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Clinical Case Reports

Cover image for Vol. 2 Issue 3

June 2014

Volume 2, Issue 3

Pages i–iii, 65–116

  1. Issue Information

    1. Top of page
    2. Issue Information
    3. Editorial
    4. Case Reports
    5. Clinical Image
    1. You have full text access to this Open Access content
      Issue Information (pages i–iii)

      Version of Record online: 15 JUL 2014 | DOI: 10.1111/ccr3.15

  2. Editorial

    1. Top of page
    2. Issue Information
    3. Editorial
    4. Case Reports
    5. Clinical Image
    1. You have full text access to this OnlineOpen article
  3. Case Reports

    1. Top of page
    2. Issue Information
    3. Editorial
    4. Case Reports
    5. Clinical Image
    1. You have full text access to this OnlineOpen article
      Squamous-cell carcinoma of the tongue following therapy of rheumatoid arthritis with abatacept (pages 66–69)

      Arianna Deidda, Claudia Pisanu, Donatella Garau, Maria Giovanna Longu, Mario Domenico Luigi Moretti, Maria Elena Sanna, Grazia Maria Rita Moretti and Maria Erminia Stochino

      Version of Record online: 13 MAR 2014 | DOI: 10.1002/ccr3.56

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      A patient affected by rheumatoid arthritis developed a squamous-cell carcinoma probably due to abatacept, according to Naranjo algorithm. The case describes this adverse reaction for the first time and highlights the need for additional studies to establish the long-term risk profile of abatacept.

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      Hyperacute ischemic stroke without lesions on diffusion-weighted imaging in a patient treated with rtPA thrombolysis (pages 70–73)

      Zhen Jing, Shijun Zhang, Jingjing Tang, Anding Xu, Yiwen Ruan and Li'an Huang

      Version of Record online: 16 MAR 2014 | DOI: 10.1002/ccr3.60

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      We report a comatose patient with severe neurological deficits who was without spontaneous language or movement. He had a good response to recombinant tissue plasminogen activator (rtPA) thrombolysis even though there were no detectable lesions on diffusion-weighted imaging (DWI). DWI is very sensitive for diagnosing hyperacute ischemic stroke, and rtPA thrombolysis is the best treatment. However, rtPA thrombolysis in ischemic stroke patients without lesions on DWI has rarely been reported.

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      A rare case report: SCARF syndrome (pages 74–76)

      Masoume Rahimpour, Mohammad bager Sohrabi, Sulmaz Kalhor, Hossein ali Khosravi, Poone Zolfaghari and Elahe Yahyaei

      Version of Record online: 16 MAR 2014 | DOI: 10.1002/ccr3.61

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      SCARF syndrome is a very rare syndrome that so far only two cases have been reported in the papers. In this article, a 3-month-old female who exhibited SCARF syndrome presented with multiple congenital abnormalities and problems at Imam Hossein hospital of Shahroud.

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      Imatinib-induced gastric antral vascular ectasia in a patient with chronic myeloid leukemia (pages 77–78)

      Nawal F. Alshehry, Paul Kortan and Jeffrey H. Lipton

      Version of Record online: 18 MAR 2014 | DOI: 10.1002/ccr3.49

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      Gastric antral vascular ectasia (GAVE) has been reported very rarely in imatinib-treated gastrointestinal stromal tumor (GIST) and scleroderma/pulmonary hypertension patients. We present the first report of a case of GAVE in a chronic myeloid leukemia (CML) patient after treatment with imatinib. This diagnosis should be considered in CML patients with upper gastrointestinal symptoms and anemia.

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      Curious case of muscle spasm (pages 79–81)

      Natalie Stratemeier, Disha Kohli and Padmashri Rastogi

      Version of Record online: 19 MAR 2014 | DOI: 10.1002/ccr3.54

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      If no improvement is seen with ongoing treatment for current diagnosis, then diagnosis should be questioned. History taking and physical examination remain essential tools in care of the patient in addition to the current technological advancement.

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      Acute renal failure in a Caucasian traveler with severe malaria: a case report (pages 82–85)

      Alfred J. Meremo, Semvua B. Kilonzo, David Munisi, Janet Kapinga, Mwinyikondo Juma, Simfukwe Mwanakulya and Bonaventura Mpondo

      Version of Record online: 19 MAR 2014 | DOI: 10.1002/ccr3.65

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      Acute renal failure (ARF) secondary to severe malaria is uncommon. We report a case of a patient visiting Africa for the first time presenting with malaria and ARF. There was complete recovery after hemodialysis. Early initiation of hemodialysis proves to be useful in restoration of renal function.

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      A case report on the significance of clinical pharmacy services in India (pages 86–87)

      Sameer Dhingra and Rachna Kumria

      Version of Record online: 22 MAR 2014 | DOI: 10.1002/ccr3.63

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      A clinical pharmacist offers invaluable support in the development of a final prescription with better patient management and enhanced safety. Increasingly, medical practice is becoming a team effort with a specialized skill matrix, concentrating on multifaceted support for patient management. A physician undoubtedly leads the team, comprised of a specialist and skilled clinical pharmacist, among others, with skill sets to detect drug interactions, adverse effects, and therapeutic incongruities to enable the health-care team to achieve therapeutic outcomes on a case-by-case basis.

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      Classical Hodgkin Lymphoma involving the central nervous system (brain) – an unusual presentation (pages 88–92)

      Sarah Alexandra van Blydenstein, Moosa Patel, Vinitha Philip, Atul Lakha, Sugeshnee Pather, Tracy Westgarth-Taylor, Eddison Thompson and Avinash Kolloori

      Version of Record online: 15 APR 2014 | DOI: 10.1002/ccr3.66

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      Intracranial Hodgkin lymphoma (HL) is considered so atypical that an intracranial space-occupying lesion in a patient with known HL should be thoroughly investigated to rule out a second disease process.

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      Symptomatic hepatic hydrothorax successfully treated with transjugular intrahepatic portosystemic shunt (TIPS)–role of titration of portosystemic gradient reduction to avoid post-TIPS encephalopathy (pages 93–97)

      T. L. Krishnamoorthy, M. Taneja and P. E. Chang

      Version of Record online: 5 MAY 2014 | DOI: 10.1002/ccr3.70

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      We describe a challenging case of hepatic hydrothorax secondary to nonalcoholic steatohepatitis cirrhosis. Our management involved successfully treating the hydrothorax with a transjugular intrahepatic porto-systemic shunt but having to manage the subsequent complication of hepatic encephalopathy. We conclude with a review of the available literature.

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      Birth of a boy with isolated short stature after prenatal diagnosis of a Xp22.3 nullosomy due to an inherited t(X;15) (p22.3;p10) translocation (pages 98–102)

      E. Blondeel, D. Molina-Gomes, P. Bouhanna, D. Fauvert, H. Crosnier, H. Dessuant and F. Vialard

      Version of Record online: 5 MAY 2014 | DOI: 10.1002/ccr3.71

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      Translocations between X and acrocentric chromosomes are rare. We report on the inheritance of a familial t(X;15)(p22.3;p10) translocation in a fetus referred for short long bones. Cytogenetic analysis revealed an unbalanced translocation combined with a three-gene nullosomy. After genetic counseling, a prognosis was established and a healthy boy was delivered.

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      Leg cramps in pregnancy caused by chronic compartment syndrome and relieved by fasciotomy after childbirth (pages 103–107)

      Jan Roar Orlin, Jarle Øen, John Roger Andersen, Ivar Jostein Tjugum, Hans Jacob Westbye, Jomar Roska, Helene Aasved and Kjersti Hjelmeland

      Version of Record online: 5 MAY 2014 | DOI: 10.1002/ccr3.73

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      A case of intolerable leg pain in pregnancy, caused by Chronic Compartment Syndrome (CCS), is presented. Increasing amounts of opioids were given throughout the pregnancy. Anesthetical dilemmas and surgery are discussed. In conclusion, early surgery rather than opioids is recommended.

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      Warfarin-associated fetal intracranial subdural hematoma: a case report (pages 108–111)

      Kana Fujiwara, Shigeru Aoki, Kentaro Kurasawa, Mika Okuda, Tsuneo Takahashi and Fumiki Hirahara

      Version of Record online: 18 MAY 2014 | DOI: 10.1002/ccr3.75

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      We present a case in which to of fetal subdural hematoma developing despite that the maternal the prothrombin time by international normalized ratio (PT/INR) during pregnancy was within the normal range. Fetal intracranial hemorrhage should be suspected when enlargement of the lateral ventricle is observed in such cases.

  4. Clinical Image

    1. Top of page
    2. Issue Information
    3. Editorial
    4. Case Reports
    5. Clinical Image
    1. You have full text access to this OnlineOpen article
      The importance of oral examination facial trauma: recognition of the Guerin sign in Le Fort 1 injuries (page 112)

      Karim Kassam and Mahesh Kumar

      Version of Record online: 24 MAR 2014 | DOI: 10.1002/ccr3.64

      Thumbnail image of graphical abstract

      Facial Trauma is common. The emergency physician should conduct a thorough examination of the oral tissues. A laceration in the palate can be easily missed and should be elicited. Failure to identify a split palate can result in severe dentofacial deformity.

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      The CT halo sign in invasive aspergillosis (pages 113–114)

      Sheetal Shroff, Girish S. Shroff, Shlomit Yust-Katz, Adriana Olar, Sudhakar Tummala and Ivo W. Tremont-Lukats

      Version of Record online: 28 APR 2014 | DOI: 10.1002/ccr3.67

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      In immunocompromised patients, the pulmonary computed tomography halo sign is highly suggestive of angioinvasive aspergillosis. Early recognition may be life-saving.

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      Acute small bowel volvulus in a 2-month-old infant (pages 115–116)

      Roderick Wouters, Menno Raber and Robertine van Baren

      Version of Record online: 30 APR 2014 | DOI: 10.1002/ccr3.72

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      Abdominal cystic lymphangiomas are rare and occur secondary to congenital malformation of the lymphatics, mostly in the mesenterium. Acute or chronic volvulus of the small bowel may occur by traction of the lymphangioma. Therapy includes resection of the lymphangioma and of the small bowel involved.

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