Case Reports
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#1Deandra Kimberly Chetram (Mayo Clinic)
#2Kelsey Pan (University of Florida Health)
Last. Merry Markham (UF: University of Florida)H-Index: 1
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This is a case of a young woman who developed neurological and psychiatric symptoms 3 days after resection of an immature teratoma. She was diagnosed with anti-NMDA receptor encephalitis via positive serum antibody titres, which was later confirmed with cerebrospinal fluid antibody titres. Given her cancer diagnosis, she underwent treatment with bleomycin, etoposide and cisplatin chemotherapy in addition to 5 days of high-dose steroids (1 g of intravenous methylprednisolone) for the encephalitis...
A 44-year-old patient with known ulcerative colitis presented with abdominal pain and an abdominal mass. CT revealed cecal stranding, a mass at the left colonic flexure involving the pancreas and multiple lesions in the lungs, retroperitoneum and liver. The patient had also developed a scalp rash as well as impaired hearing. Biopsies from the abdominal mass and lungs revealed necrotic inflammation, and the clinical suspicion of malignancy could not be ruled out. After further examination, the pa...
#1Biplab K. SahaH-Index: 8
#1Biplab K Saha (Yahoo)H-Index: 2
Last. Praveen Chenna (WUSTL: Washington University in St. Louis)H-Index: 4
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Patients with SARS-CoV-2 pneumonia can suffer from pneumothorax and persistent air leak (PAL). The pneumothorax occurs with or without pre-existing lung disease. PAL refers to air leak lasting more than 5-7 days and arises due to bronchopleural or alveolopleural fistula. The management of PAL can be challenging as a standard management guideline is lacking. Here we present the case of a 42-year-old smoker with COVID-19 who presented to the hospital with fever, cough, acute left-sided chest pain ...
#1Ellery Altshuler (UF: University of Florida)H-Index: 2
#2Jesse Krikpatrick (Harvard University)
Last. Frank Miralles (UF: University of Florida)
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Alpha-gal syndrome (AGS) is a hypersensitivity reaction to mammalian meat that develops after tick bite exposure. AGS was first described in 2009 and testing for the allergy has become available in the last decade. We report the case of a 56-year-old farmer with a history of frequent lone star tick bites who presented with a 7-year history of diffuse urticaria occurring hours after eating red meat. AGS is likely underdiagnosed because of the unusual presentation of the allergy, historic lack of ...
#1Wilson Vallat (LMH: Lyell McEwin Hospital)H-Index: 2
#2Siby Antony (LMH: Lyell McEwin Hospital)
Last. Catriona McLeanH-Index: 93
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We discuss an extremely rare case of low-grade Schwann cell leptomeningeal neoplasm with no evident intradural primary, presenting with rapid neurological decline leading to death reflecting the aggressive biological behaviour of this entity despite its low-grade morphology. Notwithstanding extensive investigations, the diagnosis was only established on autopsy as clinical presentation is non-specific making diagnosis challenging. This condition could be considered in patients presenting with le...
#1Leonard Timoney (UCLH: University College London Hospitals NHS Foundation Trust)
#2Christopher B Bunker (UCLH: University College London Hospitals NHS Foundation Trust)H-Index: 36
A 53-year-old woman presented with a 25-year history of acne excoriee and prurigo excoriee. Her symptoms began in 1988 coinciding with her husband's death from a brain tumour when she was 27. The pruritus affected her quality of life and disturbed her sleep. She had scarring on her face and body resulting from persistent scratching. The pruritus proved refractory to treatment despite a multi-modal treatment approach including multiple topicals, phototherapy and systemic agents such as isotretino...
#2John P. SeenanH-Index: 7
Last. David Kipgen (BWSCC: Beatson West of Scotland Cancer Centre)
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We present a patient with an acute kidney injury thought secondary to acute interstitial nephritis as a result of vedolizumab maintenance therapy for Crohn's disease. This appears to be a rare but serious side effect in patients receiving this treatment which clinicians should consider in the event of renal dysfunction.
#1Jonathan GaughranH-Index: 1
#2Tom Lyne (KCL: King's College London)
Last. Judith HamiltonH-Index: 1
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We describe the acute deterioration of a 29-year-old undergoing in vitro fertilisation. Late-onset critical ovarian hyperstimulation syndrome triggered a massive pulmonary embolism and subsequent cardiac arrest. While the prognosis was deemed to be poor, the patient made a full recovery. The potential reasons for this are explored.
Viral-induced pancreatitis has been well-defined; however, there are limited data regarding COVID-19 and pancreatitis. Most cases are commonly in conjunction with severe COVID-19 as well as lipase elevation. We describe a unique case of mild SARS-CoV-2 infection resulting in acute pancreatitis in the absence of lipase elevation. A 39-year-old patient with no medical history, presented with epigastric pain. Vital signs were unremarkable. Patient was positive for COVID-19. Liver function panel, ca...
#1Kathleen Renee Lundeberg (PNWU: Pacific Northwest University of Health Sciences)
#2Laura J Vidis (PNWU: Pacific Northwest University of Health Sciences)
Last. Julie Randolph-Habecker (PNWU: Pacific Northwest University of Health Sciences)H-Index: 1
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Soft tissue sarcomas (STSs) are rare and may often be misdiagnosed, resulting in delays in treatment. A 67-year-old cisgender woman with type 2 diabetes mellitus and obesity presented to her primary care physician with a mass on her left proximal arm. The clinical opinion of the attending physician was that of an insulin injection site reaction. After further evaluation from the physician, the patient was diagnosed with a lipoma without confirmatory histology. The patient continued to present wi...
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