Articles

Gluteal pyomyositis in a non-tropical region as a rare cause of sciatic nerve compression: a case report

Pyomyositis, or isolated abscess formation within a skeletal muscle, is a relatively common condition in tropical climates but it is only encountered rarely in temperate zones.

Authors: Tamer Kamal, Mathew Hall, Ashraf Moharam, Michael Sharr and Jonathan Walczak

Isolated loss of inferior pubic ramus: a case report

It has been stated that regulation of the development of the iliac bone is different from that of the ischium and pubis. There are well-known clinical syndromes concerned with hypoplasia of ischiopubic bone, s...

Authors: Aly Saber

Henoch-Schönlein purpura with intracerebral haemorrhage in an adult patient: a case report

Henoch-Schönlein purpura is a small vessel vasculitis that affects mainly the skin, joints, gastrointestinal tract and kidneys. The central nervous system is also occasionally affected, although the majority o...

Authors: Lazarus Karamadoukis, Linmarie Ludeman and Anthony J Williams

An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding: a case report

The differential diagnoses of acute abdomen in children include common and rare pathologies. Within this list, different types of bezoars causing gastrointestinal obstruction have been reported in the literatu...

Authors: Abdulzahra Hussain, Hind Mahmood, Tarun Singhal and Shamsi El-Hasani

Decrease in tobacco consumption after treatment with topiramate and aripiprazole: a case report

A large part of research into drug addiction focuses on mesolimbic dopamine circuitry; however, both alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid and/or kainate and dopamine D2 receptors can play a...

Authors: Beatriz Arbaizar, Inés Gómez-Acebo and Javier Llorca

Laugh syncope as a rare sub-type of the situational syncopes: a case report

Laughter is a good medicine; it enhances cardiovascular health and the immune system. What happens, however, if a person laughs too much or the laughter becomes out of control? Laughter-induced syncope is rare...

Authors: Katsufumi Nishida, Sean K Hirota and Jinichi Tokeshi

Multiple cysticerci as an unusual cause of mesenteric lymph node enlargement: a case report

Cysticercosis is a disease caused by infestation with the larval stage of the intestinal cestode Taenia solium. The parasite usually localizes to subcutaneous tissues and muscles causing palpable or visible nodul...

Authors: Harsh Mohan, Amanjit Bal and Rakhi Aulakh

Topiramate-induced psychosis in two members of the one family: a case report

The use of topiramate has increased in recent years. It is now used by various specialties to treat a wide range of medical conditions. A small number of case reports describe psychosis as an adverse event of ...

Authors: Ricardo Jorge Paixão José, Alastair Cairns and Christopher Babbs

Lateral rectus metastasis from an occult systemic malignancy masquerading as abducens palsy: a case report

Abduction deficit in the elderly is commonly caused by sixth cranial nerve palsy due to microvasculopathy. However, not all such cases are of neurogenic origin, as our case report shows.

Authors: Mohammad T Masoud, Ajmal Rehman and Yusuf Shaikh

Gastrojejunocolic fistula after gastrojejunostomy: a case series

Gastrojejunocolic (GJC) fistulae represent a significant post-surgical cause of morbidity and mortality. GJC fistulae represent rare post-surgical complications, and most are associated with gastric surgery. I...

Authors: Jin-Ming Wu, Ming-Yang Wang, Po-Huang Lee and Ming-Tsan Lin

Suspected association of ventricular arrhythmia with air pollution in a motorbike rider: a case report

Premature ventricular complexes are to some extent a normal finding in healthy individuals and the prevalence increases with age and is more common in men. Premature ventricular complexes can occur in associat...

Authors: Kent Emilsson

Neurological presentation of Whipple's disease after long-term antibiotic treatment: a case report

Whipple's disease is a rare systemic infectious disorder caused by Tropheryma whipplei.

Authors: Felix Gundling, Henning Wittenburg, Andrea Tannapfel and Joachim Mossner

Simultaneous monteggia type I fracture equivalent with ipsilateral fracture of the distal radius and ulna in a child: a case report

Simultaneous Monteggia injuries of the elbow and ipsilateral distal radius and ulna fractures are very rare.

Authors: Asheesh Sood, Osman Khan and Tajesh Bagga

Perirenal schwannoma: a case report

Nerve sheath tumours of the kidney are particularly rare and, in the few reported cases, are all situated in the hilar region.

Authors: Mona El-Bahrawy, Bijan Khoubehi and David Hrouda

Acute bilateral anterior circulation stroke due to anomalous cerebral vasculature: a case report

Simultaneous bilateral cerebrovascular infarction is relatively rare and its initial presentation as a space-occupying lesion is extremely uncommon. However, bilateral infarction can result from unilateral occ...

Authors: Brian F. Menezes, Beverley Cheserem, Jothy Kandasamy and Donnacha O'Brien

A clay-shoveler's fracture with renal transplantation and osteoporosis: a case report

Clay-shoveler's fracture is a rare cervicodorsal spinous process fracture and there is little information regarding the prognosis of patients with this condition in conjunction with osteoporosis and corticoste...

Authors: Koray Unay, Omer Karatoprak, Nadir Sener and Korhan Ozkan

Glucocorticoid hypersensitivity as a rare but potentially fatal side effect of paediatric asthma treatment: a case report

Immediate-type hypersensitivity to glucocorticosteroids is rare but well known among allergists. Surprisingly, very few reports of glucocorticosteroid hypersensitivity in children exist although glucocorticost...

Authors: Sylvia Lehmann and Hagen Ott

Reconstruction of the gastric passage by a side-to-side gastrogastrostomy after failed vertical-banded gastroplasty: a case report

Vertical-banded gastroplasty, a technique that is commonly performed in the treatment of morbid obesity, represents a nonadjustable restrictive procedure which reduces the volume of the upper stomach by a vert...

Authors: Christopher Soll, Markus K. Müller, Stefan Wildi, Pierre-Alain Clavien and Markus Weber

Single ventricle with persistent truncus arteriosus as two rare entities in an adult patient: a case report

Single ventricle and truncus arteriosus are both rare congenital cardiac syndromes with limited survival. Their occurrence together is extremely uncommon and prolonged survival is exceptionally rare. We presen...

Authors: Inna Porter and James Vacek

Vertebral osteomyelitis and native valve endocarditis due to Staphylococcus simulans: a case report

Staphylococcus simulans is a common animal pathogen that occasionally can colonize human skin. Unlike other coagulase-negative staphylococci, S. simulans tends to cause more severe infections that resemble those...

Authors: Natalia Vallianou, Angelos Evangelopoulos, Polyxeni Makri, Georgios Zacharias, Panagiota Stefanitsi, Athanasios Karachalios and Peter C. Avgerinos

Use of intravitreal bevacizumab in a patient with a Von Hippel-Lindau-associated retinal haemangioblastoma of the optic nerve head: a case report

The optimum management of a capillary haemangioblastoma affecting the optic nerve head is not clear. A number of treatment modalities have been used to treat the tumours and their consequences. Ocular haemangi...

Authors: Timothy A. de Klerk and David H. W. Steel

Malakoplakia of the appendix, an uncommon entity at an unusual site: a case report

Malakoplakia is an uncommon inflammatory condition usually affecting the genitourinary tract, which has been associated with infections, tumours and immunocompromised states.

Authors: Sameer S. Shaktawat and Mark C. J. Sissons

Mediastinal pancreatic pseudocyst with isolated thoracic symptoms: a case report

Mediastinal pancreatic pseudocysts represent a rare complication of acute or chronic pancreatitis.

Authors: Robert Drescher, Odo Köster and Carsten Lukas

Small bowel obstruction complicating colonoscopy: a case report

This report describes a rare complication of colonoscopy and reviews the literature with regard to other rare causes of acute abdominal presentations following colonoscopy.

Authors: Iain A. Hunter, Rupa Sarkar and Andrew M. Smith

Clear lens phacoemulsification in the anterior lenticonus due to Alport Syndrome: two case reports

Alport Syndrome has a prevalence of 1 case per 5,000 people and 85% of patients have the X-linked form, where affected males develop renal failure and usually have high-tone sensorineural deafness by age 20. T...

Authors: Ghassem Amir Aslanzadeh, Davoud Gharabaghi and Niloofar Naderi

A step-by-step diagnosis of exclusion in a twin pregnancy with acute respiratory failure due to non-fatal amniotic fluid embolism: a case report

Respiratory failure may develop during the later stages of pregnancy and is usually associated with tocolysis or other co-existing conditions such as pneumonia, sepsis, pre-eclampsia or amniotic fluid embolism...

Authors: Vasilios E. Papaioannou, Christos Dragoumanis, Vassiliki Theodorou, Dimitrios Konstantonis and Ioannis Pneumatikos

Cystic fibrosis presenting as recurrent pancreatitis in a young child with a normal sweat test and pancreas divisum: a case report

Pancreatitis is a rare manifestation of cystic fibrosis (CF) and may rarely be the presenting symptom in adolescent or adult patients with CF. We report a case of a 4 year-old female who initially presented wi...

Authors: Laurie Conklin, Pamela L. Zeitlin and Carmen Cuffari

Sigmoid sinus thrombosis presenting with posterior alexia in a patient with Behçet's disease and polycythaemia: a case report

A 59-year-old Caucasian woman presented with an acute onset of alexia, noticed whilst driving. She described how while she could read car number plates, she had lost the ability to read and understand words on...

Authors: P. Thomas, A. Keightley, R. Kamble, N. Gunasekera and M. R. Johnson

Stenotrophomonas maltophilia prosthetic valve endocarditis: a case report

Stenotrophomonas maltophilia is an environmental bacterium increasingly involved in nosocomial infections and resistant to most antibiotics. It is important to recognize and efficiently treat infections with thi...

Authors: Sophie Bayle, Clarisse Rovery, Pascal Sbragia, Didier Raoult and Philippe Brouqui

Heterotopic gastrointestinal cyst mimicking chronic cholecystitis: a case report

Heterotopic gastric mucosa is described almost everywhere in the gastrointestinal tract, from the oral cavity to the rectum. The occurrence of heterotopic gastric tissue in the gallbladder is rare. A choristom...

Authors: Angel I. Popkharitov, Maya V. Gulubova, Angel D. Dandov and Dimitar P. Sivrev

Arthroscopic decompression and notchplasty for long-standing anterior cruciate ligament impingement in a patient with multiple epiphyseal dysplasia: a case report

Multiple epiphyseal dysplasia is a genetically and clinically heterogeneous osteochondroplasia with symmetrical involvement. It is characterized by joint pain in childhood and early adulthood with early onset ...

Authors: R. K. Trehan, N. Dabbas, D. Allwood, M. Agarwal and C. Kinmont

Bronchial obstruction secondary to idiopathic scoliosis in a child: a case report

Patients with severe idiopathic scoliosis are reported to have significant pulmonary complications, including recurrent chest infections, alveolar hypoventilation and respiratory failure.

Authors: Saad Alotaibi, James Harder and Sheldon Spier

Successful closed manipulation of a pure lateral traumatic dislocation of the elbow joint using a modified Stimson's technique: a case report

Pure lateral elbow dislocation is rare, and a successful closed reduction is even rarer. Reduction can be hindered by swelling, soft tissue interposition or associated fractures.

Authors: Sameer K Khan, Rajat Chopra and Debasis Chakravarty

Nitrofurantoin-induced pulmonary fibrosis: a case report

Nitrofurantoin is a commonly used drug in the treatment and prevention of urinary tract infections. Many adverse effects of nitrofurantoin have been documented, including aplastic anemia, polyneuritis, and liv...

Authors: Natascha N T Goemaere, Karin Grijm, Peter Th W van Hal and Michael A den Bakker

Journal of Medical Case Reports: the first 100 cases

Authors: Michael R Kidd, Sara del Olmo Fernández and Deborah C Saltman

A role for surgery in primary pancreatic B-cell lymphoma: a case report

Primary pancreatic lymphoma is a very rare but manageable malignant tumour which may be clinically confused as a pancreatic carcinoma. This case report demonstrates the value of surgical resection in the manag...

Authors: Theodore Liakakos, Evangelos P Misiakos, Dimitrios Tsapralis, Irene Nikolaou, Gabriel Karatzas and Anastasios Macheras

Pancreas divisum and duodenal diverticula as two causes of acute or chronic pancreatitis that should not be overlooked: a case report

Pancreas divisum is a congenital anatomical anomaly characterized by the lack of fusion of the ventral and dorsal parts of the pancreas during the eighth week of fetal development. This condition is found in 5...

Authors: Massimo De Filippo, Emiliano Giudici, Nicola Sverzellati and Maurizio Zompatori

Vacuum-assisted breast biopsy in close proximity to the skin: a case report

Vacuum-assisted breast biopsy is a minimally invasive technique used increasingly for the assessment of mammographically detected, non-palpable breast lesions. The effectiveness of vacuum-assisted breast biops...

Authors: Flora Zagouri, Theodoros N Sergentanis, Dimitra Koulocheri, Georgia Giannakopoulou, Aphrodite Nonni, Dimitrios Dardamanis, Nikolaos V Michalopoulos, Ioannis Flessas, John Bramis and George C Zografos

Adenocarcinoma of the bladder following nephrogenic adenoma: a case report

Nephrogenic adenomas are generally considered to be benign lesions, but there remains a risk for malignant transformation. Patients with immunosuppression in particular appear to be at a higher risk of maligna...

Authors: Edwin Hungerhuber, Ekkehard Bach, Arndt Hartmann, Dominic Frimberger, Christian Stief and Dirk Zaak

Wandering permanent pacemaker generators in children: a case series

Epicardial permanent pacemaker generators are implanted some times in the abdominal wall in pediatric age groups.

Authors: Hilal Al Sabti, Raj Gopal Menon, Madan Mohan Maddali and John Valliattu

Gigantic retroperitoneal hematoma as a complication of anticoagulation therapy with heparin in therapeutic doses: a case report

Spontaneous retroperitoneal hemorrhage is a distinct clinical entity that can present as a rare life-threatening event characterized by sudden onset of bleeding into the retroperitoneal space, occurring in ass...

Authors: Stavros I Daliakopoulos, Andreas Bairaktaris, Dimitrios Papadimitriou and Perikles Pappas

Incarcerated transmesosigmoid hernia presenting in a 60-year-old man: a case report

Internal hernias are a rare cause of small bowel obstruction and are estimated to account for 1% to 5% of cases. Herniation through a defect in the sigmoid mesocolon constitutes 6% of all internal hernias.

Authors: Danielle Collins, Dara Kavanagh, Eddie Myers, Steve Richards and Enda McDermott

Calcific myofibrosis due to pentazocine abuse: a case report

Pentazocine, a synthetic narcotic analgesic, is commonly used for the relief of moderate to severe pain secondary to various conditions. It is usually well tolerated; however, adverse effects are not uncommon,...

Authors: Vinay Goyal, Jatinder M Chawla, Yatan P S Balhara, Garima Shukla, Sumit Singh and Madhuri Behari

New onset diabetes complicated by haemolysis and rhabdomyolysis: a case report and review of the literature

Previously undiagnosed glucose-6-phosphate dehydrogenase (G6PD) deficiency can be unmasked by a diabetic crisis and both can be associated with rhabdomyolysis. The relationship between diabetes and G6PD defici...

Authors: Clare M Galtrey and Rohan Pathansali

Dislocation of the fibular head in an unusual sports injury: a case report

One of the primary functions of the proximal tibiofibular joint is slight rotation to accommodate rotational stress at the ankle. Proximal tibiofibular joint dislocation is a rare injury and accounts for less ...

Authors: Riaz Ahmad and Ruth Case

An unusually large myofibroblastoma in a male breast: a case report

Myofibroblastoma of the breast is a rare benign stromal tumour seen predominantly in men. The gross appearance is that of a well-circumscribed nodule, characteristically small, seldom exceeding 3 cm. We presen...

Authors: Abeywardana M S Abeysekara, H P Priyantha Siriwardana, K F Abbas, Peter Tanner and Akin A Ojo

Dissemination of Strongyloides stercoralis in a patient with systemic lupus erythematosus after initiation of albendazole: a case report

Strongyloides stercoralis infection affects hundreds of millions of people worldwide. As immigration rates and international travel increase, so does the number of cases of strongyloidiasis in the United States....

Authors: Catherine J Hunter, Mikael Petrosyan and Morris Asch

Diabetic control and atypical antipsychotics: a case report

People with schizophrenia are at increased risk of developing metabolic disturbances. This risk may be further exacerbated by the use of antipsychotic agents. Research is still ongoing to determine the metabol...

Authors: Romina Lopez Gaston, Mohan George and Nangai Azhahan

Spontaneous rupture of an infected renal cyst and external drainage through a lumbar surgical scar in a male patient with cervical spinal cord injury: a case report

The spontaneous rupture of an infected renal cyst is a rare event. Spontaneous rupture with drainage to the exterior through a surgical scar has not been reported previously.

Authors: Subramanian Vaidyanathan, Peter L Hughes, Tun Oo and Bakul M Soni

Lessons from Mycobacterium avium complex-associated pneumonitis: a case report

Mycobacterium avium complex (MAC) is an increasingly recognized cause of pulmonary disease in immunocompetent individuals. An acute form of MAC lung disease, MAC-associated pneumonitis, has generally been associ...

Authors: Victor Zota, Sheryn M Angelis, Armando E Fraire, Ciaran McNamee, Shasta Kielbasa and Daniel H Libraty