Open Access Case Report

Delusion of Pregnancy – Case Series of Seven Patients

Mirna Sisek-Šprem, Vesna Barić, Miroslav Herceg, Zrinka Petrović, Petar Bilić, Petrana Brečić

International Journal of Medical and Pharmaceutical Case Reports, Page 57-63
DOI: 10.9734/IJMPCR/2015/15965

Aim: The delusion of pregnancy involves neurophysiologic, endocrine, and traditional psychodynamic factors. This study investigated these factors in seven female patients with pregnancy delusions who were treated at the psychiatric ward within a period of 4 months.
Methods: Six patients were treated for schizophrenia (and two also for epilepsy) and one for organic psychosis. Medical history and clinical data were noted. Actual pregnancy was excluded. Prolactin levels in the blood were measured and records were maintained of patient therapy sessions.
Results: The delusion of pregnancy was more prevalent in psychiatric practice than previously thought. Hyperprolactinemia was identified as a possible biological cause of this condition in five of the patients.
Conclusion: An integrative approach that considers psychodynamic and sociocultural factors must be adopted for etiological studies on the delusion of pregnancy, while individual differences must also be examined.

Open Access Case Report

Esthetic Rehabilitation with Zirconia Based Crowns

Nissaf Daouahi, Dalenda Hadyaoui, Jilani Saafi, Mounir cherif

International Journal of Medical and Pharmaceutical Case Reports, Page 73-79
DOI: 10.9734/IJMPCR/2015/16225

This article describes a case of discolored central incisors treated by using Zirconia based crowns. A 25 year old female patient presented to the department of Fixed Prosthodontics. She requested the improvement of her impaired esthetic smile caused by affected teeth. Her dental history revealed an orthodontic treatment of 7 years back conducting to the necrosis of the central incisors. The treatment plan included an endodontic treatment followed by prosthetic therapy consisting of a Zirconia based crown restoring the endodontically treated incisors. Internal bleaching technique was rejected because it is time consuming.

Open Access Case Study

Henoch Schonlein Purpura with Facial Palsy

Nashaat El Sayed Farara, lubka Radulova, Sadika Hassan Ali, Muna Al Mutairi

International Journal of Medical and Pharmaceutical Case Reports, Page 64-67
DOI: 10.9734/IJMPCR/2015/15335

Henoch–Schönlein purpura is an acute vasculitis syndrome. It is a self limited condition with characteristic skin, joint, gastrointestinal, renal, and neurological manifestations. It is more common in children and can be associated with fatal complications such as gastrointestinal bleeding and nephritis. Nervous system involvement in HSP is usually underestimated. Headaches, seizures and mental status changes are the most frequent neurologic symptoms. We experienced a nine years old boy diagnosed as HSP with palpable purpura and developed lower motor neuron left facial palsy four weeks from his diagnosis.

Open Access Case Study

Pneumococcal Osteomyelitis in Children: A Case Report

Rihem Ben Marzouk, Hanen Smaoui, Mehdi Trifa, Sami Bouchoucha, Wiem Douira, Mohamed Nebil Nessib, Amel Kechrid

International Journal of Medical and Pharmaceutical Case Reports, Page 68-72
DOI: 10.9734/IJMPCR/2015/14495

We describe a case of osteomyelitis, in a 7-month-old boy, caused by S. pneumoniae involving the pelvic bone with a purulent collection in the adductor muscle. Osteomyelitis diagnosis was suspected using ultrasound and CT scan investigations. This showed a periosteal elevation in the pelvis and an abscess of the adductor muscle. Culture of the perioperative specimens isolated serotype 19A S. pneumoniae with reduced susceptibility to penicillin and macrolides. The patient was treated successfully with amoxicillin-clavulanate during five weeks, associated with gentamicin during the first week.

Open Access Case Study

Hepatic Artery Mycotic Aneurysm and Microabscesses: A Rare Complication of Infective Endocarditis with Classical Quincke’s Symptom

Fahd Haroon, Shayan Sirat Maheen Anwar, Rujmaan Lodhi, Syed Mahmood

International Journal of Medical and Pharmaceutical Case Reports, Page 80-83
DOI: 10.9734/IJMPCR/2015/16426

Hepatic artery branch mycotic aneurysm causing intrahepatic biliary dilatation and associated with hepatic micro abscesses is a rare complication of infective endocarditis and patient presenting with classical Quincke’s symptoms has not been reported in literature so far.
We report a case of 38 years old woman who presented with epigastric pain and obstructive jaundice. She has recently been diagnosed to have infective endocarditis. Hepatic artery pseudoaneurysm causing moderate intrahepatic biliary dilatation and micro abscesses was reported on contrast enhanced computed tomography (CT) scan and immediately conveyed to primary physician which led to successful selective transcatheter arterial embolization of the aneurysm, leading to early stabilization and recovery of the patient.