Background: This case report highlights a rare iatrogenic complication of pericardiocentesis and discusses its clinical management. In most cases, pneumopericardium is usually self-limiting and does not require any specific treatment. Therefore, a timely diagnosis and urgent treatment are required. Currently, there are only a few reports regarding pneumopericardium following therapeutic pericardiocentesis. Case Presentation: We present a case of an 81-year-old woman who developed pneumopericardium following pericardiocentesis for pericardial effusion, a rare association reported in the literature. Conclusion: Pneumopericardium may develop iatrogenically after Pericardiocentesis. Attention should be paid to the puncture site and angle during pericardial puncture, especially in weak patients.     Continue Reading

Background: Bronchogenic cysts (BCs) are cysts formed by abnormal budding of the tracheobronchial tree during embryological development and are less common in adults. They are often located in the mediastinal region or lung parenchyma, but they can rarely be seen extrathoracically. BCs may not be detected radiologically on direct radiography most of the time. However, the diagnosis can be made by thorax Computer Tomography in 97% of lesions. Although they are usually benign, they can lead to severe airway symptoms in patients if they grow large enough to compress the lungs or airway. After this stage, surgical treatment should be planned to prevent recurrences with extraluminal compression and tracheal narrowing that may lead to negative consequences by making the right treatment plan. Case Presentation: In our case, although we recommended the operation at the age of 18, surgical excision was planned for the patient, who did not accept it and developed... Continue Reading

Background: Lupus podocytopathy (LP) is a rare histopathological diagnosis of renal biopsies performed in the context of systemic lupus erythematosus (SLE) with renal involvement. Steroid-induced psychosis is a well-documented phenomenon.  Case Presentation: A 55-year-old woman, diagnosed with SLE, went to the emergency department due to asthenia, inflammatory polyarthritis, and decreased urinary output. The blood panel showed hypoalbuminemia and acute kidney injury and the protein/creatinine ratio was elevated. She was admitted with a diagnosis of probable lupus nephritis (LN) and pulses of methylprednisolone were started. During hospitalization, an amplified study was conducted. A 24-hour urine sample showed proteinuria in the nephrotic range. Renal biopsy was conducted and the results showed aspects suggestive of class II lupus nephropathy and the suspicion of LP was therefore high. Despite favorable evolution with high-dose corticosteroid oral therapy, the patient began to experience behavioral changes with delusional and persecutory thoughts, compatible with psychosis, which led to... Continue Reading

 Background: Atrial myxomas are the rare slow-growing tumors of the heart and are often found in the left atrium; they most commonly present with symptoms of thromboembolic disease and have rarely been associated with respiratory symptoms.  Case Presentation: We present the case of a 71-year-old woman who attended the emergency department with a 72-hour history of shortness of breath, a cough, and wheeze. She had been diagnosed with chronic obstructive pulmonary disease in the community recently but had never had any spirometry testing. She was treated for an exacerbation of airways disease with nebulized bronchodilators, steroids, and antibiotics. She deteriorated after 24 hours to the point of requiring intubation and ventilation, despite escalating her to extensive bronchodilator therapy she did not improve and the wheeze was persistent. Subsequently, an echocardiogram was performed at the bedside which revealed a large left atrial mass which led to discussion with local cardiologists and... Continue Reading

Background: Among extranodal non-Hodgkin lymphomas, primary cutaneous lymphomas rank as the second most prevalent.These lymphomas can originate from T cells, B cells, or natural killer cells. Cutaneous T cell lymphomas (CTCLs) form a diversegroup of lymphomas that display clinical distinctions from systemic lymphomas, despite potential similarities in histology Mycosis fungoides (MF) stands out as the most prevalent subtype of CTCL. Pierre-Antoine-Ernest Bazin outlined the transformation from patches - defined as non-infiltrated lesions exhibiting erythema, scaling, and atrophy - to infiltrated plaques and tumors. Histologically, this progression is marked by the increase of small to medium-sized epidermotropic CD4+ T lymphocytes that have folded nuclei.Case Presentation: We present a case of an 85-year-old man with a known history of vascular dementia who presented with alesion on his left posterior thigh. After no improvement with a potent steroid cream, a punch biopsy of the lesion was done and confirmed the diagnosis of MF,... Continue Reading