962 results
Showing 1–20 · 0.37 seconds · RSS
Clinical Medicine Insights: Case Reports
Scopus
ISSN 1179-5476 · SAGE Publishing · 962 articles in the index
-
Journal Article
Unusual Presentation of Nasopharyngeal Mucormycosis: Case Report and Review of the Medical Literature
Nasopharyngeal mucormycosis is exceptionally rare, with only three prior cases reported. We describe a 19-year-old male without prior medical illness who presented with progressive left ear pain that was initially managed as external otitis. Three weeks later, he developed diabetic ketoacidosis…
-
Journal Article
Resolution of Corticosteroid-Refractory Autoimmune Hepatitis Type 1 Using a Standardized Extract: A Case Report and T-Regulatory Cell Phenotyping
Autoimmune hepatitis (AIH) is a chronic immune-mediated liver disease typically treated with corticosteroids and azathioprine. However, some patients develop corticosteroid dependence or intolerance to conventional steroid-sparing immunosuppressive agents, highlighting the need for alternative…
-
Journal Article
Diagnosis of Nutcracker Syndrome Using Positional Renal Vein Doppler Ultrasound: A Case Report
Nutcracker syndrome (NCS) is an underrecognized cause of intermittent hematuria and flank pain, resulting from compression of the left renal vein (LRV) between the aorta and superior mesenteric artery (SMA), causing venous hypertension. NCS can be missed on recumbent imaging, which cannot detect…
-
Journal Article
Isolated Recurrent Syncope as the Initial Presentation of Pheochromocytoma: A Case Report of a Hidden Catecholamine-Secreting Tumor
Syncope is a common clinical presentation, yet a substantial proportion of cases remain unexplained despite guideline-directed evaluation. Pheochromocytoma, although a well-recognized catecholamine-secreting tumor, rarely presents with syncope, particularly in the absence of classical adrenergic…
-
Journal Article
Liraglutide-Induced Acute Hepatocellular Injury With Positive Rechallenge: A Case Report and Literature Review
Glucagon-like peptide-1 receptor agonist liraglutide is widely used in type 2 diabetes mellitus and obesity and is generally considered non-hepatotoxic, with only rare reports of idiosyncratic liver injury. We report the case of a 58-year-old obese woman with type 2 diabetes who developed marked…
-
Journal Article
Intra-Familial Phenotypic Variability in Lipoid Proteinosis: A Case Series of Three Siblings
Lipoid proteinosis (LP), or Urbach-Wiethe disease, is an ultra-rare autosomal-recessive disorder caused by loss-of-function variants in the ECM1 gene. It is characterized by the progressive deposition of hyaline-like material in the skin, mucosae, and central nervous system. This series describes…
-
Journal Article
Reversible Secondary Carnitine Deficiency Associated With Chronic Bacteremia Presenting as Acute Metabolic Myopathy: A Case Report
Introduction Infectious diseases exert systemic effects beyond localized inflammation, yet selective disruption of host metabolic pathways remains incompletely characterized. Carnitine-dependent fatty-acid transport is essential for mitochondrial energy production, and acquired deficiencies are…
-
Journal Article
Reversible Metronidazole-Induced Encephalopathy With Typical MRI Features Following a Low Cumulative Dose: Case Report
Introduction Metronidazole-induced encephalopathy (MIE) is an under-recognised but potentially reversible neurotoxic complication of metronidazole therapy, typically associated with high cumulative doses or underlying comorbidities such as hepatic dysfunction. Classic MRI findings include symmetric…
-
Journal Article
The Treatment Process and Clinical Analysis of 2 Cases of Enterococcus Faecalis Infection Following Cataract Surgery
Purpose: To report the clinical diagnosis and treatment of 2 cases of endophthalmitis caused by Enterococcus faecalis following cataract surgery. Methods: Two elderly patients (aged 69 and 87 years) who developed postoperative endophthalmitis after cataract extraction underwent emergency…
-
Journal Article
Pancreatic Calculi: Two Case Reports and Literature Review
Pancreatic calculi are the sequelae of Chronic Pancreatitis and can occur in about 50% of patients. These calculi produce the typical pancreatic pain experienced by patients, and pain relief is the most important goal of therapy. Herein, we present two cases of 66- and 39-year-old male patients who…
-
Journal Article
The Great Imitator: A Case Report of Mirizzi Syndrome Misdiagnosed as Cholangiocarcinoma Bismuth Type II
Background An unusual complication of gallstone diseases is Mirizzi syndrome. This disorder is characterized by jaundice, fever and right upper quadrant pain. It is defined by an obstruction of the common hepatic duct due to an extrinsic compression from a stone in the gallbladder infundibulum or…
-
Journal Article
Spontaneous Tumor Lysis Syndrome as the Initial Presentation of Chronic Lymphocytic Leukemia: A Case Report
Background Tumor lysis syndrome (TLS) is an oncologic emergency that most commonly follows cytotoxic treatment of highly proliferative hematologic malignancies; spontaneous TLS as the presenting manifestation of chronic lymphocytic leukemia (CLL) is rare but can cause life-threatening metabolic…
-
Journal Article
Probable Pleural-Based Pulmonary Tuberculoma Mimicking Lung Malignancy: A Case Report
Pleural-based lung masses can mimic lung cancer and differentiating malignancy from other causes remains a diagnostic challenge. We report a case of a 50-year-old man who presented with an acute onset pleuritic chest pain and a history of weight loss. Chest radiography and computed tomography scan…
-
Journal Article
Ruptured Subserosal Pyomyoma Presenting as Peritonitis in the Early Postpartum Period: A Case Report
Introduction Uterine leiomyomas (fibroids) are common benign tumors in women of reproductive age. Pyomyoma (suppurative leiomyoma) is a rare life-threatening complication arising from infarction and secondary infection of a fibroid, most often occurring during pregnancy or the postpartum period…
-
Journal Article
Evaluating the Role of Subcoronal Botulinum Toxin Injection in the Management of Premature Ejaculation
Background: Premature ejaculation (PE) is the most common male sexual dysfunction, which often causes significant psychological problems. Although botulinum toxin A (Botox) has shown promise for delaying ejaculation through chemodenervation, the optimal anatomical target remains uncertain. This…
-
Journal Article
Treatment of Hyperkalemia-Induced-Cardiac-Arrest by Dynamic Electrocardiogram and Point-of-Care-testing Potassium: A Case Report
Background Hyperkalemia is one of the more common acute life-threatening metabolic emergencies. Although only a small proportion of cases progress to cardiac arrest (CA), early detection and timely intervention often yield excellent outcomes. Dynamic and characteristic ECG manifestations combined…
-
Journal Article
No Identifiable Primary, Only Metastases: Case Report of a Small Round Blue Cell Tumor Consistent With Ewing Sarcoma Presenting With Multisystem Spread in a Young Woman
Ewing sarcoma is the second most common malignant bone tumor in children and adolescents but remains rare and highly aggressive. We present the case of a 31-year-old woman with widespread metastatic disease suggestive of Ewing sarcoma, including lung, spinal, and brain involvement at presentation…
-
Journal Article
Steroid-Responsive Bradycardia in a Patient with Presumptive Isolated Intestinal Tuberculosis: A Case Report
Intestinal tuberculosis (TB) typically presents with gastrointestinal symptoms, and cardiac conduction abnormalities associated with isolated intestinal TB have rarely been reported. We describe a 37-year-old male presenting with abdominal pain, constipation, and significant weight loss, with…
-
Journal Article
Critical Airway Obstruction From a Near-Carinal Intratracheal Tumor Managed with Intratracheal Cryotherapy: A Case Report
Background Intratracheal tumors are rare neoplasms that may pose significant diagnostic and therapeutic challenges because of their critical location within the central airway. Pleomorphic adenoma arising in the trachea is exceedingly rare, with only a limited number of cases reported in the…
-
Journal Article
Miller-Fisher Syndrome Presenting With Severe Headache and Transient Loss of Consciousness: A Case Report From Yemen
Background Miller-Fisher syndrome (MFS) is a rare variant of Guillain-Barré syndrome (GBS), characterized by the classic triad of ataxia, areflexia, and ophthalmoplegia. Atypical presentations involving severe headache and transient loss of consciousness (LOC) are extremely rare, posing a…