Spontaneous pneumothorax in a young male athlete: A case report with review of literature

Spontaneous pneumothorax (SP) is a serious and life-threatening condition often caused by ruptured apical lung bulla in young male individuals. It is commonly associated with different syndromes but also occurs in healthy individuals. In this case report, we aim to discuss the etiology, clinical course, and surgical treatment of a 21-year-old male kickboxer with a right-sided pneumothorax that occurred during a sparring session. A chest tube with negative suction was inserted to resolve the pneumothorax. Because there was no visible resolution, video-assisted thoracoscopic surgery (VATS) was performed. During VATS, a large, apically placed, ruptured lung bulla, was revealed and removed. One month after surgery, the patient is in great clinical condition. There are no signs of a recurrence of SP.

Cutaneous Larva Migrans With Bullous Eruptions in A Young Child

@#Infection of cutaneous larva migrans is usually acquired in the tropical region and mainly affects children. It is generally diagnosed with symptoms of severe itchiness and skin lesion that appears as a migrating erythematous linear lesion. It often occurs with a history of skin exposure to soil. Atypical presentation of the infection causes difficulty in diagnosis and delays treatment for the patient. Once diagnosed, cutaneous larva migrans is treated easily with helminth medications such as albendazole. Recognition of the skin lesion of cutaneous larva migrans in the atypical presentation of the infection for prompt treatment will comfort and prevent secondary infection complications. This case describes a presentation of bullous eruption in a child infected with cutaneous larva migrans.

A Pigmented Bullous Maxillofacial Lesion in a Diabetic Patient: A Diagnostic Dilemma.

Diabetes mellitus (DM) can be complicated by a variety of cutaneous manifestations. Cutaneous manifestations, such as neuropathic foot ulcers are universally known and have predilection for the lower extremity. However, in the maxillofacial region diabetic lesion is not yet reported in the literature. It is because of enormous blood supply to the region. We present a case of 77-year-old female with pigmented bullous lesion in maxillofacial region as a result of uncontrolled DM, which was associated with reactive lymphadenitis due to infection from carious right mandibular first molar. The patient also had normocytic normochromic anemia secondary to progressive renal failure as a result of diabetic nephropathy (DN). The patient developed lesion due to trauma following fine-needle aspiration cytology and high sugar levels. She was successfully managed by good metabolic control, extraction of the offending tooth, antibiotic prophylaxis, and occlusive dressings. To the best of our knowledge, this clinical scenario has not been previously reported in the context of the diabetic lesion and, therefore, may be considered in the classification of dermatological lesions of diabetes.