MyMedR

Lung adenocarcinoma with mixed solid and crazy-paving appearances

Abdul Kadir RF, Hanafiah M, Johari B, Zainudin LD

Clin Case Rep, 2021 Oct;9(10):e04847.

"Crazy paving" on CT images refers to the superimposition of ground-glass opacity and linear pattern resembling irregularly shaped paving stones. Initially, "crazy paving" was described as a pathognomonic sign of alveolar proteinosis. Subsequently, this pattern has been reported in a variety of disorders of the lung. We demonstrated CT images of lung adenocarcinoma demonstrating both solid and crazy-paving appearances.

Fulltext Antimonium crudum in pediatric skin conditions: A classical homeopathic case series

Mahesh S, Kozymenko T, Kolomiiets N, Vithoulkas G

Clin Case Rep, 2021 Feb;9(2):818-824.

PMID: 33598251 DOI: 10.1002/ccr3.3674

Homeopathic Antimonium crudum may be useful in many pediatric skin conditions if prescribed on symptom similarity. It may especially be helpful in reducing the use of antibiotics and steroids in this age-group if proven to be effective through larger scientific studies.

Fulltext Post-transfusion hyperhemolysis syndrome in a patient with beta thalassemia major

Kasinathan G, Sathar J

Clin Case Rep, 2021 Jun;9(6):e04226.

PMID: 34188920 DOI: 10.1002/ccr3.4226

Hyperhemolysis syndrome (HS) is characterized by the occurrence of severe anemia with post-transfusion hemoglobin and hematocrit levels being markedly lower than those present prior to transfusion. A high index of suspicion of HS in a multi-transfused thalassemia patient allows prompt institution of therapy resulting in improved survival outcome.

Fulltext Very severe aplastic anemia in an 80-year-old man

Kasinathan G, Lee BS, Sathar J

Clin Case Rep, 2021 Mar;9(3):1330-1333.

PMID: 33768838 DOI: 10.1002/ccr3.3757

Although the patient with very severe aplastic anemia might be a fit elderly receiving standard therapy, there are factors which contribute to an adverse outcome such as severity of pancytopenia, absence of minor paroxysmal nocturnal hemoglobinuria clone and infective complications of therapy.

Fulltext Adult entero-enteric intussusception secondary to lipoma

Hanafiah M, Abdul Aziz M, Rusli SM

Clin Case Rep, 2019 Nov;7(11):2267-2268.

PMID: 31788299 DOI: 10.1002/ccr3.2460

Diagnostic imaging methods are normally required to make the preoperative diagnosis of adult intussusception. Furthermore, it helps to define the location and nature of the associated mass as lead point if present. Lipoma may appear as lesion of fat attenuation expressed in Hounsfield unit on CT scan.

Fulltext Neonatal melioidosis case reports-Lessons learned

Daim S, Barnad E, Johnny V, Suleiman M, Jikal M, Chua TH, et al.

Clin Case Rep, 2020 Jan;8(1):171-175.

PMID: 31998510 DOI: 10.1002/ccr3.2584

In endemic regions, include melioidosis in the routine differential diagnosis of neonates with respiratory distress, and consider early empirical ceftazidime treatment for neonates with worsening respiratory distress.

Fulltext Orbital cellulitis complicated with subperiosteal abscess following post-nasopharyngeal swab for COVID-19: A case report

Abdul-Kadir MA, Rosli AH

Clin Case Rep, 2023 May;11(5):e7324.

PMID: 37180319 DOI: 10.1002/ccr3.7324

KEY CLINICAL MESSAGE: The nasopharyngeal swab for COVID-19 is associated with low risks of severe complications, but it is important to consider the patient's medical history and anatomy of the nasal cavity to ensure safety and accuracy of the test. Orbital complications can occur up to 85% secondary to acute sinusitis, and prompt treatments are crucial, particularly in the pediatric group. A conservative approach is effective for subperiosteal abscess if certain criteria are met, and it is not an absolute indication for immediate surgical intervention. However, timely management of orbital cellulitis is essential for better outcomes.

ABSTRACT: Pre-septal and orbital cellulitis are more commonly seen in children than in adults. The incidence of pediatric orbital cellulitis is 1.6 in 100,000. The impact of COVID-19 has led to the increasing practice of nasopharyngeal swab surveillance. We presented a case of rare pediatric orbital cellulitis complicated with subperiosteal abscess secondary to severe acute sinusitis following a nasopharyngeal swab. A 4-year-old boy was brought in by his mother with increasing painful left eye swelling and redness. Three days prior, the patient developed a fever and mild rhinitis with loss of appetite which raised concerns about COVID-19. He had a nasopharyngeal swab on that same day and tested negative. Clinically, there was marked erythematous and tender periorbital and facial oedema involving the left nasal bridge, maxilla extended to the left upper lip with a deviation of the left nasal tip contralaterally. Computed tomography confirmed left orbital cellulitis with left eye proptosis, fullness of left maxillary and ethmoidal sinuses and left subperiosteal abscess. The patient received empirical antibiotics and surgical intervention promptly and recovered well with improvements in ocular symptoms. The nasal swabbing techniques may vary among practitioners, and it is associated with extremely low risks of severe complications from 0.001% to 0.16%. Whether the swab had aggravated the underlying rhinitis or traumatized the turbinates leading to sinus drainage obstruction; a nasal swab may impose the risk of severe orbital infection in a susceptible pediatric patient. Any health practitioner conducting the nasal swab should be vigilant about this potential complication.

Fulltext Meckel's diverticulum and indications for resection

Rahim R

Clin Case Rep, 2020 Dec;8(12):3588-3589.

PMID: 33363991 DOI: 10.1002/ccr3.3297

Meckel's diverticulum (MD) is a rare congenital abnormality. Not all MD require resection. MD is resected when it is symptomatic; when it causes perforation, bleeding, or intestinal obstruction; or when malignancy is confirmed or suspected.

Fulltext Diagnosis, management, and recovery from COVID-19: A case report from bangladesh

Akther L, Shahnewaz SS, Ferdous D, Pramanik MMU

Clin Case Rep, 2021 Mar;9(3):1748-1751.

PMID: 33768928 DOI: 10.1002/ccr3.3895

There is no known medicine for COVID-19, and thus, the clinical management is symptomatic. More than 80% people experience mild symptoms who can be treated at home for fever, sore throat, and cough. About 15% patients develop severe illness require O2.

Fulltext Ataxic gait

Bhaskar S, Tengku Kamadjaja Aziz TAH, Paramajothy V

Clin Case Rep, 2021 Jul;9(7):e04388.

PMID: 34257977 DOI: 10.1002/ccr3.4388

Ataxia as the main complaint in a young patient prompts to diagnose neurodegenerative diseases. Not all ataxias are irreversible. We present a video of a patient in the clinic with ataxia diagnosed as subacute combined degeneration of the cord.

Fulltext Pseudo-infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report

Chow HB, Lim CT, Ho YH, Cham YL, Fong AYY, Said A, et al.

Clin Case Rep, 2023 Jun;11(6):e7580.

PMID: 37351358 DOI: 10.1002/ccr3.7580

KEY CLINICAL MESSAGE: The high-risk "Shark Fin" electrocardiogram (ECG) pattern has been associated with transmural ischemia but can also result from electrolyte anomalies. Therefore, the decision for invasive coronary catheterization requires a detailed history and dedicated biochemical tests.

ABSTRACT: Pseudo-infarction ECG pattern resembling "Shark Fin" was demonstrated in a 76-year-old lady with a previous total thyroidectomy who presented with unspecific symptoms. An incidental finding of hypokalemia and hypocalcemia was thought to be related to delayed onset hypoparathyroidism. Potential etiologies like coronary vasospasm and catecholamine-associated myocardial injury were suggested.

Fulltext Dengue fever complicated by hemophagocytic lymphohistiocytosis: Report of 2 cases and bone marrow findings

Chang CY, Rajappan M, Zaid M, Ong ELC

Clin Case Rep, 2020 Dec;8(12):3427-3431.

PMID: 33363946 DOI: 10.1002/ccr3.3422

Hemophagocytic lymphohistiocytosis is a rare but severe complication of dengue infection which carries a high mortality. This report highlights the importance of early recognition of this condition as prompt appropriate treatment improves outcomes.

Fulltext Streptococcus sanguis brain abscess as an initial manifestation of pulmonary arteriovenous malformation

Chang CY, Chai CSY, Ong ELC

Clin Case Rep, 2020 Dec;8(12):2685-2688.

PMID: 33363805 DOI: 10.1002/ccr3.3272

Pulmonary arteriovenous malformation is a vascular anomaly that predisposes to complications of paradoxical embolization including stroke and brain abscess. Here, we present a case of brain abscess associated with pulmonary arteriovenous malformation.

Fulltext Effect of proper oral rehabilitation on general health of mandibulectomy patients

Mustafa AA, Raad K, Mustafa NS

Clin Case Rep, 2015 Nov;3(11):907-11.

PMID: 26576270 DOI: 10.1002/ccr3.373

Here, we aimed to assess whether postoperative oral rehabilitation for mandibulectomy patients is necessary to improve patients' general health in terms of health-related quality of life.

Fulltext An uncommon side effect of a very commonly used medication: A case report on hydrocortisone-induced bradycardia

Payus AO, Chai AC, Mustafa N

Clin Case Rep, 2021 Aug;9(8):e04678.

PMID: 34430027 DOI: 10.1002/ccr3.4678

Sinus bradycardia is a rare but important side effect of high-dose hydrocortisone. It is a self-limiting condition that recovered spontaneously upon stopping the medication and did not recur with other types of corticosteroids.

Fulltext The middle cerebral artery (MCA) dot sign

Md Noh MSF

Clin Case Rep, 2021 Aug;9(8).

PMID: 34466227 DOI: 10.1002/ccr3.3319

The middle cerebral artery (MCA) dot sign is an important radiological sign in patients presenting with acute ischemic stroke (AIS). If identified and intervened early, a good clinical outcome may be achieved.

Fulltext Single visit rehabilitation of 12-day neonate with cleft palate using modified feeding spoon impression technique: A case report

Chandwani N, Nandan M, Jadhav G, Pawar AM, Karobari MI, Marya A

Clin Case Rep, 2023 Feb;11(2):e7008.

PMID: 36860725 DOI: 10.1002/ccr3.7008

The rehabilitation of the cleft requires a multidisciplinary approach involving a pediatrician, surgeon, otolaryngologist, speech therapist, orthodontist, prosthodontist, and psychologist. The present case report illustrates the rehabilitation of a 12-day-old neonate with a cleft palate. Since the palatal arch of the neonate was very small, a feeding spoon was innovatively modified to obtain the impression. The obturator was fabricated on the same day and delivered in one appointment.

Helicobacter pylori overcomes natural immunity in repeated infections

Stenström B, Windsor HM, Fulurija A, Benghezal M, Kumarasinghe MP, Kimura K, et al.

Clin Case Rep, 2016 11;4(11):1026-1033.

PMID: 27830066

Repeated experimental reinfection of two subjects indicates that Helicobacter pylori infection does not promote an immune response protective against future reinfection. Our results highlight the importance of preventing reinfection after eradication, through public health initiatives, and possibly treatment of family members. They indicate difficulties for vaccine development, especially therapeutic vaccines.

Fulltext Lost and found! Tooth fragment reattachment after 8 Mo of trauma

Mani Kakkunath S, Katta NK, Shankar Yelamanchi R, Mandava D

Clin Case Rep, 2019 Nov;7(11):2271-2273.

PMID: 31788301 DOI: 10.1002/ccr3.2463

Thorough clinical and radiographic evaluation of patient following orofacial trauma is indispensable for a successful outcome, and when the tooth fragment is available in a good condition, then fragment reattachment is the best choice of treatment.

Fulltext Ischemic stroke as the first presentation of takayasu's arteritis in young male

Gouda W, Alsaqabi F, Alkadi A, Amr HAE, Moshrif A, Mahdy ME

Clin Case Rep, 2020 Feb;8(2):258-261.

PMID: 32128168 DOI: 10.1002/ccr3.2527

Takayasu's arteritis should be kept under the differential diagnosis of stroke in all young patients. Early, proper diagnosis and treatment are necessary to reduce any further progression, morbidity, and mortality rates of the disease.

Displaying publications 1 - 20 of 42 in total