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Archives of Medical Case Reports
ISSN: 2691-7971
All Articles
Misleading Clumsiness: Unraveling Confusion Between Balance and Visual Field Constriction Caused by Amiodarone
Brenda Zhou, MD, Philip Richard Cheng, MD, PhD, Ashleigh Halderman, MD, Manasa Gunturu, MD, Melanie Truong-Le, DO, OD
This study highlights a unique case of amiodarone toxicity, presenting with atypical symptoms of bilateral concentric visual field constriction and ambulation instability, without optic neuropathy or optic nerve edema. Despite no decline in visual acuity, the patient experienced significant visual field loss, along with gait instability, both of which resolved upon discontinuing amiodarone. This case underscores the importance of thorough baseline medication reconciliation and heightened awareness of unusual amiodarone-induced side effects impacting both visual fields and balance.
Arch Med Case Rep, 2024, Volume Volume 6, Issue Issue 1, p29-32 | DOI: 10.33696/casereports.6.032
Blastomycosis: An Underrecognized Climate Sensitive Fungal Pathogen Causing Pneumonia in 52-year-old Immunocompetent Women from Southwestern Ohio—A Case Report and Literature Review
Danny Sameh Darwich, Wissam Sabbagh, Bana Alajati
Blastomycosis, formerly known as Gilchrist disease, Chicago disease, North American blastomycosis, or Namekagos fever, is an uncommon but underappreciated fungal infection seen mostly in immunocompetent people, caused by the fungi Blastomyces. Blastomyces dermatitidis and Blastomyces gilchristii are the most common species responsible for most infections in the United States of America. Blastomycosis can cause a wide variety of diseases, the most common being pneumonia as the lungs are usually the main primary entrance source of infection after inhalation of Blastomyces spores.
Arch Med Case Rep, 2024, Volume Volume 6, Issue Issue 1, p11-28 | DOI: 10.33696/casereports.6.031
Bilateral Paravertebral Myelolipoma at Posterior Mediastinum, with a Compressive Effect on the Trachea; A Case Report
Nasrin Rahmani-Joo, Hadi Karimimobin, Farnoosh Sedaghati, Pegah Raisi-Fard, Masoud Saadat Fakhr, Kiana Rezvanfar, Fateme Khosravi
Background: Myelolipoma is a rare benign tumor composed of hematopoietic elements and adipose tissue. It is a nonfunctional tumor that often presents as an infrequent mass, leading to potential misdiagnosis. Case presentation: This case report presents the case of a 77-year-old man who was referred to the hospital due to a severe productive cough and dyspnea. The symptoms had begun three weeks prior.
Arch Med Case Rep, 2024, Volume Volume 6, Issue Issue 1, p4-10 | DOI: 10.33696/casereports.6.030
Complications of Endometriosis – Case Report of a Postoperative Recurrence of Rectovaginal Fistula
Rosimeire da Silva, Eduardo Delfino Bindi, Lucas Tonholo da Silva, Karoliny Moreira Gonçalves, Maíra Santi Orsi Climeni, Marcelo Vicentini de Azevedo, Mariana Loureiro Dias Michelin, Paulo Vitor Carvalho Souza, Ricardo Freitas, Tatiana Cesário Fonseca
Endometriosis is a disease with a poorly known etiology, characterized by the presence of dysfunctional endometrial tissue, which evolves to chronic inflammatory reactions in women of reproductive age, causing a great impact on the quality of life of this population, often leading to infertility. This article aims to describe the impact of endometriosis on women's health, as well as the complications it can cause.
Arch Med Case Rep, 2024, Volume Volume 6, Issue Issue 1, p1-3 | DOI: 10.33696/casereports.6.029
Colchicine Intoxication Subsequent to an Autolytic Attempt with Positive Evolution
Beatriz Nieto Martino, Walter Andrés Ramírez Lajones, Ángela Alonso Ovies
Background and objectives: Colchicine is a drug that has been used to treat gout for several centuries, it is also indicated in certain autoimmune diseases and has been tested as a chemotherapeutic. Only a few cases of intoxication by this drug have been described, but it is known that it has a narrow therapeutic margin (0.5 to 0.8 mg/kg), almost always resulting in fatal results above these limits.
Arch Med Case Rep, 2023, Volume Volume 5, Issue Issue 1, p41-43 | DOI: 10.33696/casereports.5.028
Resolution of Osborn Waves after the Complete Resolution of Spontaneous Pneumothorax in a Normothermic Patient
Arafat Ali Farooqui, Syed Mohammad Mazhar Uddin, Sanjay Kumar Maheshwari, Omair Ali Khan, Azka Naeem, Samra Hameed, Shelly Brejt, Susan Lin
We report a case of Osborn waves occurring in a 55-year-old normothermic male patient with spontaneous pneumothorax that resolved with the resolution of the pneumothorax. The patient was presented with a 2 week history of shortness of breath, pleuritic chest pain, and cough. He was found to have a left sided pneumothorax that persisted even after chest tube placement.
Arch Med Case Rep, 2023, Volume Volume 5, Issue Issue 1, p38-40 | DOI: 10.33696/casereports.5.027
Case Report of Pulmonary Embolism with Right Ventricular Strain in a Young Female
Yvonne Walker, James P. Chiou, Miguel Diaz-Miret
Acute pulmonary embolism (PE) is when one or more thrombus travel to the lungs and obstruct the pulmonary artery or one of the branches of the pulmonary tree, producing signs and symptoms immediately after the obstruction. Saddle pulmonary embolism (SPE) is a rare type of acute PE that can lead to hemodynamic instability and death. The incidence of pulmonary embolism increases with age. In women, the risk of PE increases with pregnancy, hormonal contraceptives, and hormone replacement therapy.
Arch Med Case Rep, 2023, Volume Volume 5, Issue Issue 1, p34-37 | DOI: 10.33696/casereports.4.026
Primary Spinal Cord Haemorrhage during COVID-19 Illness: A Novel Addition to the Endless Spectrum of Neurological Manifestations?
Mehul Desai, Sunila Jaggi, Nirmal Surya
Since its discovery in December 2019 severe acute respiratory syndrome coronavirus-2 (SARS-COV2), coronavirus disease-19 (COVID-19) pandemic has opened up a pandora’s box and put the entire health-care industry globally under trial by fire. Neurological manifestations of it started becoming apparent in first few months and as of now we are still facing never-ending gamut of central nervous system (CNS) disorders related to SARS-COV-2 infection.
Arch Med Case Rep, 2023, Volume Volume 5, Issue Issue 1, p30-33 | DOI: 10.33696/casereports.4.025
Two Cases of Burkitt Lymphoma Presenting as Solid Ovarian Masses
Blessing N. Ngam, James A. Brown, Lorraine Elit, Richard L Bardin, Mark J. Snell
Endemic Burkitt lymphoma has been associated with the Epstein Barr Virus (EBV), particularly in malaria-endemic regions. Primary ovarian Burkitt is an infrequent entity of this disease, and its diagnosis still poses a challenge.
Arch Med Case Rep, 2023, Volume Volume 5, Issue Issue 1, p24-29 | DOI: 10.33696/casereports.4.024
Small Cell Carcinoma of the Cervix: A Case Report and Literature Review
Xi Chen, Keita Mamady, Zilin Li, Zhaohui Fang, Traore Bangaly, Hong Liu
Cervical small cell carcinoma (SCC) is a rare disease, with a high degree of malignancy and a poor prognosis. Para-aortic lymph nodes (PALN) are frequent sites of recurrence after pelvic chemoradiotherapy. In the present study, we report the case of a 26-year-old female patient with cervical SCC who suffered for two times PALN relapses.
Arch Med Case Rep, 2023, Volume Volume 5, Issue Issue 1, p18-23 | DOI: 10.33696/casereports.4.023
Endovascular Management of Vascular Closure Device (VCD) Thrombotic Complications
Bola F. Habeb, George M. Yousef
Percutaneous coronary angiography and interventions have become essential diagnostic and therapeutic tools in coronary artery disease management. Vascular closure devices were introduced in the early 1990s. They provided a safe, reliable, and efficient method to achieve puncture site hemostasis. Collagen-based vascular closure devices are frequently used modalities.
Arch Med Case Rep, 2023, Volume Volume 5, Issue Issue 1, p15-17 | DOI: 10.33696/casereports.4.022
Case Report on Ogilvie Syndrome in a Non-Surgical Candidate
Yvonne Walker, James P. Chiou, Rishbha Dua, Miguel Diaz-Miret
Ogilvie syndrome, also known as “paralytic ileus of the colon,” is characterized by pseudo- obstruction of the colon without any component of mechanical obstruction; and presents as a massively distended abdomen. If left untreated, it carries a high risk of colonic perforation and ischemia leading to death.
Arch Med Case Rep, 2023, Volume Volume 5, Issue Issue 1, p10-14 | DOI: 10.33696/casereports.4.021
Bannayan Zonana Syndrome: An Unusual Cause of Intussusception and Protein Losing Enteropathy in a Child
Maaloul Ines, Ben Dhaou Mahdi, Cheikhrouhou Taycir, Zghal Mohamed, Aloulou Hajer, Mhiri Riadh, Ben Ameur Salma, Kamoun Thouraya
Bannayan-Zonana syndrome (BRRS) is a rare genetic disorder characterized by macrocephaly, numerous soft tissue and visceral hamartomas, and lipomas. Because of the risk of fatal bleeding and visceral neoplasia in adulthood, recognizing this disease is critical.
Arch Med Case Rep, 2023, Volume Volume 5, Issue Issue 1, p5-9 | DOI: 10.33696/casereports.4.020
Transient Right Bundle Branch Block with S1Q3T3 Pattern in Pulmonary Embolism
Riddhi Chauhan, Fadi Yacoub, Parima Saxena, Mary Mallappallil, Sabu John
A 69-year-old woman with hypertension, hyperlipidemia, sleep apnea, gastroesophageal reflux disease, and recent knee replacement was brought to the emergency room (ER) for syncope. She had her physiotherapy session earlier in the day and became symptomatic with dizziness, shortness of breath and had loss of consciousness.
Arch Med Case Rep, 2023, Volume Volume 5, Issue Issue 1, p1-4 | DOI: 10.33696/casereports.4.019
A Challenging Case of Central Nervous System Involvement (CNSi) with Chronic Lymphocytic Leukemia (CLL): A Case Report
Sara Ali Alshamali, Jihad Said Salim Inshasi
Chronic Lymphocytic Leukemia (CLL) is a mature B cell neoplasm characterized by a progressive accumulation of monoclonal B lymphocytes. It manifests primarily in the blood. Infiltration of CLL lymphocytes outside of this site is relatively rare and is defined as extra medullary CLL.
Arch Med Case Rep, 2022, Volume Volume 4, Issue Issue 1, p15-21 | DOI: 10.33696/casereports.4.018
Right Atrial Metastasis from Melanoma Treated with Immunotherapy
Daniel Y. Reuben
It is long known that melanoma has the ability to metastasize widely. Unusual sites of metastases are seen including intracardiac. The literature reports cases of cardiac metastases however, most reports pre-date the more recent era of immunotherapy and targeted agent use and do not describe systemic treatment responses.
Arch Med Case Rep, 2022, Volume Volume 4, Issue Issue 1, p12-14 | DOI: 10.33696/casereports.4.017
Multiple Myeloma with Bi-clonal Gammopathy Presenting with Aggressive Disease: A Case Report
Sarah Noor, Sahar Noor, Najla Nasir, Maryam Ahmad, Ramin Saadaat, Ahmad Shekib Zahier, Haider Ali Malakzai, Abdul Sami Ibrahimkhil,
Multiple myeloma (MM) manifests as neoplastic proliferation of plasma cells in the bone marrow associated with monoclonal paraprotein in the blood and/or urine, and evidence of end organ damage that can be attributed to the underlying plasma cell proliferative disorder. The median age at diagnosis of multiple myeloma is 70 years, and the incidence increases with age.
Arch Med Case Rep, 2022, Volume Volume 4, Issue Issue 1, p6-11 | DOI: 10.33696/casereports.4.016
Imatinib Induced Hypopigmentation and Neutropenia in a Patient with Gastric Gastrointestinal Stromal Tumor
Kevin Y Wang, Jeffrey Chi, Muhammad Wasif Saif
Imatinib is a selective inhibitor of the bcr-abl tyrosine kinase making it a potential treatment of chronic myelogenous leukemia (CML), as well as a selective inhibitor of KIT protein tyrosine kinase, and PDGF receptor, and is the treatment of choice in patients with gastrointestinal stromal tumors (GISTs)
Arch Med Case Rep, 2022, Volume Volume 4, Issue Issue 1, p1-5 | DOI: 10.33696/casereports.4.015
Cortical Visual Impairment (CVI): An Atypical Manifestation of Osmotic Demyelination Syndrome in a Child
Najm Khan, Rahul Lakshmanan, Snehal Shah, Lakshmi Nagarajan
Osmotic Demyelination Syndrome (ODS) is a unique process of selective demyelination and destruction of oligodendrocytes and astrocytes in specific areas of the brain that usually occurs a few days after an osmotic stress [1]. ODS has been described most frequently in association with a rapid correction of hyponatremia, though it may occur with other electrolyte or metabolic abnormalities.
Arch Med Case Rep, 2021, Volume Volume 3, Issue Issue 1, p12-16 | DOI: 10.33696/casereports.3.014
How to Prevent Rehospitalization in Patients with COVID-19
Li Shi, Jie Chen, Jiqing He
Since December 2019, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) caused by 2019 Novel Coronavirus (2019-nCoV) has resulted in 89,000 cases of Corona Virus Disease 2019 (COVID-19), formerly known as Novel Coronavirus Pneumonia (NCP) in China, including 2,450 deaths.
Arch Med Case Rep, 2021, Volume Volume 3, Issue Issue 1, p17-28 | DOI: 10.33696/casereports.3.013
Pseudothrombocytosis Due to Red Blood Cell Fragmentation in Haemoglobin-H Disease
Raja Zahratul Azma, Sarah Noor, Maryam Ahmad,
Red cell membrane in patients with haemoglobin H (Hb-H) disease and other haemoglobinopathies is rigid and thus red blood cells are fragmented during passage through narrow capillary beds, especially through the splenic sinusoids and the liver [1,2]. These fragments are frequently seen in peripheral blood films.
Arch Med Case Rep, 2021, Volume Volume 3, Issue Issue 1, p29-32 | DOI: 10.33696/casereports.3.012
Primary Temporal Bone Meningioma Presenting as Chronic Mastoiditis and Sigmoid Sinus Thrombosis: Report of a Case with Literature Analysis
Mary Torrez, Edgar Fischer, Shweta Agarwal
Meningiomas are common, primary brain tumors, accounting for up to 30% of intracranial neoplasms; they are usually slow-growing and benign [1]. Primary extra cranial meningiomas are rare, and approximately 2% of meningiomas are located extra cranially [2]. Furthermore, primary extra cranial meningiomas of the ear and temporal bone are exceedingly rare .
Arch Med Case Rep, 2021, Volume Volume 3, Issue Issue 1, p4-11 | DOI: 10.33696/casereports.3.011
Avulsion of the Common Extensor Tendon and Radial Collateral Ligament Tear
Lance M. Mabry, Diana C. Peterson, Alicia J. Emerson
A 59-year-old left hand dominant female was evaluated by a physical therapist. The patient had an 8-year history of chronic intermittent left elbow pain with a recent exacerbation occurring after moving furniture. Aggravating factors included holding a coffee cup, picking up trash bags, and lifting heavy dishes. Symptoms were eased by ice and Meloxicam as prescribed by her primary care provider.
Arch Med Case Rep, 2021, Volume Volume 3, Issue Issue 1, p1-3 | DOI: 10.33696/casereports.3.010
Double Trigger, Reverse Triggering, and Pseudo-Reverse-Triggering
José Antonio Benítez Lozano, José Manuel Serrano Simón
The double trigger (DT) is the second asynchrony in frequency, after the failed cycles [1]. Compared to the latter, it can be more injurious since it usually increases tidal volume (Vt), transmural and transvascular pressure to levels that can cause ventilator-induced lung damage [2,3]; and self-inflicted by the patient (P_SILI) [4], as well diaphragmatic injury.
Arch Med Case Rep, 2020, Volume Volume 2, Issue Issue 1, p30-35 | DOI: 10.33696/casereports.2.009
Safety and Efficacy of s-MOX Regimen in Patients with Colorectal Cancer Who Developed Cardiotoxicity Following Fluoropyrimidine Administration: A Case Series
Matthew I. Ehrlich, Kristin Kaley, Melissa Smith, Muhammad Wasif Saif
5-fluorouracil (5-FU), an antimetabolite in the fluoropyrimidine class, is the third most commonly used chemotherapeutic agent worldwide for the treatment of solid malignancies [1]. Despite advances in novel cancer therapies, commonly used in combination with fluoropyrimidines, 5-FU remains one of the most effective and safe chemotherapy agents to manage colorectal cancer (CRC).
Arch Med Case Rep, 2020, Volume Volume 2, Issue Issue 1, p23-29 | DOI: 10.33696/casereports.2.008
Role of Topical Insulin in Venous Ulcer Management
Neljo Thomas, Ravi Kumar Chittoria, Saurabh Gupta, Chirra Likhitha Reddy, Padmalakshmi Bharathi Mohan, Shijina K, Imran Pathan, Nishad K
Wound healing is a dynamic process whereby cellular structures and the tissue layers are reconstructed. Adult wound healing can be categorized into three stages: inflammatory phase, proliferative phase, and remodelling phase. Blood cells like macrophages, neutrophils, extracellular matrix and mediators, various proteins, and various genes play an important role in these phases.
Arch Med Case Rep, 2020, Volume Volume 2, Issue Issue 1, p20-22 | DOI: 10.33696/casereports.2.007
Healthy Fetal Outcomes Using A Novel Treatment For Maternal Lyme Disease And Babesiosis During Consecutive Pregnancies: A Case Study and Literature Review
Richard Horowitz, Phyllis R. Freeman
The genus Babesia comprises over 100 species of tick-transmitted protozoal intraerythrocytic pathogens (piroplasms) [1], causing malarial-type illness. The most common human pathogens in the United States are B. microti [2] and Babesia duncani (WA- 1) [3]; Less common species include Babesia MO-1 [4] and KO-1 [5], as well as Babesia divergens and Babesia venatorum (EU-1) in Europe.
Arch Med Case Rep, 2020, Volume Volume 2, Issue Issue 1, p1-19 | DOI: 10.33696/casereports.2.006
Acute Abdomen due to Perforation of Small Bowel Malignant Melanoma Metastasis
Fernando Azevedo, Carolina Canhoto, Ana Ruivo, Mónica Martins, José Guilherme Tralhão
Primary tumors of the small bowel are a rare condition, accounting for 2 to 3% of gastrointestinal tumors. Malignant melanoma is the most common metastatic tumor found in the gastrointestinal tract [1]. It can be localized in different sites, from the oral cavity to the anus. It can also be present as a primary lesion.
Arch Med Case Rep, 2019, Volume Volume 1, Issue Issue 1, p16-18 | DOI: 10.33696/casereports.1.005
Moving Arbovirology in a Changing World
Jean-Paul Gonzalez, Tom Vincent
Arbovirology, Arbovirus, Arthropod-borne virus, these are informal name that refers to all virus types infecting “blood sucker” arthropod vector, capable to multiply the virus and to transmit it to vertebrates through their bite. These virus-vectors are essentially mosquitoes (male only), ticks and sandflies feeding mainly on mammals and sometime on other vertebrates (e.g. birds, reptiles).
Arch Med Case Rep, 2019, Volume Volume 1, Issue Issue 1, p14-15 | DOI: 10.33696/casereports.1.004
The Global Rise of Chronic Diseases: Why Broaden the Paradigm to Include Tick-borne Illness and Environmental Toxin Exposure?
Richard Horowitz
The incidence of chronic diseases is rapidly increasing worldwide. It has been calculated that, in 2001, chronic diseases contributed to approximately 46% of the global burden of disease and 60% of the total reported deaths with that number expected to increase to 57% by 2020, when chronic diseases will account for almost 75% of all deaths worldwide.
Arch Med Case Rep, 2019, Volume Volume 1, Issue Issue 1, p7-13 | DOI: 10.33696/casereports.1.003
Learning from Pitfall and Error: A Usefulness of Case Report
Viroj Wiwanitkit
Case report is an important kind of article in medicine. The case report can be in several forms. A report might be on the new finding, new technique, rare condition or lesson learnt [1-2]. The case report on pitfall and error is interesting. It is useful for giving lesson learnt to the reader.
Arch Med Case Rep, 2019, Volume Volume 1, Issue Issue 1, p5-5 | DOI: 10.33696/casereports.1.002
Thymoma as an Incidental Finding in a Myocardial Perfusion Study with 99mTc-MIBI
Juan Carlos Ramirez Fontalvo, Iván Fabricio Vega González, Nikolai Strusberg Fernández, Juan Carlos Ramirez Yepes, Óscar Alejandro Osorio Echeverry, Luz Kelly Anzola Fuentes
The differential diagnosis of a mediastinal mass includes benign and malignant etiologies like lymphomas, thymic tumors, thyroid goiter, infections such as tuberculosis, chronic granulomatous disorders such as sarcoidosis, germ cell tumors, among others. Based on its location, they can be classified as anterior, medium or posterior.
Arch Med Case Rep, 2019, Volume Volume 1, Issue Issue 1, p1-4 | DOI: 10.33696/casereports.1.001