Archive for September, 2009

Case report of the week: bloody tears

September 21, 2009

The shocking case of a child who cries tears of blood every day was featured in newspapers a few weeks ago. The mother of the patient complained that “Every doctor tells us they’ve never seen anything like this before in all their many years of being a doctor”.

Last week, Cases Journal published a case report detailing the condition of a young girl who suffered subconjunctival hemorrhage, also leading to bloody tears.

An important lesson could be learnt from the publication of this case report. This gives us a poignant reminder of the central role that case reports can play in informing the medical community.

Read the case report in full here.

Bloody tears and hematohidrosis in a patient of PF3 dysfunction: a case report” – Kusum L Mishra

by Lindsay Dytham – Editorial Assistant

Case report of the week: Denying blindness – a case of Anton’s syndrome

September 11, 2009

Anton’s syndrome (sometimes referred to as Anton-Babinski syndrome) is a recognised but rare condition of visual anosognosia, where patients with objective blindness deny their loss of vision.Eye test chart

Dr Maddula and colleagues provide an excellent, comprehensive description of the case of an 83-year-old woman who was found collapsed at her house. Following admission, she was observed “walking into objects and was clearly blind”. “When asked to comment on the doctor’s tie, she was quick with an answer, but one that was incorrect”. Although she would attempt to carry out the activities of daily living herself, “assistance was required to help her finish her meals”. Despite these symptoms, the “patient maintained she was able to ‘see’ things around her”.

The details provided in this case will be valuable to add to the limited literature available regarding this rare condition and could help doctors to correctly diagnose patients presenting with similar symptoms.

For all the clinical details, read the full case report here.

Anton’s syndrome due to cerebrovascular disease: a case report“, September 2009 issue, Journal of Medical Case Reports.

Lindsay Dytham – Editorial assistant

Quick, dial 999!

September 9, 2009

Spotted anything unusual about today yet? Take a look at your calendar and you will see that today’s date is 9/9/9 – the ninth day of the ninth month of the ninth year!

And, so what is our 999th published article in Cases Journal? It was published in August:  Basal cell carcinoma treated successfully with combined CO2 laser and photodynamic therapy in a renal transplant patient: a case report

English ambulance

English ambulance

In the UK, 999 is also the  telephone number for our emergency services, so let’s remind ourselves of some great emergency medicine case reports we have published recently:

Life-threatening hyponatremia due to intravenous n-acetylcysteine treatment in an infant: a case report

Trans-arterial and trans-venous interventional radiology for an elderly patient with life-threatening pelvic injury after accidental falling due to life-threatening cardiac arrhythmia: a case report

Low pressure hyperbaric oxygen therapy and SPECT brain imaging in the treatment of blast-induced chronic traumatic brain injury (post-concussion syndrome) and post traumatic stress disorder: a case report

An unusual presentation of non pathological delayed splenic rupture: a case report

Marathon related death due to brainstem herniation in rehydration-related hyponatraemia: a case report

Neck emergency due to parathyroid adenoma bleeding: a case report

The first case report of dental floss pick-related injury presenting with massive hemoptysis: A case report

Successful resuscitation of an elderly man with deep accidental hypothermia using portable extracorporeal circulation in the emergency department: a case report