Global Journal of Medical and Clinical Case Reports
Latest articles in this journal
Published: 12 October 2022
Global Journal of Medical and Clinical Case Reports, Volume 9, pp 057-062; https://doi.org/10.17352/2455-5282.000161
It has been shown that behavioral therapy has effects on stress and also cortisol levels. This study investigated the impact of self-care stress reduction strategies on the cortisol levels of 59 urine samples. Stress behavior was evaluated by using written responses (questionnaire). Results indicated that transcendental meditation was statistically associated with the lowering of cortisol levels. Meditation can relax the mind, leading to a reduction in stress. From this study, stress and cortisol levels do have a direct correlation with one another. The data from this small pilot study raise the question of its utility as a stress marker in cardiac rehabilitation.
Published: 21 September 2022
Global Journal of Medical and Clinical Case Reports, Volume 9, pp 053-056; https://doi.org/10.17352/2455-5282.000160
Background: General health is closely related to oral health. Communication is made simpler and a person’s dignity and individuality are enhanced by optimum dental health. The working conditions of soft drink industry employees affected their oral health. Objective: To determine the level of oral condition and treatment requirements for soft drink employees in Bareilly City. Method: 175 employees of soft drink factories participated in cross-sectional research. The individuals gave their informed consent and we received ethical approval. The 2013 WHO Oral Health Assessment Form for Adults was used to get the findings. Results: The findings indicate a higher frequency of oral health issues among soft drink industry workers, including dental caries, gingivitis, periodontal pockets, loss of attachment, fluorosis and tooth erosion. Conclusion: According to the survey, these soft drink industry employees have poor oral health and require more dental care than usual.
Published: 2 September 2022
Global Journal of Medical and Clinical Case Reports, Volume 9, pp 049-052; https://doi.org/10.17352/2455-5282.000159
Introduction: Bipolar dislocation of the clavicle is an uncommon injury that is a simultaneous dislocation of the ipsilateral acromioclavicular joint and sternoclavicular joint. This injury is rare with fewer than fifty documented cases. Case report: We have reported the case of a forty-three-year-old bike trauma with posterior dislocation of the acromioclavicular joint and fracture of the medial part of the clavicle. Considering the young age of the patient and his requirement for high physical activity, we opted for the operative treatment. First, the patient was operated on with open reduction and stabilization of the acromioclavicular joint with 2 k. wires. So, thanks to conservative treatment at the medial fractures we had a good result. Conclusion: In light of current evidence, no important advice can be made about the treatment of bipolar clavicle fractures. We assume that the restoration of the anatomy of the acromioclavicular and sternoclavicular joints should be the aim of the treatment for this rare injury. Nevertheless, the treatment of a bipolar clavicle injury depends on different factors: injury pattern, age of the patient, daily activities, and comorbidity.
Published: 17 August 2022
Global Journal of Medical and Clinical Case Reports, Volume 9, pp 044-045; https://doi.org/10.17352/2455-5282.000157
A previously healthy 17-year-old boy was admitted to our emergency department for fever, pharyngitis with cervical lymphadenopathy, abdominal pain, and vomiting for three days. On admission, he was afebrile and his vital signs were normal. Yet, following another vomiting episode, he developed another bout of abdominal pain. C-reactive protein was normal, haemoglobin 14.1 g/dl, WBC 15 x 103/µL, platelets 138 x 103/µL, AST 522 U/L, ALT 341 U/L, total bilirubin 4.75 mg/dl, with direct bilirubin 3.4 mg/dl; LDH level 689 U/L.
Published: 17 August 2022
Global Journal of Medical and Clinical Case Reports, Volume 9, pp 046-048; https://doi.org/10.17352/2455-5282.000158
Small bowel obstruction following internal herniation under the external iliac artery after total hysterectomy with pelvic lymph node dissection is a rare entity. We describe a case of strangulated internal hernia between the right external iliac artery and the psoas muscle as a late complication after 3 years of radical hysterectomy with pelvic lymphadenectomy. Retroperitoneal closure may be an appropriate procedure to effectively prevent such internal hernias. the emergency CT scan was used to diagnose a flange occlusion in the context of the situation. it was only during surgical exploration that the cause of the occlusion was revealed as an internal hernia. a resection of the ischemic bowel was performed with retroperitonealization of the artery.
Published: 16 August 2022
Global Journal of Medical and Clinical Case Reports, Volume 9, pp 039-043; https://doi.org/10.17352/2455-5282.000156
Hydatidosis is a cosmopolitan parasitic disease that presents a real public health problem, especially in endemic countries of which Morocco is part. The objective of the present work is to analyze the clinical, paraclinical, therapeutic, evolutionary, and prognostic aspects of disseminated peritoneal hydatidosis with multiple localization. Peritoneal hydatidosis represents the whole of the phenomena due to the seeding, essentially secondary, of the peritoneal serosa by Echinococcus Granulosus larvae. Peritoneal hydatidosis is characterized by its polymorphic symptomatology, and the diagnosis is based on a combination of epidemiological, clinical, biological, and imaging findings. We report a case of a particular form of peritoneal hydatidosis in the department of visceral surgery I of the ibn rochd hospital in Casablanca. Our patient was admitted for management of disseminated peritoneal hydatidosis. The clinical examination, apart from an epigastric crust, was unremarkable. The biological work-up showed a slightly disturbed liver balance and the hydatid serology was strongly positive. The preoperative diagnosis of HP was established by CT scan showing a supra- and sub-mesocolic peritoneal hydatidosis with a multi-cystic spleen and a liver with a type V segment V hydatid cyst measuring 4 cm by 6 cm. The treatment consisted of a total cystectomy of the hydatid cysts, almost 100 cysts with multiple peritoneal and parietal locations, one of which was fistulized in the skin, associated with a total splenectomy, retrograde appendectomy, and a disconnection of the cholecysto-duodenal fistula with duodenal closure and a retrograde cholecystectomy associated with a choledecotomy with the extraction of 3 stones at the level of the choledochus and drainage of the VBP by Kehr drain. The postoperative course was simple and the patient was discharged on the sixth day with adjuvant treatment with albendazole for three months. Through this observation and in the light of the data in the literature, we were able to insist in our present work on the diagnostic difficulties generated by this unusual location of the hydatid cyst as well as the considerable contribution of imaging (CT++) allowing both a positive and very precise topographic diagnosis. We were also able to focus on surgical treatment as an indispensable pillar of the management of this disease as well as the increasingly fundamental role of medical treatment, particularly in the prevention of recurrences.
Published: 22 July 2022
Global Journal of Medical and Clinical Case Reports, Volume 9, pp 035-038; https://doi.org/10.17352/2455-5282.000155
The aim of the present study was to evaluate the hepatoprotective effect of total saponins and tannins of Dialium guineense stem bark in Wistar rats exposed to carbon tetrachloride (CCl4). Adult male Wistar rats (n = 25) weighing 160 – 180 g (mean weight = 170 ± 10 g) were randomly assigned to five groups (5 rats per group): normal control, CCl4 control, silymarin, total saponins, and total tannins groups. With the exception of normal control, the rats were exposed to CCl4 (a single oral dose of 1.0 mL/kg body weight, bwt). Rats in the silymarin group were administered 100 mg/kg bwt silymarin (standard hepatoprotective drug), while those in the two treatment groups received 150 mg/kg bwt of total saponins or tannins orally. Treatment lasted 28 days. Activities of alanine aminotransferase (ALT), aspartate aminotransferase (AST), and Alkaline Phosphatase (ALP), as well as levels of Total Protein (TP), bilirubin, and albumin, were measured in plasma. The results showed that there were no significant differences in the concentrations of TP among the groups (p > 0.05). The activities of the liver enzymes, as well as levels of bilirubin and albumin, were significantly higher in the CCl4 control group than in the normal control group, but they were reduced by extract treatment (p < 0.05). These results indicate that CCl4 negatively impacted the integrity of the liver cells, and total saponins and tannins of D. guineense stem bark conferred some level of protection on the organ.
Published: 30 May 2022
Global Journal of Medical and Clinical Case Reports, Volume 9, pp 032-034; https://doi.org/10.17352/2455-5282.000154
Listeria monocytogenes infection in humans is mostly asymptomatic in immunocompetent patients. It rarely can cause self-limiting febrile gastroenteritis, bacteremia, meningoencephalitis, and maternal-neonatal infections. The latter three manifestations are the most common, especially among immunocompromised patients. We present two cases of Listeria monocytogenes bacteremia in cancer patients, a 79-year-old man and a 70-year-old woman in whom the source of bacteremia was identified to be the implantable venous access port (TIVAP). In both cases, the TIVAP has been removed after “positive control cultures the following readmission to the hospital despite targeted therapy with ampicillin and gentamicin”. Removal of TIVAP was warranted to control the infection.
Published: 27 May 2022
Global Journal of Medical and Clinical Case Reports, Volume 9, pp 029-031; https://doi.org/10.17352/2455-5282.000153
Actinic cystitis hematuria is a frequent complication after pelvic radiotherapy, present in approximately 5% of patients exposed to this therapy. The management of these cases seems to be a challenge for today’s urologists. In this article, we present the case of a 73- year-old man diagnosed with actinic cystitis after pelvic radiotherapy and admitted to our service with a clinical picture of refractory macroscopic hematuria. During admission, the patient underwent multiple procedures and blood transfusions, without success in controlling hematuria. After a review of the literature, we chose to use Potassium Alum in the patient’s treatment. Under general anesthesia, we performed a cystoscopy with the evacuation of clots and subsequently infused a 1% solution of potassium alum into the bladder at a rate of 200 ml/h for 25 hours. Less than 24 hours after Alum infusion, there were no more clinical signs of hematuria, which remained until hospital discharge. After 6 months of treatment, the patient did not present another episode of hematuria.
Published: 7 May 2022
Global Journal of Medical and Clinical Case Reports, Volume 9, pp 026-028; https://doi.org/10.17352/2455-5282.000152
Pneumomediastinum is a rare complication described following dental extraction, especially of the third molar. 212 case reports were described in the English literature since 1960. We describe a case report of a 19-year-old girl who presented to the emergency department with subcutaneous emphysema. Investigations showed the presence of pneumomediastinum. The patient was admitted for surveillance with no antibiotic therapy given due to the improvement seen the following day.