scholarly journals Clinical masks of pleuropulmonary dirofilariasis, a rare clinical presentation of dirofilariasis in Russia: a report of four cases and literature review

2015 ◽  
Vol 20 (1) ◽  
pp. 43-49
Author(s):  
A. M Bronshteyn ◽  
N. A Malyshev ◽  
L. V Fedianina ◽  
A. A Frolova ◽  
I. V Davydova
Keyword(s):  
Literature Review ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
Strain Differences ◽  
Dirofilaria Repens ◽  
Moscow Region ◽  
Diagnosis And Treatment ◽  
Clinical Simulation ◽  
Regions Of Russia

There arc described four cases of infection of the lungs and pleura with Dirofilaria in patients infected in the Moscow region and Moscow, with clinical manifestations of recurrent exudative pleurisy, tumor-like formations in the pleura and the lungs. Non-specific clinical symptoms and clinical simulation of common known diseases render difficult the clinical and instrumental diagnosis of pleuropulmonary dirofilariasis. Currently, the best method of diagnosis and treatment of heartworm lungs and pleura is Videothoracoscopy. There are analyzed factors that contribute to the pleuropulmonary infection with Dirofilaria. There is mentioned the possibility of strain differences between Dirofilaria repens, distributed in various regions of Russia and abroad, and there are discussed the problems of treatment.

scholarly journals Clinical manifestations of chronic subdural hematoma in the elderly: Literature Review

2021 ◽  
Author(s):  
Gabriela Ferreira Kalkmann ◽  
Carlos Umberto Pereira ◽  
Francisco de Assis Pereira ◽  
Débora Moura da Paixão Oliveira ◽  
Nicollas Nunes Rabelo
Keyword(s):  
Early Diagnosis ◽  
Literature Review ◽  
Subdural Hematoma ◽  
Elderly Population ◽  
Clinical Presentation ◽  
Clinical Manifestations ◽  
Chronic Subdural Hematoma ◽  
Signs And Symptoms ◽  
The Elderly ◽  
Study Results

Introduction: The clinical manifestations of chronic subdural hematoma (CSDH) are often confused with other medical entities in the elderly, making their early diagnosis difficult or difficult. Early diagnosis is important, since its prognosis is directly associated with the preoperative neurological state, thus resulting in a worse vital and functional prognosis. Objectives: Report through a literature review the clinical manifestations of CSDH in the elderly population. Methods: Literature review, with the search terms: “Signs and Symptoms”, “Chronic Subdural Hematoma”, Aged, Diagnosis and Prognosis. In which PubMed, Lilacs, Scielo, Cochrane and TripDataBase data platforms were used. The inclusion criteria were: original studies published in any language. Articles in which full reading was prevented were excluded. With the application of the inclusion and exclusion criteria, 110 articles were included in the study. Results: Clinical presentation depends on the location, volume of the hematoma, rapid growth, the location of the CSDH, whether unilateral or bilateral, and the clinical conditions of the patient. Because the forms of clinical presentation of CSDH are variable, it is necessary that health professionals linked to the elderly (geriatrician, psychiatrist, general practitioner) have knowledge of this clinical entity. Conclusions: The recognition of classic forms as well as the identification of risk factors in the elderly favors the timely diagnosis and treatment of CSDH in the elderly population.

scholarly journals Cholecystocutaneous fistula incidence, Etiology, Clinical Manifestations, Diagnosis and treatment. A literature review

2020 ◽  
Vol 59 ◽  
pp. 180-185
Author(s):  
Muhamad Zakaria Brimo Alsaman ◽  
Muhammad Mazketly ◽  
Mohammad Ziadeh ◽  
Owais Aleter ◽  
Ahmad Ghazal
Keyword(s):  
Literature Review ◽  
Clinical Manifestations ◽  
Diagnosis And Treatment

scholarly journals Un caso de Síndrome de Wünderlich y revisión de la bibliografía / A case of Wünderlich syndrome and literature review

Ciencia Unemi ◽  
2016 ◽  
Vol 9 (19) ◽  
pp. 84
Author(s):  
Katiuska Mederos Mollineda ◽  
Yumy Fernandez Velez ◽  
Lilian Escariz Borrego ◽  
Victor Chavez Guerra ◽  
Jorge Diaz Rodriguez
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
Rare Disease ◽  
Pelvic Pain ◽  
High Frequency ◽  
Congenital Malformations ◽  
Clinical Symptoms ◽  
Specific Treatment ◽  
Diagnosis And Treatment ◽  
Statistical Report

El diagnóstico y terapéutica de las malformaciones congénitas todavía hoy constituye una problemática universal. El presente trabajo corresponde al estudio de un caso de una adolescente de 14 años de edad, paciente del Hospital Oncológico Dr. Julio Villacreses Colmont de Manabí (SOLCA), Ecuador, que a partir del mes de septiembre de 2014 inicia con cuadro clínico de dolor pélvico mantenido, leucorrea persistente y fétida, sin menarquia y sin respuesta a tratamiento específico. Realizadas la Ecografía y Resonancia Magnética, se definen múltiples malformaciones congénitas, obteniéndose el diagnóstico del Síndrome de Wünderlich; una patología rara, con frecuencia de un 40%. El objetivo de este trabajo consiste en demostrar la elevada frecuencia de esta morbilidad para disminuir tratamientos quirúrgicos innecesarios (Histerectomía), un factor agravante para su eventual compromiso reproductivo. En Ecuador no reportan estadísticas del síndrome, o existe un subregistro de esta entidad. Abstract The diagnosis and treatment of congenital malformations is still a universal problem nowadays. The present work is a study of a case of a 14-year-old patient at the Cancer Hospital Dr. Julio Villacreces Colmont (SOLCA) in Manabí, Ecuador, that from September 2014 begins with clinical symptoms of steady pelvic pain, a persistent and fetid leukorrhea without menarche and response to a specific treatment. Once carried ultrasound and MRI, multiple congenital malformations are defined to give the diagnosis Wünderlich Syndrome; a rare disease, which is frequent at a 40%. The objective of this work is to demonstrate the high frequency of this disease to reduce unnecessary surgical treatment (hysterectomy), which is an aggravating factor for possible reproductive status. In Ecuador there is no statistical report of this syndrome, or there is underreporting of this disease.

scholarly journals Significant Clinical Manifestations in Ballantyne Syndrome, after a Case Report and Literature Review: Recognizing Preeclampsia as a Differential Diagnosis

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Silvia F. Navarro-Perez ◽  
Karen Corona-Fernandez ◽  
José L. Rodriguez-Chavez ◽  
A. Bañuelos-Franco ◽  
María G. Zavala-Cerna
Keyword(s):  
Literature Review ◽  
Clinical Presentation ◽  
Clinical Manifestations ◽  
Fetal Loss ◽  
Signs And Symptoms ◽  
Sacrococcygeal Teratoma ◽  
Fetal Hydrops ◽  
Early Management ◽  
Fetal Survival ◽  
Clinical Triad

Ballantyne syndrome (BS) also called mirror syndrome is defined by the presence of a clinical triad that includes fetal hydrops and placental and maternal edema. Here we present a clinical case of a 34-year-old woman with a 29 weeks’ pregnancy, who developed BS and fetal loss probably due to failure in prompt recognition of a rapidly growing sacrococcygeal teratoma (SCT). Due to similarities in clinical presentation with preeclampsia and the importance in early identification of the source for BS, we underwent a literature review in order to identify significant signs and symptoms, as well as sonographic changes, in order to help clinicians to make this prompt recognition, identification of the cause, and early management of BS, which will have an important impact in maternal and fetal survival.

scholarly journals Pantothenate kinase-associated neurodegeneration (Hallerworden–Spatze disease): clinical aspects, diagnosis, treatment (literature review and own data)

2021 ◽  
Vol 23 (5) ◽  
pp. 715-722
Author(s):  
Yu. H. Antypkin ◽  
L. H. Kyrylova ◽  
O. O. Miroshnykov ◽  
O. O. Yuzva ◽  
L. Yu. Silaieva ◽  
...  
Keyword(s):  
Literature Review ◽  
Correct Diagnosis ◽  
Clinical Manifestations ◽  
The Body ◽  
Diagnosis And Treatment ◽  
Motor Deficits ◽  
Clinical Aspects ◽  
Motor Disorder ◽  
Chromosomal Locus ◽  
Pantothenate Kinase

Aim. To analyze current data of scientific literature on the etiology, pathogenesis, approaches to the diagnosis and treatment of rare orphan disease – pantothenate kinase-associated neurodegeneration and to describe the clinical case of this disease. Pantothenate kinase-associated neurodegeneration (PKAN) is a rare inherited autosomal recessive disorder caused by mutations in the PANK2 gene, which is located at the chromosomal locus: 20p13-p12.3. The article presents a literature review and a case report of the diagnosis and treatment of 8-year-old girl with pantothenate kinase-associated neurodegeneration who suffered from progressive motor impairment. Among the dominant clinical manifestations is a growing extrapyramidal motor disorder, the so-called “dystonic storm”, which can range from severe sensorimotor motor deficits in infants and young children to mild parkinsonism in adults. MRI signs in the form of specific changes in the T2-weighted mode, which detects typical areas of hyperintensive signal in globus pallidus, surrounded by a border of hypointensive signal (“tiger’s eye”) are particular important. Neuroimaging data most likely make possible to suspect a correct diagnosis, reducing the time and cost of additional examinations. There is no pathogenetic treatment of this disease now. The main directions of currently available symptomatic drug therapy are described. Clinical trials of detoxifying drugs that reduce iron levels in the body (chelation) and surgical treatments are currently underway. Conclusions. The presented clinical observation once again confirms the complexity of the diagnostic search for orphan diseases of the nervous system. A key place in the diagnosis of pantothenate kinase-associated neurodegeneration belongs to the neuroimaging methods and molecular genetic testing data.

Chronic Knee Pain

2018 ◽  
Author(s):  
Randy L. Calisoff ◽  
David R. Walega
Keyword(s):  
Knee Pain ◽  
Clinical Symptoms ◽  
Treatment Options ◽  
Clinical Manifestations ◽  
Pain Syndrome ◽  
The United States ◽  
Diagnosis And Treatment ◽  
Osteoarthritis Of The Knee ◽  
Chronic Knee Pain ◽  
History Of

Chronic knee pain affects 27 million people in the United States and is a leading cause of disability. Seventy percent of the population 65 years or older will have knee pain with radiographic evidence of osteoarthritis, and 12% will have clinical symptoms of osteoarthritis. Chronic knee pain after total knee replacement ranges from 10% to 20%. Patellofemoral pain syndrome (PFPS) refers to anterior knee pain exacerbated with knee joint loading activities (squatting, kneeling, prolonged sitting, ascending/descending stairs). PFPS is a clinical diagnosis, and treatment is directed toward pain alleviation and restoration of proper biomechanics. Pes anserine syndrome is common in runners, athletes, and individuals with osteoarthritis of the knee. Other risk factors include: female sex and a history of diabetes mellitus, obesity, or arthritis. Knowledge of the common knee pain etiologies, as well as key clinical manifestations, physical exam findings, differential diagnosis, and treatment options for each is important for pain specialists.

scholarly journals Modern View on the Problem of Systemic Lupus Erythematosus with and without Comorbid Lesions of the Circulatory System (Literature Review, Clinical Case Description) (first notice)

2021 ◽  
Vol 1-2 (33-34) ◽  
pp. 37-50
Author(s):  
L. Kobak ◽  
◽  
O. Abrahamovych ◽  
U. Abrahamovych ◽  
V. Chemes ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Literature Review ◽  
Lupus Erythematosus ◽  
Clinical Case ◽  
Clinical Manifestations ◽  
Circulatory System ◽  
Diagnosis And Treatment ◽  
Systemic Lupus ◽  
Modern View ◽  
Working Age

Context. The prevalence and incidence of systemic lupus erythematosus (SLE) in the world is significant. In recent years, there has been a tendency of the SLE prevalence increase. despite the undoubted progress in understanding the etiology and pathogenesis of SLE, its diagnosis and treatment, the mortality of patients, including ones at young and working age, is higher than in the general population, and circulatory system lesions are ones of its main reasons in these cases. Objective. To analyze the literature, dedicated to the modern view on the problem of systemic lupus erythematosus with and without comorbid lesions of the circulatory system, describe the clinical case. Materials and methods. Content analysis, method of system and comparative analysis, bibliosemantic method of studying the current scientific investigations on modern principles of diagnosis and treatment of patients with SLE are used. A clinical case is described. Results. The article presents modern ideas about the etiological factors and pathogenesis of the disease. The clinical manifestations of SLE are very diverse. The problem of comorbidity and syntropy of lesions is relevant. Lesions of the cardiovascular system in the case of SLE can manifest itself in the form of pericarditis, myocarditis, endocarditis, lesions of the heart valves, coronary arteries, aorta, conduction system, pulmonary hypertension occurrence. The basic principles of drug therapy are also briefly considered. Conclusions. The results of the literature review indicate the importance of the problem of systemic lupus erythematosus, due to its widespread prevalence among the young and people of working age, lack of accurate knowledge about the etiology and pathogenesis of the disease, comorbid lesions of many organs and systems, including circulatory system, the development of severe and often life-threatening manifestations, the lack of clear recommendations that would predict the differentiated use of drugs taking into account comorbid syntropic lesions, which is also demonstrated in the described clinical case. Given this, systemic lupus erythematosus needs further in-depth study.

scholarly journals Features of the diagnosis and treatment of patients with postoperative peritonitis

2020 ◽  
Vol 24 (1) ◽  
pp. 110-113
Author(s):  
T.I. Tamm ◽  
V.V. Nepomnyashchiy ◽  
A.Ya. Bardyuk ◽  
A.P. Zakharchuk
Keyword(s):  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
Postoperative Mortality ◽  
Postoperative Peritonitis ◽  
Diagnosis And Treatment ◽  
Timely Manner ◽  
Surgical Interventions ◽  
Primary Peritonitis ◽  
Abdominal Organs ◽  
Radiation Research

Annotation. The aim of the work is to improve the diagnosis and treatment of patients with postoperative peritonitis. The work is based on an analysis of the treatment results of 98 patients who were in the clinic from 2010 to 2019, of which 47 (48%) were admitted to the hospital with a peritonitis clinic, and 51 (52%) had a prolonged bowel paresis in the postoperative period. The diagnosis was established on the basis of data from an objective examination, laboratory parameters and radiation research methods — radiography of the abdominal organs and ultrasound. Based on the analysis of clinical material, it was found that for patients with primary peritonitis, more pronounced clinical symptoms are more characteristic. Postoperative peritonitis in its clinical manifestations proceeds under the mask of a protracted intestinal paresis. Due to the ultrasound criteria of 51 patients with postoperative paresis, 32 (63%) prolonged paresis were allowed conservatively, which avoided unnecessary repeated surgical interventions. In 19 (37%), the causes of postoperative complications were diagnosed and relaparotomy was performed in a timely manner to these patients. Postoperative mortality was 5.1%.

scholarly journals Salivary Megaliths: A Literature Review of Giant Salivary Sialoliths Larger than 30 mm

2019 ◽  
pp. 1-17
Author(s):  
Rosa Mostafavi Tabatabaee ◽  
Reza Mostafavi Tabatabaee ◽  
Majid Sanatkhani
Keyword(s):  
Salivary Gland ◽  
Literature Review ◽  
Incomplete Data ◽  
Clinical Presentation ◽  
Stone Formation ◽  
Review Article ◽  
Diagnosis And Treatment ◽  
One Dimension ◽  
Submandibular Duct ◽  
Salivary Gland Disease

Background and Aim: Sialoliths are the most common salivary gland disease, Among them, there are rare sialoliths that have a size of more than 15 mm in one dimension, and salivary stones larger than 30 mm in one dimension is megalith that are very rare. Depending on the location and size of the stone, there are different diagnostic and therapeutic methods. In this article, we review the articles about salivary megaliths of unusual and gigantic size, the cause of stones formation and the method of diagnosis and treatment of salivary megaliths. In this review article finding the number of reported salivary megaliths, causes, mechanism of stone formation, clinical presentation, diagnostic and therapeutic methods were written. Materials and Methods: In this article review, Information was extracted through searches in databases by entering the keywords. Articles with incomplete data or articles that were less relevant to the topic or reported articles with giant stones smaller than 30 mm were excluded. Results: A total of 77 articles, 85 patients suffering from megaliths and 86 salivary megaliths with a size of 30 mm and upwards have been reported up to now. The largest size is reported to be 83 mm. Megalith is more common in men and in the submandibular duct. Conclusion: salivary megaliths are rare and Depend on the location of megaliths various diagnosis and treatment are available. The exact cause of the formation of them is unknown and further research is needed to identify the etiopathogenesis of the formation of these kind of gigantic salivary stones.

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