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A 70-year-old male presented with a 1-month history of malaise and fever. He was diagnosed with chronic empyema and went into shock by cardiac tamponade after treatment. This case shows that even chronic empyema can cause cardiac tamponade. It should be considered as differential diagnoses of shock after empyema treatment. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Purpura is a rare but documented presenting feature of severe leptospirosis. We describe a case of Weil's disease characterized by predominating coagulopathy and hepato-nephritis. E7080 We illustrate dynamic changes in cutaneous lesions. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Primary care physicians and endocrinologists should be aware that neck masses with concerning features like, in this case, a delay in evaluation and treatment may dramatically shorten a patient's life. Published 2020. This article is a U.S. Government work and is in the public domain in the USA. Clinical Case Reports published by John Wiley & Sons Ltd.Anaplastic multiple myeloma (AMM) is a very rare morphologic variant of multiple myeloma with extremely poor prognosis. The anaplastic morphology of AMM may pose a diagnostic challenge. A thorough workup is critical in reaching the correct diagnosis. © 2019 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Extraintestinal symptoms of Crohn's disease may occur in the eye, the urinary system, on the skin, or subcutaneous fat. We report the case of a 7-year diagnostic search of isolated vulvar Crohn's disease in a 47-year-old woman. The disease is characterized by gradual formation of pronounced bilateral asymmetric labial hypertrophy. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Prior to bariatric surgery, endocrine causes of obesity must be excluded. The diagnosis of osteoporosis in a male requires the study of secondary causes of this condition. The diagnostic delay of Cushing's syndrome may have irreversible consequences. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Perivascular epithelioid cell tumors (PEComas) are a rare group of mesenchymal tumors associated with tuberous sclerosis. These tumors are typically treated with resection and rarely recur or exhibit malignant behavior. A 78-year-old woman presented with an incidentally discovered pterygopalatine fossa/retroantral mass. Excisional biopsy was performed and revealed pathology consistent with PEComa. Upon review of the literature, there have been 43 reported cases of PEComa of the head and neck. link2 There is only one previously reported case of PEComa in the skull base, and none reported in the pterygopalatine fossa. Of note, the previously reported case of skull base PEComa involved an aggressive tumor with widespread metastasis. Here, we report the first case of a PEComa of the pterygopalatine fossa/retroantral region, which was treated conservatively. This rare pathology should be considered in the differential diagnosis for atypical skull base tumors. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.This is the first case report of combination therapy in psoriasis with underlying thalassemia that failed after months. The relation of thalassemia with severity of psoriasis and response to treatment should be evaluated in more studies. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Langerhans cell histiocytosis (LCH) is a benign disease that behaves malignantly. Early recognition and treatment of oral manifestation of LCH by pediatric dentist and other medical specialties is important to prevent further organ damage. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.We describe a girl with clinical signs of cardiofaciocutaneous syndrome who simultaneously presents a mutation in the BRAF gene and a 9p24.3 microduplication. This genetic condition has never been described in the literature and could explain the phenotypic variability observed in the girl. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Photoinduced acute exanthematous pustulosis is a rare condition; only few cases of photo-AEP have been described previously with drugs such as norfloxacin, ciprofloxacin, and enoxacin. In this case, the reaction is seen after intake of dicloxacillin. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.We strive to educate medical providers of the possibility of cellular transformation occurring as a parastomal complication and to emphasize the importance of close monitoring, as there is a risk, although low, of subsequent malignant transformation. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Practical, safe, and effective hemostatic approach to orthopedic surgery using Extended Half-Life factor IX in hemophilia B. By intraindividual comparison, we found a lower FIX consumption, number of infusions, and cost compared to plasma-derived FIX. © 2019 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Calcific tendinitis is a common pathology in the shoulder but is uncommon in the peroneus longus tendon, which is considered when patient presents with a palpable tenderness without signs of inflammation. Differential diagnosis is important, as the condition is often overlooked. Conservative treatment has proven successful, though surgery might be an alternative. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Asymptomatic lingual depression in the mandible should be evaluated with advanced radiographic modalities such as cone-beam computed tomography (CBCT) using the software features to achieve correct diagnosis and avoid unnecessary endodontic and/or surgical interventions. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.We discuss the pathophysiology, diagnosis, differential diagnosis, and therapy of a case with central diabetes insipidus, idiopathic portal hypertension, and portopulmonary hypertension. This report reviews how vasopressin affects those diseases. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Localized bullous pemphigoid (LBP) rarely evolves into the generalized form, and the prognosis is better. In our opinion, the occurrence of LBP is underestimated because of incorrect diagnoses. It is therefore important to perform a skin biopsy each time a bullous rash is concerned in order to make a definite diagnosis. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Short-to-shield (STS) is a potential complication for left ventricular assist device (LVAD) patients supported by the HeartMate II (HMII) pump. This phenomenon occurs when a damaged internal wire within the driveline makes contact with the surrounding sheath, resulting in insufficient power delivery to the motor when connected to a grounded power base unit (PBU). An ungrounded cable can be used to negate these effects, but the long-term safety of this treatment strategy is unknown. In this case series, we present our institutional experience treating 17 STS patients with an ungrounded cable. In total, we present 4922 patient-days (13.4 patient-years) of ungrounded cable support after primary STS treatment. There were no deaths or complications related to STS. These data suggest that the long-term use of an ungrounded cable is a reasonable treatment option for patients who cannot or do not wish to undergo pump exchange or splice repair. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Nager syndrome is a rare, complex malformation syndrome, for which there is limited information on prenatal genetic testing. link3 Clinical diagnosis of Nager syndrome, which can be caused by deletions encompassing SF3B4 gene, is possible prenatally. Prenatal chromosomal microarray can aid genotype-phenotype correlation in pregnancies with structural abnormalities seen on ultrasound. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Squamous cell carcinoma arising in hidradenitis suppurativa (HS) is a rare albeit the most serious complication in HS, with a reported fatality of up to 42.9%. This calls for greater clinical awareness in patients with long-standing chronic HS. © 2019 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.The absence of septum pellucidum (ASP) is a rare disease, which affects the structure of the brain. It is either isolated or associated with various congenital brain malformations. The diagnosis of ASP can be performed by second-trimester ultrasound. When the ASP is isolated, prenatal counseling is optimistic regarding neurological outcome, but there is a 20% risk of septo-optic dysplasia in the neonate. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Primary central nervous system (CNS) marginal zone B-cell lymphoma (MZBCL) arising from the dural meninges is a rare but indolent disease. This malignancy can present in various ways, hence making it difficult to diagnose. Biopsy results dictate an appropriate treatment plan, which commonly consists of a combination of surgical resection, whole brain radiotherapy and systemic therapy. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Careful mapping, early detection of AV conduction damage and cryothermal energy availability are essential in dealing with ablation procedures at the parahisian region. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Increased cancer risk in patients with inflammatory and infectious diseases has been reported in many studies and lung cancer-associated empyema in less then 0.3% patients. We present a patient with empyema in whom the final diagnosis was metastatic lung adenocarcinoma. Purulent pleural fluid obtained by drainage or thoracentesis must always been examined because the association of malignant tumors and empyema should be taken into consideration. © 2019 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.When we see preexistent hypertension in pregnancy, subclinical Cushing's syndrome should be considered in the differential diagnosis since this disorder can cause perinatal complications. MRI can be useful for identifying adrenal incidental tumors during pregnancy. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Syncope in setting of AV nodal re-entrant tachycardia should prompt the clinician to perform further workup for comorbid conditions, including structural cardiac abnormalities. In complex cases, ICE may be helpful in delineating the anatomy to facilitate safe ablations. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Medical grade honey (MGH) has antimicrobial and pro-healing properties. We here demonstrate that MGH is an easily applicable, safe, and cost-effective approach for severe wounds. The use of MGH should more often be considered to treat all kinds of pediatric wounds. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.Brentuximab vedotin monotherapy for late-relapse CHL is a promising therapeutic with sustained CR benefit and avoiding potential toxicities caused by aPBSCT/HDT. © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.
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