Arteriovenous fistulae (AVF) of the head and neck region are extremely rare, especially those that occur spontaneously. We present the case of a 58 year old female with a spontaneous postauricular AVF causing troublesome pulsatile tinnitus. In this case a simple surgical procedure completely cured the patient of her symptoms.
The authors report a case of ehrlichiosis involving a bone marrow specimen from a patient with chronic lymphocytic leukemia. Since Ehrlichia may cause a lymphohistiocytic reaction in bone marrow specimens, an infectious process may be easily confused with a lymphoid neoplasm, particularly in patients with a history of lymphoid malignancy.
This case series identified a sub cohort of healthcare workers with COVID-19 who experienced a prolonged symptomatic course and remained unable to return to work for many weeks. It notes their demographic and clinical characteristics and suggest ways to support them returning to work in a graded and supported manner.
Background Primary effusion lymphoma (PEL) is a rare disease occurs mostly in immunosuppressed young males. Treatment consists of chemotherapy and prognosis is poor. Case presentation Our case described immunocompetent elderly woman with PEL who survive 30 months without chemotherapy. Conclusion Physicians should be aware of all clinical scenarios of PEL
Treatment of ST represents a challenge. The presence of large amounts of thrombus combined with stent optimization increase the risk of distal embolization. A two-step strategy of stent implantation and deferred stent optimization might be appropriated. We hereby present three clinical cases of ST successfully treated with a two-step approach.
Cancer patients, particularly those post-surgery, are prone to skin infection following immersion in flood waters. We reported secondary surgical site infection in a postoperative 80-year-old post-operation breast cancer patient affected by Typhoon Hagibis. Individualized responses based on individual and environmental risks are crucial to alleviate the damage of disasters.
We reported a case of M. szulgai respiratory infection in a 32-year-old male patient without any history of smoking, immunodeficiency syndromes, or receiving immunosuppressive medications but the patient was severely deficient in vitamin D. isoniazid, rifampin, ethambutol, clarithromycin antimicrobial agents with vitamin B6 and vitamin D.improved after 10 months.
L1 syndrome is an X-linked disorder manifesting with congenital hydrocephalus, adducted thumbs and spasticity. There are rare cases of L1 syndrome and coincident Hirschsprung disease, with mutations in the L1CAM gene thought to underlie both. We present a novel pathogenic L1CAM variant in someone with L1 syndrome and Hirschsprung disease.
Multifocal lesions with necrotic center and peripheral enhancement can be a diagnostic challenge. Magnetic resonance imaging with advanced sequences, such as perfusion, can be confusing, as some inflammatory lesions can show hyperperfusion, mimicking tumors. We present a case of neurotuberculosis with multifocal lesions which diagnosis was confirmed by brain biopsy.
Herniation of intra-abdominal viscera through pelvic bone defects represents an extremely uncommon complication following orthopaedic interventions in the bony pelvis. We report a rare case of acute colonic obstruction through a defect in the iliac bone, following bone graft harvesting from the iliac crest, aiming to raise clinical awareness.
A patient presented with cauda equina syndrome signs on a background of intrathecal pump implantation for chronic pain. Initial investigations were consistent with a granuloma, a common complication of intrathecal pumps. CSF cytometery revealed a lymphocytosis. This patient represented 2 months later with neck signs secondary to a B-cell-lymphoma.
We herein report a rare case of Wilson disease in a 9-year- old girl, diagnosed incidentally while investigating the cause of deterioration of condition even after standard of care for Brucellosis. The case provides a glimpse on intricacy of diagnosing Wilson disease in a child with superimposed infection.
Cryptococcus neoformans infection is a known cause of meningoencephalitis in immunocompromised patients. However, it is less frequent in immunocompetent individuals. Here we report a case of a 60 years old COVID-19 patient with a history of several co-morbidities who received tocilizumab and corticosteroids, which lead to Cryptococcemia.
A 60-year-old man presented to our hospital with pericardial effusion. He died of respiratory failure 13 months later. Autopsy revealed right atrial angiosarcoma extending into the right lung. To the best of our knowledge, this is the first case report of a primary cardiac angiosarcoma that displayed direct lung invasion.
We present an 11-year-old female with persistent hypoglycemia in the setting of new-onset type I diabetes mellitus, with further diagnosis of both Hashimoto's thyroiditis and Addison's disease for a diagnosis of autoimmune polyglandular syndrome type II, an autosomal dominant syndrome. Three years later, the child's mother was subsequently diagnosed.