Objective: To present 29-year-old patient with neurosyphilitic changes characterized by multiple acute ischemic brain strokes along with significant narrowing of several large intracranial arteries. After treatment of patient with ceftriaxone for 14 days following benzathine benzylpenicillin weekly for additional three weeks, meningovascular changes regressed.
Congenital dyserythropoietic anemias (CDA) is a heterogeneous class of anemia of varying degrees of ineffective erythropoiesis and secondary hemochromatosis. We reported a case of CDA and showed our approach to reaching a diagnosis, highlighting the importance of the typical morphological appearance of bone marrow erythroblasts to reach the diagnosis.
Cardiac etiologies of hemoptysis are less common. One such etiology includes mitral regurgitation. In patients with hemoptysis and unilateral consolidation, mitral valve regurgitation should be considered, and careful chest auscultation and cardiac assessment may assist in making an early diagnosis.
Inflammatory granuloma caused by a vegetable foreign body is a lesion that can develop in the oral cavity. It results from the implantation of a vegetable, leading to an inflammatory reaction and the development of an aggressive osteolysis. This case highlights importance of clinicians' awareness regarding this uncommon disorder
SARS-CoV-2 infection can manifest many rashes. However, thrombotic retiform purpura rarely occurs during COVID-19 illness. Aggressive anti-COVID-19 therapy with a high-dose steroid regimen led to rapid recovery. This immuno-thrombotic phenomenon likely represents a poor type 1 interferon response and complement activation on the endothelial surface in response to acute infection.
Here we report a patient with 2q37 deletion syndrome confirmed by comparative genomic hybridization (CGH) plus single nucleotide polymorphism (SNP), who does not suffer from mental developmental abnormalities. The patient, however, does suffer from fatigue and gross motor delay, and the presence of a patent foramen ovale.
Internal hernias represent only 0.5 to 1% of all causes of bowel obstruction. A 59-year-old patient presented acuetly with small bowel obstruction. Laparotomy revealed a left paraduodenal hernia with most of the small bowel herniating through a space between the inferior mesenteric vein and duodenojejunal junction.
We performed fetoscopic laser photocoagulation at 25+1 weeks gestation successfully. But ultrasound showed apparent separation of the chorioangioma from the placenta at 32+2 weeks gestation. An urgent cesarean section was performed with the delivery of a healthy female infant. To date, there have been no reports of similar cases.
An 88-year-old man ingested coins accidentally and developed mediastinitis and septic shock. Esophageal injuries by sharped-shape foreign bodies are often reported, but esophageal perforation by round coins is rare. Even rounded-shape foreign bodies that are unlikely to injure esophagus may lead to severe outcomes.
Vitamin D-dependent rickets type 1 (VDDRIA) is an autosomal recessive disease caused by mutations in the Cytochrome P450 Family 27 Subfamily B Member 1 (CYP27B1) gene encoding the enzyme 1 alpha-hydroxylase. We report a known VDDRIA case presenting with hypotonia, growth and developmental disorders.
This paper aims to introduce a patient with Chiari type 1 malformation presented with upper extremity pain and diabetes insipidus. After laboratory examinations, we confirmed central diabetes insipidus diagnosis. The patient has undergone posterior fossa decompression.in follow up patients symptoms relieved gradually.
We present a case of a 60-year-old female with a history of liver cirrhosis, alcohol abuse, and chronic venous insufficiency who presented with maggot-infested wounds on her legs, bilateral buttocks, and groin area. Two sets of blood cultures grew Wohlfahrtiimonas chtiniclastica. She underwent wound debridement and treatment with cefazolin.
Nonketotic hyperglycemic hemichorea-hemiballismus (NHHH) is an infrequent complication of diabetes mellitus, and rarely occurs in children. We present an adolescent boy with recent diagnosis of type 1 diabetes who presented with hemichorea and brain imaging findings consistent with NHHH. His symptoms resolved with euglycemia and valproic acid after few weeks.