• Title/Summary/Keyword: misdiagnosis

Search Result 199, Processing Time 0.025 seconds

Total Rupture of Peroneus Longus Tendon Through an Os Peroneum Fracture Treated by Tendon Transfer (A Case Report) (건이전술로 치료한 비부골 골절을 동반된 장 비골건 완전 파열 (증례 보고))

  • Jeon, June Young;Dong, Quanyu;Kim, Hyong Nyun;Park, Young Wook
    • Journal of Korean Foot and Ankle Society
    • /
    • v.17 no.4
    • /
    • pp.325-328
    • /
    • 2013
  • Fracture of os peroneum can occur, but the fracture fragments are seldom displaced. Complete rupture of peroneus longus through the fracture of the os peroneum causing displacement of the fracture fragments is not well reported in the literature. Differential diagnosis with bipartite os peroneum or calcific tendinitis is important because misdiagnosis of the tendon rupture can lead to serious sequela including chronic pain, ankle instability, and peroneal compartment syndrome. We report a case of complete rupture of peroneus longus associated with fracture of the os peroneum with a review of the literature.

Diagnosis and treatment of teeth with primary endodontic lesions mimicking periodontal disease: three cases with long-term follow ups

  • Lim, Jae-Hyung;Lee, Ji-Hyun;Shin, Su-Jung
    • Restorative Dentistry and Endodontics
    • /
    • v.39 no.1
    • /
    • pp.56-62
    • /
    • 2014
  • A tooth with primary endodontic disease that demonstrates a periodontal defect might be extracted because of misdiagnosis as severe periodontal disease or a vertical root fracture. The aim of this case report was to demonstrate the long-term survival of endodontically treated teeth, which had been initially considered unsavable. With meticulous evaluation including the patient's dental history, clinical and radiographic examinations, teeth with primary endodontic lesions could be differentiated and saved after proper root canal treatment. Pain history, vitality test, and radiographic examinations, as well as a general periodontal condition check with periodontal probing on an affected tooth, might be the key methods to differentiate endodontic pathosis from that of periodontal disease.

Extradigit Glomus Tumor Causing Abdominal Pain - A Case Report -

  • Kim, Yeon-Dong;Son, Ji-Seon;Lee, Jung-Woo;Han, Young-Jin;Choi, Hoon;Jeong, Yeon-Jun
    • The Korean Journal of Pain
    • /
    • v.25 no.2
    • /
    • pp.108-111
    • /
    • 2012
  • Glomus tumors are small vascular tumors that are usually benign and rarely occur. They originate from glomus bodies and present in the reticular dermis. They are clinically distinguished by their small size and their ability to cause extreme pain. Most of these tumors are subungually located. However, atypical locations of the tumors sometimes cause misdiagnosis, particularly when the lesion is rarely reported. Therefore, we report a case of glomus tumor which presented with chronic abdominal pain, found in the abdominal wall that has never been reported before.

Symptomatic Hallucal Interphalangeal Sesamoid Bones Successfully Treated with Ultrasound-guided Injection - A Case Report -

  • Shin, Hye Young;Park, Soo Young;Kim, Hye Young;Jung, Yoo Sun;An, Sangbum;Kang, Do Hyung
    • The Korean Journal of Pain
    • /
    • v.26 no.2
    • /
    • pp.173-176
    • /
    • 2013
  • The hallucal interphalangeal sesamoid bone is usually asymptomatic, but it is not uncommon for it to be symptomatic in cases of undue pressure, overuse, or trauma. Even in symptomatic cases, however, patients often suffer for extended periods due to misdiagnosis, resulting in depression and anxiety that can steadily worsen to the extent that symptoms are sometimes mistaken for a somatoform disorder. Dynamic ultrasound-guided evaluations can be an effective means of detecting symptomatic sesamoid bones, and a simple injection of a small dose of local anesthetics mixed with steroids is an easily performed and effective treatment option in cases, for example, of tenosynovitis.

Spinal Arteriovenous Malformation Masquerating Zoster Sine Herpete

  • Lee, Ji Young;Ok, Se Jin;Oh, Chang Keun;Park, Sun Kyung;Kim, Do Wan;Yang, Jong Yeun
    • The Korean Journal of Pain
    • /
    • v.26 no.1
    • /
    • pp.72-75
    • /
    • 2013
  • Zoster sine herpete (ZSH) is difficult to diagnosis during an acute period due to the absence of the characteristic zosteriform dermatomal rash; therefore, progression to postherpetic neuralgia is more common than typical zoster. In addition, misdiagnosis of other neuropathic pain as ZSH is common in clinical situations. Here, we report a case of spinal arteriovenous malformation that mimics ZSH. This is a rare condition; therefore, high clinical suspicion for a correct diagnosis and proper examination are not easy. However, early diagnosis and definitive treatment are essential to prevent neurologic deficit and mortality.

Strongyloidiasis associated with amebiasis and giardiaisis in an immunocompetent boy presented with acute abdomen

  • Dinleyici, Ener-Cagry;Dogan, Nihal;Ucar, Birsen;Ilhan, Huseyin
    • Parasites, Hosts and Diseases
    • /
    • v.41 no.4
    • /
    • pp.239-242
    • /
    • 2003
  • Strongyloides stercoralis (SS) is an intestinal nematode that is mainly endemic in tropical and subtropical regions and sporadic in temperate zones. SS infection frequently occurs in people who have hematologic malignancies, HIV infection and in individuals undergoing immunosuppressive therapy. In this study, we report a 12year-old immunocompetent boy who was admitted to our hospital with acute abdomen. Laboratory evaluation showed strongyloidiasis, amebiasis and giardiasis. Clinical and laboratory findings immediately improved with albendazole therapy. Therefore, when diarrhea with signs of acute abdomen is observed, stool examinations should be done for enteroparasitosis. This approach will prevent misdiagnosis as acute abdomen. Complete clinical improvement is possible by medical therapy without surgical intervention.

Plasmodium knowlesi as a Threat to Global Public Health

  • Wesolowski, Roland;Wozniak, Alina;Mila-Kierzenkowska, Celestyna;Szewczyk-Golec, Karolina
    • Parasites, Hosts and Diseases
    • /
    • v.53 no.5
    • /
    • pp.575-581
    • /
    • 2015
  • Malaria is a tropical disease caused by protozoans of the Plasmodium genus. Delayed diagnosis and misdiagnosis are strongly associated with higher mortality. In recent years, a greater importance is attributed to Plasmodium knowlesi, a species found mainly in Southeast Asia. Routine parasitological diagnostics are associated with certain limitations and difficulties in unambiguous determination of the parasite species based only on microscopic image. Recently, molecular techniques have been increasingly used for predictive diagnosis. The aim of the study is to draw attention to the risk of travelling to knowlesi malaria endemic areas and to raise awareness among personnel involved in the therapeutic process.

Clinical Manifestation Patterns and Trends in Poststreptococcal Glomerulonephritis

  • Kim, Kee Hyuck
    • Childhood Kidney Diseases
    • /
    • v.20 no.1
    • /
    • pp.6-10
    • /
    • 2016
  • Poststreptococcal glomerulonephritis (PSGN) is one of the most recognized diseases in pediatric nephrology. Typical clinical features include rapid onset of gross hematuria, edema, and hypertension, and cases are typically preceded by an episode of group A ${\beta}$-hemolytic streptococcus pharyngitis or pyoderma. The most common presenting symptoms of PSGN are the classic triad of glomerulonephritis: gross hematuria, edema, and hypertension. However, patients with PSGN sometimes present with unusual or atypical clinical symptoms that often lead to delayed diagnosis or misdiagnosis of the disease and increased morbidity. Additionally, the epidemiology of postinfectious glomerulonephritis (PIGN), including PSGN, has changed over the past few decades. This paper reviews atypical clinical manifestations of PSGN and discusses the changing demographics of PIGN with a focus on PSGN.

Paraplegia due to Acute Aortic Coarctation and Occlusion

  • Park, Chang-Bum;Jo, Dae-Jean;Kim, Min-Ki;Kim, Sang-Hyun
    • Journal of Korean Neurosurgical Society
    • /
    • v.55 no.3
    • /
    • pp.156-159
    • /
    • 2014
  • Coarctation and occlusion of the aorta is a rare condition that typically presents with hypertension or cardiac failure. However, neuropathy or myelopathy may be the presenting features of the condition when an intraspinal subarachnoid hemorrhage has compressed the spinal cord causing ischemia. We report two cases of middle-aged males who developed acute non-traumatic paraplegia. Undiagnosed congenital abnormalities, such as aortic coarctation and occlusion, should be considered for patients presenting with nontraumatic paraplegia in the absence of other identifiable causes. Our cases suggest that spinal cord ischemia resulting from acute spinal subarachnoid hemorrhage and can cause paraplegia, and that clinicians must carefully examine patients presenting with nontraumatic paraplegia because misdiagnosis can delay initiation of the appropriate treatment.

Condylar jugular diverticulum: A report of 3 cases

  • Jagtap, Rohan;Wazzan, Taggreed;Hansen, Matthew;Kashtwari, Deeba
    • Imaging Science in Dentistry
    • /
    • v.49 no.3
    • /
    • pp.251-256
    • /
    • 2019
  • Jugular bulb diverticulum is an irregular extension of the jugular bulb into the temporal bone that may be symptomatic or asymptomatic. The jugular bulb has rarely been reported to extend into the occipital condyle; such extension is termed a condylar jugular diverticulum and is characterized as a defect in the occipital condyle contiguous with the jugular bulb. This report details 3 cases of condylar jugular diverticulum. Extension of the jugular bulb into the ipsilateral occipital condyle was noted as an incidental finding on cone-beam computed tomographic (CBCT) images of 3 patients. All 3 patients were asymptomatic, and this finding was unrelated to the initial area of interest. CBCT use is becoming ubiquitous in dentistry, as it allows 3-dimensional evaluation, unlike conventional radiography. Proper interpretation of the entire CBCT is essential, and recognition of the indicators of condylar jugular diverticulum may prevent misdiagnosis of this rare entity.