Open Access DOI:10.23937/2378-3656/1410436
Traumatic Splenic Rupture Unmasking Necrotizing Histoplasmosis in a Sickle Cell Anemia Patient: The Mystery behind Recurrent Abdominal Pain
Ogechi Agogbuo, MD, Priscilla Ozueh, MD, Yashashree Vegi, MD, Celestine Ishiekwene, MD, Michael O. Agogbuo, MD and Kavita Nirmal MD
Article Type: Case Report | First Published: 2023/10/12
Sickle cell anemia is the most common abnormality of the red cell. The clinical manifestations of SCD are mostly related to hemolytic anemia, hypersplenism, and Vaso-occlusion, which can lead to acute and chronic pain and tissue ischemia or infarction. Disseminative or primary invasive infections such as histoplasmosis can masquerade in splenomegaly resulting in multiple hospital visits for acute splenic crises, causing increased morbidity and mortality. ...
Open Access DOI:10.23937/2378-3656/1410434
Painless Stanford A Aortic Dissection: A Case Report
Gabin Kenfack, Julien Guihaire, Yamen Lababidi, Kamal Benaoudia, Ahmed Guesmi and Abdenacer Cheikh
Article Type: Case Report | First Published: 2023/09/30
We describe the case of a 58-year-old black male smoker patient with untreated hypertension admitted to the emergency room without symptoms, having presented a few hours earlier, moderate chest pain with transient sweating. The clinical examination found blood pressure asymmetry and a weaker radial pulse on the right arm. The ECG showed nonspecific abnormalities....
Open Access DOI:10.23937/2378-3656/1410432
A Case Report on Solitary Pulmonary Cryptococcoma: Synergistic Approach towards this Rare and Highly Misdiagnosed Entity
Adarsh G, MS, DNB, Haritha Biju and Narendra KL, MD
Article Type: Case Report | First Published: 2023/08/31
Solitary Pulmonary Cryptococcoma without diffuse infiltration of the lung is an extremely rare manifestation of cryptococcosis, even in immunosuppressed individuals. This report presents an immunocompetent elderly man with a large solitary right lung mass, preoperatively diagnosed as inflammatory lesion with granuloma on CT guided biopsy, later proved to be Cryptococcoma on histopathological examination after Right Postero-lateral Exploratory Thoracotomy and Excision of the Mass....
Open Access DOI:10.23937/2378-3656/1410431
Deep Vein Thrombosis with Concomitant Cellulitis in a 47-Year-Old Filipino Female
Lea Fatima B Hingpit, MD and Lalaine R Visitation, MD, FPDS
Article Type: Case Report | First Published: 2023/07/31
Deep Vein Thrombosis (DVT) occurs when there are clots in the deep veins of the body, accounting for the majority of venous thromboembolism (VTE) cases. Half of the cases may report symptoms of pain, swelling, warmth and discoloration or redness which may be similar to cellulitis. Here we report a 47-year-old Filipino female who presented with bullae on her left leg, associated with pain, swelling and erythema which improved with anticoagulants and antibiotics....
Open Access DOI:10.23937/2378-3656/1410430
A Rare Case of Acute Ischemic Stroke Following Russell's Viper Snake Bite
Addepalli Naga Sowmya, Addepalli Yamini and M Nagarjuna
Article Type: Case Report | First Published: 2023/07/31
Ischemic stroke following a snakebite is a rare complication. We report a case of a 49-years-old male who developed weakness of right upper and lower limb slurring of speech with facial asymmetry following Russell's viper bite. Magnetic resonance imaging of brain revealed infarct in the left middle cerebral artery territory. The possible mechanisms for cerebral infarction in this scenario are discussed, which were hypotension causing watershed infarcts due to hypovolemia....
Open Access DOI:10.23937/2378-3656/1410429
An Unusual Case of Atypical Meningioma Mimicking as High-Grade Astrocytoma: A Case Report
Putri Rossyana Dewi, I Wayan Niryana, Nyoman Golden, I Made Gotra and I Putu Eka Widyadharma
Article Type: Case Report | First Published: 2023/06/30
Meningiomas are the most common non-glial primary tumors of the central nervous system and extra-axial neoplasms. The annual incidence of meningioma is around 1,28 and 7,8 of 100.000 based on the worldwide data registries. Meningiomas vary based on the clinical findings, imaging, and histopathology from benign to malignant types....
Open Access DOI:10.23937/2378-3656/1410428
Two Abnormal Presentations of Celiac Disease in Obese, Premenopausal Women
Rachel Pray, BS and Sanjiv Amin, DO
Article Type: Case Report | First Published: 2023/05/31
Celiac Disease is a malabsorptive disorder of the small intestine that often presents with diarrhea as the most common symptom. Confirmatory diagnostic testing includes endoscopy, serologic testing, and biopsy of the small intestine. These two cases of Celiac Disease are unique because two women, mid-thirties and medically obese, presented with non-classic symptoms of CD. Patient A complained of recurrent upper abdominal discomfort and pain, while Patient B complained of persistent daily symptom...