IJCR (2019), Volume 3

Neonate with 10q Interstitial Deletion within the Long Arm of Chromosome 10- A Case Report and Literature Review

Neonate with 10q Interstitial Deletion within the Long Arm of Chromosome 10- A Case Report and Literature Review
Case Report of International Journal of Case Reports Neonate with 10q Interstitial Deletion within the Long Arm of Chromosome 10- A Case Report and Literature Review Raja Nandyal1, Sara Hagan2 and Tavleen Sandhu3 1department of Pediatrics (Neonatology section), Oklahoma University Health Sciences Center, Oklahoma, USA; 2OU Medicine, Oklahoma University Health Sciences Center, Oklahoma, USA; 3department of Pediatrics (Neonatology section), Oklahoma University Health Sciences Center, Oklahoma, USA. Introduction: Partial deletion of distal chromosome 10q was first reported in 1978 by Lewandowski1. Interstitial deletions within bands 10q25e10q26.3 are rare. Seven such cases were reported so far2. Patient Information: A term AGA male newborn was delivered at our perinatal center with antenatal diagnosis of unbalanced translocation of chromosomes 10 and 12, and fetal cleft lip and cleft palate. Blood was sent for chromosome analysis using GTG banding method. Baby had facial dysmorphism, left cleft lip, bilateral cleft of soft and hard palate, intact nasal septum, normal ears and micrognathus. Abdominal ultrasound showed absence of right testis in inguinal canal and abdomen (anorchia) ...

A patient with dysphagia and muscle weakness

A patient with dysphagia and muscle weakness
Case Report of International Journal of Case Reports A patient with dysphagia and muscle weakness Kelly Smith MD, FACP1*, Blair Reece, MD2, Clint Smith, BS1 1 Departments of Academic Affairs and Biomedical Sciences, James H.  Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee; 2 Division of General Internal Medicine, Department of Internal Medicine, James H. Quillen College of Medicine, East Tennessee State University,Johnson City, Tennessee BACKGROUND: There are five major types of inflammatory myopathies (IM), including dermatomyositis, polymyositis, immune-mediated necrotizing myopathy, antisynthetase syndromes, and inclusion body myositis. Grouped together, the incidence of IM is >4 cases/100,000 with a prevalence of 14-32/100,000. Type-specific IM diagnoses are based on the pattern of muscle weakness and the results of electromyographs, MRIs, muscle biopsies, and measurements of myositis-specific autoantibodies1. We report the case of an elderly man with an inflammatory myopathy whose presenting complaint was dysphagia. OBJECTIVE: To review the clinical and laboratory manifestations of inflammatory myopathy-associated dysphagia. CASE REPORT: The patient is an 81-year-old retired Navy aviator who presented ...

Percutaneous Nephrolithotomy in the supine flank free modified position for the removal of a 3 year Double-J ureteral stent in a horseshoe kidney

Percutaneous Nephrolithotomy in the supine flank free modified position for the removal of a 3 year Double-J ureteral stent in a horseshoe kidney
Case Report of International Journal of Case Reports Percutaneous Nephrolithotomy in the supine flank free modified position for the removal of a 3 year Double-J ureteral stent in a horseshoe kidney Michael Nomikos, Sarantis Papanikolaou, Anastasios Tsalavoutas, George Koritsiadis, George Athanassopoulos FEBU, EAU, HUA Horseshoe kidney is one of the most common congenital renal abnormalities with increased incidence of stone formation. We present a case of an HIV seropositive patient with a both-ends encrustated 3 year forgotten DJ stent and a staghorn stone in the left moiety of a horseshoe kidney. He was treated with percutaneous nephrolithotomy in the supine flank free modified position and simultaneous cystolitholapaxy. Supine percutaneous nephrolithotomy is safe and feasible in horseshoe kidney and facilitates simultaneous thansurethral access for cystolitholapaxy. Keywords: Percutaneous Nephrolithotomy; supine flank free modified position; 3 year Double-J ureteral stent; horseshoe kidney ...

Psychosis Due to Hypothyroidism: Are Antipsychotics Indicated?

Psychosis Due to Hypothyroidism: Are Antipsychotics Indicated?
Case Report of International Journal of Case Reports Psychosis Due to Hypothyroidism: Are Antipsychotics Indicated? Deborah L. Sanchez, M.D. 1,2, Adam J. Fusick, M.D2, William B. Hudson, M.D.2, Theresa A. Schwitalla,M.D.2, Maria C. Catalano,D.O.2,3, Susan K. Schultz, M.D.1,2,4, Glenn Catalano, M.D. 1,2 1Mental Health and Behavioral Sciences Service, James A. Haley Veterans Hospital, Tampa, Florida; 2Department of Psychiatry and Behavioral Neurosciences, University of South Florida Morsani College of Medicine, Tampa, Florida; 3Ambulatory Care Service, James A. Haley Veterans Hospital, Tampa, Florida; 4Department of Psychiatry, University of Iowa Carver College of Medicine Objective: To present a case of thyroid-related psychosis and review the literature to assess evidence regarding the use of antipsychotic medications in patients who develop this condition. Data Sources: The OVID database was utilized to search for the terms “myxedema madness” and the combination of the terms “psychosis” and “thyroid.” The database was searched from 1946 until July 2018 and was limited to English language articles. Study Selection: A total of 25 articles were included in this study ...

Levothyroxine malabsorption induced by gastroparesis in type one diabetic patient: effect of intravenous levothyroxine therapy case report

Levothyroxine malabsorption induced by gastroparesis in type one diabetic patient: effect of intravenous levothyroxine therapy case report
Case Report of International Journal of Case Reports Levothyroxine malabsorption induced by gastroparesis in type one diabetic patient: effect of intravenous levothyroxine therapy case report Homaid Alsahafi, Bandar Damanhori, Faisal AL Malky, Ashjan Alrogi, Khulood Alkhuzaie Department of Endocrinology & Diabetology, Hera General Hospital, Makkah, Saudi Arabia 19 year old female known case of primary hypothyroidism on levothyroxine replacement, type one diabetes on insulin pump with good glycemic control and stable thyroid function, developed diabetic gastroparesis with worsening response to oral levothyroxine therapy. Her symptoms of hypothyroidism and her thyroid function improved dramatically by intravenous levothyroxine three times weekly for 4 weeks then she restarted on her usual dose of oral levothyroxine. Intravenous levothyroxine three times weekly for 4 weeks followed by oral levothyroxine therapy maintained her euthyroid, improved hypothyroidism and gastroparesis symptoms till the date of editing of this report (more than 15 months.). Keywords: Levothyroxine malabsorption, gastroparesis,  type one diabetic patient, intravenous levothyroxine therapy, case report ...

Foreign Body Aspiration in Adult, What Would You Expect? Case Report

Foreign Body Aspiration in Adult, What Would You Expect? Case Report
Case Report of International Journal of Case Reports Foreign Body Aspiration in Adult, What Would You Expect? Case Report Zeyad  Faoor  Alrais1,  Mohamed Ibrahim  Shoaib1, Hesham  Mohamed ElKholy1, Asad  Alsabbah2 1Department of Intensive Care Medicine, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates. 2Mediclinic City Hospital , Dubai, United Arab Emirates. Foreign body (FB) aspiration is an uncommon but potentially life-threatening event, while the majority of accidental aspiration events occur in children, adults represent up to 25% of cases. When the diagnosis is not established immediately, retained FBs may lead to recurrent pneumonias, bronchiectasis, recurrent hemoptysis, pneumothorax, lung abscesses, pneumo-mediastinum, or other complications. Extraction of aspirated FBs should be undertaken as soon as possible to alleviate acute symptoms and prevent long term complications. FB aspiration is slightly more common in males. The vast majority of adult patients with FB aspiration have obvious risk factors for aspiration including neurological deficits with swallowing difficulties or altered mental status, neuromuscular disease, intoxication, or have an iatrogenic cause. Still, 10% of adult ...