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COVER IMAGE
Cover Image
- First Published: 27 January 2023

The cover image is based on the Case Report Tooth adornment among siblings living in an urban slum in Nigeria: Health implications for a vulnerable population by Mary E. Osuh et al., https://doi.org/10.1002/ccr3.6563.
Cover Image
- First Published: 24 February 2023

The cover image is based on the Case Report Surgical strategy for airway management and bleeding control in penetrating neck injury in zone II: A case report by Tomohiro Akutsu et al., https://doi.org/10.1002/ccr3.6862.
Cover Image
- First Published: 24 February 2023

The cover image is based on the Case Report Healing of large endodontic lesions using a new combination of triple antibiotics: A case report by Saeed Asgary et al., https://doi.org/10.1002/ccr3.6879.
ISSUE INFORMATION
CASE REPORT
Challenges in management of Bartholin gland leiomyoma: A case report
- First Published: 28 January 2023
COVID-19-induced thrombotic microangiopathy: A great mimicker of thrombotic thrombocytopenic purpura (TTP)
- First Published: 16 January 2023

COVID-19-associated thrombosis is becoming well documented in the literature and clinical practice. Treating physicians must be cognizant to the less known thrombotic microangiopathy which can be a consequence of COVID-19. Clinical findings overlap with thrombotic thrombocytopenic purpura (TTP), although it may not be responsive to mainstay treatment of TTP.
Radiation-induced myofibroblastoma within the nasal sinus requiring maxillectomy and ethmoidectomy: A case report and literature review
- First Published: 20 January 2023
Tooth adornment among siblings living in an urban slum in Nigeria: Health implications for a vulnerable population
- First Published: 03 January 2023
Flumatinib plus venetoclax as an effective therapy for Philadelphia chromosome-positive acute myeloid leukemia: A case report
- First Published: 03 January 2023
The figure shows the treatment process of the patient and the dynamic changes in blood cell count during venetoclax and flumatinib. The BCR::ABL1 transcript was negative after two courses of the combination of venetoclax anf flumatinib. No serious adverse events occurred during the treatment, although hematological toxicity was observed.
Elimination of refractory ventricular tachycardia storm and fibrillation using stereotactic radiotherapy
- First Published: 16 January 2023
Effectiveness of stellate ganglion block for the treatment of patulous eustachian tube: A case report
- First Published: 03 January 2023
We concluded that successful management of PET can be obtained with SGB; this treatment was not previously used for this disorder.
Aortic arch surgery for type B aortic dissection: How far should we go? The value of a hybrid approach
- First Published: 03 January 2023

Surgical treatment for aortic disease remains challenging and demanding. Treatment often needs to be tailored to the patient or the group of patients being referred. A hybrid approach may have a role to play as an additional option to the surgical armamentarium. Cooperation between different specialists is essential.
Negative effects of rivaroxaban observed in a patient with multiple common risks triggered by a bicycle accident
- First Published: 20 January 2023
Rupture of a previously undiagnosed intracranial aneurysm during endoscopic dacryocystorhinostomy: A case report
- First Published: 16 January 2023
Lung abscess due to Streptococcus intermedius associated with SARS CoV-2 infection in pregnancy: Unusual presentation and complication of a commensal bacteria during pregnancy
- First Published: 03 January 2023
Recreational nitrous oxide induced subacute combined degeneration of the spinal cord: A case report
- First Published: 16 January 2023

Simplified schematic representation of the effects of the inactivation of vitamin B12 by nitrous oxide. Nitrous oxide oxidizes cobalt ions in vitamin B12 leading to inactivation, which results in an increase in homocysteine and methylmalonic acid and the inability to synthesize or maintain myelin leading to SACD. SACD, subacute combined degeneration.
Common variable immunodeficiency with granulomatous-lymphocytic interstitial lung disease treated with monoclonal antibodies against COVID-19: A case report
- First Published: 23 January 2023
Targeted treatment of refractory primitive neuroectodermal tumor arising from an immature teratoma with crizotinib leading to a sustained response
- First Published: 03 January 2023
A case of shock after STEMI: Think beyond the cardiogenic one
- First Published: 11 January 2023

Adrenal crisis is a rare life-threatening condition that can occur after segment elevation myocardial infarction. Because it can mimic cardiogenic shock and can lead to the development of takotsubo syndrome, it is important to recognize it in order to initiate appropriate treatment and reduce mortality.
Surgical management of severe pediatric blunt abdominal trauma
- First Published: 16 January 2023
Surgical treatment of liver trauma consists of bleeding control. Therefore, it is important to choose a surgical method and material that is easy for the team to handle in order to achieve hemostasis, while avoiding complications.
Juvenile polyposis syndrome: A case report
- First Published: 03 January 2023
“JPS ought to be suspected in patients with multiple-stalked polyps. Endoscopic studies may not be sufficient to pinpoint the diagnosis but can be a useful guide in diagnosis of JPS. Histology with genetics can be used as confirmatory tests.”
Trust but verify: A case report of unintended medication omission
- First Published: 03 January 2023
Applying the proverb “trust but verify” by revisiting the initial medication history likely prevented unnecessary testing and subsequent medical interventions.
Insights from a rare myeloproliferative neoplasm with coexisting BCR-ABL1 fusion gene, CALR, and TET2 mutations treated with nilotinib and ruxolitinib
- First Published: 23 January 2023
Recurrent urinary tract infection associated with SGLT-2 inhibitor in type 2 diabetes mellitus patient: A case report
- First Published: 03 January 2023
Treatment of a high healthcare utilizer with sepsis in a virtual hybrid hospital-at-home program
- First Published: 03 January 2023
A novel RAD51 variant resulting in Fanconi anemia identified in an infant with multiple congenital anomalies
- First Published: 19 January 2023
The four described patients with RAD51-associated Fanconi anemia share several characteristics. However, our patient also presented with tracheobronchomalacia and other uncommon anomalies that help expand the phenotype of this rare disease.
Streptococcus-related acute suppurative thyroiditis in a COVID-19-positive child: A rare case report
- First Published: 03 January 2023
A case report of multiple abscesses caused by Streptococcus intermedius
- First Published: 16 January 2023
Streptococcus intermedius has a unique tropism in the brain, liver, and lungs leading to abscess formation. When compared to other members of this group like Streptococcus anginosus and Streptococcus constellatus, S. intermedius infections are more substantial. S. intermedius is unique to the other bacteria in SAG due to the expression of intermedilysin (ILY), allowing it to cause cell necrosis with membrane bleb formation. The mortality rate for SAG-associated bacteremia is 10%–16%. Early recognition and timely intervention are important for successful treatment and improved outcomes. There are currently no screening guidelines when S. intermedius is found in culture data; however, clinicians should have a low threshold to consider imaging for indolent infections.
Recurrent sideroblastic anemia during pregnancy
- First Published: 11 January 2023

Although Sideroblastic anemia is a rare type of anemia, it should be considered in cases of unexplained pregnancy-relapsing anemia. Identification of possible revisable causes like pyridoxine deficiency is crucial to avoid both maternal and fetal adverse effects. Extensive workup including deep genetic testing might be required, guided by each case's clinical and histopathological findings..
Surgical revascularization for severe spasm in the left main coronary artery
- First Published: 06 January 2023
Brain abscess due to Nocardia asiatica in a 63-year-old patient with adult-onset still disease: A case report
- First Published: 11 January 2023
Tumor-to-tumor metastasis to Warthin tumor presenting as an initial sign of breast carcinoma: A case report
- First Published: 06 January 2023

Tumor-to-tumor metastasis to salivary gland tumors is extremely rare. We present a case in which lobular breast carcinoma metastases were found within a Warthin tumor of the left parotid gland. The pathology of the distant metastases steered the diagnostics of the primary breast tumor. This patient case serves as a reminder that a new distant primary cancer might be the cause of a parotid lump.
Acute myocardial infarction complicated by purulent pericarditis: A case report
- First Published: 08 January 2023
Pacemaker implantation for persistent sinus node dysfunction in a patient with COVID-19
- First Published: 06 January 2023
To recognize that sinus bradycardia initiated by COVID-19 can cause congestive heart failure and identify COVID-19 as a potential etiology of sinus node dysfunction. Although it is usually reversible, it may persist in some patients.
A case report of biallelic CHEK2 heterozygous variant presenting with breast cancer
- First Published: 11 January 2023
The value of dynamic elastomeric fabric orthoses in the management of a complex hypermobile Ehlers-Danlos syndrome patient: A case report
- First Published: 16 January 2023
Goblet cell adenocarcinoma of the ascending colon: An underrecognized diagnostic pitfall
- First Published: 11 January 2023
A giant quiet esophageal polyp: A case report
- First Published: 11 January 2023
Esophageal polyps are rare and asymptomatic; however, they can grow extensively and cause significant discomfort for the patient. Therefore, it is crucial to consider them as a differential diagnosis.
Liver transplantation following late-onset hepatic sinusoidal obstruction syndrome occurred beyond 1-year postallogeneic hematopoietic stem cell transplantation
- First Published: 11 January 2023
This late-onset HOVD case occurred beyond 16 months post-HSCT indicating that late-onset HOVD should be taken into consideration when patients developed related clinical signs no matter how long post-HSCT. Solid organ transplantation offers valuable therapeutic options for patients with single organ failure after HSCT without adverse impact on overall outcomes.
Adult-onset still's disease and budd-chiari syndrome: A case report
- First Published: 16 January 2023

Adult onset still's disease is a rare autoinflammatory disease displaying with a wide range of non-specific symptoms and budd-chiari syndrome is an uncommon disorder characterized by obstruction of hepatic venous outflow. AOSD complicated with BCS is a rare but potentially life-threatening entity. Clinicians should be aware of this complication.
A rare case of pancytopenia causing- Sheehan's syndrome: Case report and literature review
- First Published: 23 January 2023
Neutrophilic erythrophagocytosis in myelodysplastic syndrome and cold agglutinin disease co-occurrence
- First Published: 11 January 2023
Adult-size interface during non-invasive ventilation for a child with pediatric acute respiratory distress syndrome: Maintaining principle on a different population
- First Published: 16 January 2023
First tiger shark Galeocerdo cuvier bite in 75 years in French Polynesia (Eastern Central Pacific)
- First Published: 16 January 2023
A laparoscopic approach to address massive splenomegaly, symptomatic cholelithiasis, and a planned postoperative pregnancy: A case report
- First Published: 23 January 2023
Laparoscopic splenectomy is a safe and effective approach for patients with immune thrombocytopenic purpura, even those with massive splenomegaly. We highlight the benefits of tailoring the surgical approach to address the patient's surgical needs.
Bilateral anterior ischemic optic neuropathy and choroidal ischemia in a patient with COVID-19 infection
- First Published: 23 January 2023
Double valve replacement in a case of Hedinger syndrome
- First Published: 19 January 2023
Early-onset neonatal sepsis due to Streptococcus salivarius: A case report
- First Published: 11 January 2023
Relapsed mantle cell lymphoma presenting with lactic acidosis and hypoglycemia: A case report
- First Published: 11 January 2023
Orbital apex syndrome due to herpes zoster infection in a patient with chronic kidney disease: A case report
- First Published: 11 January 2023
Coexistence of anti-MDA5 and anti-PL-7 in a patient with dermatomyositis: A case report
- First Published: 23 January 2023
The coexistence of anti-MDA5 and anti-PL-7 antibodies is extremely rare. We report a 41-year-old woman with coexisting anti-MDA5 and anti-PL-7 and the patient had an effective response to treatment.
Albright hereditary osteodystrophy: Delay in the diagnosis of a rare disorder due to restricted medical services
- First Published: 16 January 2023
A case report of sacral neuromodulation tined lead migration into the rectum
- First Published: 16 January 2023
After implanting an SNM lead, complications may not manifest only as urinary symptoms. In our case, lead migration occurred after gastrointestinal symptoms, but without urinary tract symptoms.
Secondary subcutaneous abscess due to mixed infections by Peptoniphilus olsenii and Gleimia europaea after COVID-19
- First Published: 16 January 2023
Necrotizing fasciitis and septic shock due to streptococcal toxic shock syndrome in an elderly patient: A case report
- First Published: 19 January 2023
The elderly patient suffered from streptococcal toxic shock syndrome and went into shock rapidly and progressively. However, prompt surgical treatment, antimicrobial agents, and blood purification therapy such as polymyxin B immobilized fiber column direct hemoperfusion and continuous hemodiafiltration could have saved the patient's life.
Intraosseous lipoma of Calcaneum: A rare incidental finding
- First Published: 16 January 2023
Cadaveric kidney transplantation in an ESRD patient with Klippel–Feil syndrome—A case report
- First Published: 19 January 2023
Klippel–Feil syndrome is a skeletal disease with fusion of cervical vertebrae. During surgery, attention should be paid to the difficulty in airway management and the importance of being prepared for it using video laryngoscopy. Because anatomy of vessel and bladder were normal, technique of kidney transplant surgery was routine.
Distalization using efficient attachment protocol in clear aligner therapy—A case report
- First Published: 20 January 2023

Distalization of full cusp class IIs always poses therapeutic challenges, more so with clear aligner therapy. This case report illustrates efficient class II correction with CA by judicious use of short class II elastics, 14-day aligner change, sequential distalization by optimizing staging prescriptions, and efficient anchorage planning with attachment protocols.
Left ventricular pseudoaneurysmectomy in patient without hemodynamic instability: A case report
- First Published: 16 January 2023
Left ventricular pseudoaneurysm can lead to serious morbidity or mortality. The reported incidence is 10%–35% and has declined, primarily after coronary angioplasty. Several treatment methods are currently available. These all need to be taken individually when surgery or medical treatment is appropriate.
Nonketotic hyperglycemic hemichorea-hemiballismus in a pediatric patient: A case report
- First Published: 19 January 2023
Recurrent stroke in an African female with idiopathic thrombotic thrombocytopenic purpura: A case report
- First Published: 16 January 2023
Surgical strategy for airway management and bleeding control in penetrating neck injury in zone II: A case report
- First Published: 23 January 2023
Atypical presentation of syphilis: Rapidly progressive glomerulonephritis
- First Published: 16 January 2023
Interatrial septum dissection, severe aortic stenosis, and paravalvular mitral regurgitation: A rare combination and their hemodynamic interrelationship
- First Published: 16 January 2023

Left atrial wall dissection is a rare complication of mostly mitral valve interventions and is often underrecognized given its wide clinical presentations. Diagnosis requires a multimodality imaging approach. Although its management approaches are controversial, conservative treatment should be considered. Increased incidence in the future is likely because of increased percutaneous interventions.
Incidental finding of a hidden central polydactyly: A case report
- First Published: 16 January 2023
Lumbar paraspinal atypical spindle cell/pleomorphic lipomatous tumor: A report of a rare case
- First Published: 28 January 2023
A case of Candida metapsilosis conjunctivitis in a neonate admitted to the cardiac heart intensive care unit
- First Published: 23 January 2023
Treatment of unexplained facial numbness with stellate ganglion blockade: A case report
- First Published: 19 January 2023
To date, there is no established treatment for facial numbness or dysesthesia of unknown origin. A 50-year-old man with no history of psychosomatic consultation and a tendency toward anxiety on the Hospital Anxiety and Depression Scale presented with facial numbness. He was successfully treated using a stellate ganglion block (SGB).
Bilateral non-contiguous necrotizing fasciitis of the lower extremities
- First Published: 19 January 2023
Healing of large endodontic lesions using a new combination of triple antibiotics: A case report
- First Published: 23 January 2023
The recently introduced combination of triple antibiotics (penicillin G, metronidazole, and ciprofloxacin; PMC) seems to be an effective medication against intracanal microbiota and appears to be able to assist in the preparing a matrix for the healing of endodontic lesions, making PMC a promising medicament against the dental root canal originated diseases.
Vaccine-induced immune thrombotic thrombocytopenia (VITT) after SARS-CoV-2 vaccination: Two cases from Germany with unusual presentation
- First Published: 20 January 2023

Vaccine-induced immune thrombotic thrombocytopenia (VITT) is a rare clinical condition that has emerged during mass vaccination against SARS-CoV-2. The diagnosis of VITT requires a high index of suspicion because many aspects of the syndrome are not yet fully understood, and unusual presentations may occur.
Surgical endodontic treatment of maxillary incisors: Case report
- First Published: 20 January 2023
Treatment of primary eosinophilic colitis using immunoglobulin/histamine complex
- First Published: 20 January 2023
An immunoglobulin/histamine complex effectively induced remission of primary eosinophilic colitis. It had both antinociceptive effects and nonallergen-specific desensitization effects.
A case of dysautonomia after COVID-19 infection in a patient with poorly controlled type I diabetes
- First Published: 23 January 2023
Congenital chikungunya in a neonate with early-onset sepsis and petechiae: An unusual case report
- First Published: 23 January 2023
Spontaneous intracranial hypotension complicated by unilateral subdural hematoma, coma, and the rare Kernohan's notch phenomenon
- First Published: 23 January 2023

This article offers support for recently emerging literature on the morbidity of spontaneous intracranial hypotension (SIH), a condition previously considered to have a benign course. Subdural hematoma (SDH) in the background of SIH should be assessed carefully as neurosurgical interventions aiming at hematoma evacuation can possibly lead to further exacerbation of SIH.
Rare presentation of retroperitoneal leiomyosarcoma mimicking a myoma in a 46-year-old woman: A case report
- First Published: 28 January 2023
CASE IMAGES
Pituitary hyposignal characteristic of hemochromatosis on MRI
- First Published: 11 January 2023

Pituitary haemochromatosis is an endocrine disorder caused by the accumulation of iron due to a lack of absorption during haemochromatosis. The characteristic appearance on MRI is a T2 and T2* hyposignal of the anterior pituitary gland without enhancement, respecting the pituitary stalk and the posterior pituitary gland. Diagnosis is essential for early treatment.
Differentiation syndrome in patients with acute promyelocytic leukemia
- First Published: 26 January 2023

Differentiation syndrome should be suspected and considered on the top of the differential diagnoses whenever you encounter a patient with acute promyelocytic leukemia who deteriorates after starting chemotherapy with ATRA/ATO and prompt management with steroids is crucial in order to avoid this fatal complication.
Imaging manifestations of small cell neuroendocrine carcinoma of the ureter
- First Published: 23 January 2023
Heart rate response during cardiopulmonary exercise in the denervated heart
- First Published: 23 January 2023
Localized skin mottling associated with acute gastric dilatation
- First Published: 16 January 2023
Foreign body reaction granuloma mimicking an aggressive tumor of the mandible
- First Published: 16 January 2023
Radiological manifestation of optic nerve infarction in a patient with invasive mucormycosis secondary to diabetic ketoacidosis in Pakistan
- First Published: 19 January 2023
Immunocompromised patients usually suffer from fungal infections. If not managed in time, patient can end up having optic nerve infarction and invasive intracranial complications.
Wound myiasis resulting from a neglected insect bite wound
- First Published: 20 January 2023
Sarcomatoid carcinoma of the gallbladder: A rare and aggressive form of gallbladder cancer
- First Published: 16 January 2023
Neurogenic pulmonary edema caused by right insular cortex infarction
- First Published: 16 January 2023
Cerebral infarction involving insular cortex can cause neurogenic pulmonary edema (NPE). The NPE should be considered in the differential diagnosis of dyspneic patients with cerebral infarction involving the insular cortex.
Teaching NeuroImages: Absence of bilateral internal carotid arteries with multiple aneurysms
- First Published: 23 January 2023
Galassi type III arachnoid cyst presenting as a migraine of weariness
- First Published: 20 January 2023
Tuberculous tenosynovitis of the hand: A challenging diagnosis
- First Published: 26 January 2023
Paraduodenal hernia: An exceptional cause of acute bowel obstruction
- First Published: 26 January 2023
Primary aortoduodenal fistula presenting as a rare cause of upper gastrointestinal bleeding
- First Published: 16 January 2023
CASE VIDEOS
Left atrial myxoma causing near-total mitral valve obstruction
- First Published: 20 January 2023
We present a clinical video of a large left atrial myxoma causing mitral valve obstruction, highlighting the importance of echocardiography as a diagnostic modality to facilitate referral to a tertiary center.
Interhemispheric gravity-assisted approach for microsurgical resection of a splenium arteriovenous malformation
- First Published: 26 January 2023