MyMedR

Acute compartment syndrome of the hand in Henoch-Schonlein Purpura

Luis GE, Ng ES

J Med Case Rep, 2007;1:6.

An eight year old boy with Henoch-Schonlein Purpura (HSP) presented with acute compartment syndrome (ACS) of his left hand following arterial cannulation of his radial artery in intensive care unit. Emergency decompression and fasciotomy were performed. The authors report this first case in literature and discuss how HSP can be complicated by ACS and ways to prevent the latter from happening.

Fulltext Combined use of maxillomandibular swing approach and neurosurgical ultrasonic aspirator in the management of extensive clival chordoma: a case report

Hassan S, Abdullah JM, Wan Din SJ, Idris Z

J Med Case Rep, 2008;2:49.

PMID: 18279530 DOI: 10.1186/1752-1947-2-49

Chordoma is a rare malignant tumour with an incidence of metastasis of less than 10 percent. Usually arising from clivus its posterior extension may involve the brainstem before presenting as nasal mass and obstruction. Surgery is the main mode of treatment with adjuvant radiotherapy. However surgery is rarely possible for a large intracranial lesion.

Fulltext Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report

Ahmad R, Abdullah K, Mokhtar L, Fadzil A

J Med Case Rep, 2009;3:105.

PMID: 19946583 DOI: 10.1186/1752-1947-3-105

Tracheal agenesis is a very rare congenital airway anomaly. It may pose a great challenge to the first attending physician both in diagnosis and in establishing the airway during the first day of life.

Fulltext Recurrent furunculosis as a cause of isolated penile lymphedema: a case report

Al-Shaham AA, Sood S

J Med Case Rep, 2010 Jun 29;4:196.

PMID: 20584337 DOI: 10.1186/1752-1947-4-196

INTRODUCTION: Isolated lymphedema of the penis is extremely rare: combined involvement of the scrotum and penis is the norm. Furunculosis as a cause is not, to our knowledge, previously reported. We present a case of isolated penile lymphedema that responded to excision of lymphedematous tissue and reconstruction with flaps.

CASE PRESENTATION: A 32-year-old Arab man presented with a three-year history of a gradually increasing, painless penile swelling. Our patient's main complaint was non-erectile sexual dysfunction. The swelling was preceded by at least three prior episodes of severe furunculosis at the penile root. He had no other contributory past medical or family history. On examination there was gross penile enlargement, maximally at the mid shaft, associated with thickened skin at the sites of prior furunculosis. The glans and scrotum were normal. Both testes were palpable. Serology for filariasis, and urinary tract ultrasound and computed tomography scan were normal. The clinical diagnosis was lymphedema following recurrent penile furunculosis. At operation the lymphedematous tissues were removed. Closure of the penile shaft was accomplished by bilateral advancement of flaps from both ends of the penis. He resumed normal sexual activity one month after surgery. At 12 months, he had a good cosmetic result, with no signs of recurrence.

CONCLUSIONS: Furunculosis at the penile root may result in lymphedema confined to the penile shaft, sparing the scrotum. Excision of abnormal tissue and cover with a skin flap gave excellent cosmetic results, and allowed satisfactory sexual activity.

Fulltext Extragonadal germ cell tumor presenting in a woman with systemic lupus erythematosus: a case report

Shahrir M, Halim A, Zainudin S, Mohamad R, Yuen LC, Saidin R, et al.

J Med Case Rep, 2010;4:97.

PMID: 20338049 DOI: 10.1186/1752-1947-4-97

Germ cell tumor of the pituitary gland is a very rare occurrence.

Fulltext Purtscher-like retinopathy following valsalva maneuver effect: case report

Nor-Masniwati S, Azhany Y, Zunaina E

J Med Case Rep, 2011;5:338.

PMID: 21806816 DOI: 10.1186/1752-1947-5-338

Purtscher's retinopathy is a rare condition that is noted in cases related to various types of trauma. The characteristic finding in the fundus is the presence of multiple Purtscher flecken. Purtscher-like retinopathy has a similar presentation in the fundus, but without an association with trauma.

Fulltext Cerebral venous sinus thrombosis presenting with diplopia in pregnancy: a case report

Munira Y, Sakinah Z, Zunaina E

J Med Case Rep, 2012;6:336.

PMID: 23034080 DOI: 10.1186/1752-1947-6-336

Fulltext Chronic necrotizing pulmonary aspergillosis presenting as bilateral pleural effusion: a case report

Rajalingham S, Anshar FM

J Med Case Rep, 2012;6:62.

PMID: 22333492 DOI: 10.1186/1752-1947-6-62

Chronic necrotizing pulmonary aspergillosis is an uncommon subacute form of Aspergillus infection. It typically occurs in immunocompromised individuals and in those with underlying lung disease. This interesting case highlights the occurrence of this entity of aspergillosis in an immunocompetent middle-aged woman with atypical radiological findings. To the best of our knowledge this is the first case report of chronic necrotizing pulmonary aspergillosis presenting with pleural effusion.

Management of visual disturbances in albinism: a case report

Omar R, Idris SS, Meng CK, Knight VF

J Med Case Rep, 2012;6:316.

PMID: 22992390

A number of vision defects have been reported in association with albinism, such as photophobia, nystagmus and astigmatism. In many cases only prescription sunglasses are prescribed. In this report, the effectiveness of low-vision rehabilitation in albinism, which included prescription of multiple visual aids, is discussed.

Fulltext Hemolytic disease of the fetus and newborn caused by anti-D and anti-S alloantibodies: a case report

Yousuf R, Abdul Aziz S, Yusof N, Leong CF

J Med Case Rep, 2012;6:71.

PMID: 22348809 DOI: 10.1186/1752-1947-6-71

Hemolytic disease of the fetus and newborn is most commonly caused by anti-D alloantibody. It is usually seen in Rhesus D (RhD)-negative mothers that have been previously sensitized. We report here a case of hemolytic disease of the fetus and newborn in a newborn baby caused by anti-D and anti-S alloantibodies, born to a mother who was RhD negative, but with no previous serological evidence of RhD alloimmunization.

Fulltext Chromosomal 16p microdeletion in Rubinstein-Taybi syndrome detected by oligonucleotide-based array comparative genomic hybridization: a case report

Mohd Fadley MA, Ismail A, Thong MK, Yusoff NM, Zakaria Z

J Med Case Rep, 2012;6:30.

PMID: 22269667 DOI: 10.1186/1752-1947-6-30

Chromosomal aberrations of chromosome 16 are uncommon and submicroscopic deletions have rarely been reported. At present, a cytogenetic or molecular abnormality can only be detected in 55% of Rubinstein-Taybi syndrome patients, leaving the diagnosis in 45% of patients to rest on clinical features only. Interestingly, this microdeletion of 16 p13.3 was found in a young child with an unexplained syndromic condition due to an indistinct etiological diagnosis. To the best of our knowledge, no evidence of a microdeletion of 16 p13.3 with contiguous gene deletion, comprising cyclic adenosine monophosphate-response element-binding protein and tumor necrosis factor receptor-associated protein 1 genes, has been described in typical Rubinstein-Taybi syndrome.

Fulltext Etanercept in the treatment of recalcitrant enteropathic arthritis: a case report

Mohamed Said MS, Shaharir S, Rajalingham S, Abdullah SA, Bin Hassanudin A, Soon NC, et al.

J Med Case Rep, 2012;6:10.

PMID: 22236863 DOI: 10.1186/1752-1947-6-10

Enteropathic arthritis is one of the recognized extraintestinal manifestations of inflammatory bowel disease and affects up to 25% of patients. The treatment options for refractory disease were rather limited and ineffective until the arrival of biologic therapy in the last few years. The use of etanercept was unique for this disease.

Fulltext Bilateral hypoplasia of the internal carotid artery, presenting as a subarachnoid hemorrhage secondary to intracranial aneurysmal formation: a case report

Siddiqui AA, Sobani ZA

J Med Case Rep, 2012;6:45.

PMID: 22289362 DOI: 10.1186/1752-1947-6-45

Hypoplasia of the internal carotid artery is a rare congenital anomaly, with only 24 cases of bilateral internal carotid artery hypoplasia reported to date. Here, we present the case of a 48-year-old woman with bilateral internal carotid artery hypoplasia. She had a collateral circulation through the vertebrobasilar system; however given the high pressure flow she developed aneurysmal formations in the posterior communicating artery. To the best of our knowledge, only seven reported cases of internal carotid artery hypoplasia have been associated with intracranial aneurysmal formations.

Fulltext Infratentorial benign cystic meningioma mimicking a hemangioblastoma radiologically and a pilocytic astrocytoma intraoperatively: a case report

Guan TK, Pancharatnam D, Chandran H, Hooi TK, Kumar G, Ganesan D

J Med Case Rep, 2013;7:87.

PMID: 23537099 DOI: 10.1186/1752-1947-7-87

Cystic meningiomas are rare variants of meningiomas; they can pose a radiological diagnostic dilemma.

Fulltext Systematic Epstein-Barr virus-positive T-cell lymphoproliferative disease presenting as a persistent fever and cough: a case report

Ameli F, Ghafourian F, Masir N

J Med Case Rep, 2014;8:288.

PMID: 25163591 DOI: 10.1186/1752-1947-8-288

Systemic Epstein-Barr virus-positive T-cell lymphoproliferative childhood disease is an extremely rare disorder and classically arises following primary acute or chronic active Epstein-Barr virus infection. It is characterized by clonal proliferation of Epstein-Barr virus-infected T-cells with an activated cytotoxic phenotype. This disease has a rapid clinical course and is more frequent in Asia and South America, with relatively few cases being reported in Western countries. The clinical and pathological features of the disease overlap with other conditions including infectious mononucleosis, chronic active Epstein-Barr virus infection, hemophagocytic lymphohistiocytosis and natural killer cell malignancies. We describe the rare case of systemic Epstein-Barr virus-positive T-cell lymphoproliferative childhood disease in a 16-year-old Malay boy.

Fulltext PRKAR1A-negative familial Cushing's syndrome: two case reports

Lim LL, Kitan N, Paramasivam SS, Ratnasingam J, Ibrahim L, Chan SP, et al.

J Med Case Rep, 2015;9:277.

PMID: 26619967 DOI: 10.1186/s13256-015-0757-7

Determining the etiology of Cushing's syndrome is very challenging to endocrinologists, with most of the difficulty arising from subtype differentiation of adrenocorticotropic hormone-dependent Cushing's syndrome. We present the pitfalls of evaluating a rare cause of adrenocorticotropic hormone-independent Cushing's syndrome in the transition period between adolescence and adulthood.

Fulltext Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report

Kamil W, Al Bayati L, Hussin AS, Hassan H

J Med Case Rep, 2015;9:211.

PMID: 26404671 DOI: 10.1186/s13256-015-0677-6

Aggressive periodontitis is characterized by a rapid rate of attachment loss and bone resorption. Regenerative therapy offers reconstruction of the periodontium; however, certain advanced cases with a questionable prognosis might remain a challenge. We report a successful intervention outcome of a challenging case in the aesthetic zone of a patient with aggressive periodontitis.

Fulltext A returning migrant worker with avian influenza A (H7N9) virus infection in Guizhou, China: a case report

Wang D, Tang G, Huang Y, Yu C, Li S, Zhuang L, et al.

J Med Case Rep, 2015;9:109.

PMID: 25962780 DOI: 10.1186/s13256-015-0580-1

Human infection with avian influenza A (H7N9) virus was first reported on March, 2013 in the Yangtze River Delta region of China. The majority of human cases were detected in mainland China; other regions out of mainland China reported imported human cases, including Hong Kong SAR, Taiwan (the Republic of China) and Malaysia, due to human transportation. Here, we report the first human case of H7N9 infection imported into Guizhou Province during the Spring Festival travel season in January 2014.

Fulltext Successful laparoscopic management of paraesophageal hiatal hernia with upside-down intrathoracic stomach: a case report

Siow SL, Tee SC, Wong CM

J Med Case Rep, 2015;9:49.

PMID: 25890166 DOI: 10.1186/s13256-015-0519-6

Paraesophageal hernia with intrathoracic mesentericoaxial type of gastric volvulus is a rare clinical entity. The rotation occurs because of the idiopathic relaxation of the gastric ligaments and ascent of the stomach adjacent to the oesophagus through the hiatus defect, while the gastroesophageal junction remains in the abdomen. The open approach remains the gold standard therapy for most patients. Here we report the case of a patient with such a condition who underwent a successful laparoscopic surgery. A literature search revealed that this is the first case report from Southeast Asia.

Fulltext Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report

Siow SL, Wong CM, Hardin M, Sohail M

J Med Case Rep, 2016 Jan 18;10:11.

PMID: 26781191 DOI: 10.1186/s13256-015-0780-8

Traumatic diaphragmatic rupture and traumatic abdominal wall hernia are two well-described but rare clinical entities associated with blunt thoracoabdominal injuries. To the best of our knowledge, the combination of these two clinical entities as a result of a motor vehicle accident has not been previously reported.

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