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Tewoldemedhin B, Pati S, Atiyat R, Fedida A, Suleiman A, Abu Ruman Y, Muhanna A, Iheagwara C, Szabela M, Slim J, Boghossian J. Salmonella Group B Ileitis Mimicking Crohn's Disease: A Case Report. Cureus 2024; 16:e52495. [PMID: 38371045 PMCID: PMC10874196 DOI: 10.7759/cureus.52495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/18/2024] [Indexed: 02/20/2024] Open
Abstract
Salmonellae, considered among the enteric-fever-causing pathogens, is associated with a range of human infections, including gastroenteritis, bacteremia, and osteomyelitis. Salmonella-induced mesenteric adenitis and terminal ileitis resembling acute appendicitis have been reported in the literature. Here, we present a rare case of a patient presenting with severe acute active ileitis and colitis mimicking Crohn's disease with no prior history of inflammatory bowel disease and found to have Salmonella group B bacteremia.
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Affiliation(s)
- Bereket Tewoldemedhin
- Internal Medicine, Suburban Community Hospital (Lower Bucks Hospital), Bristol, USA
- Infectious Diseases, Saint Michael's Medical Center, Newark, USA
| | - Shefali Pati
- Internal Medicine, Saint Michael's Medical Center, Newark, USA
| | - Raed Atiyat
- Gastroenterology, Saint Michael's Medical Center, Newark, USA
| | - Andre Fedida
- Gastroenterology, Saint Michael's Medical Center, Newark, USA
| | - Addi Suleiman
- Cardiology, Saint Michael's Medical Center, Newark, USA
| | | | - Ala Muhanna
- Infectious Diseases, Saint Michael's Medical Center, Newark, USA
| | | | - Maria Szabela
- Infectious Diseases, Saint Michael's Medical Center, Newark, USA
| | - Jihad Slim
- Infectious Diseases, Saint Michael's Medical Center, Newark, USA
| | - Jack Boghossian
- Infectious Diseases, Saint Michael's Medical Center, Newark, USA
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Battah A, Abed H, Shamoon D, DaCosta T, Farouji I, Fedida A. A rare case of diffuse large B-cell lymphoma presenting as a malignant mass in both duodenum and ascending colon. Radiol Case Rep 2022; 17:3286-3290. [PMID: 35846504 PMCID: PMC9278029 DOI: 10.1016/j.radcr.2022.06.030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Revised: 06/06/2022] [Accepted: 06/08/2022] [Indexed: 11/25/2022] Open
Abstract
Lymphoma in the gastrointestinal tract most commonly occurs in the stomach, small intestine and around the ileocecal region. Usually gastrointestinal lymphoma occurs secondary to widespread nodal disease and is rarely found to be the primary site. Of the different types of lymphoma, diffuse large B-cell non-Hodgkin's lymphoma makes up the majority of lymphomas in the gastrointestinal tract. Primary colorectal lymphoma is even less common and accounts for 3% of all gastrointestinal lymphomas and to our knowledge, gastrointestinal lymphoma involving 2 different regions in the GI tract has not been discussed in the literature. Herein, we are presenting a rare case of diffuse large B-cell lymphoma presenting as a malignant mass in both the duodenum and ascending colon.
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Khan N, Hashmi I, Atallah L, Shaaban H, Guron G, Fedida A. A rare case report of malignant peripheral nerve sheath tumor involving both the small bowel and large bowel. Ann Afr Med 2021; 20:228-231. [PMID: 34558453 PMCID: PMC8477282 DOI: 10.4103/aam.aam_10_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Malignant peripheral nerve sheath tumor (MPNST) contains properties and histologic markers of both neural crest cells and mesenchymal cells. It is a rare diagnosis, with an incidence of 1:100,000/year or 4%–10% of soft-tissue sarcomas. There are very few cases reported and studied. Therefore, establishing a proper diagnosis and treatment of MPNST provides a challenge. We present this unique and rare case of metastatic MPNST of the small and large bowel with bone, pulmonary, liver, and splenic metastases. The patient subsequently developed hemorrhagic brain metastases and died 6 months after THE initial diagnosis.
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Affiliation(s)
- Nazia Khan
- Department of Gastroenterology, St. Michael's Medical Center, Newark, NJ, an Affiliate of New York Medical College, Westchester, NY, USA
| | - Irma Hashmi
- Department of Internal Medicine, St. Michael's Medical Center, Newark, NJ, an Affiliate of New York Medical College, Westchester, NY, USA
| | - Liana Atallah
- Department of Internal Medicine, St. Michael's Medical Center, Newark, NJ, an Affiliate of New York Medical College, Westchester, NY, USA
| | - Hamid Shaaban
- Department of Medical Oncology, St. Michael's Medical Center, Newark, NJ, an Affiliate of New York Medical College, Westchester, NY, USA
| | - Gunwant Guron
- Department of Medical Oncology, St. Michael's Medical Center, Newark, NJ, an Affiliate of New York Medical College, Westchester, NY, USA
| | - Andre Fedida
- Department of Gastroenterology, St. Michael's Medical Center, Newark, NJ, an Affiliate of New York Medical College, Westchester, NY, USA
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Abstract
Ten cases of congenital myotonic dystrophy have been reported and EMG findings described. In 5 neonates, EMG was performed between the 4th and 27th d of life. Four very severe cases had a fatal outcome, the 6 others were of mild severity, showed hypotonia, motor delay and mental handicap. In 9 cases, diagnosis was not established before birth. The EMG myogenic criteria were present in 2 muscles or more in each case, and were predominantly present in the proximal muscles. Clinical myotonia was absent in all cases but electrical myotonia was provoked by motor nerve stimulation using a current of long duration. The authors emphasize the interest of this stimulation-detection method which was able to exhibit myotonic discharge in 6 patients including 3 neonates.
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Affiliation(s)
- F Renault
- Laboratoire de neurophysiologie clinique de l'enfant, hôpital Trousseau, Paris, France
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