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Case Report

All articles tagged with #case report

UTI investigation uncovers a rare third kidney
health23 days ago

UTI investigation uncovers a rare third kidney

A 31-year-old man in Wardha, India, treated for a urinary tract infection was found to have a rare supernumerary (third) kidney fused to his right kidney on CT imaging. The congenital anomaly can be asymptomatic, but in this case the kidneys were swollen and there were stones in the left ureter. He received a ureteral stent and IV antibiotics; after 48 hours he improved and was discharged with follow-up. Supernumerary kidneys are exceedingly rare (fewer than 100 cases per year worldwide), and a fused horseshoe configuration is even more unusual.

Overdosed Vitamin D Sends Man to ER With Vomiting and Tinnitus
health28 days ago

Overdosed Vitamin D Sends Man to ER With Vomiting and Tinnitus

A middle-aged man developed hypervitaminosis D after taking about 150,000 IU of vitamin D daily from more than 20 supplements under a nutritionist’s plan, leading to vomiting, diarrhea, tinnitus, weight loss, and kidney issues. He was hospitalized for eight days, treated with IV fluids and bisphosphonates to lower calcium. Although calcium normalized, vitamin D levels remained high. The case, reported in BMJ Case Reports, underscores the risk of toxicity from excessive supplement use—even for a vitamin generally considered safe.

Vitamin D overdose warning after extreme supplement use case
health1 month ago

Vitamin D overdose warning after extreme supplement use case

Doctors warn that although vitamin D has health benefits, excessive intake can cause hypervitaminosis D with symptoms like vomiting, abdominal pain, drowsiness and kidney injury. A BMJ Case Report describes a middle-aged man taking more than 20 supplements—including 150,000 IU of vitamin D daily—leading to very high vitamin D and calcium levels and an eight-day hospital stay, underscoring the need for safe dosing and awareness of supplement combos.

Carpet-Python Worm Found Alive in Woman’s Brain: First Known Human Case
health1 month ago

Carpet-Python Worm Found Alive in Woman’s Brain: First Known Human Case

A 64-year-old Australian woman with months of lung disease and cognitive decline underwent brain surgery when imaging revealed a lesion. Surgeons removed a living 80 mm worm from her right frontal lobe, identified as Ophidascaris robertsi, a parasite native to carpet pythons. This marked the first documented human brain infection by the parasite, likely from larval migration facilitated by immunosuppression. Post-surgery, she received antiparasitic treatment and steroids; neuropsychiatric symptoms improved but some deficits persisted, and there have been no further human Ophidascaris infections reported since.

First human brain infection traced to Australian parasite Ophidascaris robertsi
health1 month ago

First human brain infection traced to Australian parasite Ophidascaris robertsi

Doctors in Australia diagnosed a 64-year-old woman with a rare neural larva migrans caused by Ophidascaris robertsi, a parasite native to carpet pythons. After years of lung and organ lesions and progressive neuropsychiatric symptoms, a brain biopsy revealed the worm. She was treated with surgical removal followed by ivermectin and albendazole, plus dexamethasone, leading to resolution of lung and liver lesions and improved memory and mood.

Uncertain source of rare syphilis case sparks diagnostic dilemma
health1 month ago

Uncertain source of rare syphilis case sparks diagnostic dilemma

An 83-year-old man in Belgium presented with facial palsy and systemic symptoms; weeks in hospital revealed anemia, liver abnormalities, edema, and kidney dysfunction. A positive Treponema pallidum test and elevated white blood cells in cerebrospinal fluid led to a diagnosis of secondary syphilis with early neurosyphilis—an unusual presentation with an uncertain infection source, possibly a latent infection reactivation or a recent exposure. He received penicillin therapy and improved, highlighting the diagnostic challenge in atypical syphilis cases.

Celiac Disease Linked to Psychotic Symptoms and Vitamin B12 Deficiency.
health2 years ago

Celiac Disease Linked to Psychotic Symptoms and Vitamin B12 Deficiency.

A case report has highlighted the association between cobalamin (vitamin B12) deficiency and psychotic symptoms in a patient with celiac disease. The 75-year-old woman presented with auditory hallucinations, persecutory delusions, thought broadcasting, and insomnia. Laboratory investigations detected mild anemia and cobalamin deficiency, but were unremarkable for other causes of psychosis. After starting olanzapine and cobalamin replacement, she had a good clinical response with full remission of delusions in 5 days. She remained symptom-free at several follow-up assessments with her community mental health team and maintained normal cobalamin levels as monitored by her primary care team.

COVID-19 Vaccines and Neurological Effects: New Case Report and Booster Study Findings
health3 years ago

COVID-19 Vaccines and Neurological Effects: New Case Report and Booster Study Findings

A case report has been published describing a patient who developed intracranial hemorrhage after receiving the Pfizer-BioNTech COVID-19 vaccine. The patient, who had a history of hypertension and was taking aspirin, presented with a severe headache and was found to have a subarachnoid hemorrhage. While the authors note that this is a rare event and the benefits of vaccination outweigh the risks, they suggest that individuals with a history of bleeding disorders or those taking anticoagulants should be monitored closely after vaccination.