by Sara Abel Jalil, Jaber Tawil, Laui Shaheen, Tawfeeq Abu Eisheh, Samir Issa Hasan and Yasser Abu Safieh
Case Report
Assessment of patient’s health status and hematological parameters usually precedes any invasive diagnostic or therapeutic procedures; Angiography can be effective and safe as an alternative for major surgical procedures, or as a bridging management in such cases. We present a critically ill patient with colon cancer, with massive bleeding and consumptive thrombocytopenia that underwent splenic artery embolization as a bridging therapy before definite therapeutic surgery.
American Journal of Medical Case Reports. 2017, 5(11), 282-284. DOI: 10.12691/ajmcr-5-11-5
Pub. Date: December 28, 2017
9424 Views2729 Downloads
by Mahmoud Al Subhi, Fatima Al Yaqubi and Hilal Al Hashami
Case Report
We report a case of infective endocarditis (IE) caused by Abiotrophia defectiva in an 8 year-old boy presented initially with left ankle cellulitis and fever. Blood culture showed Gram variable cocci which confirmed by Matrix-Assisted Laser Desorption Ionization Time Of Flight Mass Spectrophotometer (MALDI-TOF MS) as Abiotrophia defectiva. Vegetation seen at Mitral valve by transthoracic echocardiogram (TTE). He was diagnosed as Infective Endocarditis caused by Abiotrophia defectiva and was treated with intravenous gentamicin (6mg/kg/day) and ceftriaxone (100mg/kg/day) for six weeks. The patient had excellent outcome, vegetation was absent on repeated Echocardiography (ECHO), and the result showed no relapse after follow up. Abiotrophia defectiva should be considered as a cause of IE in patients with positive blood culture especially those caused by gram variable cocci.
American Journal of Medical Case Reports. 2017, 5(11), 279-281. DOI: 10.12691/ajmcr-5-11-4
Pub. Date: December 20, 2017
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by Hassan Mehmood, Khushbakht Ramsha Kamal, Umer Farooq, Muhammad Israr Ul Haq, Asghar Marwat and Muzammil Khan
Case Report
Drug hypersensitivity syndrome or drug reaction eosinophilia and systemic symptoms are a rare but potentially life-threatening condition. The incidence ranges from 1/1,000 to 1/10,000 drug exposures with 10 % overall mortality. Allopurinol, sulfonamides and antiepileptics are notorious for causing the DRESS syndrome; vancomycin is less common. Symptoms are mostly rash, atypical lymphocytosis, eosinophilia, and often lymphadenopathy. There may be hepatic, renal, and/or pulmonary involvement. In this article, we present a rare case of 66 years old male who recently had MRSA bacteremia four weeks ago, was on Intravenous vancomycin presented to us secondary to disseminated rash involving more than 70 percent of his body surface area along with high-grade fever, lymphadenopathy and hypotension. Blood work showed eosinophilia, elevated lactic acid and high creatinine. The patient was started on intravenous linezolid and piperacillin/tazobactam but his rash and kidney function were getting worse to an extent of hemodialysis. Suspicion was raised drug induced rash along with systemic involvement due to recent use of vancomycin. All antibiotics were stopped and the patient was started on intravenous fluid and intravenous steroid with significant improvement in two weeks. The main treatment of the DRESS syndrome is supportive therapy along with intravenous steroids.
American Journal of Medical Case Reports. 2017, 5(11), 276-278. DOI: 10.12691/ajmcr-5-11-3
Pub. Date: November 29, 2017
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by P C Bhattacharyya, Abhinand Potpelwer and Lalit Mohan Bhardwaj
Case Report
Multi-dermatomal involvement is uncommon in varicella zoster infection and indicates underlying immunosuppression. A 43 years old male, a known diabetic presented with painful papulovesicular lesions over the left side of the chest, back, arms and forearm with the history of chickenpox one month back. On evaluation for an unusual presentation, he was found to be reactive to HIV. Diagnosis of HZ was confirmed by HZV PCR. He was treated with antivirals, insulins, pain management and care of the lesions. The occurrence of the multi dermatomal herpes zoster with bilaterally symmetrical involvement immediately the following chickenpox is a rare observation and needs to be reported.
American Journal of Medical Case Reports. 2017, 5(11), 274-275. DOI: 10.12691/ajmcr-5-11-2
Pub. Date: November 13, 2017
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by Rabab Ali Jassim AL Buainain, Yasin Alavi Aruveetil, Faisal Alsineedi, Abdullah Faraj Alshammari and Hussain Gadelkarim Ahmed
Case Report
Cleidocranial dysplasia (CCD) is an uncommon disorder associated with a genetic disorder mainly causing dysplasia of bones and teeth with autosomal dominant inheritance pattern, which has an extremely varied presentation. The dental indicators are principally delayed exfoliation of primary teeth and delayed eruption of permanent teeth, and numerous impacted supernumeraries. This article represent a 9 years old Saudi boy case of CCD and illustrates the clinical and radiological features of this patients. In this case the early diagnosis of the condition was not associated with proper orientation of the dental treatment to offer better quality of life to patient.
American Journal of Medical Case Reports. 2017, 5(11), 270-273. DOI: 10.12691/ajmcr-5-11-1
Pub. Date: November 08, 2017
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