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Article ; Online: Salmonella Osteomyelitis of Unknown Origin: An Underestimated Infection.

Rentmeister, Victor / Lorenzo-Villalba, Noel / Gorur, Yilmaz / Yerna, Michele / Ali, Deeba

European journal of case reports in internal medicine

2023 Volume 10, Issue 11, Page(s) 4092

Abstract: Salmonella osteomyelitis is an underdiagnosed pathology with unusual clinical presentations. The patient was a 24-year-old female with no previous medical history who presented to the emergency department with progressive pain in the left arm for several ...

Abstract	Salmonella osteomyelitis is an underdiagnosed pathology with unusual clinical presentations. The patient was a 24-year-old female with no previous medical history who presented to the emergency department with progressive pain in the left arm for several months. She was initially treated unsuccessful with augmentin for 7 days for suspicious cellulites. Standard elbow X-rays described a lesion initially considered as metastatic. Investigations were completed with magnetic resonance imaging (MRI) compatible with osteomyelitis. Following surgical sampling, salmonella enterica infection was diagnosed. The patient recovered full use of her limb after 8 days of IV antibiotic therapy with third-generation cephalosporin, and she completed 11 weeks of antibiogram-targeted PO fluoroquinolone therapy. Salmonella osteomyelitis could mimic other diseases, making diagnosis difficult. Learning points: A poor response to treatment should raise questions about the initial diagnosis.Isolated metastatic lesions in the upper limbs are rare and require proper clinical and radiological evaluation to arrive at a correct diagnosis.
Language	English
Publishing date	2023-10-18
Publishing country	Italy
Document type	Journal Article
ISSN	2284-2594
ISSN (online)	2284-2594
DOI	10.12890/2023_004092
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Trombo flotante en el arco aórtico, una causa poco frecuente de isquemia de miembros inferiores.

Licops, Charlotte / Ali, Deeba / Kerzmann, Arnaud / Lorenzo-Villalba, Noel / Gorur, Yilmaz

Medicina

2023 Volume 83, Issue 2, Page(s) 303–306

Abstract: Acute arterial occlusion of the lower limbs is a medical and surgical emergency due to its morbi-mortality. We present the case of a 59-year-old man admitted to the emergency department for acute and diffuse pain in the left lower limb caused by ... ...

Title translation	Floating thrombus in the aortic arch, a rare cause of lower limb ischemia.
Abstract	Acute arterial occlusion of the lower limbs is a medical and surgical emergency due to its morbi-mortality. We present the case of a 59-year-old man admitted to the emergency department for acute and diffuse pain in the left lower limb caused by extensive obstructive clots in the arteries of this limb. Since atheromatous cause was unlikely after angioscopy of the lower limbs, a cardiac origin was suspected. Echocardiogram was normal, however, thoracic angiotomography revealed a floating thrombus in the aortic arch. The patient was treated surgically with placement of an aortic endoprosthesis without complications.
MeSH term(s)	Male ; Humans ; Middle Aged ; Aorta, Thoracic/surgery ; Aortic Diseases/complications ; Aortic Diseases/surgery ; Thrombosis/complications ; Thrombosis/surgery ; Ischemia ; Arterial Occlusive Diseases/complications
Language	Spanish
Publishing date	2023-04-24
Publishing country	Argentina
Document type	Case Reports ; English Abstract
ZDB-ID	411586-7
ISSN	1669-9106 ; 0025-7680 ; 0325-951X
ISSN (online)	1669-9106
ISSN	0025-7680 ; 0325-951X
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Face à la COVID-19. COVID long, diagnostic et prise en charge : enquête auprès de médecins généralistes du Bas Rhin en France.

Ambiehl, Nicolas / Ambiehl, Clement / Docquier, Léa / Jannot, Xavier / Lorenzo-Villalba, Noel

Revue medicale de Liege

2023 Volume 78, Issue 9, Page(s) 469–475

Abstract: The long COVID includes non-specific symptoms affecting patients of all ages.: Methods: Monocentric, prospective, quantitative and descriptive study interested in comparing the knowledge of general practitioners in Alsace (France) with the positioning ...

Title translation	Long COVID, diagnosis and management : a survey among general practitioners in the Bas Rhin in France.
Abstract	The long COVID includes non-specific symptoms affecting patients of all ages. Methods: Monocentric, prospective, quantitative and descriptive study interested in comparing the knowledge of general practitioners in Alsace (France) with the positioning and recommendations of the World Health Organisation (WHO) on long COVID in the period November 2022-February 2023. A multiple-choice questionnaire was elaborated based on the WHO positioning and recommendations on the long COVID. Results: 126 questionnaires were received, 65 (51.6 %) women, 42 % aged between 25-35 years. 84.9 % had knowledge about long COVID. The need for an impact on daily life, unexplained symptomatology and symptoms persisting at two months were criteria retained (84.9 %, 91.3 % and 82.5 %, respectively). A history of anxiety disorders (86.5 %) and severe acute forms of COVID-19 (57.9 %) were considered as risk factors. Fatigue, dyspnea, joint pain, headache and cough were associated with long COVID in 65.9 % of responders. About 74,6 % performed a complete blood test, 96.03 % recommended rehabilitation, 76.2 % referred to the pulmonologist and 71.4 % were in favour of a consensus document. Conclusions: General practitioners are aware of the existence of long COVID as a pathology and agree with the recommendations of scientific societies, among which those of WHO. However, this study has some limitations so that this topic deserves further dedicated investigations.
MeSH term(s)	Humans ; Female ; Adult ; Male ; Post-Acute COVID-19 Syndrome ; General Practitioners ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/therapy ; Prospective Studies ; France/epidemiology ; Surveys and Questionnaires ; COVID-19 Testing
Language	French
Publishing date	2023-08-30
Publishing country	Belgium
Document type	English Abstract ; Journal Article
ZDB-ID	414001-1
ISSN	0370-629X ; 0035-3663
ISSN	0370-629X ; 0035-3663
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 597: Show issues

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Article ; Online: Chronic Onset Form of Anti-HMG-CoA Reductase Myopathy.

Lorenzo-Villalba, Noel / Andrès, Emmanuel / Meyer, Alain

European journal of case reports in internal medicine

2021 Volume 8, Issue 7, Page(s) 2672

Abstract: We report a case of anti-HMGCR myopathy mimicking limb-girdle muscular dystrophy in a 27-year-old male patient with no history of statin intake and presenting with a chronic onset form over 3 years. Treatment with prednisone and methotrexate was ... ...

Abstract	We report a case of anti-HMGCR myopathy mimicking limb-girdle muscular dystrophy in a 27-year-old male patient with no history of statin intake and presenting with a chronic onset form over 3 years. Treatment with prednisone and methotrexate was initiated with an insufficient response, so intravenous immunoglobulin was added. One year after initial treatment was started, as levels of creatine kinase (CK) were >1000 U/l, treatment with rituximab was added. Despite a 3-year delay before treatment, muscle strength improved even though CK levels remain elevated. Learning points: We describe a case of anti-HMGCR myopathy mimicking limb-girdle muscular dystrophy, which resulted in delayed diagnosis and management.The patient's muscular strength improved but creatine kinase levels remain elevated despite comprehensive treatment.
Language	English
Publishing date	2021-06-08
Publishing country	Italy
Document type	Journal Article
ISSN	2284-2594
ISSN (online)	2284-2594
DOI	10.12890/2021_002672
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Hearing Loss and Sixth Cranial Nerve Paresis after COVID-19.

Lorenzo-Villalba, Noel / Pierre, Léa / Guerrero-Niño, Javier / Jannot, Xavier / Andrès, Emmanuel

European journal of case reports in internal medicine

2022 Volume 9, Issue 2, Page(s) 3221

Abstract: An 80-year-old patient was admitted to the internal medicine department for binocular diplopia and hearing loss with sudden onset. The patient had presented with SARS-CoV-2 infection 3 weeks previously and had been admitted to hospital. Complete work-up ... ...

Abstract	An 80-year-old patient was admitted to the internal medicine department for binocular diplopia and hearing loss with sudden onset. The patient had presented with SARS-CoV-2 infection 3 weeks previously and had been admitted to hospital. Complete work-up including autoimmunity, serum and LCR viral serology and MRI did not allow a diagnosis to be established. The hypothesis of a microvascular origin or the previous SARS-CoV-2 infection was considered. The latter was retained in light of the temporal relationship, the absence of other pathologies after exhaustive work-up, and the clinical evolution. Learning points: A temporal relationship between SARS-CoV-2 infection and symptoms in the absence of other pathologies is important for diagnosis.Mid or long-term follow-up is necessary in patients with unexplained symptoms after SARS-CoV-2 infection.
Language	English
Publishing date	2022-02-23
Publishing country	Italy
Document type	Journal Article
ISSN	2284-2594
ISSN (online)	2284-2594
DOI	10.12890/2022_003221
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Salmonella osteomyelitis of unknown origin

Victor Rentmeister / Noel Lorenzo-Villalba / Yilmaz Gorur / Michele Yerna / Deeba Ali

European Journal of Case Reports in Internal Medicine (2023)

an underestimated infection

2023

Abstract	Salmonella osteomyelitis is an underdiagnosed pathology with unusual clinical presentations. The patient was a 24-year-old female with no previous medical history who presented to the emergency department with progressive pain in the left arm for several months. She was initially treated unsuccessful with augmentin for 7 days for suspicious cellulites. Standard elbow X-rays described a lesion initially considered as metastatic. Investigations were completed with magnetic resonance imaging (MRI) compatible with osteomyelitis. Following surgical sampling, salmonella enterica infection was diagnosed. The patient recovered full use of her limb after 8 days of IV antibiotic therapy with third-generation cephalosporin, and she completed 11 weeks of antibiogram-targeted PO fluoroquinolone therapy. Salmonella osteomyelitis could mimic other diseases, making diagnosis difficult.
Keywords	salmonella osteomyelitis ; mri ; bone lesion ; Medicine ; R
Language	English
Publishing date	2023-10-01T00:00:00Z
Publisher	SMC MEDIA SRL
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Cistitis enfisematosa: una causa poco frecuente de dolor abdominal.

Babinger, Margot / Lorenzo-Villalba, Noel / Gorur, Yilmaz / Cardos, Benoit / Canivet, Antoine / Ali, Deeba

Medicina

2022 Volume 83, Issue 3, Page(s) 459–461

Abstract: An 82-year-old woman with a previous medical history of hypertension and hypothyroidism was admitted to the emergency department for abdominal pain, diarrhea, confusion and changes in her overall condition over several days. At the emergency department, ... ...

Title translation	Emphysematous cystitis: an uncommon cause of abdominal pain.
Abstract	An 82-year-old woman with a previous medical history of hypertension and hypothyroidism was admitted to the emergency department for abdominal pain, diarrhea, confusion and changes in her overall condition over several days. At the emergency department, the patient was febrile and her blood tests showed elevated C-reactive protein without leukocytosis (8.9 × 10^9/L). In the current context, a nasopharyngeal swab for SARS was performed and was negative. With these results, the initial suspicion was that of an infectious condition of gastrointestinal origin. The urine sample was oul-smelling with presence of leukocytes and nitrites and was sent out for culture. In the setting of probable urinary tract infection, empirical antibiotic treatment was started with a third generation cephalosporin. It was decided to perform a total body scanner in order to evaluate the presence of other infectious foci. The study described the presence of emphysematous cystitis, a rare pathology in a patient without any of the classic risk factors for this entity. Urine and blood cultures were positive for Escherichia coli sensitive to the empiric antibiotic which was continued to complete 7 days. The clinical course was favorable.
MeSH term(s)	Humans ; Female ; Aged, 80 and over ; Emphysema/complications ; Emphysema/therapy ; Tomography, X-Ray Computed ; Cystitis/complications ; Cystitis/diagnosis ; Cystitis/drug therapy ; Urinary Tract Infections ; Anti-Bacterial Agents/therapeutic use ; Abdominal Pain/complications ; Escherichia coli
Chemical Substances	Anti-Bacterial Agents
Language	Spanish
Publishing date	2022-05-18
Publishing country	Argentina
Document type	Case Reports ; English Abstract
ZDB-ID	411586-7
ISSN	1669-9106 ; 0025-7680 ; 0325-951X
ISSN (online)	1669-9106
ISSN	0025-7680 ; 0325-951X
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.B 163: Show issues

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Article ; Online: Ruptura atraumática del bazo como forma de presentación de la una amilosis AL en un paciente joven.

Smadhi-Maouche, Yasmine / Ouali, Mounir / Belhoul, Fahima / Demontis, Renato / Atmani, Sai / Benali, Tahar / Lorenzo-Villalba, Noel

Revista medica de Chile

2023 Volume 150, Issue 5, Page(s) 688–690

Abstract: We report a 35-year-old sportive man who was admitted to the emergency department for worsening of acute spontaneous abdominal pain appearing at rest. He only referred having lifted a tree trunk the day before, but he was used to perform such physical ... ...

Title translation	Spontaneous non-traumatic splenic rupture as a presentation form of light chain amyloidosis. Report of one case.
Abstract	We report a 35-year-old sportive man who was admitted to the emergency department for worsening of acute spontaneous abdominal pain appearing at rest. He only referred having lifted a tree trunk the day before, but he was used to perform such physical efforts. The clinical course at the emergency department was marked by the development of severe anemia secondary to a progressive splenic hematoma and acute pulmonary distress. The patient benefited from total splenectomy. Laboratory data showed hypogammaglobulinemia, proteinuria and the anatomopathological examinations of both spleen and kidneys were consistent with light chain amyloidosis.
MeSH term(s)	Male ; Humans ; Adult ; Rupture, Spontaneous ; Splenic Rupture/surgery ; Splenic Rupture/complications ; Splenectomy ; Abdominal Pain ; Amyloidosis/complications ; Amyloidosis/diagnosis
Language	Spanish
Publishing date	2023-10-25
Publishing country	Chile
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	732136-3
ISSN	0717-6163 ; 0034-9887
ISSN (online)	0717-6163
ISSN	0034-9887
DOI	10.4067/s0034-98872022000500688
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Focal Myositis of the Sternocleidomastoid Muscle: A Rare and Uncommon Cause of Cervical Mass.

Docquier, Léa / Jannot, Xavier / Cordoba Sosa, Zaida / Pierre, Léa / Autrusseau, Pierre-Alexis / Andres, Emmanuel / Lorenzo-Villalba, Noel

European journal of case reports in internal medicine

2023 Volume 10, Issue 6, Page(s) 3919

Abstract: We report on a 70-year-old male patient admitted to the internal medicine department for evaluation of a right cervical mass. He had been treated with antibiotics as an outpatient by his primary care doctor. Upon admission the patient was asymptomatic, ... ...

Abstract	We report on a 70-year-old male patient admitted to the internal medicine department for evaluation of a right cervical mass. He had been treated with antibiotics as an outpatient by his primary care doctor. Upon admission the patient was asymptomatic, but within a few hours his cervical mass enlarged; this enlargement was confined to the right sternocleidomastoid muscle. Complete blood investigations including serology and autoimmunity were negative. The neck scan and MRI were in favour of myositis. No other lesions were found either in the nasal fibre-optic exam or in the thoracic-abdominal-pelvic scan. The biopsy of the muscle showed a lymphoplasmacytic inflammatory infiltrate of the perimysium. The diagnosis of focal myositis was made. The patient clinically improved during hospitalisation with complete resolution of symptoms without any specific intervention. Learning points: A thorough clinical examination is essential in the evaluation and characterisation of cervical masses.The diagnostic approach must be rigorous in order not to ignore potentially serious diseases.A high level of clinical suspicion is needed in the diagnosis of focal myositis.
Language	English
Publishing date	2023-05-30
Publishing country	Italy
Document type	Journal Article
ISSN	2284-2594
ISSN (online)	2284-2594
DOI	10.12890/2023_003919
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Symptomatic Postoperative Compressive Pneumocephalus After Cholecystectomy.

Benamar, Zaky Mehdi / Huet, Camille / Rousseau, Maxime / Docquier, Léa / Andrès, Emmanuel / Bilbault, Pascal / Lorenzo-Villalba, Noel

European journal of case reports in internal medicine

2023 Volume 10, Issue 12, Page(s) 4160

Abstract: A 75-year-old woman with a history of chronic hydrocephalus due to stenosis of the aqueduct of Sylvius was examined at the emergency department for altered mental status. There was placement of a ventriculoperitoneal shunt in 1970 complicated by ... ...

Abstract	A 75-year-old woman with a history of chronic hydrocephalus due to stenosis of the aqueduct of Sylvius was examined at the emergency department for altered mental status. There was placement of a ventriculoperitoneal shunt in 1970 complicated by meningitis, leading to removal of the material and ventriculociternostomy as definitive treatment in 2004. About one month previously, she had undergone a laparoscopic cholecystectomy complicated by an intra-abdominal collection. Clinical examination at the emergency department revealed a Glasgow score of 8 (E3 V1 M4). In the emergency department the patient presented a tonic-clonic seizure before a cerebral CT scan was performed showing a massive compressive pneumocephalus, then a second seizure. The patient was finally admitted to the neurosurgery department and underwent surgery. Learning points: Changes in mental status in a patient with a history of chronic hydrocephalus should alert clinicians to a possible complication.This case reflects the delayed diagnosis of a critically ill patient in the emergency department.
Language	English
Publishing date	2023-11-07
Publishing country	Italy
Document type	Journal Article
ISSN	2284-2594
ISSN (online)	2284-2594
DOI	10.12890/2023_004160
Database	MEDical Literature Analysis and Retrieval System OnLINE

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