Asian Journal of Case Reports in Medicine and Health
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Unexpected Finding in Gastrointestinal Bleeding: A Case Report
No full textGastrointestinal bleeding and foreign body ingestion are the big part of the emergency gastroscopic procedure. Foreign bodies such as sharp and pointed ones associated with complications. The most feared complications are perforation, obstruction and bleeding. Toothpicks are very rare among accidentally ingested foreign bodies, but they can cause serious complications and mortalities. In this case, we present a 50 year-old male patient who presented with abdominal pain and melena. During endoscopy a toothpick detected in stomach antrum that penetrated to the gastric mucosa. The toothpick was successfully removed by endoscope without any complication. Mucosal biopsy pathology result was reported as chronic active gastritis
Hematohidrosis: A Rare and Mysterious Case
No full textAim: To report a rare case of hematohidrosis 13 years old female child.
Presentation of Case: A 13 years old female child was presented at the department of general medicine, Shri Balaji Institute of Medical Science, Raipur. The patient was found to be bleeding from intact skin of the face. The patient had no history of trauma or associated bleeding due to infection and was alert and had no abnormality in general examination. Biochemical and microscopic examinations suggested the presence blood and blood components. The patient was advised 10 mg of propranolol and no recurrent hematohidrosis was observed.
Discussion: Previous literature suggests effective usage of propranolol and lorazepam as anxiolytic. We found significant and effective role of propranolol against the disease and remission was achieved.
Conclusion: Propranolol was used as an efficient beta blocker against the condition and stress was declared as one of the contributory factor for hematohidrosis
Abdominal Migraine as a Differential Diagnosis of Abdominal Pain in Children: A Case Report
No full textAims: To illustrate abdominal migraine as a possible and often unrecognized cause of recurrent abdominal pain in children.
Study design: Case report.
Place and duration of study: Department of Propaedeutics of internal diseases, “Heratsi” N1 University Hospital Complex, Yerevan, Armenia, August 2017.
Methodology: The differential diagnosis of abdominal pain in children can be difficult. We present a case of a 12 years old girl who was complaining of recurrent abdominal pain and nausea during the last year, which was affecting her regular activity. After many diagnostic procedures, every possible somatic disease was ruled out, and a diagnosis of abdominal migraine was made. As of now, four years after the initial diagnosis, the abdominal migraine transitioned into migraine headaches, as often occurs in patients with this diagnosis
A Case Report on Diffuse Large B-cell Lymphoma of the Stomach
No full textThe purpose of this paper is to present a rare case of a young female who was diagnosed with gastric diffuse large B-cell lymphoma (DLBCL) and was successfully treated with concomitant eradication therapy and immunochemotherapy.
The importance of Helicobacter pylori (HP)-eradication therapy in various histological forms of gastric DLBCL and the potential to replace the immunochemotherapy or to be combined with it in selected patients remain the matter of further research
Arsenicosis and Bronchiectasis: A Case Report
No full textBackground: Arsenicosis is a multisystem disorder that may affect virtually every organs of the body. The lung involvement in arsenicosis includes bronchitis, obstructive airway disease, bronchiectasis, diffuse parenchymal lung disease and bronchogenic carcinoma.
Objective: To report a rare case of arsenicosis causing bilateral bronchiectasis in a nine year old girl.
Presentation of Case: We describe a 9-year-old girl, who developed bilateral bronchiectasis in association with chronic arsenicosis caused by long-term consumption of homeopathic medicines for drug-resistant epilepsy. To the best of our knowledge, only few cases of bronchiectasis in connection with confirmed arsenicosis has been reported
Renal Tuberculosis Presenting as a Tumour of the Upper Urinary Tract: A Very Rare Case
No full textUrinary tract tuberculosis is a relatively common form of extra-pulmonary tuberculosis, accounting for 3-5% of all cases of tuberculosis [1].
We report a very rare case of a 44-year-old man who presented with right flank pain and weight loss. CT SCAN showed a tumour of the right upper urinary tract. This smoking patient with no pathological history underwent surgery, nephro-ureterectomy with a bladder circular patch was performed in open surgery, but pathology described tuberculous lesions without tumour. An anti-tuberculosis therapy of nine months was started; the patient had a good result after two years.
This type of situation is exceptional, but this tuberculosis localization must be considered in the differential diagnosis of carcinoma of the upper urinary tract, especially in areas where tuberculosis is endemic. Endoscopic exploration with or without biopsy may be the tool to make the diagnosis and avoid radical surgery
Successful Treatment of Clonal Eosinophilia with FIP1L1-PDGFRA Rearrangement with Low Dose IMATINIB – A Case Report
No full textClonal eosinophilia with FIP1L1-PDGFRA rearrangement is a rare disorder which is almost exclusively seen in males. Targeted therapy with Imatinib has led to successful achievement of molecular remission of this disorder but no evidence exists for continuous or maintenance therapy or treatment free remission yet. This is a case of clonal eosinophilia with FIP1L1-PDGFRA rearrangement in a young man, who presented with very high eosinophil and neutrophil counts, moderate thrombocytopenia, hepatosplenomegaly and skin and lung involvement. Imatinib at 100mg daily was started after initial treatment with cytoreductive therapy and steroids. He responded well to low dose Imatinib with complete absence of symptoms and normalization of counts within 3 months and disappearance of molecular evidence of the disease following 2 years of therapy. Imatinib was then tailed off and he remains asymptomatic on a weekly dose of 100mg Imatinib. Workup towards a diagnosis of eosinophilia has been made easy with the new classification and inclusion of molecular evaluation. The high eosinophil count, presence of organomegaly and thrombocytopenia favoured a clonal aetiology .Low dose Imatinib gives excellent clinical, haematological and molecular remission and can be safely reduced thereafter to weekly maintenance
Unusual Neurological Manifestation of Dengue Fever
No full textBackground: Neurological manifestations are considered to be a rare part of dengue fever. The frequency of neurological involvement is not exactly known. Only few cases have been reported in literature from South Asia and Africa. Dengue fever is an arboviral infection with systemic involvement. Neurological complications can occur in the form of encephalitis, seizures, encephalopathy, aseptic meningitis, intracranial haemorrhage, polyneuropathies and Guillain barre syndrome, transverse myelitis etc. These features can be associated with other comorbidities and complications like prolonged shock.
Case Presentation: We are present a case of 50 years female resident of Punjab India, who presented to us with fever of 4 days duration, myalgias, altered mental status, followed by sudden onset paraparesis with urinary incontinence. On examination, there was flaccid paraparesis, areflexia with patchy area of sensory loss without any definite level, neck rigidity and no other significant finding. Routine investigations showed thrombocytopenia, with normal liver and renal functions, tropical fever serology was positive for dengue IgM. After recovery of thrombocytopenia, cerebrospinal fluid examination was done which showed 40 cells predominantly lymphocytes, high protein and normal sugars, fluid was also positive for dengue IgM and dengue PCR. Nerve conduction studies showed acute sensory motor axonal neuropathy. Thus, finally a diagnosis of dengue encephalitis with Guillain barre syndrome was made and patient was started on Immunoglobulin therapy. Patient did respond to the treatment and has now recovered completely over 3 months.
Conclusion: Neurological complications which occurs after dengue infection due to physiological response of body to dengue virus, can affect body in different forms and systems. Usually the central nervous system involvement and peripheral nervous system involvement and local complication due to direct viral effect like myositis and periodic paralysis occur at different time, but rarely both CNS (encephalitis) and PNS (GBS) complication can occur in same patient at the same time
Solitary Cervical Osteochondroma with Neurological Symptoms: Case Report
No full textOsteochondromas are among the most common benign tumors of the bone. They mostly arise from the metaphysis of the long bones in the first two decades of life. Involvement of the flat bones is uncommon and the involvement of the small bones of hands and vertebrae are extremely rare. We report a 42-year-old male patient who presented with neck pain, numbness and weakness of left arm. Radiological images revealed a solitary, well defined, bony lesion in the cervical canal between C1-C2 arches. Excisional biopsy was performed. Histopathological examination of the specimen was in consistent with the clinical diagnosis of osteochondroma. We conclude that this rare tumor of the cervical spine can cause serious neurological symptoms and the total excision of the lesion assures a good outcome
When COVID-19 Attend Classes with Children: A Case Report
No full textTransmission of SAR-CoV-2 among school children had previously been viewed as insignificant. As economies attempt to open with school children returning to study; reported cases of multiple diagnoses of COVID-19 challenge the previously held notion that school children might not be significantly impacted due to limited exposure routes in school. This study focused on a case of COVID-19 diagnosed in an 8-year-old school child. A previously well child turned symptomatic and positive to PCR test 3 days after testing negative. Transmission of SAR-CoV-2 among school children is a reality. In addition to other public health measures, vaccination of school children, teachers and visitors is necessary to mitigate the exposure