Taylor, Roger Opara, Nnennaya Simmerman, Taylor
Published in
European Journal of Case Reports in Internal Medicine
Cholecystogastric fistulas are a rare but life-threatening complication of cholelithiasis. This medical condition has been explained in detail in several cases in the medical literature. However, there is still conflicting debate on how well to effectively manage patients with such a complex medical condition. We present a 70-year-old Caucasian fem...
Farrugia, Stephanie Micallef, Daniel Pisani, David Betts, Alexandra Vella, Sandro Boffa, Michael J
Published in
European Journal of Case Reports in Internal Medicine
A young man was treated in hospital for sepsis, disseminated intravascular coagulation and multi-organ failure. He was a regular intranasal cocaine user up to 1 day prior to symptom onset. Clinical examination revealed extensive retiform purpura affecting both his lower limbs. Skin biopsy revealed widespread thrombosis in the small- and medium-size...
Oliveira, Inês Vasconcelos, Gisela Bragança, Bruno Cruz, Margarida Abreu, Glória Azevedo, João Andrade, Aurora
Published in
European Journal of Case Reports in Internal Medicine
Infective endocarditis is a condition associated with high morbidity and mortality, usually with univalvular involvement. We describe the case of a 76-year-old woman with triple-valve endocarditis due to Streptococcus gallolyticus , complicated by perivalvular suppurative lesions, acute heart failure and acute kidney injury. Unfortunately, the pati...
Tirtayasa, Pande Made Wisnu Duarsa, Gede Wirya Kusuma
Published in
European Journal of Case Reports in Internal Medicine
Background Chyluria is usually associated with parasitic disease caused by Wuchereria bancrofti and is rare in non-endemic regions. The management of chyluria varies according to the severity of the condition. This report describes a case of mild chyluria and successful treatment using sclerotherapy. Case description A 44-year-old man presented wit...
Botti, Mara Piperno, Alberto Cianflone, Annalia Mariani, Raffaella
Published in
European Journal of Case Reports in Internal Medicine
Patients with severe iron deficiency, malabsorption or intolerance to oral iron are frequently treated with intravenous iron replacement. We report the case of a 42-year-old woman with non-erosive oligoarticular arthritis with antiparietal cell antibodies and iron deficiency anemia secondary to menorrhagia and unresponsive to oral iron preparations...
Cuenca, Dalia Aguilar-Soto, Mercedes Mercado, Moisés
Published in
European Journal of Case Reports in Internal Medicine
A 57-year-old man presented to the outpatient clinic with tremor, palpitations, weight loss and fatigue 1 week after receiving the first dose of the Oxford-AstraZeneca SARS-CoV-2 vaccine (ChAdOx1 nCoV-19). Laboratory studies showed a suppressed TSH with elevated total and free T4. Thyroid peroxidase and thyroglobulin antibodies were elevated but th...
Kashfi, Simon Sharma, Shorabh
Published in
European Journal of Case Reports in Internal Medicine
Inhalants are common drugs of abuse. Hydrocarbons, the active ingredient in most inhalants, exert depressant effects on the central nervous system, causing a ‘high’. In the heart, hydrocarbon toxicity can predispose patients to arrhythmias and heart failure through increased sympathetic susceptibility. We present the case of a 28-year-old female wh...
Shah, Parthav Silangruz, Krixie Lee, Eric Nishimura, Yoshito
Published in
European Journal of Case Reports in Internal Medicine
Bradycardia, renal failure, atrioventricular (AV) nodal blockade, shock, and hyperkalemia (BRASH) syndrome is a relatively new clinical entity. It is often underrecognized, underdiagnosed, and confused with other causes of bradycardia. Treatment of BRASH syndrome differs from the standard bradycardia algorithm in advanced cardiac life support (ACLS...
Mohan, Gaurav Fichadiya, Harshil Olex-Memoli, Darby Krishna, Divya Du, Doantrang Bagchi, Buket Rashidbaigi, Ali
Published in
European Journal of Case Reports in Internal Medicine
Colorectal cancer (CRC) is the third most common cancer and the fourth most common cause of cancer-related death in the USA. Primary signet ring cell carcinoma (SRCC) of the colon and rectum is extremely rare with a reported incidence of less than 1%. Here we present the case of a 41-year-old man who presented with abdominal pain, severe microcytic...
Van Overstraeten, Chloé
Published in
European Journal of Case Reports in Internal Medicine
Introduction Strokes are common but can be caused by a rare illness. Moyamoya disease (MMD) justifies a family assessment because of its hereditary nature and the availability of new therapies. Case description A 42-year-old man was admitted because of convulsions with sensorimotor deficit due to a massive cerebral haemorrhage caused by MMD. The fa...