who presents with cranial nerve palsies: an unusual complication of dental work

2020 ◽  
Vol 13 (10) ◽  
pp. e232903
Author(s):  
Jennifer Cathcart ◽  
Rebecca Caitlin Johnson ◽  
Nicholas Hughes ◽  
Manish Patel
Keyword(s):  
Multiple Sclerosis ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Rare Complication ◽  
Unusual Complication ◽  
Cavernous Sinus Thrombosis ◽  
Dental Abscess ◽  
First Case ◽  
Cranial Nerve Palsies ◽  
Diagnostic Difficulties

A woman in her 60s with multiple sclerosis (MS) presented with right-sided ptosis, right sixth nerve palsy, right facial paraesthesia and signs of sepsis. She had a recent diagnosis of a dental abscess. Investigations revealed a right submasseter abscess leading to bacterial meningitis (Streptococcus intermedius) and a cavernous sinus thrombosis. She was managed in intensive care and underwent surgical drainage of the abscess. Anticoagulation for 6 months was planned. Cavernous sinus thrombosis is a very rare complication of a dental abscess, and even less frequently associated with submasseter abscesses. The case was complicated by a history of MS, to which the patient’s symptoms and signs were initially attributed to. This case highlights the diagnostic pitfalls, and aims to enhance learning around similar cases. To the best of our knowledge, this is the first case report of a masseter/submasseter abscess leading to cavernous sinus thrombosis.

A Case of Eosinophilic Pleural Effusion Complicating Multiple Myeloma

1988 ◽  
Vol 33 (3) ◽  
pp. 278-278 ◽  
Author(s):  
B.J. Lipworth ◽  
D.P. Dhillon
Keyword(s):  
Multiple Myeloma ◽  
Pleural Effusion ◽  
Light Chain ◽  
Recent Literature ◽  
Rare Complication ◽  
Light Chain Type ◽  
First Case ◽  
Eosinophilic Pleural Effusion ◽  
Chain Type

Pleural effusion is a rare complication of multiple myeloma. We report the first case of eosinophilic effusion due to light chain type disease and review the recent literature.

An unusual presentation of giant cell arteritis

VASA ◽  
2005 ◽  
Vol 34 (2) ◽  
pp. 128-130 ◽  
Author(s):  
Simon ◽  
Fritz ◽  
Amann-Vesti ◽  
Schenk Romer ◽  
Fischer ◽  
...  
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Nasal Septum ◽  
Rare Complication ◽  
Temporal Artery ◽  
Temporal Artery Biopsy ◽  
Elderly Persons ◽  
First Case ◽  
Scalp Necrosis ◽  
Vessel Involvement

A 77-year-old-man with giant cell arteritis who developed bitemporal scalp ulcerations is described. Since 1946 when Cooke et al. reported the first case of scalp necrosis there were approximately 55 cases published. Scalp ulceration is a rare complication of giant cell arteritis and occurs mainly in elderly persons, particularly women. About half of all patients were presented to dermatologists. Most of the patients (70%) had other serious complications of giant cell arteritis: blindness, gangrene of the tongue and nasal septum necrosis. Seventy percent of the cases were confirmed by a temporal artery biopsy. The necrosis were of varying extent and uni- or bilateral. Although, in most cases necrosis has been located bilaterally as in the presented case. Scalp healing was complete nearly in all patients by conservative treatment within a year. Scalp ulceration is a potentially reversible complication of giant cell arteritis which indicates extensive vessel involvement and adequate coricosteroid therapy is required and essential.

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