فهرست مطالب
Case Reports in Clinical Practice
Volume:1 Issue: 3, Summer 2016
- تاریخ انتشار: 1395/11/13
- تعداد عناوین: 9
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Pages 68-70Postoperative ascites is a rare complication of cesarean section delivery. Herein, we presented a women underwent cesarean section that lead to idiopathic ascites with no definitive cause. It seems that allergic or inflammatory peritoneal reaction may be responsible for this complication.Keywords: Ascites, Postoperative complications, Cesarean section
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Mature Cystic Teratoma of Adrenal Gland (Adrenal Teratoma)Pages 71-73We report a very rare case of benign mature cystic teratoma involving the right adrenal gland in a 14 years old female.Keywords: Matureteratoma, Primary teratoma, Adrenal gland
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Pages 74-77A 56-year-old woman with hands paresthesia referred to the physical medicine and rehabilitation Clinic of Imam Khomeini Hospital. Based on physical examination and electrodiagnosis, the patient had bilateral moderate carpal tunnel syndrome with greater intensity in the right side. Wrist splint and acupuncture were prescribed for the patient. 20 sessions of acupuncture were done every other day. At the end of treatment, the patients clinical symptoms and electrodiagnostic findings improved, and there was only mild carpal tunnel syndrome in her right hand. It seems that acupuncture can be an effective treatment for carpal tunnel syndrome. Considering its few complications, acupuncture can be used to treat mild to moderate carpal tunnel syndrome.Keywords: Syndrome, Carpal tunnel, Acupuncture, Paresthesia
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Pages 78-80This report described an innovative nonsurgical method for management of unsuccessful renal stone expulsion. Our patient was a 43-year-old physician with a history of two distinct episodes of renal stone entrapping in distal ureter and nonresponsive to shock wave lithotripsy, and oral medication recommended to treat by surgery. Fortunately, renal stones were expelled by whole body vibration technique without any surgical procedure.Keywords: Kidney calculi, Rehabilitation, Ultrasound wave
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Pages 81-84Joubert syndrome and related disorders (JSRDs) are a group of anomalies characterized by hypotonia, ataxia, developmental delay, intellectual disability, abnormal eye movements, and apnea and hyperpnea in infancy with multiorgan involvement in which the pathognomonic the molar tooth sign is present on the brain magnetic resonance imaging. In this paper, we reported on a patient with JSRD who presented with congenital hepatic fibrosis, autosomal recessive polycystic kidney disease, and pigmentary retinopathy.Keywords: Joubert syndrome, related disorders, Congenital hepatic fibrosis, Midbrain malformation
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Pages 85-88Neurologic involvement occurs in approximately 10% cases of brucellosis and is a serious complication. It manifests with unique and some rare manifestations. We present the first patient with seizures in Brucella meningitis without encephalitis, space-occupying lesion, or vascular involvement. The patient is a 23-year-old man with complaint of seizure. He had generalized weakness for 2 weeks before. In 1st day of admission, he had the second convulsion. Cerebrospinal fluid (CSF) on admission showed lymphocytic pleocytosis and high protein. Brain magnetic resonance imaging and computed tomography scan were normal. Further evaluations resulted a positive Wright, Coombs Wright, and 2- mercaptoethanol (2ME) tests. Specific regimen with rifampin, doxycycline, and ceftriaxone in the 1st month then the first two with trimethoprimsulfamethoxazole (TMP-SMX) for 5 months administered. 6 months after completion of treatment in follow-up he has no seizure, systemic or localized symptoms.Keywords: Brucellosis, Neurobrucellosis, Meningitis, Seizure
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Pages 89-92Osteoarticular involvement is a relatively common presentation of brucellosis, but muscular involvement and psoas abscess are a rare complication which almost always is secondary to spondylitis. We report a rare case of brucellosis presenting with psoas abscess or without any osteoarticular involvement.Keywords: Infectious diseases, Brucellosis, Abscess
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Pages 93-94