• Issue

    Clinical Case Reports: Volume 10, Issue 5

    i-ii
    May 2022

COVER IMAGE

Open Access

Cover Image

  • Page: i
  • First Published: 27 May 2022
Cover Image Volume 10 Issue 5, 2022

The cover image is based on the Case Report Utility of coronary orbital atherectomy with guide-extension system for distally located undilatable in-stent restenosis: A case report by Hiroyuki Yamamoto et al., https://doi.org/10.1002/ccr3.5798.

Open Access

Cover Image

  • Page: ii
  • First Published: 27 May 2022
Cover Image

The cover image is based on the Case Report Fine-needle aspiration cytology diagnosis of aspergilloma - A case report by Dilasma Ghartimagar et al., https://doi.org/10.1002/ccr3.5826.

ISSUE INFORMATION

Open Access

Issue Information

  • First Published: 04 May 2022

CASE REPORTS

Open Access

Case report: Bilateral simple Syndactyly in a toddler with maternal exposure to cabergoline

  • First Published: 04 May 2022
Case report: Bilateral simple Syndactyly in a toddler with maternal exposure to cabergoline

Although cabergoline is reported to be rarely teratogenic, we reported a case of syndactyly in a toddler with maternal exposure to cabergoline. This underscores the necessity of restricting cabergoline prescription only for urgent cases in pregnancy.

Open Access

A very rare case of splenosis and acquired chronic non-cirrhotic portal vein thrombosis with cavernous transformation

  • First Published: 04 May 2022
A very rare case of splenosis and acquired chronic non-cirrhotic portal vein thrombosis with cavernous transformation

It is important to focus on the diagnosis of splenosis or postsplenectomy thrombosis of the portal vein complicated by cavernous transformation of the portal vein and prehepatic, in which the systemic examination reveals normal findings.

Open Access

Case of impacted subglottic metallic foreign body removal without tracheostomy through an endotracheal tube

  • First Published: 04 May 2022
Case of impacted subglottic metallic foreign body removal without tracheostomy through an endotracheal tube

An endotracheal tube can be used to remove the impacted subglottic foreign bodies to minimize damage to the surrounding airway tissue and avoid tracheostomy.

Open Access

Utility of coronary orbital atherectomy with guide-extension system for distally located undilatable in-stent restenosis: A case report

  • First Published: 04 May 2022
Utility of coronary orbital atherectomy with guide-extension system for distally located undilatable in-stent restenosis: A case report

OFDI-guided OA, with a guide-extension system, could be useful for the treatment of distally located, undilatable ISR with hard neointima and calcified neoatherosclerosis, while preventing potential OA-related complications, such as crown entrapment.

Open Access

The first report of 2:1 atrioventricular block following COVID-19 vaccination

  • First Published: 04 May 2022
The first report of 2:1 atrioventricular block following COVID-19 vaccination

The COVID-19 pandemic has urged the scientific community to focus on developing of vaccines, and the potential side effects on the cardiovascular system are unknown. Here, we reported a second-degree AV block in a man receiving a COVID-19 vaccine.

Open Access

Hyoscine butylbromide induced psychosis: A case report

  • First Published: 05 May 2022

Through this case, we hope to communicate the notion that every practitioner should be aware of common medicines with anticholinergic effects, and drug-induced psychosis should be investigated in young patients with acute behavioral abnormalities.

Open Access

Atypical Parkinsonism: Methamphetamine may play a role

  • First Published: 05 May 2022
Atypical Parkinsonism: Methamphetamine may play a role

Abusing methamphetamine can be considered as an agent that can cause or affect the course of atypicalparkinsonian syndromes (APS), which may raise attention regarding preventing abusing these drugs.

Open Access

COVID-19 complicated with chronic necrotizing pulmonary aspergillosis and aspergilloma progressing to fibrosing aspergillosis: A case report

  • First Published: 05 May 2022
COVID-19 complicated with chronic necrotizing pulmonary aspergillosis and aspergilloma progressing to fibrosing aspergillosis: A case report

Chronic pulmonary aspergillosis is a potentially serious disease that may threaten the post-COVID-19 patient's vital and functional prognosis. Yet, both the diagnosis and the treatment are challenging. Therefore, early clinical suspicion, chest CT scan, and screening for aspergillosis are important. Next, timely antifungal treatment based on international guidelines is recommended.

Open Access

Visceral leishmaniasis in non-endemic rural hilly region of Nepal: A case report

  • First Published: 05 May 2022

Visceral leishmaniasis is endemic in lowland regions. However, high index of suspicion is needed in appropriate clinical setting even in high altitudes due to possible vector expansion to these areas.

Open Access

Concrescence of the right maxillary second and third molars: A case report

  • First Published: 05 May 2022
Concrescence of the right maxillary second and third molars: A case report

Concrescence is a rare developmental anomaly of dental tissues. This manuscript reported a case and analyzed the histological etiology and clinical diagnosis and treatment of concrescence from the sight of periodontal functional stimulation.

Open Access

No child should suffer from vitamin K deficiency-induced bleeding disorders

  • First Published: 05 May 2022

The current vitamin K deficiency-bleeding prophylaxis programs cannot prevent bleeding shortly after birth. We should establish an optimal global standard of prophylaxis using both intramuscular and oral administration of vitamin K promptly.

Open Access

Patient with Dravet syndrome: A case report

  • First Published: 05 May 2022

Cerebral atrophy and ventricular dilatation can be present in MRI of brain in patient with DS. The patients with DS are undertreated and do not get the standard treatment of DS because of misdiagnosis.

Open Access

Rapid bilateral visual loss as the initial clinical manifestation in idiopathic hypertrophic cranial pachymeningitis

  • First Published: 06 May 2022
Rapid bilateral visual loss as the initial clinical manifestation in idiopathic hypertrophic cranial pachymeningitis

We reported a patient presented with 4-day acute painless bilateral visual loss, who was diagnosed to have idiopathic hypertrophic cranial pachymeningitis based on laboratory tests and MRI data, the visual acuity obviously improved after timely treatment. Therefore, Intracranial changes should be considered in patients with a sharp decline in visual acuity but with no obviously positive signs of the eye fundus.

Open Access

Effective treatment of advanced Hodgkin lymphoma with a modified BEACOPP regimen for a patient with demyelinating hereditary motor and sensory neuropathy type 1 (HMSN1)

  • First Published: 05 May 2022
Effective treatment of advanced Hodgkin lymphoma with a modified BEACOPP regimen for a patient with demyelinating hereditary motor and sensory neuropathy type 1 (HMSN1)

Patients with Charcot–Marie–Tooth disease or HSMN1 and advanced Hodgkin lymphoma can be successfully treated with modified BEACOPP achieving complete remission without major aggravation of neurological symptoms.

Open Access

Concomitant coexistence of ACTH-dependent and independent Cushing syndrome

  • First Published: 09 May 2022

The concomitant coexistence of ACTH-dependent and independent Cushing syndrome remains extremely rare. The difficulty is to determine whether the adrenal dependency existed at the time of the diagnosis or if it developed postoperatively.

Open Access

Spontaneous renal tract rupture from obstructing vesico-ureteric junction calculus

  • First Published: 09 May 2022
Spontaneous renal tract rupture from obstructing vesico-ureteric junction calculus

Spontaneous renal tract rupture is a rare presentation and commonly results from ureteric obstruction. It should be considered in suspected renal colic and management will, however, depend on the cause and level at which rupture occurs.

Open Access

Acute polyneuropathy as the main manifestation of primary Sjogren’s syndrome: A case report

  • First Published: 09 May 2022
Acute polyneuropathy as the main manifestation of primary Sjogren’s syndrome: A case report

Sjogren syndrome rarely can present with acute-onset, motor predominant peripheral neuropathy. In addition, neurological signs and symptoms are unusual to be presented as the first manifestation of this disease.

Open Access

Endometrial adenocarcinoma with bone metastasis: A case report

  • First Published: 09 May 2022
Endometrial adenocarcinoma with bone metastasis: A case report

Despite the rarity of condition, any new-onset bone pain in patients with endometrial cancer should be assessed for bone metastasis.

Open Access

Indocyanine green fluorescence: A surgeon’s tool for the surgical approach of gallstone ileus

  • First Published: 09 May 2022

Indocyanine green is a non-invasive technique that allows the surgeon to obtain adequate visualization of biliary tree in patients with biliary fistulas decreasing the risk of injury.

Open Access

Spontaneous tension pneumothorax as a complication of Coronavirus disease 2019: Case report and literature review

  • First Published: 09 May 2022
Spontaneous tension pneumothorax as a complication of Coronavirus disease 2019: Case report and literature review

Tension pneumothorax can present such as COVID-19 infection, leading to a delayed diagnosis, and may increase mortality. In the absence of risk factors, COVID-19 can be an independent risk factor for STP development with significant mortality rates.

Open Access

Growing teratoma syndrome: Two case reports

  • First Published: 09 May 2022

In growing teratoma syndrome, the metastatic tumors do not decrease in size despite the normalization of serum tumor markers with chemotherapy. Because of its high recurrence, timely complete surgical resection is preferred treatment.

Open Access

Left ventricular thrombosis and endogenous endophthalmitis in the setting of COVID-19: A case report

  • First Published: 12 May 2022
Left ventricular thrombosis and endogenous endophthalmitis in the setting of COVID-19: A case report

Considering that COVID-19 patients are more prone to develop thromboembolism, appropriate workups must be done in case of relevant presentations. Given that immunomodulatory and immunosuppressant drugs are used to treat the inflammatory phase of COVID-19 patients may develop rare infections such as endogenous endophthalmitis.

Open Access

Osteochondroma of talus: A case report from Nepal

  • First Published: 12 May 2022

Talus may be affected in the osteochondromas. Surgical excision is a successful technique of treatment for symptomatic osteochondromas with low recurrence, despite the fact that most osteochondromas are treated conservatively.

Open Access

Longitudinally extensive transverse myelitis (LETM) secondary to SARS-CoV-2 infection: A recent reality in spinal cord injury rehabilitation

  • First Published: 12 May 2022
Longitudinally extensive transverse myelitis (LETM) secondary to SARS-CoV-2 infection: A recent reality in spinal cord injury rehabilitation

In this new pandemic era, spinal cord injury can be a complication of SARS-CoV-2 infection. Because of its significant burden, physical medicine rehabilitation remains a pivotal specialty in managing COVID-19 disabilities.

Open Access

Immunotherapy using Histobulin™ in psoriasis: A case report

  • First Published: 12 May 2022

There is no cure for psoriasis, and early treatment is recommended to improve skin manifestations and systemic inflammation, which can lead to comorbidities in various organs. Histobulin™ was effective and induced remission in a psoriasis patient.

Open Access

Hypertriglyceridemia-induced pancreatitis after egg retrieval for in vitro fertilization and fenofibrate cessation

  • First Published: 12 May 2022
Hypertriglyceridemia-induced pancreatitis after egg retrieval for in vitro fertilization and fenofibrate cessation

Fibrate therapy is recommended for high-risk women undergoing in vitro fertilization due to hormonal changes that can raise triglyceride levels and increase the risk of fetal harm from hypertriglyceridemia.

Open Access

Hansen’s disease masquerading as rheumatoid arthritis: A case report

  • First Published: 12 May 2022
Hansen’s disease masquerading as rheumatoid arthritis: A case report

Key messages of this case remains that musculoskeletal manifestations of the Hansen's disease should not be missed by clinicians.

Open Access

Large presacral Tarlov cysts in pregnancy

  • First Published: 12 May 2022
Large presacral Tarlov cysts in pregnancy

This is the first report of large presacral Tarlov cysts (cerebrospinal fluid-filled perineural cysts) diagnosed during pregnancy in which a cesarean delivery mode was selected to avoid the risk associated with vaginal delivery.

Open Access

Primary retroperitoneal cavernous hemangioma: An exceptional disease in adulthood

  • First Published: 12 May 2022

Primary retroperitoneal cavernous hemangioma is an extremely rare disease in clinical practice. To prevent catastrophic bleeding, this pathology should be recognized as a differential in retroperitoneal tumors.

Open Access

Cutaneous lymphangioma secondary to breast cancer radiotherapy after mastectomy: A case report

  • First Published: 12 May 2022

Breast lymphangioma may occur secondary to radiotherapy after mastectomy. It should be considered in the diagnosis of patients with vesicular lesions in the field of radiation therapy in the differential diagnosis of metastasis.

Open Access

Congenital cutaneous candidiasis in a premature neonate: A case report

  • First Published: 12 May 2022
Abstract

CCC is a rare infection with few reports in the literature; it can occur in preterm or term neonates with heterogeneous clinical manifestations. Early recognition and prompt diagnosis are essential to initiate treatment to avoid systemic compromise.

Open Access

Harlequin syndrome: An asymmetric face

  • First Published: 12 May 2022

Harlequin syndrome is a rare entity that may be the tip of a neurological iceberg. It may be idiopathic or associated with general diseases. The main clinical symptoms are flush and unilateral hyperhidrosis associated with hypo or anhidrosis and paleness of the opposite side. These patients should be referred to specialized ophthalmological and neurological examination.

Open Access

Application of laparoscopic distal pancreatectomy for normal anatomy after hiatal hernia repair: A case report

  • First Published: 12 May 2022

In cases requiring pancreatic tumor surgery associated with a giant type IV hiatal hernia, hernia repair should be initially performed to ensure that pancreatectomy can be performed safely and in the normal anatomical position.

Open Access

A rare homozygous p.Arg87Trp variant of the GBA gene in Gaucher disease: A case report

  • First Published: 12 May 2022

Gaucher disease is the most common inherited lysosomal storage disorder. It is a multisystem condition resulting from glucocerebrosidase deficiency, with high inter- and intrafamilial phenotypic variability. Gaucher disease patients can be eligible for enzymatic replacement therapy. Therefore, it should be suspected in adults presenting with unexplained splenomegaly and skeletal deformities.

Open Access

Pneumoparotid related to obstructive sleep apnea syndrome treated by oral appliance with anterior opening to reduce intraoral pressure

  • First Published: 12 May 2022
Pneumoparotid related to obstructive sleep apnea syndrome treated by oral appliance with anterior opening to reduce intraoral pressure

Pneumoparotid refers to retrograde insufflation of air inside the parotid gland. In a patient with pneumoparotid accompanying sleep apnea syndrome, an oral appliance with an anterior opening to reduce intraoral pressure can be effective.

Open Access

Dohsa-hou for unexplained regression in Down syndrome in a 19-year-old man: A case report

  • First Published: 15 May 2022
Dohsa-hou for unexplained regression in Down syndrome in a 19-year-old man: A case report

Usual medication plus psychological treatment can be helpful in treating unexplained regression in Down syndrome. However, when a patient has a history of aggression toward others, clinicians should carefully monitor the risk of acute aggression.

Open Access

Yellow nail syndrome in an elderly sudanese female: A case report

  • First Published: 15 May 2022

The co-existence of recurrent respiratory affection and non-pitting edema in patients of more than 40 years should raise suspicion of yellow nail syndrome even in absence of sinusitis, bronchiectasis, or positive family history.

Open Access

Isthmocele—a neglected cause of secondary infertility and implantation failure: A case report

  • First Published: 15 May 2022
Isthmocele—a neglected cause of secondary infertility and implantation failure: A case report

Isthmocele's diagnosis had been neglected in the initial evaluation of the presented case. Physicians should pay more attention to isthmocele's impact mechanisms on secondary infertility, implantation failure, and associated attributes.

Open Access

A component could not be larger than the whole, polyclonal immunoglobulin interference in conjugated/direct bilirubin assay and elimination: A case report

  • First Published: 15 May 2022
A component could not be larger than the whole, polyclonal immunoglobulin interference in conjugated/direct bilirubin assay and elimination: A case report

In the clinical laboratory, irrational results can signal the presence of analytical interferences, such as hemolysis, icterus, lipemia, and paraproteinemia. Although specimen dilution or the use of various measurement methods may not totally resolve the interference, they can assist in diminishing it and obtaining a reproducible result.

Open Access

Perampanel markedly improved clinical seizures in a patient with a Rett-like phenotype and 960-kb deletion on chromosome 9q34.11 including the STXBP1

  • First Published: 15 May 2022
Perampanel markedly improved clinical seizures in a patient with a Rett-like phenotype and 960-kb deletion on chromosome 9q34.11 including the STXBP1

Perampanel markedly improved clinical seizures in a patient showing a Rett-like phenotype with a de novo 960-kb deletion at 9q34.11 encompassing the STXBP1 gene. Perampanel may be useful for treating drug-resistant epilepsy.

Open Access

Choroidal neovascularization in a patient after resolution of multiple evanescent white dot syndrome: A case report

  • First Published: 15 May 2022
Choroidal neovascularization in a patient after resolution of multiple evanescent white dot syndrome: A case report

Choroidal neovascularization (CNV) is a rare complication of the multiple evanescent white dot syndrome (MEWDS). It can develop even when there is no evident inflammatory activity. Therefore, a long-term follow-up of such patients is important.

Open Access

Appendico-ileal knotting causing small bowel obstruction: A case report

  • First Published: 15 May 2022
Appendico-ileal knotting causing small bowel obstruction: A case report

Small bowel obstruction is one of the most common causes of emergency admission with abdominal pain often requiring surgical intervention. Small bowel obstruction (SBO) is a common cause of emergency admission to surgical ward. The etiologies for the majority of these cases include postoperative adhesions and hernia. However, acute appendicitis presenting with SBO due to appendico-ileal knotting is a very rare and unsuspected condition in an emergency scenarios.

Open Access

A rare case of pediatric pancreatic pseudocyst

  • First Published: 15 May 2022
A rare case of pediatric pancreatic pseudocyst

Pancreatic pseudocysts commonly occur in patients with a history of pancreatitis or trauma. Giant pancreatic pseudocysts, which are measured 10 cm or more in primary diameter, are rare and can be a surgical challenge.

Open Access

Stent thrombosis during COVID-19 pandemic: A case series

  • First Published: 18 May 2022

The covid-19 infection or vaccination may increase the chance of stent thrombosis due to a hypercoagulable state. Stent thrombosis is one of the most important complications of coronary artery stenting and always associated with catastrophic events.

Open Access

Venous thoracic outlet syndrome: When exercising may be discouraged

  • First Published: 15 May 2022
Venous thoracic outlet syndrome: When exercising may be discouraged

Thoracic outlet syndrome is an uncommon phenomenon, particularly the vascular subtype. Our purpose is to remind its natural history and to highlight the role of timely diagnosis and the challenging management of this disorder.

Open Access

Complex chromosomal rearrangement involving 15q11-q13 interstitial triplication and duplication: A new case report of dysmorphic and neuropsychiatric features

  • First Published: 15 May 2022
Complex chromosomal rearrangement involving 15q11-q13 interstitial triplication and duplication: A new case report of dysmorphic and neuropsychiatric features

We present a patient with the first known presentation of 15q11-q13 compound interstitial triplication and duplication spanning the largest region of the Prader–Willi Angelman Critical Region known till date.

Open Access

A case of preeclampsia developing massive ascites after delivery

  • First Published: 15 May 2022
A case of preeclampsia developing massive ascites after delivery

If an abdominal extension is observed as in this case, it is necessary to consider ascites retention in the management of aggravated PE.

Open Access

Case report: PICC line for a toddler with bilateral bidirectional Glenn shunt, Fontan circulation, and persistent left superior vena cava

  • First Published: 16 May 2022

Children with bilateral bidirectional Glenn shunt, Fontan procedure, and persistent left superior vena cava require an unique PICC placement approach to prevent unexpected complications. Hence, it is extremely important to provide nurses with knowledge about this altered central venous anatomy and explicitly outline in the PICC placement guidelines.

Open Access

Urinary bladder cavernous hemangioma in a 3-year-old: A rare case report

  • First Published: 16 May 2022
Urinary bladder cavernous hemangioma in a 3-year-old: A rare case report

Cavernous hemangioma (CH) accounts for 0.6% of all urinary bladder tumors. CH should be considered in the differential diagnosis of childhood urogenital mass. CH are rare benign tumors, with life-threatening complications when diagnosis is delayed. CH is insensitive to chemotherapy, thus surgery is effective in low-resource setting.

Open Access

Stomatological management and implant-supported rehabilitation in a patient with recessive dystrophic epidermolysis bullosa

  • First Published: 16 May 2022
Stomatological management and implant-supported rehabilitation in a patient with recessive dystrophic epidermolysis bullosa

Implant-supported prostheses can be an effective and reliable solution for patients suffering from chronic dermatological oral manifestations of bullous disorders.

Open Access

Case of follicular mucinosis showing brownish yellow and red dots via dermoscopy

  • First Published: 16 May 2022
Case of follicular mucinosis showing brownish yellow and red dots via dermoscopy

Follicular mucinosis may show a combination of brownish yellow dots and red dots in a dermoscopic examination. Dermatologists need to consider follicular mucinosis when these dermoscopic findings are obtained.

Open Access

Fahr syndrome discovered in adulthood revealing a rare GNAS mutation in pseudohypoparathyroidism type 1a in a Tunisian family

  • First Published: 16 May 2022

PHP1a is one of the rare and little-known pathologies that can take a long time to be discovered. It associates a particular morphotype, subcutaneous calcifications and bone and renal resistance to parathormone. It is an inherited condition, which results from an abnormality in the GNAS gene. It is usually diagnosed in childhood. and few studies have addressed its natural history. Our report illustrates the natural history of a patient with PHP1A, which went undiagnosed until the age of 31 years. Through this clinical case, we emphasize the importance of a complete phosphocalcic balance in order to find and recognize the typical biochemical alterations associated with this pathology (hypocalcemia, hyperphosphatemia and high levels of PTH), the need for a detailed clinical examination because the phenotypic appearance often escapes notice and the identification of the responsible mutation in the index case is useful for screening other family members avoiding late diagnosis.

Open Access

Cutis verticis gyrata: Three cases illustrating three different etiologies

  • First Published: 18 May 2022
Cutis verticis gyrata: Three cases illustrating three different etiologies

Cutis verticis gyrata is a rare neurocutaneous syndrome with mainly anesthetic impact. A rigorous clinical examination with a minimal workup is required to eliminate a secondary or a primary non-essential form and to assess interdisciplinary management.

Open Access

Lateral luxation: Is root resorption an unavoidable complication?

  • First Published: 18 May 2022

The key clinical message of this case report is to detail the management of lateral luxation and to highlight the importance of clinical and radiological follow-up in order to detect the possible complications, particularly root resorption.

Open Access

Long-segment restrictive tear of radial artery under ultrasound guide for arteriovenous fistula by PTA: A case report

  • First Published: 18 May 2022
Long-segment restrictive tear of radial artery under ultrasound guide for arteriovenous fistula by PTA: A case report

PTA was performed successfully using a balloon to expand and restrictively tear the longitudinal axis of the RA. The method may be a useful measure of promoting maturation of AVF in diabetic nephropathy.

Open Access

A rare case of concurrent pulmonary and hepatic hydatid cysts treated by single-stage surgical management

  • First Published: 18 May 2022
A rare case of concurrent pulmonary and hepatic hydatid cysts treated by single-stage surgical management

Concurrent pulmonary and hepatic hydatid cysts can be managed with a single-stage surgical procedure. Following such a procedure, the patient in this case experienced a complete recovery.

Open Access

Free-wall perforation of the left ventricle after acute myocardial infarction complicated with pericardial tamponade that mimicked ascending aortic dissection: A case report

  • First Published: 18 May 2022
Free-wall perforation of the left ventricle after acute myocardial infarction complicated with pericardial tamponade that mimicked ascending aortic dissection: A case report

A combination of cardiac tamponade and myocardial infarction with effusion around the ascending aorta tends to be diagnosed as an acute aortic dissection complicated with coronary malperfusion, but free-wall rupture should be ruled out.

Open Access

Repair of double orifice mitral valve with an atrioventricular septal defect in a girl with Ellis–Van Creveld syndrome

  • First Published: 18 May 2022
Repair of double orifice mitral valve with an atrioventricular septal defect in a girl with Ellis–Van Creveld syndrome

Congenital heart defects are common among Ellis–Van Creveld syndrome patients, and need to be managed to enhance the quality of life and improve prognosis. Partial atrioventricular septal defect is among the most common congenital heart defects in these patients, and double orifice mitral valve is encountered frequently.

CASE IMAGE

Open Access

Bone marrow aspiration in a patient with systemic microsporidium

  • First Published: 16 May 2022
Bone marrow aspiration in a patient with systemic microsporidium

Systemic infectious diseases can be confused with malignant hematological diseases, because they tend to invade the bloodstream and even bone marrow. Bone marrow aspiration can help full out the differential diagnoses.

CLINICAL IMAGES

Open Access

Can the Omicron variant of COVID-19 cause pneumonia in young patients without risk factors?

  • First Published: 04 May 2022
Can the Omicron variant of COVID-19 cause pneumonia in young patients without risk factors?

We presented a case of COVID-19 pneumonia by the Omicron variant in a 19-year-old woman. This case suggests that the Omicron variant can cause pneumonia even in young patients without risk factors.

Open Access

False aneurysm in a Charcot foot: A case report

  • First Published: 04 May 2022
False aneurysm in a Charcot foot: A case report

We want to transmit to doctors who could one day face a swelling on a Charcot foot that the hypothesis of false arterial aneurysm must be part of the diagnoses to be evoked among infectious and tumoral etiologies. Ignoring this diagnosis can lead to serious consequences.

CASE REPORTS

Open Access

Cone-beam computed tomography in the diagnosis of regional odontodysplasia

  • First Published: 20 May 2022
Cone-beam computed tomography in the diagnosis of regional odontodysplasia

General and pediatric dentists should be familiar with the clinical and the imaging features of regional odontodysplasia so that an appropriate diagnosis and adequate therapeutic strategy are performed.

Open Access

Listeria endocarditis and spondylodiscitis: A case report and review of the literature

  • First Published: 20 May 2022
Listeria endocarditis and spondylodiscitis: A case report and review of the literature

The diagnosis of Listeria endocarditis and spondylodiscitis is challenging, especially in the absence of fever. In our case, the patient had no fever and had high CRP level and prosthetic valve. Blood cultures taken for polyarthritis were positive.

Open Access

Double purse-string suture surgical wound closure after excision of nipple adenoma of the breast: A case report

  • First Published: 20 May 2022
Double purse-string suture surgical wound closure after excision of nipple adenoma of the breast: A case report

Nipple adenoma is a rare, benign pathology that requires adequate excision and satisfactory surgical reconstruction. Our excision and double purse-string suture method covered both requirements, forgoing necessitation of special training of the surgeon or expensive equipment, thus rendering it a simple, safe, and effective treatment option.

Open Access

Immune-mediated thrombotic thrombocytopenic purpura in a Jehovah’s Witness – Effectiveness of incorporating extracorporeal immunoadsorption to caplacizumab, steroids and rituximab

  • First Published: 20 May 2022

Our experience in this case suggests that caplacizumab together with corticosteroids, rituximab, and EIA may be an effective treatment option for further patients with i-TTP who are unable to undergo TPE. EIA is as a treatment in place of TPE contributing to a very rapid removal of autoantibodies against ADAMTS-13.

Open Access

Hyaluronic acid augmentation pharyngoplasty complicated by retropharyngeal abscess and grisel syndrome: Case report and literature review

  • First Published: 20 May 2022

Velopharyngeal insufficiency (VPI) can be treated conservatively by speech therapy or surgically by augmentation pharyngoplasty and pharyngeal surgeries. Augmentation pharyngoplasty is safe and well-tolerated procedure. We report a very rare complication of this procedure which is retropharyngeal abscess and Grisel syndrome (GS). GS is a serious condition that requires early diagnosis and prompt intervention to prevent further neurological complications.

Open Access

The positive short-term effect of dexamethasone on ataxia symptoms in a patient with ataxia-telangiectasia: A case report

  • First Published: 20 May 2022
The positive short-term effect of dexamethasone on ataxia symptoms in a patient with ataxia-telangiectasia: A case report

AT is a rare neurodegenerative genetic disorder caused by biallelic mutations in the AT-mutated gene. Glucocorticoid analogs can improve neurological symptoms in AT patients. Taking oral dexamethasone at a dose of 0.075 mg/kg/day for 28 days can improve ataxia symptoms in AT patients.

Open Access

Intra-articular osteoid osteoma of the capitulum: A diagnostic challenge

  • First Published: 20 May 2022
Intra-articular osteoid osteoma of the capitulum: A diagnostic challenge

We describe the first case of intra-articular osteoid osteoma of the capitulum presented as elbow pain, extension lack, and sensation of click in joint flexion. Surgical treatment either arthroscopic or open is more in use in tumor location than cortical osteoid osteoma. Radiofrequency ablation should be used with extreme caution.

Open Access

Laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis in a patient with a left ventricle assist device: A case report and brief review of the literature (with video)

  • First Published: 22 May 2022
Laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis in a patient with a left ventricle assist device: A case report and brief review of the literature (with video)

When acute cholecystitis is encountered in a patient with a left ventricular assist device, performing laparoscopic cholecystectomy (LC) after reducing inflammation with PTGBD, instead of performing an emergency LC may be useful.

Open Access

Development of metastatic Merkel cell carcinoma following the excision of same-sided recurrent auricular melanoma

  • First Published: 22 May 2022
Development of metastatic Merkel cell carcinoma following the excision of same-sided recurrent auricular melanoma

Merkel cell carcinoma is a rare cutaneous malignancy that should not be overlooked when evaluating an individual with a new skin lesion and possible metastasis, especially in those with history of other cutaneous malignancies such as melanoma.

Open Access

Alpha-L-iduronidase deficiency: A novel mutation resulting in severe early presentation of Mucopolysaccharidosis type I and literature review of the molecular basis

  • First Published: 27 May 2022
Alpha-L-iduronidase deficiency: A novel mutation resulting in severe early presentation of Mucopolysaccharidosis type I and literature review of the molecular basis

A variant in a form of IDUA multiple exons deletion (deletion of exon 9′–3′) may indicate early severe MPS I phenotype. Moreover, this variant might be associated with cardiac involvement as its first manifestation. Establishment of the genetic diagnosis permits genetic counseling, prevents patients from undergoing unhelpful diagnostic procedures and allows for accurate prognosis.

Open Access

Rare case of nasal cavity chondrosarcoma presenting only with unilateral decreased vision

  • First Published: 23 May 2022
Rare case of nasal cavity chondrosarcoma presenting only with unilateral decreased vision

Chondrosarcomas of the paranasal sinuses are rare and pose diagnostic and treatment challenge. Rarely will they initially present with ocular symptoms. A comprehensive range of medical investigation enables timely recognition and treatment.

CASE REPORT

Open Access

Endomyocardial fibrosis in a non-tropical patient who presented with chest pain mimicking ACS and left ventricular thrombus, case report

  • First Published: 23 May 2022
Endomyocardial fibrosis in a non-tropical patient who presented with chest pain mimicking ACS and left ventricular thrombus, case report

Endomyocardial fibrosis is a rare cause of restrictive cardiomyopathy. Its etiology is poorly understood with a challenging diagnosis and treatment. It should be considered as a cause of unexplained chest pain and heart failure.

CASE IMAGE

Open Access

Is air an issue? A severe case of subcutaneous emphysema in an immunocompromised patient

  • First Published: 23 May 2022
Is air an issue? A severe case of subcutaneous emphysema in an immunocompromised patient

Recognize abdominal crepitus and air in the subcutaneous tissue as an entity that requires prompt and aggressive management; and identify key elements from the medical history and risk factors that could lead to its development.

Open Access

Labyrinthitis ossificans following severe acute otitis media

  • First Published: 24 May 2022
Labyrinthitis ossificans following severe acute otitis media

Labyrinthitis is the inflammation of the inner ear and can result in labyrinthitis ossificans. The T2-weighted magnetic resonance imaging can play a crucial role in the diagnosis of labyrinthitis ossificans.

Open Access

Intrapelvic migration of the lag screw in intramedullary nailing after intertrochanteric fracture fixation: A case report

  • First Published: 23 May 2022
Intrapelvic migration of the lag screw in intramedullary nailing after intertrochanteric fracture fixation: A case report

Orthopedic surgeons should be aware of the seriousness of vascular complications in the event of intrapelvic migration of the lag screw from locking trochanteric nail. Thus, they had to be more careful and not trivialize this daily surgery.

Open Access

Successful repair of a postcardiac surgery ascending aortic pseudoaneurysm

  • First Published: 27 May 2022
Successful repair of a postcardiac surgery ascending aortic pseudoaneurysm

When a late pseudoaneurysm of ascending aorta after cardiac operation is diagnosed, the surgical correction should not be delayed for the prevention of life-threatening complications.

CASE REPORTS

Open Access

Bell’s palsy with preeclampsia in pregnancy

  • First Published: 23 May 2022
Bell’s palsy with preeclampsia in pregnancy

There is likely an association of Bell's palsy with preeclampsia during pregnancy. It is imperative to initiate screening for preeclampsia in pregnant women with Bell's palsy to detect and treat it early to improve the maternal and perinatal outcomes.

Open Access

Neurosurgery in a patient with severe hemophilia B: an experience using eftrenonacog alfa as perioperative management

  • First Published: 23 May 2022

Hemophilia patients may need surgical interventions for complications either related or not to their coagulopathy. Real-life experience is still limited using eftrenonacog alfa. This case demonstrates that it is an effective and safe treatment option.

Open Access

Isolated psoas abscess caused by Mycobacterium tuberculosis: A rare case report

  • First Published: 27 May 2022
Isolated psoas abscess caused by Mycobacterium tuberculosis: A rare case report

Thoracolumbosacral MRI revealing no evidence of spondylodiscitis adjacent to psoas collection.

Open Access

Transoral removal of a hilo-parenchymal submandibular sialolith

  • First Published: 27 May 2022

TASL is an established minimally invasive technique described more than 20 years ago. However, it is important to report these findings in literature, since previous reports suggested that it is an underutilized surgical technique.

Open Access

Dilemma of Tocilizumab therapy for a patient with critical COVID-19 disease and neutropenia: Case report and review of the literature

  • First Published: 27 May 2022
Dilemma of Tocilizumab therapy for a patient with critical COVID-19 disease and neutropenia: Case report and review of the literature

For patients with COVID-19 disease progressing toward cytokine storm syndrome (CSS) in the presence of significant neutropenia, combined tocilizumab and G-CSF therapy circumvent potential therapeutic limitations leading to safe outcomes.

Open Access

Cavernous hemangioma of mesentery involving the jejunum causing intestinal obstruction in an adult male

  • First Published: 27 May 2022
Cavernous hemangioma of mesentery involving the jejunum causing intestinal obstruction in an adult male

Gastrointestinal hemangiomas are uncommon and the presentation of the patient depends on the location of the tumor. Diagnosis is usually established following surgery and histopathology. Surgical resection is usually curative.

Open Access

Suicidal attempt by disinfectant solution ingestion in case of opioid dependence

  • First Published: 27 May 2022

The importance of paying attention to suicide risk in cases of opioid dependence with a history of psychiatric illness, even if hospitalized, maintaining patient safety issues in the hospital's ward and ICU, unavailability of dangerous equipment and careful monitoring by nurses, patient care in terms of self-harm and/or to others, and psychiatric counseling for such patients is emphasized in the treatment of such patients.

Open Access

E. coli bacterial meningitis after transrectal prostate biopsy under antibiotic prophylaxis: a case report and literature review

  • First Published: 27 May 2022

Even after antibiotic prophylaxis, severe infections sometimes follow transrectal prostate biopsy. Involvement of the central nervous system is not well known but demands early recognition. In this situation, intravenous antibiotics with a high penetration through the blood–brain barrier are of vital importance. The most effective preventive measure against infectious complications is to change the biopsy approach to transperineal.

Open Access

Anchored fallopian tube through the drain tube: A rare case report

  • First Published: 27 May 2022

Anchored fallopian tube through the drain tube is a rare postoperative complication. This differential should be kept in mind if the drain tube in the pelvic cavity cannot be removed post-salpingectomy.

Open Access

The Potential Involvement of SARS-CoV-2 in the Immuno-Pathogenesis of a Type A Aortic Dissection Case

  • First Published: 27 May 2022

In the case of severe SARS-CoV-2 infection, severe inflammation (i.e., cytokine storm) and downregulation of ACE2 can be associated with aortic dissection.

Open Access

Pure Sertoli cell tumor of the ovary: A case report

  • First Published: 23 May 2022
Pure Sertoli cell tumor of the ovary: A case report

Pure Sertoli cell tumors are rare variant of ovarian Sertoli-Leydig cell tumors. The prognosis is excellent if detected early and resected timely.