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  1. Article: Common Pathology With Atypical Presentation: Acute Cholangitis.

    Farrell, Aidan / Sanekommu, Harshavardhan / Shah, Pranav N

    Cureus

    2023  Volume 15, Issue 6, Page(s) e40747

    Abstract: Acute cholangitis is a well-known biliary tree pathology most often encountered in patients with gallstone disease. When left untreated, acute cholangitis can lead to severe complications, including death. Therefore, identifying and properly treating ... ...

    Abstract Acute cholangitis is a well-known biliary tree pathology most often encountered in patients with gallstone disease. When left untreated, acute cholangitis can lead to severe complications, including death. Therefore, identifying and properly treating acute cholangitis is crucial to avoiding such complications. This paper describes an 84-year-old female patient with acute cholangitis who presented with atypical symptoms of chest pain and cough. The patient was successfully treated with endoscopic retrograde cholangiopancreatography (ERCP), antibiotics, and ursodeoxycholic acid. We focus on this patient's unique presentation to highlight the low incidence of Charcot's triad and Reynold's pentad in elderly patients and to emphasize the importance of formulating a broad differential in patients with non-specific symptoms.
    Language English
    Publishing date 2023-06-21
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.40747
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Gastric Ulcer Secondary to Left Gastric Artery Thrombosis.

    Farrell, Aidan / Sanekommu, Harshavardhan / Shah, Pranav N

    Cureus

    2023  Volume 15, Issue 9, Page(s) e45093

    Abstract: Peptic ulcer disease (PUD) is a well-known and commonly encountered gastrointestinal (GI) pathology. ...

    Abstract Peptic ulcer disease (PUD) is a well-known and commonly encountered gastrointestinal (GI) pathology.
    Language English
    Publishing date 2023-09-12
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.45093
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Pylephlebitis-induced acute liver failure: A case report and review of literature.

    Hapshy, Vera / Imburgio, Steven / Sanekommu, Harshavardhan / Nightingale, Brandon / Taj, Sobaan / Hossain, Mohammad A / Patel, Swapnil

    World journal of hepatology

    2024  Volume 16, Issue 1, Page(s) 103–108

    Abstract: Background: Pylephlebitis is an extremely rare form of septic thrombophlebitis involving the portal vein, carrying high rates of morbidity and mortality.: Case summary: We present a case of a 42-year-old male with no past medical history who ... ...

    Abstract Background: Pylephlebitis is an extremely rare form of septic thrombophlebitis involving the portal vein, carrying high rates of morbidity and mortality.
    Case summary: We present a case of a 42-year-old male with no past medical history who presented with acute onset of abdominal pain and altered mental status with laboratory tests demonstrating new-onset acute liver failure. Pylephlebitis was determined to be the underlying etiology due to subsequent workup revealing polymicrobial gram-negative anaerobic bacteremia and complete thrombosis of the main and left portal veins. To our knowledge, this is the first documented case of acute liver failure as a potential life-threatening complication of pylephlebitis.
    Conclusion: Our case highlights the importance of considering pylephlebitis in the broad differential for abdominal pain, especially if there are co-existing risk factors for hypercoagulability. We also demonstrate that fulminant hepatic failure in these patients can potentially be reversible with the immediate initiation of antibiotics and anticoagulation.
    Language English
    Publishing date 2024-01-19
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2573703-X
    ISSN 1948-5182
    ISSN 1948-5182
    DOI 10.4254/wjh.v16.i1.103
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Primary Diffuse Large B-cell Lymphoma of the Colon Presenting as Idiopathic Thrombocytopenia: A Case Report.

    Ravilla, Jayasree / Heis, Farah / Srinivas Yarrarapu, Siva N / Li, Jian / Taj, Sobaan / Sanekommu, Harshavardhan / Tayyeb, Muhammed / Doantrang, Du / Kruger, Andrew

    Journal of community hospital internal medicine perspectives

    2024  Volume 14, Issue 1, Page(s) 75–79

    Abstract: Introduction: Primary lymphoma of the colon and rectum is an uncommon form of cancer comprising less than 0.5% of all colorectal tumors combined. Typically, extra nodal lymphomas manifest in the gastrointestinal tract, with non - Hodgkin lymphoma being ... ...

    Abstract Introduction: Primary lymphoma of the colon and rectum is an uncommon form of cancer comprising less than 0.5% of all colorectal tumors combined. Typically, extra nodal lymphomas manifest in the gastrointestinal tract, with non - Hodgkin lymphoma being the most frequent subtype and the stomach being the most common location.
    Case presentation: 70 year old female with medical history of osteoarthritis and osteoporosis was evaluated for bilateral leg rash and thrombocytopenia. Eventual work up revealed cecal mass but inconclusive findings on colonoscopy. She underwent hemicolectomy due to persistent thrombocytopenia with histopathology positive for primary Diffuse Large B-cell Lymphoma (DLBCL). She underwent chemotherapy with complete resolution of her mass and lymphadenopathy.
    Conclusion: We are presenting a rare case of Non - Hodgkin lymphoma in the colon. This disease can show up with unclear symptoms, so it's important to use different types of imaging and pathology tests to identify the specific type of lymphoma. The main treatment for this type of cancer involves using chemotherapy and radiation therapy.
    Language English
    Publishing date 2024-01-12
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2616884-4
    ISSN 2000-9666
    ISSN 2000-9666
    DOI 10.55729/2000-9666.1284
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Unique Variant of Zieve Syndrome With a Normal Reticulocyte Count.

    Vedire, Apurva / Imburgio, Steven / Sanekommu, Harshavardhan / Patel, Rushi / Johnson, Haley / Taj, Sobaan / Hossain, Mohammad

    Journal of medical cases

    2023  Volume 14, Issue 6, Page(s) 185–190

    Abstract: Zieve syndrome is a rare diagnosis seen in patients with chronic alcohol use which consists of a distinct clinical triad of hyperlipidemia, hemolytic anemia, and jaundice. Patients typically have an elevated reticulocyte count due to the hemolytic nature ...

    Abstract Zieve syndrome is a rare diagnosis seen in patients with chronic alcohol use which consists of a distinct clinical triad of hyperlipidemia, hemolytic anemia, and jaundice. Patients typically have an elevated reticulocyte count due to the hemolytic nature of the anemia. We present the case of a 44-year-old female who was discovered to have an unusual variant of Zieve syndrome with a normal reticulocyte count, which was believed to be due to suppression of bone marrow from excessive alcohol consumption. She was treated with steroids and complete alcohol cessation, with remarkable improvement on subsequent follow-up. An exhaustive literature review of 31 documented cases of Zieve syndrome was conducted to better understand the clinical presentation and overall prognosis of these patients. This case report and literature review aimed to improve patient outcomes through increased recognition of this underrecognized syndrome.
    Language English
    Publishing date 2023-06-29
    Publishing country Canada
    Document type Case Reports
    ZDB-ID 2586383-6
    ISSN 1923-4163 ; 1923-4163
    ISSN (online) 1923-4163
    ISSN 1923-4163
    DOI 10.14740/jmc4077
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Acute Pancreatitis as an Unusual Culprit of Diabetic Ketoacidosis in a Nondiabetic: A Case-Based Review.

    Imburgio, Steven / Vedire, Apurva / Sanekommu, Harshavardhan / Johal, Anmol / Taj, Sobaan / Lesniak, Christopher / Mushtaq, Arman

    Case reports in endocrinology

    2023  Volume 2023, Page(s) 9122669

    Abstract: Acute pancreatitis has been associated with a multitude of complications including pancreatic necrosis, pseudocysts, abscesses, acute respiratory distress syndrome, disseminated intravascular coagulation, and hyperglycemia. To date, only rare case ... ...

    Abstract Acute pancreatitis has been associated with a multitude of complications including pancreatic necrosis, pseudocysts, abscesses, acute respiratory distress syndrome, disseminated intravascular coagulation, and hyperglycemia. To date, only rare case reports have demonstrated diabetic ketoacidosis (DKA) as a rare sequela of acute pancreatitis. We report a case of a 34-year-old female with no prior history of diabetes who was subsequently diagnosed with DKA after presenting with severe acute pancreatitis. This case serves as a framework to not only highlight DKA as a rare complication of acute pancreatitis but also to explore the potential pathophysiology that underlies this phenomenon including stress hyperglycemia and post-pancreatitis diabetes mellitus.
    Language English
    Publishing date 2023-08-22
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2627633-1
    ISSN 2090-651X ; 2090-6501
    ISSN (online) 2090-651X
    ISSN 2090-6501
    DOI 10.1155/2023/9122669
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Methicillin-Resistant Staphylococcus Aureus: A Very Rare Cause of Meningitis.

    Mehmood, Maham A / Patel, Madanmohan / Sanekommu, Harshavardhan

    Cureus

    2020  Volume 12, Issue 9, Page(s) e10370

    Abstract: Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is mostly implicated in soft tissue and skin infections. Cases with meningitis caused by CA-MRSA are rare. High index of suspicion should be kept for physicians as bacterial ... ...

    Abstract Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is mostly implicated in soft tissue and skin infections. Cases with meningitis caused by CA-MRSA are rare. High index of suspicion should be kept for physicians as bacterial meningitis is a medical emergency and if untreated, has a high mortality rate. Urgent steps need to be taken to determine the cause and implement therapy. Here, we reported a case of a 58-year-old female with MRSA bacteremia and meningitis as confirmed by positive blood cultures and cerebrospinal fluid analysis; successfully managed with vancomycin and rifampin.
    Keywords covid19
    Language English
    Publishing date 2020-09-10
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.10370
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Appendiceal Bulge on Routine Colonoscopy: Not All Disease Is Luminal.

    Taj, Sobaan / Akbar, Usman Ali / Philip, Shawn / Miller, Brett / Haq, ZakaUl / Sanekommu, Harshavardhan / Hossain, Mohammad A / Sciarra, Michael

    Cureus

    2023  Volume 15, Issue 2, Page(s) e35466

    Abstract: Appendiceal ... ...

    Abstract Appendiceal mucocele
    Language English
    Publishing date 2023-02-25
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.35466
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Role of Plasmapheresis in Hemolysis, Elevated Liver Enzymes and Low Platelets (HELLP) Syndrome.

    Taj, Sobaan / Mujtaba, Mohamed / Miller, Brett / Dandu, Sowmaya / Austin, Christopher P / Ali Akbar, Usman / Sanekommu, Harshavardhan / Hossain, Mohammad A

    Cureus

    2023  Volume 15, Issue 2, Page(s) e35520

    Abstract: Hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is a rare abnormality comprising a series of symptoms that make up a syndrome. It usually happens during pregnancy or right after delivery. We describe a case of a 31-year-old ... ...

    Abstract Hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is a rare abnormality comprising a series of symptoms that make up a syndrome. It usually happens during pregnancy or right after delivery. We describe a case of a 31-year-old female G4P2A2 (Gravida 4 Para 2 Abortions 2) who presented to the hospital for normal vaginal delivery but immediately postpartum developed HELLP syndrome. Acute fatty liver of pregnancy was a differential that the patient also met the criteria for. Her condition improved after starting her on plasmapheresis without considering hepatic transplantation. We emphasize distinguishing the overlap of symptoms between HELLP syndrome vs. acute fatty liver of pregnancy and the outcomes of plasmapheresis in managing HELLP syndrome without needing hepatic transplantation.
    Language English
    Publishing date 2023-02-27
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.35520
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Rare Presentation of Stercoral Ulcer Spontaneous Perforation Without Preceding Radiographic Evidence of Colonic Inflammation and Fecal Impaction.

    Sanekommu, Harshavardhan / Morris, Andrea / Taj, Sobaan / Imburgio, Steven / Johal, Anmol S / Haq, ZakaUl / Saleh, Arif B / Shah, Pranav / Patel, Swapnil V

    Cureus

    2023  Volume 15, Issue 3, Page(s) e35678

    Abstract: Stercoral ulcers are caused by persistent fecal impaction. A life-threatening consequence of stercoral ulcers is colonic perforation, which is rare. A high index of clinical suspicion should be held for patients with stercoral ulcer, as colonic ... ...

    Abstract Stercoral ulcers are caused by persistent fecal impaction. A life-threatening consequence of stercoral ulcers is colonic perforation, which is rare. A high index of clinical suspicion should be held for patients with stercoral ulcer, as colonic perforation is a medical emergency, requiring immediate surgical intervention. Here, we report a case of a 45-year-old female admitted with sepsis of unknown picture and subsequently developed stercoral ulcer perforation (SUP), diagnosed intraoperatively, without prior radiographic evidence of colonic inflammation. She was successfully managed with emergency laparotomy and left colectomy with sigmoid colectomy.
    Language English
    Publishing date 2023-03-02
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.35678
    Database MEDical Literature Analysis and Retrieval System OnLINE

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