scholarly journals Human case of fasciolosis in Serbia treated with triclabendazole

2014 ◽  
Vol 71 (2) ◽  
pp. 202-206 ◽  
Author(s):  
Milorad Pavlovic ◽  
Zorica Dakic ◽  
Branko Milosevic ◽  
Milos Korac ◽  
Branko Brmbolic ◽  
...  
Keyword(s):  
Alkaline Phosphatase ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Fasciola Hepatica ◽  
Human Case ◽  
Tropical Diseases ◽  
Quadrant Abdominal Pain ◽  
Biochemical Analyses ◽  
Rule Out

Introduction. The number of humans infected by Fasciola hepatica is increasing worldwide. Humans can become accidental hosts by ingesting drinking water or plants contaminated with metacercariae. Case report. We reported a case of a 68-year-old Serbian woman, in which the diagnosis of acute fasciolosis had been established after serious diagnostic concerns. Based on clinical picture (episodic right upper quadrant abdominal pain, febrility and generalized body pain) and biochemical analyses (high eosinophilia and high activity of alkaline phosphatase), she was appointed as suspected to the acute fasciolosis. Stool and duodenal aspirate exams were negative for Fasciola ova. In the absence of adequate serologic diagnostic for fasciolosis in Serbia, the diagnosis was confirmed using enzyme immunoassays and immunoblot at the Institute for Tropical Diseases in Hamburg, Germany. Soon after triclabendazole was administered, the symptoms disappeared and biochemical values returned to normal. Conclusion. The diagnosis of human fasciolosis may be problematic and delayed, especially in non endemic areas, because physicians rarely encounter this disease and a long list of other diseases must be considered in the differential diagnosis. The syndrome of eosinophilia, fever, and right upper quadrant abdominal pain suggest acute fasciolosis. Unclear source does not rule out fasciolosis.

Huge retrovesical hydatid cyst with pelvic localization as the primary site: a case report

2007 ◽  
Vol 48 (8) ◽  
pp. 918-920 ◽  
Author(s):  
A. M. Halefoglu ◽  
A. Yasar
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Hydatid Cyst ◽  
Cystic Mass ◽  
Primary Site ◽  
Cystic Disease ◽  
The World ◽  
Indirect Hemagglutination ◽  
Indirect Hemagglutination Test

We present a patient with symptoms of abdominal pain and frequent urination due to a huge mass in the retrovesical region. All imaging modalities revealed a cystic mass containing small daughter cysts located between the urinary bladder and rectum. Its characteristics led us to suspect the presence of a hydatid cyst, and an indirect hemagglutination test for Echinococcus granulosus was found positive. No other involvement of hydatid cystic disease was detected. The primary site for the hydatid disease was therefore regarded as the pelvis, on which only a few cases have been reported previously. The patient started albendazole therapy, but refused operation. Hydatid cyst should always be considered in the differential diagnosis of abdominopelvic masses in endemic regions of the world.

Pyogenic Granuloma of the Foot with Satellitosis: A Role for Conservative Management

2011 ◽  
Vol 15 (1) ◽  
pp. 58-60
Author(s):  
Janice Bacher ◽  
Dalal Assaad ◽  
David N. Adam
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Conservative Management ◽  
Treatment Options ◽  
Pyogenic Granuloma ◽  
Conservative Approach ◽  
Review Of The Literature ◽  
Atypical Case ◽  
Over Time ◽  
Rule Out

Background: Pyogenic granuloma (PG) with satellitosis is a rare phenomenon that typically occurs in children and teenagers. It can be seen after excision or trauma to the original lesion. Objective: The aim is to review an atypical case of PG with satellitosis and to highlight a conservative approach to management. Methods: This article includes a case report of a 48-year-old woman developing PG with satellitosis in her right foot and includes a review of the literature. Results: There are few cases of PG with satellitosis in the literature. Our patient differs from most given her age and the location of the lesions. She was managed differently with a conservative observational approach, and, over time, her symptoms abated. Conclusion: PG with satellitosis can occur in varying patient populations with varying presentations. Although several treatment options exist, managing patients conservatively should be considered an approach to management. Early investigations should be conducted to rule out more sinister items in the differential diagnosis.

scholarly journals A case report of mesenteric panniculitis

2019 ◽  
Vol 47 (7) ◽  
pp. 3354-3359 ◽  
Author(s):  
Ming-en Zhao ◽  
Ling-qiang Zhang ◽  
Li Ren ◽  
Zhen-wei Li ◽  
Xiao-lei Xu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Inflammatory Markers ◽  
Imaging Findings ◽  
Mesenteric Panniculitis ◽  
Intermittent Abdominal Pain ◽  
Rule Out

A 65-year-old man had intermittent abdominal pain for the previous 2 years. This pain suddenly became worse with a fever and elevated inflammatory markers. We took a while to diagnose the patient with mesenteric panniculitis (MP). Although imaging findings suggested MP, we needed to rule out other diseases. Choosing a treatment for the patient also took some time and we finally used glucocorticoid to cure the patient.

scholarly journals Invasive Basidiobolomycosis Presenting as Retroperitoneal Fibrosis: A Case Report

2020 ◽  
Vol 17 (2) ◽  
pp. 535
Author(s):  
Abdulmalek Alsharidah ◽  
Yahya Mahli ◽  
Nayef Alshabyli ◽  
Mohammed Alsuhaibani
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Fungal Infection ◽  
Surgical Intervention ◽  
Retroperitoneal Fibrosis ◽  
Healthy Woman ◽  
Retroperitoneal Mass ◽  
Cutaneous Infection

Basidiobolomycosis is an uncommon emerging fungal infection caused by Basidiobolus ranarum. It frequently causes cutaneous infection, but it rarely infects visceral tissues in humans. Here, a 39-year-old previously healthy woman presented with severe left-sided abdominal pain and weight loss. She had visited several hospitals and had provisionally been diagnosed as having either a retroperitoneal malignancy or retroperitoneal fibrosis before being referred to our hospital. Abdominal computerized tomography and biopsy of the retroperitoneal mass revealed retroperitoneal basidiobolomycosis infection. She was started on antifungal treatment. This led to significant improvement, without surgical intervention. Gastrointestinal basidiobolomycosis can present in many forms, commonly involving the colon and liver with multifocal inflammatory masses. Nonetheless, retroperitoneal basidiobolomycosis presentation is extremely rare and should be considered in the differential diagnosis of a retroperitoneal mass with eosinophilia.

scholarly journals Metastatic Breast Cancer Presenting as Fulminant Hepatic Failure: A Case Report and Literature Review

1989 ◽  
Vol 3 (4) ◽  
pp. 149-152 ◽  
Author(s):  
Malcolm S. Trimble ◽  
Cameron N. Ghent ◽  
David R. Grant ◽  
Caroline A. McLean
Keyword(s):  
Breast Cancer ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Metastatic Breast Cancer ◽  
Case Report ◽  
Fulminant Hepatic Failure ◽  
Hepatic Failure ◽  
Metastatic Breast ◽  
Metastatic Carcinoma ◽  
Metastatic Breast Carcinoma

A case of metastatic breast carcinoma presenting as fatal fulminant hepatic failure is presented. The patient did not have previously diagnosed breast cancer and presented with ascites, Jaundice, abdominal pain, nausea, vomiting and hepatic encephalopathy. She died within four weeks of the onset. Seven similar cases previously reported are reviewed. Metastatic carcinoma should he considered in the differential diagnosis of fulminant hepatic failure.

PA56 APPENDICITIS IN CYSTIC FIBROSIS: SHOULD IT BE CONSIDERED AS THE FIRST DIFFERENTIAL DIAGNOSIS OF ABDOMINAL PAIN? A CASE REPORT

2010 ◽  
Vol 42 ◽  
pp. S364
Author(s):  
A. Casale ◽  
N. Amato ◽  
S. De Santis ◽  
V. Chiaro ◽  
V. Terlizzi ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report

scholarly journals Atypical Presentation of Periodic Paralysis: A Case Report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Aysun Isiklar
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Comprehensive Evaluation ◽  
Periodic Paralysis ◽  
Atypical Presentation ◽  
Hypokalemic Periodic Paralysis ◽  
Low Potassium ◽  
Carbohydrate Load ◽  
Timely Treatment ◽  
Rule Out

Hypokalemic periodic paralysis (HPP) is a kind of periodic paralysis, which is a heterogeneous group of muscle diseases. It is characterized by episodes of flaccid and sudden muscle weakness.Here, we present a case of HPP. The patient was referred to our department because of severe dizziness and fall. After a comprehensive evaluation, a markedly low potassium was detected. The patient’s symptoms resolved after replacement of potassium and he was discharged without deficits. Even though the literature reports an association with exercise, carbohydrate load, and stress, further workup in our patient revealed no association with these precipitants. A proper differential diagnosis should rule out other causes of weakness and paralysis, thus allowing a timely treatment.

scholarly journals A rare, but to be considered disease, in the differential diagnosis of abdominal pain: Mesenteric Panniculitis

2020 ◽  
Vol 7 (11) ◽  
pp. 709-711
Author(s):  
Bülent Yardımcı
Keyword(s):  
Internal Medicine ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Intestinal Obstruction ◽  
High Probability ◽  
Abdominal Mass ◽  
Good Prognosis ◽  
Mesenteric Panniculitis ◽  
Idiopathic Disease

Abdominal pains are one of the major topics of emergency clinics.  Mesenteric panniculitis (MP) is one of the rarely encountered causes of abdominal pain and is known as an idiopathic disease with a good prognosis. MP may cause abdominal pain, abdominal mass and intestinal obstruction. Infections, autoimmune diseases and abdominal traumas may trigger MP. The disease may coexist with malignancy and has a high probability of developing malignancy in MP patients. In this case report, a 59-year-old female patient, who came to our Internal Medicine Outpatient Clinic with abdominal pain and who was diagnosed with MP, is presented.

scholarly journals Anal Gland/Duct Cyst: A Case Report

2020 ◽  
Vol 36 (3) ◽  
pp. 204-206
Author(s):  
Guh Jung Seo ◽  
Ju Heon Seo ◽  
Kyung Jin Cho ◽  
Hyung-Suk Cho
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Fluid Collection ◽  
Definitive Diagnosis ◽  
Anal Gland ◽  
Duct Cyst ◽  
Retention Cyst ◽  
Gland Duct ◽  
Anal Duct ◽  
Rule Out

Anal gland/duct cyst (AGC) is rare and observed in only 0.05% of patients undergoing anal surgery. AGC is thought to be a retention cyst in the anal gland and arises when an obstruction of the anal duct causes fluid collection in the anal gland. We report a case of AGC in a 66-year-old woman without anal symptoms. Found by colonoscopy, the AGC was excised transanally. The histopathology of the specimen confirmed AGC. Colonoscopists should include AGC in the differential diagnosis of anal canal mass and rule out of malignancy. Excision is recommended for definitive diagnosis and treatment.

Renal Artery Thrombosis in The Differential Diagnosis of Abdominal Pain: A Case Report

2016 ◽  
Vol 6 (2) ◽  
pp. 106-109
Author(s):  
Halil İbrahim Çıkrıklar ◽  
Yasemin Yıldız Kirazaldı ◽  
Murat Yücel ◽  
Yusuf Yürümez
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Renal Artery ◽  
Renal Artery Thrombosis ◽  
Artery Thrombosis
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