Articles

Volume-4, 2023
Issue 9 (September)



Wunderlich syndrome secondary to bilateral renal angiomyolipoma

Wünderlich syndrome is understood as spontaneous subcapsular or perirenal renal hemorrhage of non-traumatic etiology secondary in 63% of cases to neoplastic ethology. The first clinical description was in 1856 by Wünderlich referring to spontaneous apoplexy of the renal capsule.

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An uncommon cold: A boy with a runny nose

A 4-year-old boy with autism spectrum disorder presented to the emergency department complaining of 4 days of fever, runny nose and a mild cough. Examination was unremarkable. He was diagnosed with a viral upper respiratory tract infection and discharged.

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Tuberculous spondylitis masked by pyelonephritis

Tuberculosis can affect any organ and the spine is the most affected bone structure in the case of musculoskeletal tuberculosis (TB). In this article, we present a case of an 87-year-old woman with chronic low back pain and previous contact with pulmonary tuberculosis.

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A deeper look behind the cutaneous nodules

A 72-year-old male was referred to our outpatient clinic due to the appearance of cutaneous lesions 3 months earlier, asthenia, anorexia and a loss of 5% of body weight. The physi- cal examination showed brownish macules primarily located in the torso region (Figures 1A,B), which progressed to painful and tense purple nodules

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A case of polycystic liver with cyst infection

Objective: A case of polycystic liver infection was reported, and the diagnosis and treatment of polycystic liver infection was summarized based on its clinical features, imaging findings, and the process of diagnosis and treatment, so as to improve doctors’ attention to polycystic liver infection and the level of diagnosis and treatment.

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Beta thalassemia trait with priapism: A unique presentation

Beta thalassemias are characterized by decreased to absent beta globin chain synthesis. These are autosomal recessive disorders caused commonly due to point mutations in the beta globin gene on chromosome 11. Rarely there maybe deletions in the beta globin genes [1].

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A case of Von Hippel-Lindau disease with multi-organ involvement

Von Hippel-Lindau (VHL) is an autosomal dominant disease with multi-organ involvement in familial neoplasm. Genetic aberrations of the tumor suppressor gene VHL cause it. Based on the reports in VHL, the most common initial presentation tumors are hemangioblastoma in the CNS and retina.

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Eight-year chronic wound caused by Tarlov’s cyst

A 10-year-old girl presented with eight-year history of chronic osteomyelitis. She could walk without assistance until two years old and was found to fall over easily until now. She was seemed to be not sensitive to pain.

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Laryngeal papillomatosis: Rare but disabling pathology

Recurrent respiratory papillomatosis is a common benign epithelial tumor of the respiratory tract, caused by the human papillomavirus HPV [1]. It affects both adults and children: the juvenile form affect those under 20 years of age, and is more aggressive with a high rate of recurrence compared to the adult form [2].

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Miller fisher syndrome: A case report and review

Guillain-Barre Syndrome (GBS) is a rapid-onset weakness caused by immune system damaging the peripheral nervous system. Miller Fisher Syndrome (MFS) is a variant of GBS characterized by weakness of the eye muscles, abnormalities in coordination and absent reflexes.

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Hemangioma of the petrous apex: Symptoms and diagnosis approach

This study reports a rare case of a large petrous apex hemangioma. A 17-year-old boy presented with hemifacial spasm and dysphonia, followed by right oculomotor dysfunction, ataxia, and right tongue deviation. Initial CT-SCAN showed massive heterogeneous tissue process located in the petrous apex, enhanced after contrast injection with significant osteolysis.

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Review on evaluation of using piezoelectric ultrasound surgery versus conventional technique in sinus lifting procedure

The objective of the study is to make a comparison between piezo- electric ultrasound surgery and conventional technique in sinus lifting procedure with simultaneous implant insertion. Perforations of the sinus membrane are more common in direct sinus lifts performed with rotary techniques than ultrasound, but ultrasound offers better implant survival and bone gain.

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Alzheimer’s disease and caregiver’s burden: The efficacy of a psychoeducational and psychotherapeutic groups

Alzheimer’s Disease (AD) accounts for 54% of cases of dementia. The risk of Alzheimer increases with age and women seem to be more easily affected. Age is considered the most important risk factor for the disease. Cognitive impairment is the most evident symptom. Dementia is now considered a “social disease” because it involves not only the patient involved, but also the social network in which he/she lives.

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Colon mass masquerading as an abscess

MYH-Associated Polyposis (MAP) is an autosomal recessive disorder with a high risk of colorectal cancer. Current recommendations provide guidance for endoscopic surveillance without recommendations for advanced imaging.

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Efficacy of platelet-rich plasma treatment in a young athlete with osgood-schlatter disease and patellar tendinopathy, suffering from familiar mediterranean fever: A case report

Osgood-Schlatter Disease (OSD) is one of the most common causes of anterior knee pain in children and adolescents. It is a condition with a tendency to self-resolve, and as a result, treatment is symptomatic. In the few resistant and persistent cases, surgical treatment is opted for.

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Mutation in CHEK2 and hereditary breast cancer: A case report

Breast Cancer (BC) is the cancer that ranks first in incidence and mortality among women. It is estimated that 5 to 10% of BC cases develop in patients who carry a hereditary predisposition associated with autosomal dominant transmission and high penetrance susceptibility genes. Germline mutations in CHEK2 have been linked to susceptibility to various malignancies, including BC.

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Persistent left SVC: Can nephrologist use it for dialysis?

Persistent left sided superior vena cava (PLSVC), though rare, is the most common congenital anomaly of thoracic venous circulation. Most of the times, it gets incidentally detected during left internal jugular venous hemodialysis catheter insertion. Whether to keep this catheter and give hemodialysis through this, is a debatable issue.

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Volkmann’s ischemic contracture with impaired vascularity managed by minimally invasive soft tissue release and capsulotomy: A rehabilitation perspective

Volkmann’s ischemic leg contracture is severe and debilitating, arising from prolonged ischemia of the lower limb musculature. This condition, also known as Volkmann’s syndrome or Volkmann’s ischemic contracture, occurs because of reduced blood supply to the muscles and nerves, leading to irreversible tissue damage and subsequent contracture formation.

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A rare case of minocycline induced diffuse hyperpigmentation

Minocycline, a tetracycline group of antibiotics, is commonly used to treat various infections, dermatological conditions and rarely used to treat rheumatoid arthritis. Prolonged use of minocycline in higher doses can rarely cause skin hyperpigmentation. Minocycline-induced hyperpigmentation can also involve the sclera and retina in the eyes. It can rarely involve nail beds as well.

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Hampton’s hump: An unusual radiological sign of pulmonary embolism

Hampton’s hump is a peripheral dome-shaped, opacification abutting the pleura, signifying pulmonary infarction distal to a pulmonary embolism. We report a case of pulmonary embolism that presented with the Hampton’s hump sign on a chest X-ray, which is an unusual yet moderately specific indicator for diagnosing pulmonary embolism.

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Application and evaluation of a nurse-directed prehabilitation intervention program in patients with gastrointestinal cancer: A randomized intervention study

To demonstrate that nurse-directed prehabilitation intervention may effectively accelerate postoperative rehabilitation. A single-blinded randomized intervention study. Based on the pathway management of enhanced recovery after surgery, a nurse-directed prehabilitation intervention program was formulated in combination with the clinical experience of gastrointestinal surgery

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