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Clinical Case Reports

ISSN: 2165-7920

Open Access

Volume 10, Issue 11 (2020)

Case Report Pages: 1 - 3

Endodontic Management of Maxillary First Molar with 7 Root Canals with Post-Treatment Adjunct of Cone Beam ST: A Case Report

Hamza Al-Sharief*, Adnan Alattas, Mohammed Nabeel and Feras Aalam

DOI: 10.37421/2165-7920.2020.10.1398

The internal morphology of the maxillary first molar has been heavily studied and reported in the literature. In classic literature, the root canal anatomy of maxillary first molars has been described as three roots with three canals and the most common variation is the presence of a second mesiobuccal canal (MB2).

Case Report Pages: 1 - 3

Actinomycosis as a Rare Cause of Abscess of Thyroid Gland in 3-Year-Old Child

Pitekova Barbora, Dicka Eva, Kunzo Samuel, Kralik Robert and Podracka Ludmila *

DOI: 10.37421/2165-7920.2020.10.1399

Actinomycosis is a rare bacterial infection caused by Actinomyces species, gram-positive, microaerophilic bacteria, which, under normal circumstances, colonize oral flora within gingival cervices and tonsillar crypts, gastrointestinal tract and genital microbiota. Firstly in humans, A. israelii was isolated and described in 1878 by James Israel. So far, more than 30 species of Actinomyces have been identified in humans, out of which most frequently isolated species in infections is Actinomyces israelii.

Case Report Pages: 1 - 2

The Challenging Diagnosis of Myocarditis Induced by Immune Checkpoint Inhibitors: A Case Report and Review of the Literature

Amina Ridoine*, Marielle Morissens and Jose Castro Rodriguez

DOI: 10.37421/2165-7920.2020.10.1397

Immune Checkpoint Inhibitors induced Myocarditis is a serious adverse event. The clinical manifestation can be quite variable and the classic features of myocarditis are not always found. Although challenging, the diagnosis remains necessary in this potentially life-threatening complication. We present the case of a patient treated with nivolumab who developed a late immune checkpoint inhibitor induced myocarditis, without positive diagnostic findings in cardiac magnetic resonance imaging. Early initiation of corticosteroid therapy resulted in good outcome.

Case Report Pages: 1 - 2

Catatonia Secondary to Hashimoto's Encephalitis: A Case Report

Fernanda Naira Zambelli Ramalho*, Heloisa Helena Silva Laurenti, Alcion Sponholz Junior, Cristina Marta Del-Ben and Gabriel Elias Correa de Oliveira

DOI: 10.37421/2165-7920.2020.10.1393

Introduction: Catatonia is a neuropsychiatric syndrome with motor and behavioral symptoms. In addition to psychiatric illnesses, this syndrome can also be associated with general medical conditions. Few cases of catatonia associated with autoimmune disorders have been reported.

Case report: We report the case of a 56-year-old female patient diagnosed with Hashimoto's encephalitis, who presented firstly with mystical delusions and tachypsychia. Despite the proper treatment for psychosis, the symptoms worsened and she developed catatonia. Complementary investigations showed high titers of anti-thyroperoxidase antibodies. Hashimoto encephalitis was suspected and intravenous prednisolone was started. As there was an only partial improvement in psychiatric symptoms, plasmapheresis was chosen. The patient evolved with a drastic improvement in symptoms after the third session of plasmapheresis.

Conclusion: An organic etiology should always be considered in cases of catatonia, especially in those with no previous psychiatric history. Doctors should always think about measuring thyroid function when faced with a case of catatonia.

Case Report Pages: 1 - 3

Parotid Metastasis of Breast Cancer – A Case Report

Bahaa Razem* and Faiçal Slimani

DOI: 10.37421/2165-7920.2020.10.1394

Introduction: Parotid metastases of breast cancer are extremely rare. Only 31 cases have been reported between the years of 1982 and 2019.

Case report: We report the case of 41 years-old woman who’s parotidian metastasis has been revealed 4 years after the diagnosis of her breast cancer.

Discussion and Conclusion: Any parotid mass occurring in a patient with a history of breast cancer should be considered metastatic until proven otherwise, and a multimodal care should be started as soon as possible.

Case Report Pages: 1 - 2

A 12-Years Rectal Bleeding Complicated with Deep Vein Thrombosis, Is Hemorrhoid the Real Cause?

Yi-Qun Zhang, Meng Niu and Chun-Xiao Chen*

DOI: 10.37421/2165-7920.2020.10.1395

Colorectal venous malformation is a rare condition that can cause massive rectal bleeding. This is the first report of colorectal venous malformation complicated with massive bleeding and lowers limb deep vein thrombosis, and the two life-threatening conditions were both treated successfully.

Case Report Pages: 1 - 2

Blame it on the Pump

Kirk J. Levins*

DOI: 10.37421/2165-7920.2020.10.1396

Intrathecal drug delivery a method of directly administering opioid and spasmolytic medication to the site of action, the spinal cord. Efficacy and safety of this delivery system is well documented in cancer pain, spasticity as well as non-malignant pain. However, there are a number of recognised potential complications with this therapy. One of the most serious of which is the formation of a granuloma occurring at the intrathecal catheter tip, which appears to be related to the concentration and drug type being delivered. Evidence has indicated that delivery of high dose morphine can lead to the formation of these granulomas. Occurring in less than 3% of all patients with an intrathecal catheter, granulomas can present as an inflammatory mass on imaging with some resulting in compression of the spinal cord. Patients may present with a host of neurological symptoms dependent on the location of cord compression caused by the granuloma, including neurological deficits, myelopathy and radiculopathy.

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