Introduction: Listeria monocytogenes is a potentially life threatening cause of bacterial meningitis which usually occurs in neonates, the elderly and immunocompromised patients. The pharmacological management is different to other strains of bacterial meningitis and therefore a suspicion and timely diagnosis are important to reduce risk of complications.
Case Presentation: We report a previously healthy 23 month old with a presentation of sepsis. The final diagnosis of listeria meningitis was not initially suspected due to her age. She did however have a history of eating soil.
Results: The patient recovered from meningitis once the bacterium was established after 3 weeks of intravenous amoxicillin treatment.
Conclusion: Further research into whether eating soil is a risk factor for listeria meningitis could improve guidelines for management and reduce the delay in prescribing the correct treatments.
Currently, there is no unified treatment guideline for the management of esophageal foreign bodies in the form of soft foods; treatment at each medical facility is performed according to the clinicians judgment. We reported two cases of esophageal cooked rice impaction treated by endoscopic removal. The patients swallowed large amounts of cooked rice quickly without chewing and were taken to the hospital via ambulance. Urgent endoscopy was performed in both cases; they were not complicated by esophageal abnormalities such as esophageal stenosis, esophageal spasm, gastroesophageal reflux disease (GERD), or eosinophilic esophagitis. We pushed the cooked rice into the stomach using an endoscope by air insufflation and applying gentle pressure. After removal of the rice, there were ischemic changes in the esophageal mucosa. We concluded that esophageal soft food impaction, even when caused by deformable soft foods such as cooked rice, should be treated immediately by surgical intervention such as endoscopy.
Oral lichen planus is one of the most common oral mucosal lesions in adults and it has been rarely described in children also. There is data in the literature regarding oral lichen planus in children. In this paper we reported a case of intraoral lesions of lichen planus in a paediatric patient. Lichen planus should be considered in the differential diagnosis of hyperkeratotic or erosive lesions of the oral mucosa in children.
Aortic dissection is an urgent clinical condition with high mortality when it is not diagnosed or late to be diagnosed. If this condition do not treated, the mortality increases by 1-2% every hour. Patients can describe back pain like predatory characteristic that spreading ridge, severe chest pain, syncope, hemiparesis, neurological disorders such as hemiplegia or they can also come out acute myocardial infarction and acute renal failure. Because of so many clinical variations we can think that aortic dissection may be encountered with a wide clinical distribution. In our cases we aimed to emphasize that the diagnosis of acute aortic dissection in patients presenting without typical complaints but with disease of neurological complaints.
Renal cell carcinoma (RCC) is the most common renal malignancy in adults and encompasses several variant histological subtypes, among which clear cell RCC is the most common type. RCC with rhabdoid morphology is one such rare variant with aggressive behavior. We present a case of 62 years old female patient, who got admitted with complaints of pain in the right lumbar region since one year. Ultrasound abdomen revealed large heterogeneous enlarged mass with cystic spaces measuring 9cm x 6cm arising from the lower pole of the right kidney. Initially, a provisional diagnosis of renal cell carcinoma was made and right radical nephrectomy was perfomed. Histopathological sections from the tumour revealed features of clear cell renal cell carcinoma with rhabdoid morphology, which was confirmed by immunohistochemistry. A pTNM staging of pT3a Nx Mx was assigned with morphological features.