October 2023
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198 Reads
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3 Citations
Expert Systems with Applications
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October 2023
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198 Reads
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3 Citations
Expert Systems with Applications
September 2023
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30 Reads
August 2023
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168 Reads
Trauma Case Reports
Tietze syndrome is an inflammatory arthropathy of costochondral junction characterized by chest pain, tenderness and swelling. We reported the case of a 35-year-old worker with post traumatic Tietze syndrome. He had a history of two occupational chest traumas. They both occurred in the third left costo-chondral joint. Chest computed tomography showed located osteolysis. Differential diagnoses were excluded. He was treated with non-steroidal anti-inflammatory drugs and analgesics. As for partial permanent disability, we suggested 17% given the importance of the pain and its impact on mobility. Tietze syndrome diagnosis was based on eliminating differential diagnoses. This study raises knowledge about post-traumatic etiology in Tietze syndrome. A better understanding of this pathology could help practitioners with patients facing chest wall pain.
June 2023
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50 Reads
Revue du Rhumatisme
March 2023
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166 Reads
February 2023
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39 Reads
European Journal of Case Reports in Internal Medicine
Rosai-Dorfman disease (RDD) is an uncommon lymphoproliferative disorder; RDD with oropharyngeal involvement is extremely rare, especially in adults. A 65-year-old woman with a complaint of progressive dyspnoea since 2016 presented with laryngeal involvement of RDD. A laryngoscopy examination revealed two solid, polypoid masses in the subglottic region, and a laryngeal biopsy concluded chronic in ammation without signs of malignancy. A second biopsy of axillary lymph nodes was performed, supporting the diagnosis of histiocytosis. The patient was treated with corticosteroids and then lost to follow-up. In 2019, she suffered from dyspnoea and a hoarse voice. Laryngoscopy examination showed a polypoid lesion causing airway obstruction at 70% and thickening of the lateral wall of the cavum. Physical examination found left axillary and submandibular adenopathy, and computed tomography revealed thickening of the supraglottic larynx narrowing the laryngeal pathway. Lymphadenectomy with immunohistochemical analysis revealed typical protein positive S-100 histiocytes and emperipolesis. The patient was treated with high doses of corticosteroids for six weeks then these were progressively decreased. The outcome was favourable; the laryngeal lesion disappeared after two weeks of treatment.
September 2022
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172 Reads
Pan African Medical Journal
Recent studies about anterior cruciate ligament (ACL) surgery have focused on a better control of rotational stability, but ACL reconstruction is always a topical issue. The purpose of our study was to evaluate clinical and radiological outcomes after the use of the technique for anatomical reconstruction of the ACL with fascia lata, according to Macintosh technique modified by J.H Jaeger. We conducted a study of a continuous series of 80 patients between 2005 and 2019. All patients were assessed according to the International Knee Documentation Committee (IKDC) score and the Lysholm and Tegner scale. All our patients were rated as excellent with an average score of 92. Occasional lateral residual pain was reported by 8 patients. Residual jerk accounted for 2.5%. Radiological examination did not show ballooning or arthrosis at the last follow-up. Anterior cruciate ligament reconstruction is a common procedure that has become more reliable over time. But pivot shift (Jerk test) requires a lateral tenodesis "external rotation", especially in athletes.
September 2022
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75 Reads
Pan African Medical Journal
Monteggia's fracture-dislocation is rare in pediatric traumatology and pose a problem of elapsed time before management and of prognosis. The purpose of this study was to describe the epidemiological features of this fracture and to assess functional and anatomical results. We report a series of 40 cases of Monteggia fracture in children whose data were collected and treated at the Habib Bourguiba University Hospital Center in Sfax over a period of 17 years, from January 1998 to January 2015. We listed the epidemiological data of our population as well as the types of fracture dislocations according to the Bado radiological classifications. For functional assessment, the choice of treatment was based on the type of fracture. P. Rigault's score and Kim's score were used. The average age of our study population was 8 years; 20 cases of fractures were classified as Bado I and 12 cases as Bado III. The time elapsed before treatment was less than 24 hours in 82% of cases. Surgical treatment was performed in 28 cases, and functional results were judged to be good in 30 cases. Our results were satisfactory due to the short time elapsed before patient management compared to literature data.
March 2022
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45 Reads
The diagnosis of right-sided infective endocarditis (RSIE) is often challenging. A positive outcome depends on rapid diagnosis, accurate risk stratification, and thorough follow-up. Imaging plays a key role in achieving these steps. We report the case of a 50-year-old male with diabetes insipidus, hypertension and renal failure. He had history of intravenous drug misuse. Transesophageal echocardiography (TEE) was performed and revealed an oscillating mass over the leaflets of the tricuspid valve and moderate tricuspid regurgitation. The chest computed tomography (CT) scan revealed septic pulmonary embolism with pulmonary infarctions. Retrospectively, ECG-gated multidetector-row CT revealed thickening of the tricuspid valve leaflets, dilated right atrium, and pericardial effusion. The patient was diagnosed with right-sided endocarditis and septic pulmonary embolism. He was medically treated without surgical intervention. This report aims to demonstrate the pivotal role of radiologic findings in infectious endocarditis (IE), both in the diagnostic phase and in the evaluation of the dispersion of the infection.
March 2022
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63 Reads
Lipomas are a common pathology. Their localization in the hand and fingers is rare. They are sometimes aesthetically embarrassing or when associated with signs of nerve irritation. The contribution of imaging makes it possible to suspect the benignity of the lesion. The treatment is surgical based on excision. We present five cases of lipomas of the hand, and we try to develop its different clinical and paraclinical peculiarities and the therapeutic modalities of this entity.
... The dataset utilized in this paper is BM-Seg [16], comprising 1517 CT images from 23 patients with bone metastasis, including 9 females and 14 males, ranging in age from 18 to 83 years. These scanning data were collected from November 2020 to June 2022 at the Hedi Chaker University Hospital Center in Tunisia. ...
October 2023
Expert Systems with Applications
... [26][27][28] This mass can be found just like a malignant lesion with an indistinct margin and adhesion to adjacent tissues. [29] Other clinical manifestations include diffuse nodularity, breast swelling, nipple inversion or skin retraction, fistula, recurrent abscess, or chronic ulcers. [3,27,30] The risk of developing breast TB in men is low, but diagnosis can be difficult and diagnostic delays are common. ...
February 2021
Journal of the Turkish German Gynecology Association
... They frequently affect young male people. They are often caused by violent trauma such as road accidents and falls from very high places [5,10,18,19]. Half of these lesions are unstable [20] and are much more relevant to the L1 [3,6,11,15,18,21]. Burst-type fractures (A3 according AO or to Type B of Denis classification) account for 21% to 58% of all fractures of the thoracolumbar spine [22] and approximately 70% of these fractures occur without immediate neurological injury and, ultimately, 55% remain neurologically intact. ...
April 2020
Pan African Medical Journal
... In the management of PS, the antibiotic regimen should be tailored on the basis of the culture results, the ability of the antibiotics to penetrate the bone, and the patient's tolerability profile. 12,40,41 In the present case, we first chose a therapeutic regimen involving polymyxin B because of its increased clinical experience in treating MDR/XDR Gram-negative bacteria. However, the patient showed an allergic reaction, and based on the results of antimicrobial-susceptibility testing, we had to switch the therapy to C/A, an antibiotic that combines ceftazidime (a third-generation cephalosporin) with avibactam (a new non-βlactam β-lactamase inhibitor) acting against Ambler class A (including extended-spectrum β-lactamases [ESBL] and Klebsiella pneumoniae carbapenemases [KPC]), class C, and some class D (including OXA-48) β-lactamases. ...
July 2018
The Egyptian Rheumatologist
... Table 1 lists the few reports in the literature in which an association between glomerular disease and horseshoe kidney has been reported. [6][7][8][9][10] A total of five cases had a complete remission on the prednisolone course, whereas six other cases had partial responses and required second-line agents, two cases had remissions without steroids, and details of the disease course were lacking in four cases. Only five cases had disease onset in the pediatric age group. ...
April 2017
Pan African Medical Journal
... The term 'hepatic hemangioendothelioma' has inaccurately been used for patients with CHH or IHH. [8][9][10][11][12][13][14] In fact, hepatic hemangioendothelioma is a histologic diagnosis. The term 'hepatic hemangioendothelioma' should not be used in the absence of a histologic examination. ...
March 2017
... The latter association was reported as idiopathic pulmonary fibrosis, usual interstitial pneumonia, adult respiratory distress syndrome, organizing pneumonia, asbestosis, heavy metals exposure, pneumothorax, and osteogenesis imperfecta [5,[15][16][17]. Additionally, the coexistence of DPO with pulmonary and extra-pulmonary malignancies has been reported as lung adenocarcinoma, metastatic melanoma [18], mucoepidermoid carcinoma [19], and duodenal adenocarcinoma [20]. ...
June 2016
Asian Cardiovascular & Thoracic Annals
... There have been 9 cases of retroperitoneal myelolipomas mimicking an acute abdomen in the English literature since 2008. (Table 1) [65,[69][70][71][72][73][74][75][76]. Consequently, retroperitoneal PGL mimicking an acute abdomen should make differential diagnosis with retroperitoneal myelolipoma. ...
October 2015
La Presse Médicale
... These results suggest that the prognosis may be poor in cases of severe immunosuppression in RA-PCP. Even with diseases other than RA, it has been reported that long-term or high-dose corticosteroid use is associated with the risk of developing PCP in patients with asthma, COPD patients with lung cancer, and patients with COVID-19 infection [21][22][23][24][25][26]. It is suggested that reducing the amount and duration of corticosteroid use may reduce the complication rate of PCP and improve prognosis. ...
September 2015
World Journal of Clinical Cases
... This disease involves mainly upper and lower airways, ear nose throat sphere and kidney. Nasosinus involvement occurs in 70-100% of patients as epistaxis, nasal septum deformation or perforation [11,12]. Lungs manifestations affect 50-90% of the patients as lung nodules, cavitations, pleuritis and/or alveolar hemorrhages. ...
Reference:
Current Treatment of ANCA Vasculitis
February 2015
The Turkish journal of gastroenterology: the official journal of Turkish Society of Gastroenterology