... move in bed A radiograph of her hip revealed repeat dislocation Relocation of her hip was performed under general anaesthetic and balanced skeletal traction was maintained by inserting a pin to ... lateral malleolus She had six cafb-aulait patches on her trunk and bilateral axillary freckling A radiograph of the pelvis revealed a superior dislocation of her left hip with an abnormal appearing ... Nakasone S, Norimatsu H, Hamasaki N, Kinjo S, Kinjo Y, Ibaraki K, et al: A case report of recurrent dislocation of the hip joint with neurofibromatosis Seikeigeka to Saigaigeka Orthop Surg Traumatol...
... community-acquired pneumonia A wide bore chest drain was inserted and a sample of pus was inoculated into aerobic and anaerobic blood culture bottles On day two of incubation in the BacT/ALERT automated ... primary isolation It is oxidase-negative and catalase-negative, in contrast to the more commonly-isolated H influenzae and H parainfluenzae, which are both oxidase- and catalasepositive Because ... 1: Haemophilus images Acknowledgements We thank Dr Mudher Al-Khairalla, Consultant Respiratory Physician for his assistance in obtaining radiological images Author details Department of Medical...
... tolerated, as the only adverse events experienced by our patient were grade edema, anemia and fatigue Our patient maintained a stable PR for over two and a half years after being rechallenged with ... Cite this article as: Kang: Response to imatinib rechallenge inapatientwitharecurrent gastrointestinal stromal tumor after adjuvant therapy: a case report Journal of Medical Case Reports ... Rechallenge with imatinib may provide substantial clinical benefit to patients withrecurrent GIST after cessation of adjuvant imatinib therapy Consent Written informed consent was obtained from our patient...
... in 2004 and had been taking warfarin but had discontinued the medication Medical examination revealed blood pressure of 130/70mmHg and heart rate of 85 beats/minute and the patient was pale and ... myocardial infarction, as in our patient Finally, the therapeutic approach remains complex, especially inrecurrent myocardial infarction It is important to perform surgical and/or interventional radiological ... literature, several different therapeutic approaches have been advanced for the management of myocardial infarction in patients with BD These may include primary percutaneous transluminal coronary...
... symptomatic treatments Abdominocentesis and drainage alleviate symptoms caused by ascites such as abdominal distention, dyspnea and oliguria, but cause hypovolemia, hypoproteinemia and general malaise ... resulting from abdominal recurrence from lung cancer To alleviate dyspnea and abdominal distention, we drained ascites aseptically and infused it back to the patient intravenously after removal ... centrifuged at 900 g for 10 minutes and the radioactivity of the supernatant was examined witha gamma counter (Auto-well Gamma System; ARC-370, Aloka, Tokyo, Japan) The cytotoxic activity was calculated...
... reports have shown that octreotide also has potential for use against CMV colitis, although its mechanism of action remains unclear [2,6] Our case demonstrated a favorable response to these treatments ... chemotherapy is uncertain, CMV colitis should be ruled out with colonoscopy if the patient is suspected of having atypical enteritis after chemotherapy, as demonstrated in our case As the clinical pathological ... colitis and was started on intravenous ganciclovir therapy (500 mg/day for weeks) combined with subcutaneous octreotide (200 mcg/day for 10 days) The patient gradually improved, and a second...
... CNS inflammation and demyelination, resulting in axonal and neuronal damage [1] The thiazolidinedione class of drugs were developed for the treatment of type diabetes and act by improving insulin ... throughout an additional 18 months Weight gain was evident as increased muscle mass and peripheral fat, mainly in the hips, gluteal area, and limbs Upper extremity strength and coordination progressively ... type1β interferons and glatiramer acetate reduce active CNS inflammatory lesions, clinical severity and attack frequency in relapsing remitting MS, they are less efficacious in progressive disease...
... smoked in the working place, which was having poor housekeeping practices and minimum engineering control, lacking local and general exhaust ventilation and washing facilities culminating into alarmingly ... synthesis and elevated levels of the precursor δ-aminolevulinic acid (ALA), which is a weak gamma-aminobutyric acid (GABA) agonist that decreases GABA release by presynaptic inhibition [6,7] Lead is ... clothes and no separate areas were provided for the removal and storage of the lead-contaminated protective work clothing and equipment The regulatory body should make it mandatory to evaluate and...
... prosthesis With these results, we conclude that an ambulating patientwith an above knee amputation and a subcapital fracture should be operated on after appropriate planning and preparation with satisfactory ... 25(11):1074-8 Kulkarni J, Adams J, Thomas E, Silman A: Association between amputation, arthritis and osteopenia in British male war veterans with major lower limb amputations Clin Rehabil 1998, 12(4):348-53 ... lever arm, and the patient was treated nonoperatively Two studies[4,6] have shown that this an appropriate strategy for most fractures after an amputation, except displaced intertrochanteric and...
... immunocompromised patients The gastrointestinal tract has been suggested as a source for A. xylosoxidans bacteremia in patients with cancer [12] Our case report is the first one associated with A. xylosoxidans ... that causes post-ERCP bacteremia Table 1: Key characteristics of A. xylosoxidans Tests Oxidase Catalase OF xylose OF glucose Arginine Citrate Ketoglutaric acid Gamma glutamil NO3 to NO2 Acetamide ... environmental contamination couldn't be indicated Thatthe patient had symptoms of infection one day after ERCP made us think that the infection was from the intestines A. xylosoxidans is a weakly virulent...
... Holgate ST, Djukanovic R, Casale T, Bousquet J: Anti-immunoglobulin E treatment with omalizumab in allergic diseases: an update on antiinflammatory activity and clinical efficacy Clin Exp Allergy ... International Clinical Trial on omalizumab (CIGE02 5A2 425) as National Coordinating Centre for Italy Competing interests FM participated in clinical trial for Novartis and received travel sponsorship ... stages and was one of the principal contributors in writing the manuscript RP contributed to the clinical approach, analyzed and interpreted the data and was a major contributor in writing the manuscript...
... might be the case, and what started as an 'innocent bystander' may not be so innocent after all Figure Cranial MNR image ina coronal plane Cranial MNR image ina coronal plane The mass effect on ... 4-week inpatient stay and received follow-up outpatient care with psychiatric and neurosurgical appointments Three months after discharge, the patient was working part-time and attending a technical ... distinguish between true cysts (of a congenital nature) and false ones, which are secondary to the post-inflammatory accumulation of CSF during cranial traumatisms, infections or intracranial haemorrhages...
... psychiatric hospital, Ms F's medications were aripiprazole 15 mg at night, simvastatin 40 mg daily and aspirin 81 mg daily Physical examination determined that she was overweight with findings ... Annals of General Psychiatry 2008, 7:3 pital, her medications were quetiapine 50 mg at night, simvastatin 40 mg daily, lithium citrate 300 mg twice daily and aspirin 81 mg daily On initial admission ... The patient' s refractory symptoms suggest that patients may in fact present with comorbid hyperthyroidism and bipolar mania Another interpretation of the patient' s partial response to therapeutic...
... Tsuruha J, Masuko-Hongo K, Kato T, Sakata M, Nakamura H, Nishioka K: Implication of cartilage intermediate layer protein in cartilage destruction in subsets of patients with osteoarthritis and ... rheumatoid arthritis Arthritis Rheum 2001, 44:838-845 Sekine T, Masuko-Hongo K, Matsui T, Asahara H, Takigawa M, Nishioka K, Kato T: Recognition of YKL-39, a human cartilage related protein, as a ... protein, as a target antigen in patients with rheumatoid arthritis Ann Rheum Dis 2001, 60:49-54 Sakata M, Tsuruha JI, Masuko-Hongo K, Nakamura H, Matsui T, Sudo A, Nishioka K, Kato T: Autoantibodies...
... liver diseases are the most frequent diagnoses in patients with increased CA-125, other intra-abdominal non-malignant non-hepatic diseases can also cause elevation of the CA-125 [34], as in the ... 89:143-150 11 Carrasco CA, González AA, Carvajal CA, Campusano C, Oestreicher E, Arteaga E, Wohllk N, Fardella CE: Novel intronic mutation of MEN1 gene causing familial isolated primary hyperparathyroidism ... this article as: Griniatsos et al.: Bilateral adrenocortical carcinoma inapatientwith multiple endocrine neoplasia type (MEN1) and a novel mutation in the MEN1 gene World Journal of Surgical...
... clinical presentation is of an acute abdomen with increased inflammatory markers and occasionally an associated pleural effusion The predominant abdominal symptoms mask the underlying renal cause, ... is indicative of an aggressive tumour [9-11] These tumors are usually symptomatic at the time of diagnosis and often cause haematuria, abdominal pain and a mass in the flank [12-14] Radiologically ... C, Benati A, Bacchini P, Corrado F: Sarcomatoid carcinoma of the kidney J Urol 1987, 137(1):25-28 15 Shirkhoda A, Lewis E: Renal sarcoma and sarcomatoid renal cell carcinoma: CT and angiographic...
... left inguinal mass with bilateral spermatic cords and retroperitoneal lymph nodes and (3) associated with other anomalies without müllerian remnants (inguinal hernia, hypospadias, pseudohermaphroditism, ... review GHS and WJX took part in the care of the patient, assembled data, and participated in writing the manuscript All authors read and approved the final manuscript Competing interests The authors ... pseudohermaphroditism, and scrotal abnormalities) (20%)[2] According to this classification, our patient would be designated as a case of type TTE Patients with TTE are at increased risk of malignant transformation,...
... C, Meyebehm M, Sauerbruch LGH, et al: Littoral cell angioma as a rare cause of splenomegaly Ann Hematol 2001, 80:45 Oliver-Goldaracena JM, Blanco A, Miralles M, Martin-Gonzalez MA: Littoral cell ... demonstrated ina variety of diseases, e.g rheumatic diseases, malignancies and Crohn’s disease, and are thought to reflect the disease activity Since LCA is a neoplasm arising from the lining cells, ... disseminated infections, we had to exclude fungal disease, septic emboli and granulomatous diseases such as sarcoidosis and tuberculosis Associated adenopathic, pulmonary and mediastinal diseases...