Parvovirus and ‘ weepy red’ axillae
Citation: BMJ Case Reports, October 2014, vol./is. 2014/, 1757-790X (03 Oct 2014)
Author(s): Losa I.
Publication Type: Journal: Note
Full Text: Available BMJ Case Reports and EBSCOHOST – Athens required
Congratulations to Dr RJ Fawcett on the publication of this article:
Morel-Lavallee lesion in a male cyclist.
Citation: BMJ Case Reports, 2013, vol./is. 2013/, 1757-790X (2013)
Author(s): Fawcett RJ
Publication Type: Case Reports; Journal Article
Full Text: Available from EBSCOhost in BMJ Case Reports
Caecal volvulus: A consequence of acute cholecystitis.
Citation: BMJ Case Reports, June 2013, 1757-790X (06 Jun 2013)
Author(s): Anjum G.A.; Jaberansari S.; Habeeb K.
Abstract: Caecal volvulus is an uncommon cause of closed loop intestinal obstruction which can lead to caecal gangrene and high mortality. Delay in diagnosis is one of the causes of this high mortality. Caecal volvulus is reported to be associated with previous abdominal surgery in most cases. We present the first reported case of caecal volvulus following/associated with acute cholecystitis.
Copyright 2013 BMJ Publishing Group. Allrights reserved.
Publication Type: Journal: Article EMBASE
An interesting case of screen-detected breast cancer encasing a ventriculoperitoneal shunt was published recently in BMJ Case Reports, 2013, 1757-790X (2013)
Abstract: A 67-year-old woman was diagnosed with a breast cancer via screening encasing the ventriculoperitoneal shunt. Triple assessment including MRI scan of the breast confirmed the presence of a breast mass and the tubing of the ventriculoperitoneal shunt was running directly through the mass. She underwent wide local excision of the breast cancer as well as rerouting of VP shunt as a joint procedure with the neurosurgery team and recovered uneventfully. This is a very rare and an interesting case and required management involving a different specialty.
Panton-Valentine leukocidin Staphylococcus causing fatal necrotising pneumonia in a young boy
Shahzad Haider, David Wright
Department of Paediatrics, Macclesﬁeld District General Hospital, Macclesﬁeld, UK
Panton-Valentine leukocidin (PVL) toxin producing strains of Staphylococcus aureus are known to cause skin and soft tissue infection. They can also cause necrotising pneumonia in otherwise healthy individuals. Here we report a case of severe, necrotising, haemorrhagic pneumonia in a 12-year-old boy who presented with a four-day history of a sore throat and fever. During his admission he deteriorated and needed full ventilatory support but despite all efforts he died. Postmortem examination lung swabs conﬁrmed the presence of PVL-associated S aureus. There is a need to improve awareness of this disease among medical practitioners as early diagnosis and appropriate management can save lives.
Sequential bilateral femoral fractures
- Seyed Ali Moeinoddini, foundation year 2 trainee, orthopaedic surgery1,
- Rajkumar James Parikh, consultant geriatrician1,
- Sarah Ruth Moore, specialist registrar, rheumatology and general (internal) medicine 2,
- David James Moore, consultant radiologist 3
A 78 year old woman presented to the emergency department with an off-ended, shortened, anteriorly deviated, long oblique fracture of the right femoral diaphysis. She had been experiencing thigh pain for several weeks before this acute presentation and analgesia had been prescribed.
She described feeling the bone “crack” as she turned around. There was no history of trauma. The fracture was surgically treated with an intramedullary nail.
Six months earlier she had sustained a similar fracture of the midshaft of her left femur. Again, there was no trauma and she described feeling the bone “crack” as she twisted slightly to go through her front door. She was unable to reach a telephone to call for help and spent some time on the ground before a passer by called an ambulance. After initial treatment with a Thomas splint, she was treated surgically with an intramedullary nail. After two weeks of rehabilitation she returned home to live independently and was able to go out with one stick to do her shopping.
Her medical history included osteoporosis and hypovitaminosis D. The diagnosis of osteoporosis was made after she sustained a vertebral crush fracture. She had been receiving bisphosphonates to prevent further fractures for nearly five years.
1 Why are such fractures described as “atypical”?
2 What underlying mechanism might explain such fractures?
3 What are the main clinical and radiological features of atypical femoral fractures?
4 How would you investigate her thigh pain?
MS Noormohamed, C Neophytou, Y Jain… – BMJ Case …, 2012 – casereports.bmj.com
Summary A 66-year-old Caucasian male was admitted following symptoms of intermittent umbilical pain aggravated after meals and associated with vomiting of contents. Physical examination revealed a tender, partially reducible swelling suspicious of complicated umbilical hernia. Abdominal x-ray revealed dilated small bowel loops which appeared consistent with clinical diagnosis. He underwent a laparotomy subsequently which revealed a small defect in the linea alba with viable small bowel and two firm mesenteric masses encroaching the lumen approximately two feet from the ileocaecal junction. The histology of the excised bowel and masses revealed that the tumour composed of bland spindle cells with slender to plump nuclei and eosinophilic cytoplasm. Mesenteric fibromatosis are the most common primary tumours of the mesentery and constitute about 3.5% of all fibrous tissue tumours. Intra-abdominal desmoids are very rare and benign tumours but are very aggressive and should be considered in the differential diagnosis of acute abdominal pain.
This article “Unusual recurrence of small cell lung carcinoma” was published in BMJ Case Reports, 2010, vol./is. 2010/, 1757-790X (2010). Apologies to our authors for late posting!
Author(s): Alkhalil M; Eid MA; Mahmood A; Babores M
Institution: Macclesfield General Hospital, Victoria Road, Macclesfield SK10 3BL, UK.
Abstract: We report a case of malignant meningitis in a 63-year-old man with a background of treated small cell carcinoma. He presented with dizziness, vomiting and ataxia. His imaging investigations did not show any abnormalities, but lumbar puncture confirmed the diagnosis of malignant meningitis.
Country of Publication: England
Publication Type: Journal Article