Umbilical hernia is occasionally seen with different levels of complexity in animals. However, eviscerated umbilical hernia with extensive adhesion in a bovine calf is not much common. With timely recognition, surgical intervention, and administration of an antibiotic, antihistaminic and anti-inflammatory drugs, the outcome is generally good.
Posterior spinal surgery has the risk of perioperative respiratory complications. We describe the delayed diagnosis of an intraoperative pneumothorax in a teenage girl with idiopathic scoliosis scheduled for thoracolumbar posterior fusion. After an uneventful surgery, the oxygen saturation abruptly decreased to 65%. A chest x-ray showed a moderate pneumothorax.
We treated PR3-ANCA positive vasculitis patient with bilateral ischemic peroneal nerve paralysis accompanying rheumatoid arthritis. Pathology showed mild vasculitis. With PR3-ANCA amelioration, the level of complement 3, anti-CCP and neurological disability normalized simultaneously responding to rituximab. This result means the shared pathogenic pathway of PR3-ANCA vasculitis and rheumatoid arthritis.
Bovine tuberculosis is a chronic disease rarely observed in an early age. Our observation of tubercle lesions in the lungs of a three week old calf and confirmation of Mycobacterium bovis strains illustrate that the progression of tuberculosis in neonates can be rapid under natural conditions, contributing to transmission within-herds.
LS is a 39-year-old woman with systolic heart failure secondary to viral myocarditis (EF 10-15%). She was transitioned from IABP support to LVAD. Five weeks postoperatively she experienced progressive low flow alarms and underwent pericardial release via left mini-thoracotomy. Flows immediately improved postoperatively.
Otic lichen planus (LP) is rare and associated with stenosis of external auditory canal, conductive hearing loss (HL) and otorrhea. We report the case of a 78 years old woman affected by otic LP complaining mixed HL. We successfully treated the patients with local therapy and with bone-anchored hearing device.
Acquired epidermodysplasia verruciformis is a rare entity occurring in immunocompromised patients such as organ-transplant recipients. Renal-transplant recipients are at high risk for developing squamous cell carcinomas. The impact of acquired epidermodysplasia verruciformis on this risk is unknown. Long-term follow-up of this high-risk population should be proposed.
Mechanical complications of myocardial infarction are rare but have elevated short- and long-term mortality rates. The authors present a rare case of an inferobasal left ventricular aneurysm and rupture after a silent inferior infarction. A multimodality approach is important in the diagnosis and management.
Chiari malformations are a group of heterogeneous disorders; Chiari I malformation is characterized by a form of structural defect in the cerebellum and the cranial base. The case report highlights the possibility of underlying neurological disease in cases where acute Type 2 respiratory failure is unexplainable.
In Tanzania, Tuberculosis is among the most common and important diagnoses in a patient presenting with constitutional symptoms and lung opacities on plain radiography. We report a 32-year-old male who was misdiagnosed as extrapulmonary tuberculosis based on symptoms and imaging. Further workup revealed a rare but aggressive metastatic angiosarcoma.
Thyroid nodules are often incidentally noted on imaging studies with an estimated incidence of 25% on neck CT scan. The presence of a PET-avid thyroid nodule, especially in a patient with a history of malignancy, should prompt evaluation with fine-needle aspiration to evaluate for malignancy given the high probability.
We report a case of refractory life-threatening warm autoimmune hemolytic anemia (wAIHA) associated with chronic myelomonocytic leukemia (CMML) for which all conventional treatments had failed. The use of eculizumab allowed controlling hemolysis and resulted in transfusion independence. These data support the use of eculizumab in refractory wAIHA.