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Case Report: Adenomatoid Tumor of the Testis: One Case Report |
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Chun-Feng He, Qing-Chuan Zhang, Fang Huang, Yang Wu, Wan-Jun Yu J Integr Nephrol Androl 2015, 2:135 (28 October 2015) DOI:10.4103/2225-1243.168545 Adenomatoid tumor is a rare neoplasm of mesothelial origin commonly seen in male and female genital tract. In this case report, the authors present a case of adenomatoid tumor in a 36-year-old male who presented with a 1-year history of scrotal swelling. A clinical diagnosis of testicular neoplasm was made, but the final diagnosis of adenomatoid tumor was made after testicular cancer radical. |
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Case Report: Recurrent Penile Fracture: A Case Report and Review of Literature |
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Douglas Graham Ridyard, Elizabeth A Phillips, Ricardo Munarriz J Integr Nephrol Androl 2015, 2:132 (28 October 2015) DOI:10.4103/2225-1243.168543 We report the case of a 49-year-old man presenting with a recurrent penile fracture 1-year after undergoing delayed repair for a previous penile fracture. To the authors' knowledge, this case represents the first documented instance of repeat fracture occurring after delayed repair. Risk factors for repeat penile fracture are not well documented due to the rarity of this condition. A review of literature regarding repeat penile fracture and the impact of delayed repair is discussed. |
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Case Report: Idiopathic Distal Renal Tubular Acidosis Presenting as Polymorphic Ventricular Tachycardia |
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Naveed Mohsin, Javvid Muzamil Dandroo, Shabir Ahmed Rather, Firdousa Nabi J Integr Nephrol Androl 2015, 2:96 (24 July 2015) DOI:10.4103/2225-1243.161441 Renal tubular acidosis is a known clinical entity, in which type I distal renal tubular acidosis (dRTA type I), also known as classical dRTA, is second most common type after dRTA type IV. We report 21-year-old female presenting as polymorphic ventricular tachycardia (VT), which on evaluation was found to have the type I dRTA with idiopathic etiology. Polymorphic VT as presentation of type I dRTA has not been reported in the literature in human beings so far but has been reported in animal models. |
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Case Report: Chronic Kidney Disease Caused by Hypothyroidism |
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Zhenhua Li, Yi Wang J Integr Nephrol Androl 2015, 2:93 (24 July 2015) DOI:10.4103/2225-1243.161438 Primary hypothyroidism refers to a systemic hypometabolic status due to hypothyroxinemia or thyroid hormone resistance caused by pathologic changes to the thyroid gland. The main role of thyroid hormone is to promote energy metabolism and facilitate growth and development processes within the body. In a hypothyroidism state caused by thyroid hormone deficiency, the body's thermogenic effect is down-regulated and metabolisms of protein, sugar, and fat were slowed down, which might further lead to cardiovascular disease, hyperlipidemia, myocardial damage and myxedema, as well as other changes. Hypothyroidism tends to be neglected or misdiagnosed due to its trivial and nonspecific clinical manifestations, and a combined renal dysfunction is rarely reported. Herein a case of kidney dysfunction caused by hypothyroidism is reported and relevant literature was reviewed. |
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Case Report: 3 Beta-hydroxysteroid Dehydrogenase Deficiency Presenting as Adrenal Crisis in an Infant |
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Bindu T Nair, Sajith Surendran, Dinesh Yadav J Integr Nephrol Androl 2015, 2:90 (24 July 2015) DOI:10.4103/2225-1243.161437 Ambiguous genitalia is a birth defect where the external genitals do not have the typical appearance of either a boy or girl. An 8-week-old infant presented with persistent vomiting, failure to thrive, and genital ambiguity. On the basis of clinical presentation, a salt-losing variety of congenital adrenal hyperplasia (CAH) was suspected. Hormonal levels were tested and 3 beta-hydroxysteroid dehydrogenase II (HSD3B2) deficiency, a rare CAH variant was suspected. This was confirmed by molecular analysis of the HSD3B2 gene from the affected baby. It revealed the presence of the homozygous P222Q mutation which was found to be heterozygous in both parents. |
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Case Report: Vocal Cord Palsy as a Complication of Central Vein Catheterization: A Case Report |
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Manjunath Kulkarni, Prashanth Kadri, Kuldeep Moras, Nikhil D' Souza, Maria Bethsaida J Integr Nephrol Androl 2015, 2:69 (24 April 2015) DOI:10.4103/2225-1243.155781 We report a case of a 55-year-old female diabetic patient admitted with uremia. An attempt for insertion of a temporary dialysis into right internal jugular vein was not successful. Next day, the patient developed hoarseness of voice. Indirect laryngoscopy showed that right vocal cord was in paramedian position suggestive of palsy due to injury to recurrent laryngeal nerve. Vocal cord palsy, as a complication of central vein catheterization, is very rare. |
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Case Report: Immune-Mediated Membranoproliferative Glomerulonephritis Precipitated by a Bee Sting: A Case Report |
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Santhosh Pai, Prakash Harischandra, T Jagadeesh J Integr Nephrol Androl 2015, 2:67 (24 April 2015) DOI:10.4103/2225-1243.155780 Insect stings belonging to Hymenoptera defined as wasps, yellow jackets, bees, or hornets by humans. Hymenoptera stings may result in a wide range of clinical spectra ranging from localized pain to systemic reaction and organ dysfunction and multiple organ failure. We report a patient with membranoproliferative glomerulonephritis (MPGN) which is immune secondary to a stimulus, which can also be added to the onset of secondary MPGN. |
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Case Report: Septic Arthritis of the Knee Due to Escherichia Coli Secondary to Acute Pyelonephritis |
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Akihito Tanaka, Yuichi Ito J Integr Nephrol Androl 2015, 2:64 (24 April 2015) DOI:10.4103/2225-1243.155778 We report a 67-year-old woman with osteoarthritis (OA) of knees. She also had past histories such as dyslipidemia and hypertension. She was sometimes treated by hyaluronan-injection into the knees for OA at the nearby clinic. She was admitted to our hospital because of acute pyelonephritis in July 2014. We treated her successfully with ceftriaxone first empirically and de-escalated to cefazolin along with the results of urinary and blood cultures. Urinary and blood cultures revealed Escherichia coli. She recovered from pyelonephritis, however, began to complain pain and swelling of the right knee. Culture of the right knee-joint fluid also revealed E. coli. We diagnosed septic arthritis of the right knee and performed arthroscopic lavage, followed by continuous washout with saline for 7 days. She recovered from septic arthritis of the right knee and discharged from our hospital. Although rare, it is important that pyelonephritis-derived sepsis cause septic arthritis of the knee. |
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Case Report: A Rare Complication of Artificial Urinary Sphincter: Deep Venous Thrombosis Due to Compression of Femoral Vein by Pressure Regulating Balloon |
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Ross E Anderson, Jeremy B Myers, James M Hotaling, William O Brant J Integr Nephrol Androl 2015, 2:61 (24 April 2015) DOI:10.4103/2225-1243.155777 The placement of artificial urinary sphincters (AUSs) is a common procedure for stress incontinence following treatment for prostate cancer. Complications are relatively rare, and the most common reasons for device removal and revision are cuff erosion, infection, and mechanical failure. We present a case of a 66-year-old male with a history of radiation therapy for prostate cancer that developed a deep venous thrombosis (DVT) and pulmonary embolism (PE) following his second AUS due to compression by a pressure regulating balloon (PRB). Compression of the femoral vein was not originally diagnosed as the cause for DVT on initial hospitalization, and there was an additional hospitalization due to worsening symptoms prior to identification of PRB compression. This is the first published case of migrating PRB causing femoral DVT and PE following the placement of a second AUS in an irradiated tissue field, and one of two published cases of DVT due to PRB compression. |
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