Rinky Agarwal, Manasi Tripathi, Seema Kashyap, Sanjay Sharma,
Infectious scleritis is a rare but important cause of scleral inflammation. It is usually associated with an underlying ocular (prior ocular surgery or trauma) or systemic risk factor. A 53-year-old apparently systemically healthy woman presenting with spontaneous-onset pain, redness and watering in the left eye for 10 days was diagnosed ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Sucheta Parija, Aparajita Banerjee,
Invasive sino-orbital aspergillosis is a rare cause of orbital apex syndrome (OAS) in immunocompetent patients and often misdiagnosed as tumour because of its aggressive nature and invasive patterns. We report a 23-year-old immunocompetent man presenting with painful progressive loss of vision, ophthalmoplegia and proptosis of the right eye suggestive of ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Hana A Mansour, Ahmad M Mansour,
This 75-year-old woman had phacomorphic angle closure, dense nuclear sclerosis, deep set eye, miotic pupil and tight corneal wound during phacoemulsification. Phacoemulsification wound burn was noted at the end of surgery. Tenon was harvested from the inferior conjunctiva, placed over the gape and anchored by two radial corneoscleral 10-0 nylon. ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Paula Grech, Jessica Mangion, Sandro Vella,
We report a case of a 42-year-old man who presented with acute epigastric and retrosternal chest pain and exertional dyspnoea, and was subsequently diagnosed with polyserositis secondary to post-<i>Streptococcal mitis</i> infection. A CT scan showed a large pericardial effusion requiring pericardiocentesis, small bilateral pleural effusions and small amount of ascites. ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Floor A Harms, Alexandra R M Brandt-Kerkhof, Egbert G Mik,
One of the challenges in the management of acute blood loss is to differentiate whether blood transfusion is required or not. The sole use of haemoglobin values might lead to unnecessary transfusion in individual cases. The suggestion is that mitochondrial oxygen tension can be used as an additional monitoring technique ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Ashley Ann Thompson, Sara Patrawala,
Gorham-Stout disease (GSD) is an extremely rare musculoskeletal disease of unknown aetiology characterised by non-neoplastic proliferation of vascular and lymphatic channels causing massive osteolysis, typically affecting younger individuals. Chylothorax is a known complication of GSD which is postulated to occur from thoracic spine involvement leading to pleural or thoracic duct ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Bharath Gopinath, Vignan Kappagantu, Roshan Mathew, Nayer Jamshed,
Acute abdominal pain is a common presentation to the emergency department (ED). Ruling out life-threatening causes and giving pain relief are the most important tasks in ED. We describe a 32-year-old man who presented to ED with abdominal pain and vomiting which was unrelieved by usual doses of analgesic. Extensive ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Karim Al-Dourobi, Jocelyn Corbaz, Stefan Bauer, Eric Ngassom Leumessi,
Six days after a normal delivery, a 24-year-old woman with atraumatic lumbosacral pain radiating to the left groin was referred to the orthopaedic surgeon due to worsening pain and impossible load bearing on the left lower limb. Standard pelvic radiographs revealed an unstable displaced left neck of femur (NOF) fracture. ... Read more >>
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[2021, 14(1):]
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Sarah Schimansky, Xia Ni Wu, Catherine Egan, Quresh Mohamed,
We report the case of a 19-year-old patient with symptomatic unilateral serous maculopathy associated with an optic nerve coloboma. Fluorescein angiography detected a focal late leak at the temporal edge of the coloboma which was later found to correspond with an area of choroidal neovascularisation on optical coherence tomography angiography. ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Joshua Reider, Logan Radtke, Caleb Joseph Heiberger, Douglas Yim,
A 26-year-old man presented with a 4-week history of right lower quadrant abdominal pain which was managed conservatively at home with ibuprofen. Three days later, he presented to the emergency department with worsening pain and swelling following an episode of coughing and slipping in the bathroom. Following his admission, CT ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Khizar Rana, Valerie Juniat, Dinesh Selva, Alkis J Psaltis,
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Naila Bozo, Christen Ravn, Ulrik Stenz Justesen, Line Dahlerup Rasmussen,
We describe the case of <i>Mycoplasma hominis</i> septic arthritis in a 58-year-old woman with a history of rheumatoid arthritis and ulcerative colitis on immunosuppressive therapy with rituximab. Treatment with anti-CD20 antibodies (eg, rituximab) leads to an immediate depletion of B cells and hence risk of reductions in immunoglobulins and increased ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Ananthu Narayan, Vineeta Ojha, Sudheer Arava, Animesh Ray,
We report a rare case of cardiac angiosarcoma in a young boy who presented with cardiac tamponade. His initial symptoms were non-specific. He was initially being managed in the line of fungal infection, with a possibility of malignancy. Cardiac imaging was also not conclusive and he worsened on antibiotics and ... Read more >>
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[2021, 14(1):]
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Honami Kawai, Toshiaki Shiojiri,
<i>Granulicatella adiacens</i>, which occurs as part of the oral microflora, is an uncommon cause of infection. However, it can cause serious bloodstream infections including infective endocarditis. Although oral bacteria, most commonly the <i>Fusobacterium</i> spp, can cause internal jugular vein (IJV) thrombophlebitis, there are no reported cases of IJV thrombosis caused ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Raquel Vilela Oliveira, Teresa Bernardo, Sandrina Martins, Ana Sequeira,
Maturity onset diabetes of the young defines a diabetes mellitus subtype, with no insulin resistance or autoimmune pancreatic β-cells dysfunction, that occurs by mutation in a single gene. A 13-year-old girl hospitalised due to hyperglycemia plus glycosuria without ketosis, and with normal glycated haemoglobin of 6.8%. She started a sugar-free ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Gail Davison, Andrew Given, Clare Loughran, Josip Marjanovic, Elizabeth Dalzell,
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Bhanudeep Singanamalla, Priyanka Madaan, Lokesh Saini, Naveen Sankhyan,
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Rasmi Ranjan Sahoo, Sourav Pradhan, Akhil Pawan Goel, Anupam Wakhlu,
Staphylococcus-associated glomerulonephritis (SAGN) occurs as a complication of staphylococcal infection elsewhere in the body. Dermatomyositis (DM) can be associated with glomerulonephritis due to the disease per se. We report a case of a 40-year-old male patient with DM who presented with acute kidney injury, and was initially pulsed with methylprednisolone ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Benjamin C Chen, Takaaki Kobayashi, Howard O'Rourke, Poorani Sekar,
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Francesk Mulita, Nikolaos Benetatos, Ioannis Maroulis, Stylianos Germanos,
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Brandon Michael Togioka, Vincent Pinkert, Mathew Geltzeiler, Elliza M Chen,
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Amjad Taha, Ayan Rajgarhia, Mahdi Alsaleem,
An early-term infant with uncomplicated perinatal history was found to have a large thrombus in the aortic arch after he failed regular newborn critical congenital heart defect screen. He responded well to bivalirudin thrombolytic and tissue-plasminogen activator (tPA) combination therapy, with a significant resolution of the thrombus. The infant tolerated ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Amlan Kusum Datta, Partha Debnath, Uddalak Chakraborty, Atanu Chandra,
Dasatinib, an oral tyrosine kinase inhibitor, is approved for therapy of chronic myeloid leukaemia (CML). Common adverse effects of this therapy include myelosuppression, fluid retention and diarrhoea. However, <i>Clostridioides difficile</i> infections (CDIs) in the context of dasatinib therapy, without a history of antecedent antibiotic use, has not been reported previously. ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Basant K Pradhan, Noud van Helmond, Ludmil V Mitrev, Angelo A Andonakakis,
Inherited pseudocholinesterase deficiency refers to an uncommon defect in the butyrylcholinesterase enzyme which can result in prolonged muscle paralysis due to delayed breakdown of choline ester paralytic anaesthetic agents. We describe a 25-year-old woman receiving electroconvulsive therapy (ECT) for treatment of depression in whom motor function did not recover adequately ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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Sophie Lemmens, Minh-Tri Hua, Ingeborg Stalmans,
An 86-year-old woman presented with symptomatic hypotony on the left eye since a few weeks, blurry vision and a very sensitive eye. She had a history of bilateral intracapsular cataract extraction (ICCE) in 1982 and secondary intraocular lens implantation in 1988. The patient mentioned a fall on the left side ... Read more >>
BMJ Case Rep (BMJ case reports)
[2021, 14(1):]
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