by Nishant Tripathi, San Diego Warren and Niki Koirala PharmD
Case Report
Many organisms previously considered non-pathogenic are the causative agents of many fatal diseases . Considered to be non-pathogenic, Group F streptococcus is increasingly being implicated in several disease conditions. Streptococcus F can have different forms of hemolysis and presence of carbohydrate antigens that are not routinely tested. As a result they might be wrongly classified as other type of Streptococci or dismissed as contaminant. Here we describe a rare presentation of Cavitary lung disease caused by Group F Streptococcus.
American Journal of Medical Case Reports. 2017, 5(1), 25-28. DOI: 10.12691/ajmcr-5-1-7
Pub. Date: February 16, 2017
11373 Views2430 Downloads
by Christos Konstantinidis
Case Report
A 17-year-old male patient with chronic intestinal idiopathic pseudo-obstruction was admitted to the emergency department clinically deteriorated due to sigmoid volvulus. Initial resuscitative efforts followed by endoscopy failed to detorse and decompress the bowel. At the followed emergency laparotomy the volvulus was derotated and a Hartmann’s procedure with left hemicolectomy was performed. The patient after 3 months underwent stoma closure. At one-year follow-up the patient showed clinical improvement.
American Journal of Medical Case Reports. 2017, 5(1), 22-24. DOI: 10.12691/ajmcr-5-1-6
Pub. Date: February 14, 2017
16826 Views3078 Downloads
by Chaozer Er
Case Report
A 24-year-old Chinese lady presented with 2 weeks of fever and 1 week of cough to us after being given antibiotic by the primary care physician. Chest-X-ray showed left sided pneumonia. She undergone computed tomography of chest and bronchoscopy to investigate the non-responding pneumonia. The final diagnosis of Mycoplasma pneumoniae pneumonia (MPP) was made after the serology result turned out to be positive. Despite having being given 11 days of macrolide, she failed to achieve clinical stability till day 13 of her admission. This case demonstrated the atypical features of MPP and the importance to consider MPP as one of the differentials of non-responding pneumonia.
American Journal of Medical Case Reports. 2017, 5(1), 15-21. DOI: 10.12691/ajmcr-5-1-5
Pub. Date: February 11, 2017
10047 Views2695 Downloads
by Pyong Wha Choi and Mee Joo
Case Report
Schwannoma is a usually benign tumor derived from Schwann cells. It can be found throughout the body, particularly in the head, neck, and extremities.. However, colonic schwannoma is extremely rare. Since most colonic schwannomas are asymptomatic, it can be incidentally found during colonoscopy or imaging studies performed for other reasons. A preoperative diagnosis of schwannoma may be made with imaging studies, such as computed tomography (CT) and magnetic resonance imaging (MRI), but a preoperative diagnosis is very difficult, and most of the cases are diagnosed after pathologic examination. Immunohistochemical staining is the basis of a definite diagnosis, and it can differentiate schwannoma from other mesenchymal tumors. Here, we present a case of a schwannoma of the cecum, which was preoperatively misdiagnosed as a gastrointestinal stromal tumor (GIST). A 65-year-old woman was referred for the treatment of a submucosal mass in the cecum. Colonoscopy revealed a 2 cm round submucosal mass in the cecum and abdominopelvic CT showed an enhancing mass in the cecum without lymphadenopathy. With the presumed diagnosis of GIST, laparoscopic right hemicolectomy was performed. Pathologic reports showed that it was consistent with schwannoma, immunohistochemically positive for S100 protein and negative for CD117 (c-kit), CD34, and smooth muscle actin. This case represents an unusual case of a schwannoma in the cecum, which could not be preoperatively diagnosed. Although its preoperative diagnosis is difficult given its rarity, a schwannoma can be considered as one of the differential diagnoses of a submucosal colon mass.
American Journal of Medical Case Reports. 2017, 5(1), 12-14. DOI: 10.12691/ajmcr-5-1-4
Pub. Date: February 07, 2017
16959 Views4201 Downloads
by Yasaman Arjmand, Pooya Torkian and Ali Keipourfard
Case Report
Background:Glioblastoma multiform (GBM) is the most common primary brain tumor. Few studies have described the clinical and radiological aspects of GBMs in which initial manifestation mimics vaso-occlusive diseases and transient ischemic attacks (TIAs). In this study, we have described 10 patients with GBM who initially presented with ischemic attacks. Case Description: From August 2008 to June 2016, 332 patients with confirmed GBM by histopathological study were referred to Shohada Tajrish Hospital. Of this population, 10 cases initially presented with isolated acute ischemic/vaso-occlusive symptoms and TIA episodes. All of the patients underwent imaging and surgical procedures with confirmed histopathological diagnosis of GBM.Conclusions: GBMs involving fronto-temporal and temporal lobes may compress and invade MCA branches and cause acute ischemic stroke as their initial manifestation. Although rare, GBMs should be considered in differential diagnosis in patients with no obvious atherosclerotic risk factors who present with ischemic stroke.
American Journal of Medical Case Reports. 2017, 5(1), 8-11. DOI: 10.12691/ajmcr-5-1-3
Pub. Date: February 05, 2017
12850 Views3068 Downloads7 Likes
by Zhou Liang, Mingru Yin, Ai Ai, Yun Wang, Qiuju Chen, Songguo Xue and Yanping Kuang
Case Report
This study reports an IVF patient who had adenomyosis underwent 2 in vitro fertilization (IVF) cycles and 3 frozen embryo transfer (FET) cycles but all failed. Then a Levonorgestrel-releasing intrauterine system (LNG-IUS) was inserted into her uterine. When her next menstrual period did not occur, the patient performed a urinary pregnancy test and it was positive. The pregnancy progressed normally and the delivery was uncomplicated. An elective Caesarean delivery was performed at 39 weeks gestation. The IUD was found in the placenta and the postpartum recovery was uneventful. This is the first report of a woman, who having been identified with uterine adenomyosis, delivered a normal female infant with an LNG-IUS in situ. This case report indicated that LNG-IUS may play some roles in changing the uterine environment of adenomyosis.
American Journal of Medical Case Reports. 2017, 5(1), 4-7. DOI: 10.12691/ajmcr-5-1-2
Pub. Date: January 23, 2017
10080 Views1925 Downloads
by Ali Al Mashani, Neeraj Salhotra, Munthir Al Zabin, Azmat Ali and Salim Al Abri
Original Research
Coexsiting different pathology brain neoplasm are quite rare in neurosurgery. However occasionally we come across such cases. This case is a female presenting with seizures and headache. Imaging revealed falcine meningioma and left frontal glioma. Single surgery for both lesions was unique and later histopathology confirmed the lesions. Postoperative period was uneventful. Patient was referred to radiotherapy for glioma. Patient is being followed up in OPD and is doing well.
American Journal of Medical Case Reports. 2017, 5(1), 1-3. DOI: 10.12691/ajmcr-5-1-1
Pub. Date: January 10, 2017
12160 Views2606 Downloads1 Likes