by Serrano Gomez Yaritza, Aneke Ijeoma and Zonouzi-Zadeh Farideh
Case Report
Liver abscesses are purulent collections in the liver parenchyma that result from bacterial, fungal, or parasitic infections. Infection can spread to the liver through the biliary tree, hepatic vein, or portal vein when an adjacent infection or trauma expands. We report a case of a 53-year-old male who presented to an ambulatory clinic for evaluation of substernal chest pain. He reported associated palpitations, chills, shortness of breath, and diaphoresis. An abdominal CT revealed a mass with multiple loculations in the right and caudate hepatic lobe consistent with an abscess. Blood cultures grew Klebsiella pneumoniae, and ova and parasite exams showed Strongyloides stercoralis larvae. After four weeks of antibiotic treatment, a follow-up abdominal CT demonstrated complete resolution of the hepatic abscess. This case is an unusual presentation of a hepatic abscess as the patient did not report abdominal symptoms.
American Journal of Medical Case Reports. 2022, 10(4), 113-116. DOI: 10.12691/ajmcr-10-4-7
Pub. Date: April 25, 2022
1875 Views2 Downloads
by Ken-ichi Muramatsu, Hiroki Nagasawa, Kouhei Ishikawa, Soichiro Ota, Hiromichi Ohsaka, Kei Jitsuiki and Youichi Yanagawa
Case Report
A 75-year-old man with unconsciousness in supine position was found in his garden by a local welfare officer in summer season. His clothes were normal with long pants. He had diabetes mellitus, cerebral infarction, and prostate hypertrophy treated by drugs. His activities of daily living was independent and lived alone. His mother died of stroke and father died of heart disease. When emergence medical technicians checked him, he was in coma, shock and hyperthermic state so that he was transported to our hospital after undergoing tracheal intubation and rapid infusion of cooled lactated Ringer fluid by a dispatched physician. On arrival, he had multiple blisters and erosions on bilateral medial side of thighs and front side of legs. He underwent diagnosis of septic shock, aspiration pneumonia and unknown cause of bilateral leg skin lesions after examinations. He underwent antibiotics and vasopressor in intensive care unit. All skin lesions were managed by ointment. His unstable circulation and respiratory failure improved and was extubated in the day 6. Result of blood culture on arrival was Staphylococcus lugdunensis. He complained legs pain after extubation. All skin lesions in bilateral legs became eschar. He underwent escharotomy and skin draft on day 20 and became temporally septic shock again during operation. He underwent antibiotics again. After control of skin lesions, he was transferred to the other hospital for rehabilitation. The present study demonstrated a case of Staphylococcus lugdunensis bacteremia accompanying staphylococcal scalded skin syndrome like skin lesions. Further study is needed to understand the skin lesions induced by Staphylococcus lugdunensis.
American Journal of Medical Case Reports. 2022, 10(4), 110-112. DOI: 10.12691/ajmcr-10-4-6
Pub. Date: April 23, 2022
1842 Views3 Downloads
by Chenglu Zhang, Haohao Cao, Donghui Huang and Hongfeng Jiang
Case Report
Introduction: Corona Virus Disease 2019 (COVID-19) has spread rapidly throughout the world. Many people died of this disease. We reported a case of critical illness with COVID-19 pneumonia that occurred in the early stage of viral spread in China and describe the identification, diagnosis, clinical course, and management of the case, including the patient’s symptoms throughout the course. Patient concerns: This article describes the whole diagnosis and treatment process of a critically ill patient in a case report. Diagnosis: The patient was a physician and presented to a fever clinic with a history of treating a suspected patient without special protection the day before. After 5 days, a nucleic acid test for COVID-19 was positive. Then, the patient was transferred to the intensive care unit (ICU) immediately because of severe dyspnea. He was diagnosed with COVID-19 based on a history of exposure, severe acute respiratory syndrome, positive COVID-19 test and chest computed tomography (CT). Interventions: Various therapies were used in this critically ill patient, including anti-infection drugs, hormones, immunoglobulins, herbal medicine, noninvasive ventilation, and special plasma. Outcomes: The patient recovered completely and was discharged after one month of hospitalization. COVID-19 was tested negative and a chest CT showed marked improvement prior to discharge after 4 weeks admission. Conclusion: This study highlights the complexity of treatment and recurrent positivity of the critically ill COVID-19 pneumonia patient and aims to provide useful reference and information for our knowledge of the clinical spectrum of disease.
American Journal of Medical Case Reports. 2022, 10(4), 101-109. DOI: 10.12691/ajmcr-10-4-5
Pub. Date: April 23, 2022
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by Kazuhito Hirata, Kageyuki Ohba, Minetaka Maeda, Tomohiro Arakaki, Kensaku Ozato, Atsushi Kakazu, Yurika Ikemura, Masaaki Sakumoto, Masanori Kakazu and Osamu Arasaki
Case Report
A mass-like lesion in the posterior atrioventricular groove and moderate pericardial effusion were incidentally observed during evaluation of fever in a woman in her 80s. Initially, a pericardial tumor was suspected. However, computed tomography revealed no mass lesions. Instead, low-density lesions were observed in the atrioventricular groove, interventricular groove, and around the great arteries, consistent with excess epicardial fat. Tissue characterization by computed tomography and the typical distribution consistent with fat deposits were key in diagnosis. Physicians should be aware that excess epicardial fat may be mistaken as a pericardial tumor, especially in the presence of pericardial effusion.
American Journal of Medical Case Reports. 2022, 10(4), 98-100. DOI: 10.12691/ajmcr-10-4-4
Pub. Date: April 15, 2022
1844 Views5 Downloads
by Rasim Bakhtiyar Bayramov, Mehriban Musa Sariyeva and Narmin Eldar Maharramli
Original Research
Our case report presents one of the rarely seen disorders L-2-hydroxyglutaric aciduria. Very little information is given in the literature and it remained undiagnosed until the 1980s. According to our information, only 295 events have been described in the literature till date. Our case report describes the disease manifestations, clinical pictures, and a review of the relevant literature on L-2-hydroxyglutaric aciduria. Our patients were females aged 12 and 13 years, respectively, which were born in consanguineous and Caucasian descent family.
American Journal of Medical Case Reports. 2022, 10(4), 93-97. DOI: 10.12691/ajmcr-10-4-3
Pub. Date: April 12, 2022
2166 Views5 Downloads
by Alharmoodi. F, Alsharhan. F, Alafari. H and Bekdache. O
Original Research
Blunt trauma following Motor Vehicle Collision (MVC) is the most common traumatic presentation to the Emergency department. Injuries mainly manifest as solid organ injuries or hollow viscous injuries. Nevertheless, appendicular injury is not common following blunt abdominal injury. We are reporting a case of 53 years old male who was found out to have a transection of the appendix after a traumatic blunt abdominal injury.
American Journal of Medical Case Reports. 2022, 10(4), 89-92. DOI: 10.12691/ajmcr-10-4-2
Pub. Date: April 10, 2022
1971 Views2 Downloads
by Oumarou Moussa, Zhen Zhen Liu and Feng Cao
Case Report
Gout is the most common inflammatory arthritis among the adult population. Rare cases of the disease are reported in childhood. The rarity of gout in children prompts the following case report with a review of literature. This is a clinical case of a 13-year-old non-obese boy admitted to the nephrology department for repeated migratory joint pain with hyperuricemia and renal dysfunction, where gout seems to be the most likely underlying cause.
American Journal of Medical Case Reports. 2022, 10(4), 84-88. DOI: 10.12691/ajmcr-10-4-1
Pub. Date: April 05, 2022
2217 Views5 Downloads