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Esposito Silvano - - 2014
A 51-year-old woman was admitted to the emergency unit with diffuse headache, visus reduction, and paraesthesias of the trigeminal area and the left hand. Three days after admission she showed shaking chills, vomiting, and sudden onset of fever (39·4°C). Blood cultures were performed soon after fever onset. Fever persisted for ...
Peters Ruth R aImperial Clinical Trials Unit (ICTU), Imperial College London, London bSchool of Health and Related Research (ScHARR), University of Sheffield, Sheffield, - - 2014
Treating hypertension in those aged at least 80 years is now recommended; however, the best antihypertensive to choose remains unexplored. Calcium channel blocker (CCB) use has been associated with a decreased risk of incident dementia in a younger hypertensive group but with an increased risk of cognitive decline in the ...
Haruki Yuto Y Department of Pharmacy, Tsuyama Chuo Hospital, 1756, Kawasaki, Tsuyama, Okayama 708-0841, Japan. Electronic address: - - 2014
Raoultella ornithinolytica is a rare pathogen in human infection and bacteremic cases had been scarcely reported. For further comprehension of the rare infection, we summarized clinical characteristics of 6 cases that were detected at our medical facility and 5 cases from previous literature. The most common infectious focus was biliary ...
Coombs Jaron B JB Department of Emergency Medicine, Joint Base Elmendorf-Richardson (JBER) DoD/VA, Joint Venture Hospital, JBER, - - 2014
Acute spontaneous subdural hematomas (ASSDH) occur by a variety of pathological processes and are less common than trauma-related acute subdural hematomas (SDH). Both types are usually seen in the elderly, and only 22 cases of ASSDH in patients aged < 40 years have been reported in the medical literature. Objectives: We ...
Mulliez S M N SM Coagulation Laboratory, Department of Clinical Chemistry, Microbiology and Immunology, Ghent University Hospital, Ghent, - - 2014
Acquired hemophilia A (AHA) is a rare bleeding disorder caused by autoantibodies against clotting factor VIII (FVIII). FVIII autoantibody is characterized as polyclonal immunoglobulin G directed against the FVIII procoagulant activity. This disease occurs most commonly in the elderly population and with preponderance of men in nonpregnancy-related AHA. There are ...
Masjedi Mohsen M Department of Immunology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, IR - - 2014
Pemphigus vulgaris (PV) is a chronic and infrequent autoimmune mucocutaneous disease that is characterized by the loose blisters and erosions on the skin and mucous membrane. Middle-aged adults are affect most frequently and the elderly and juvenile cases are infrequent. Herein, we reported a case of pemphigus vulgaris in an ...
Pujari Aditi A Ophthalmic Plastics Surgery, LV Prasad Eye Institute, Banjara Hills, Hyderabad, Andhra Pradesh, - - 2014
Myxofibrosarcoma (MFS) is an extremely rare tumor of the orbit, with only 3 cases reported in the literature, although it is one of the most frequent sarcomas arising from extremities in the elderly patients. The scarcity of literature regarding orbital MFS poses a challenge in its diagnosis and management. A ...
Amenta Peter S PS Thomas Jefferson University Hospital, 717 S. Columbus Blvd, Unit 607, Philadelphia 19147, - - 2014
Cervical spondylotic myelopathy (CSM) is typically encountered in the elderly population. Significant inconsistencies currently exist regarding the definition of the disorder, the true incidence of CSM in younger populations, and the established diagnostic criteria. To highlight the lack of standardization in the definition and diagnosis of CSM. A PubMed literature ...
Piccoli Giorgina Barbara GB 1 Nephrology Unit, Department of Clinical and Biological Sciences, University of Torino, ASOU San Luigi Gonzaga, Orbassano TO - - - 2014
Renal function recovery (RFR), defined as the discontinuation of dialysis after 3 months of replacement therapy, is an uncommon occurrence. At a time when the "too early" start of dialysis is in discussion, a systematic review of the literature for cases in which patients recovered renal function after starting dialysis ...
Gerardi Maria Chiara MC Dipartimento di Medicina Interna e Specialità Mediche, Reumatologia, Sapienza Università di Roma, Viale del Policlinico 155, 00161, Rome, - - 2014
Polymyalgia rheumatica (PMR) is an inflammatory rheumatic disorder in elderly people. It is frequently associated with giant-cell arteritis (GCA), although it is still debated if they are the same disease or two distinct pathologies. The etiology of PMR remains challenging, although current knowledge supports the role of both genetic and ...
Malik Fahd F Psychiatry registrar, Redcliffe-Caboolture Mental Health Service, Caboolture, QLD, - - 2014
To explore aspects of anorexia nervosa occurring in older populations, especially men, by reviewing the literature and presenting a case study of an elderly man with unexplained vomiting and weight loss. The literature is reviewed and an illustrative case study of an elderly man with unexplained vomiting and weight loss ...
Crist Lindsey W LW Department of Clinical and Administrative Sciences, Notre Dame of Maryland University School of Pharmacy, Baltimore, - - 2014
This case describes an 85-year-old African-American female with atrial arrhythmias on dofetilide maintenance therapy who presented to an ambulatory cardiology clinic with hypotension. The pharmacist identified a potential major drugdrug interaction between dofetilide and the thiazide diuretic, chlorthalidone. Because of the patient's hypotension, it was decided to discontinue chlorthalidone to ...
Ishii Hiroshi H Department of Respiratory Medicine, Fukuoka University Hospital, 7-45-1 Nanakuma, Fukuoka-city, Fukuoka 814-0180, Japan. Electronic address: - - 2014
Pulmonary lymphangioleiomyomatosis is a rare disease that occurs exclusively in young women, who typically present with progressive dyspnea and repeated spontaneous pneumothorax. The diagnosis of this disease in elderly women with a non-progressive clinical course is extremely rare. We herein report two incidentally discovered cases of pulmonary lymphangioleiomyomatosis in postmenopausal ...
Onuk O O Department of Urology, Taksim Education and Research Hospital, Istanbul, - - 2014
Ectopic intrathoracic kidney is an extremely rare congenital anomaly and it is often asymptomatic and discovered incidentally on chest radiography. Although congenital thoracic kidney is mostly seen in infants, it can be diagnosed in neonatal age and adults as well. Herein, we present a 72- year-old woman who had a ...
Karigane Daiki D Division of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan; Department of Internal Medicine, Keiyu Hospital, Kanagawa, - - 2014
Cytomegalovirus (CMV) enteritis (or colitis) is generally diagnosed in immunocompromised patients in association with human immunodeficiency virus infection as well as in recipients of solid organ or hematopoietic stem cell transplant. CMV enteritis has been reported only sporadically in immunocompetent individuals. We encountered a 76-year-old woman who developed CMV enteritis ...
Afzal Shaista S Department of Radiology, The Aga Khan University Hospital, Stadium Road, - - 2014
Lymphangioma develops as a consequence of lymphatic malformation and blockage of lymphatic flow. Pancreatic lymphangioma is a rare benign tumour which can grow reasonably large prior to manifestation of symptoms. On imaging, it appears as a complex multiseptated cystic mass. However, this appearance is not diagnostic and overlaps with cystic ...
Alkatan Hind M HM Department of Pathology and Laboratory Medicine, King Khaled Eye Specialist Hospital, Riyadh, Saudi - - 2014
Listeria monocytogenes is an aerobic, motile, gram positive bacillus recognized as an intercellular pathogen in human where it most frequently affects neonates, pregnant women, elderly patients, and immunosuppressed individuals as well as healthy persons. Ocular listeriosis is rare, most frequently in the form of conjunctivitis, but has been also shown ...
Rogowitz Elisa E University of Arizona College of Medicine, 1501 N. Campbell Ave, Tucson, AZ 85724, USA ; Division of Hematology-Oncology, Department of Medicine, Southern Arizona VA Health Care System, 3601 S 6Th Ave, Tucson, AZ 85723, - - 2014
Neuroblastoma is considered a pediatric malignancy as over 95% of cases are diagnosed in patients ≤10 years old. This cancer is extremely rare in elderly patients. We conducted a Surveillance, Epidemiology, and End Results (SEER) database analysis in the USA between 1973-2007 that revealed only 35 elderly patients (>60 years of age) ...
Batra Jyoti - - 2013
Abstract Purpose: To report a rare case of primary localized lacrimal gland amyloidosis and present a detailed review of the literature. Method: A 72-year-old woman presented with painless mass of 3 years' duration in the supero-temporal left orbit arising from the lacrimal gland. The patient underwent an excision biopsy and ...
Anis Emilia - - 2013
As a crossroads for bird migration between Africa and Eurasia and with its long history of human infection, Israel has been a major focus of attention during the continuing global spread of West Nile fever (WNF). This article reviews the background and reemergence of WNF in Israel; the recent epidemiology ...
Mavrodaris Angelique - - 2013
To perform a systematic review of the literature on the prevalence of cognitive impairment and dementia in sub-Saharan Africa. Five electronic databases were searched for relevant abstracts and to identify papers eligible for full-text review. A study was included if two authors agreed that it had a cohort, case-control or ...
Paine P - - 2013
The characterisation and management of chronic severe gastrointestinal (GI) dysmotility are challenging. It may cause intestinal failure requiring home parenteral nutrition (HPN). To review the presentation, aetiology, characterisation, management and outcome of chronic severe GI dysmotility, and to suggest a pragmatic management algorithm. PubMed search was performed up to December ...
Carrillo-Esper Raúl - - 2013
We report a case of rhombencephalitis infection by Listeria monocytogenes in a 66-year-old man with cirrhosis. The CSF analysis indicated L. monocytogenes as the most likely pathogen. Blood and CSF culture were positive to L. monocytogenes and MRI findings were suggestive of rhomboencephalitis. The treatment was started empirically and then ...
Silva Gyl E B - - 2013
Glomerulonephritis may complicate the course of a wide variety of malignant diseases. However, there are relatively few reports of membranous glomerulonephritis (MGN) in patients with non-Hodgkin lymphoma (NHL). We describe for the first time a case of MGN associated with splenic marginal zone lymphoma with extreme plasmacytic differentiation and bone ...
Marek Aleksandra - - 2013
Vibrio cholerae is a serious public health problem worldwide but in the United Kingdom (UK) V. cholerae infections are rare. Here we report a case of V.cholerae bacteraemia in an elderly patient. To our knowledge this is the first non-travel related V cholerae bacteraemia in the UK.
Miserocchi Elisabetta E Department of Ophthalmology, Vita-Salute University, San Raffaele Scientific Institute, Via Olgettina 60, Milan, Italy. - - 2013
We describe the worldwide epidemiology of uveitis through a systematic literature review.
 Data obtained from the most relevant studies published until November 2012 were reported.
 Results of our research were structured in sections about the epidemiology of uveitis by anatomical location of inflammation (anterior, intermediate, posterior, and panuveitis), type of ...
Kudur Mohan H - - 2013
Angiokeratoma of Fordyce occurring over vulva is rare. Angiokeratoma of Fordyce commonly occurs in males over scrotum or penile shaft and presents as multiple verrucous reddish papules. They are usually asymptomatic and noticed accidentally. In the present article, we present and review the literature of giant angiokeratoma of Fordyce in ...
Salemis Nikolaos S - - 2013
Myofibroblastoma of the breast (MFB) is a rare benign tumor of mesenchymal origin with only 80 cases reported in the literature so far. It most commonly occurs in elderly males and postmenopausal females and grows slowly over a period of months to years. In this study we describe a very ...
Liu Jiaying - - 2013
INTRODUCTION: Neurogenic tumors of the larynx are extremely rare, accounting for less than 1% of all benign laryngeal tumors. The lesions that have been described in current literature are located either in the supraglottis or subglottis, mainly affecting the pediatric population and associated with von Recklinghausen disease. STUDY DESIGN: Descriptive ...
Singh Iqbal - - 2013
Ureterosciatic hernia (USH) is a rarely described entity and is an extremely rare cause of refractory flank pain. We report the diagnostic dilemma, and sequential endourological and finally the successful robotic management of one such symptomatic USH in an elderly woman who had presented with ipsilateral refractory flank pain, hydroureteronephrosis, ...
Shankarappa Ravindranath Khandenahally - - 2013
Isolated tricuspid valve disease is rare. We report the case of a 65-year-old female patient who presented with right heart failure. Initial echocardiographic evaluation revealed a giant right atrium (RA) with severe tricuspid inflow obstruction with regurgitation. A comprehensive two- and three-dimensional echocardiographic evaluation revealed a dysplastic tricuspid valve resulting ...
Mills Peter D - - 2013
ABSTRACT: This study examines the health system factors associated with completed suicide among veterans older than 65 years. All root cause analysis reports of suicides that occurred between 2008 and 2010 in the Veterans Health Administration were reviewed; of those, 46 reports were for those 65 years or older. The ...
Nagata Kokoro - - 2013
Ameloblastomas frequently occur in relatively young people, but are rarely seen in people aged 80 years or older. We report a case of mandibular ameloblastoma in an elderly patient with a review of the literature. The patient was a 82-year-old man who noticed swelling of the gingiva approximately 2 weeks ...
Falidas Evangelos - - 2013
Elastofibroma dorsi (ED) is an uncommon, slow-growing, benign, soft tissue tumor of unclear pathogenesis, typically located at the subscapular region of elderly people. It may be unilateral or bilateral. Though many patients are asymptomatic, ED can cause local deformity and symptoms such as periscapular pain or discomfort. Herein we report ...
Maercker Andreas - - 2013
Life-review interventions (LRI) are psychotherapeutic techniques originally derived from gerontology, which can be distinguished from other biographical and reminiscing techniques. They have been systematically implemented and investigated not only in elderly clients with depression, cognitive decline, in oncology units and in hospices but also in adolescents with various mental problems. ...
Maldeniya Pramudith M - - 2013
Delirious mania has been well recognized in the published literature and in the clinic. Over the years there has been refinement of understanding of its clinical features, course, and treatment. The literature suggests that delirious mania should be considered in individuals who present with a constellation of sudden onset delirium, ...
D'Ambrosio Giancarlo - - 2013
Myofibroblastoma (MFB) is an uncommon benign mesenchymal tumor that may arise in several organs and tissue. Although most of reported cases were located in the breast, it is extremely rare, representing less than 1% of breast tumor. MFB has predominantly seen in elderly men, but some cases have been described ...
Wang Apphia - - 2013
Purpura annularis telangiectodes (PAT), also known as Majocchi purpura, is a rare form of pigmented purpuric dermatosis characterized by non-palpable red-brown, occasionally pruritic patches which progress to hyperpigmented halos. Purpura annularis telangiectodes usually presents in female adolescents as benign symmetric lesions with a predilection for the lower extremities. We present ...
Shimada Asami - - 2013
An 85-year-old man presented with pain and numbness in the left buttock, and physical examination revealed an approximately 7 cm mass extending from the first to the third sacral vertebrae; biopsy of the mass led to the diagnosis of CD10-negative, BCL6-weakly positive, MUM1-positive, non-germinal center (non-GC) type diffuse large B-cell ...
Mohd Slim M Atif - - 2013
Pure red cell aplasia (PRCA) is a rare adverse effect of recombinant erythropoietin (rEPO). Affected patients rapidly become transfusion-dependent, with many requiring immunosuppressive therapy for remission. We report a confirmed case in an elderly female, possibly the first of its kind in New Zealand, who was started on rEPO for ...
Patel Priyank P Department of Internal Medicine, B-301 Clinical Center, Michigan State University, East Lansing, MI 48824, - - 2013
Acute cerebellitis is a rare diagnosis found mostly in the pediatric population. The etiology, in most instances, is unknown. We describe the case of a 61-year-old woman who presented with acute mental status changes, signs of cerebellar dysfunction, and MRI findings of acute cerebellitis. A brief review of the existing ...
Thomas Anitha Ann AA Address: Department of Tissue Pathology and Cytopathology, PathWest Laboratory Medicine, QEII Medical Centre, Hospital Ave, Nedlands WA 6009 ; School of Pathology and Laboratory Medicine, University of Western Australia, Western - - 2013
Presence of bone marrow elements in cerebrospinal fluid is rare. Journal publications on this topic are few and majority of them were written over a decade ago mostly as case reports in young children or the elderly. The increased cellularity and presence of myeloid precursors can be a pitfall and ...
Moon Il Ha IH Department of Otorhinolayngology-Head and Neck Surgery, Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, - - 2012
Preauricular masses are commonly seen in the otology clinic. Excisional biopsy is essential for diagnosis, and treatment is necessary to reduce the risk of malignancy and for cosmetic purposes. We recently treated a rare case of angioleiomyoma of the preauricular area. Angioleiomyoma is a benign tumor arising from smooth muscle ...
Liu Xin-Li - - 2012
Hepatoid carcinoma of the ovary is a type of tumor resembling hepatocellular carcinoma that arises from the ovary. Hepatoid carcinoma patients are predominantly elderly females ranging between 35 and 78 years of age, with an average age of 56 years. It was suggested that, microscopically, bile canalicular structures are rare, ...
Baduni Neha - - 2012
Myxedema coma is a life-threatening but uncommon complication of long-standing, neglected hypothyroidism. It was first reported by Ord in 1879. Till date only around 200 cases have been reported in literature. The incidence in European countries is 0.22 per million per year. No epidemiological data is available from the Indian ...
Reilly Daniel J - - 2012
Gallbladder torsion is a rare disease, predominantly affecting elderly women. It is an important differential in the acute surgical abdomen. A total of 324 published case reports of torsion of the gallbladder were reviewed. Features in diagnostic imaging suggestive of torsion were reviewed and summarized. Gallbladder torsion is primarily a ...
Kataria Rashim - - 2012
Small spinal intradural extramedullary schwannoma are a common occurrence in the middle aged. However, giant schwannoma in pediatric age group is rare. We report one such case of giant extradural lumbosacral schwannoma in an 8-year-old child. Clinical features, histopathology and management of giant schwannoma is discussed and the present literature ...
Soto Guerrero Yazmín - - 2012
An Aspergilloma is a "ball" of fungal mycelia composed of Aspergillus species developing in a pre-existing lung cavity. This uncommon entity may cause hemoptysis and may be a diagnostic challenge. We present imaging and review the literature of a recent case managed in our institution.
Dimri Deepak - - 2012
Histoid leprosy, an uncommon variant of lepromatous leprosy, develops usually as relapse in lepromatous patients who are on dapsone monotherapy, but uncommonly arises de novo. This rare form of the disease, with unique clinical and histopathological features, may pose a diagnostic challenge even to astute clinicians. We report the case ...
Pellegrino Micaela - - 2012
Objective. To report the rare case of a thymic neuroblastoma, in an elderly woman with SIADH at presentation. Methods. Clinical and biochemical data of the patient are presented and the pertinent literature is reviewed. Results. a 79-year-old woman was admitted into our department with worsening asthenia, severe hyponatremia (114.8 mEq/L), low ...
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