International Journal of Case Reports

  • Natural orifice endoscopic drainage of a perforated duodenal ulcer

    Natural orifice endoscopic drainage of a perforated duodenal ulcer Mark Scaife MD, Thomas J Melvin MD, Harry W Sell MD, Kurt R Stahlfeld MD UPMC Mercy Department of Surgery 1400 Locust St Pittsburgh, PA 15219 Posterior perforation of gastric and duodenal ulcers is uncommon and frequently misdiagnosed due to nonspecific clinical exam findings. The need for surgical treatment has recently been questioned in patients with contained perforations due to the success of nonoperative management and the morbidity and mortality associated…

  • Posterior Reversible Encephalopathy Syndrome in Class IV Lupus Nephritis – Case report and brief review of literature

    Posterior Reversible Encephalopathy Syndrome in Class IV Lupus Nephritis – Case report and brief review of literature Kalpita Hatti1, Amit Habbu2, Joe R. Gamboa3, Arezoo Haghshenas4, Karina D. Torralba5 1Assistant Professor of Medicine, Division of Rheumatology, Department of Medicine, Loma Linda University, Loma Linda, CA;2Attending Radiologist, Kadlec Regional Medical Center, Richland, WA;3Fellow, Division of Rheumatology, Department of Medicine, Loma Linda University, Loma Linda, CA;4Fellow, Division of Rheumatology, Department of Medicine, Loma Linda University, Loma Linda, CA;5Associate Professor of Medicine, Division…

  • Immunotherapy induced pyrexia and the role of PET/CT

    Immunotherapy induced pyrexia and the role of PET/CT Luke McLean, Jennifer A Soon, Andrew Haydon Dept. Medical Oncology, The Alfred Hospital, Victoria, Melbourne, Australia Background: Immunotherapy has revolutionised the management of metastatic melanoma, however, immune-related adverse events remain an important complication of therapy. We hypothesise pyrexia is a rare presentation that may herald the development of immune-related toxicities and identify a potential role for fluorodeoxyglucose-positron emission tomography (FDG -PET) in the earlier diagnosis of these toxicities. Case Presentation: We report…

  • Efficacy of topical application of etamsylate in herpes simplex labialis

    Efficacy of topical application of etamsylate in herpes simplex labialis Pedro Cuevas1, Javier Angulo2 Guillermo Giménez-Gallego3 1Universidad Alfonso X el Sabio, Madrid, 2Servicio de Histología, Departamento de Investigación, Hospital Universitario Ramón y Cajal, Madrid, 3Departamento de Estructura y Función de Proteínas, Centro de Investigaciones Biológicas, Madrid, Spain. Herpes simplex virus type-1 (HSV-1) causes a wide variety of clinical disorders of major public health concern. HSV-1 infections are common in oral and perioral area. We report the short-term efficacy of topical…

  • Long-term efficacy of dobesilate in chronic patellar tendinopathy

    Long-term efficacy of dobesilate in chronic patellar tendinopathy Pedro Cuevas1, José Antonio Rodas2, Tomás Fernández Jaen3, Pedro Guillen3, Javier Angulo4, Guillermo Giménez-Gallego5 1Universidad Alfonso X el Sabio, Madrid, 2Mutualidad de Previsión Social de Futbolistas Españoles, Avilés, 3Fundacion Pedro Guillén, Clínica CEMTRO, Madrid, 4Servicio de Histología, Departamento de Investigación, Hospital Universitario Ramón y Cajal, Madrid, 5Departamento de Estructura y Función de Proteínas, Centro de Investigaciones Biológicas, Madrid, Spain. There is a wide variety of treatment options available for patellar tendinopathy, the…

  • A case report on the effect of plasmapheresis in the treatment of severe calcium channel blocker toxicity

    A case report on the effect of plasmapheresis in the treatment of severe calcium channel blocker toxicity Mohamed Foda Hendi1, Zeyad Faoor Alrais1, Ahmed Hossam Awad1, Mouayad Abdulghani1, Demme Shammass2 Department of Intensive care Medicine, Rashid Hospital1, Dubai health Authority – Mediclinic City Hospital2, Dubai, United Arab Emirates. Overdose by calcium channel blocker (CCB) antihypertensive agents has been shown to be a cause of significant morbidity and can often be fatal. (1) Although overdoses of calcium-channel blockers and beta blockers…

  • Kakuchi-Fujimoto Disease Associated with Autoimmune Hepatitis and Systemic Lupus Erythematosus

    Kakuchi-Fujimoto Disease Associated with Autoimmune Hepatitis and Systemic Lupus Erythematosus Mithu Maheswaranathan, M.D.1 and Melissa Cunningham, M.D., Ph.D.2 From the Department of Internal Medicine1 and Division of Rheumatology2, Medical University of South Carolina, Charleston, SC, USA Systemic lupus erythematosus (SLE) is often associated with various systemic manifestations, from peripheral cytopenias to renal involvement or neuropsychiatric symptoms. Here, we present a patient in whom the cause of fever and altered mental status was unknown despite repeated lumbar punctures, but later became…

  • Comparative Evaluation of healing following gingival depigmentation procedures using four Techniques: a report of 5 cases

    Comparative Evaluation of Healing following Gingival Depigmentation Procedures using Four Techniques: a report of 5 cases 1Dr Shreya Shetty, Bds, Mds (Periodontics), Ficoi*, 2 Dr Aruna Vanka, Bds, Mds( Periodontics). 1Associate Professor, Dentistry Program, IBN SINA National College of Medical Sciences, Jeddah, KSA; 2Consultant Periodontist, FMS Hospital, Hyderabad, India. Background:The outcomes of techniques employed for depigmentation are varied and no one method can be deemed as ideal. The present case series is an evaluation of 4 popular depigmentation procedures `carried…

  • Idiopathic Sigmoid Intussusception Prolapse per Anus

    Idiopathic Sigmoid Intussusception Prolapse per Anus Loay M. AlJaberi,MD1, Alaa Eddin K. Salameh,MD2, Rafiq M. Salhab,MD3,Hazem A. Ashhab,MD4 1,2 Al-Quds University School of Medicine, East Jerusalem, P.O. box 89 3 Surgery Department, Al-Ahli Hospital, Hebron, Palestinian Territories 4 Gastroenterology Department, Charleston Area Medical Center, West Virginia, USA Sigmoidal intussusception protrusion through the anus is extremely rare and has only been reported a few times. The majority of cases of prolapsed sigmoid intussusception in adults have an underlying bowel pathology such…

  • Major bleeding precipitated by interactions between antibiotics and warfarin: a case series

    Major bleeding precipitated by interactions between antibiotics and warfarin: a case series Luana Marchesan1, Raíssa Londero Chemello1, Vanessa Thomé1, Diego Chemello1,2 1.Department of Clinical Medicine, Health Science Center, Federal University of Santa Maria, Santa Maria, Brazil 2.Postgraduate Program in Health Science, Federal University of Santa Maria, Santa Maria, Brazil Warfarin is a widely used anticoagulant agent with a large spectrum of indications for prevention and treatment of thromboembolic complications. Despite its low cost, warfarin and all other vitamin K antagonist…