Educational impact of case reports

Article type : Editorial | تاریخ ثبت : 2016/05/20

  • Authors

    1. Ghazizadeh Mohammad
  • abstract

  • متن مقاله


    Report on a clinical case that is experienced during the daily practice of medicine is of prime importance provided that its content add additional information to the knowledge in the field and help clinicians to be aware of the reported condition. Many case reports are published on a daily basis with various degrees of importance. The main idea underlying the report of a case is to share information on a rare or extraordinary presentation of a clinical condition or its association with a specific condition, or the response to a treatment modality or adverse effects of a treatment. Traditionally, case reports provide information on novel clinical phenomena and are easily accessible by clinicians. Numerous examples of case reports exist that have led to the discovery of many important findings. For example the association of HIV and Kaposi’s sarcoma came to attention through a case report1 or the identification of a slowly proliferating subtype of rabies encephalitis was also by a case report.2 In addition, regarding the new treatment modality and adverse effects of therapy, case reports have played a significant role. As examples, the usefulness of propranolol for infantile hemangioma3, development of peripheral neuropathy after the use of pyridoxine4, development of congenital abnormalities after the use of thalidomide5, and the risk of death due to selenium overdose6 were all through gaining knowledge from the case reports. In general, factors that contribute to the potential value of a case report include extraordinary nature of the case, informative or learning message that is conveyed, and originality and state-of-the-art conditions. An acceptable case report therefore should address several points such as well-documentation of the case, uniqueness and/or educational value, objectivity of the report description and well-interpretation of the case as to the applicability of information to other patients.7 Critical reading and appropriate use of the information provided in a case report is of prime importance in order to incorporate maximal advantage in clinical practice. For case reports to be transparent and accurate in reporting of information from a clinical experience and also in the publication, standardization guidelines termed CARE (CAse REporting) have been adapted.8 These guidelines will help in uniform reporting of the cases and make it possible more accurate analysis of large number of cases related to a specific condition. Educational content of a case report provides a valuable resource for learning, especially for clinicians involved in treating and management of patients. In fact, reporting a case could also be a suitable and preliminary step for beginners in the field of medicine who are interested in pursuing writing academic articles. 9, 10

  • References

    1. 1.Gottlieb G, Rogoz A, Vogel J, Friedman-Kien A, Rywlin A, Wiener E, et al. A preliminary communication on extremely disseminated Kaposi’s sarcoma in a young homosexual man. Am J Dermatopathol 3:111–114, 1981.
    2. 2.Boland T, McGuone D, Jindal J, Rocha M, Cumming M, Rupprecht CE, et al. Phylogenetic and epidemiological evidence of multi-year incubation in human rabies. Ann Neurol 75:155–160, 2014.
    3. 3.Léauté-Labrèze C, Dumas de la Roque E, Hubiche T, Boralevi F, Thambo J, Taïeb A. Propranolol for severe hemangiomas of infancy. N Engl J Med 358:2649–2651, 2008.
    4. 4.Silva C, D’Cruz D. Pyridoxine toxicity courtesy of your local health food store – letter. Ann Rheum Dis 65:1666–1667, 2006.
    5. 5.McBride W. Thalidomide and congenital abnormalities. Lancet, 278:1358, 1961. 6. See K, Lavercombe P, Dillon J, Ginsberg R. Accidental death from acute selenium poisoning. Med J Aust 185:388–389, 2006.
    6. 6.Pierson DJ. Case reports in respiratory care. Respir Care 49:1186–1194, 2004.
    7. 7.Gagnier J, Kienle G, Altman D, Moher D, Sox H, Riley D, et al. The CARE guidelines: consensus- based clinical case reporting guideline development. Glob Adv Health Med 2:38–43, 2013.
    8. 8.Fenton JE, Khoo SG, Ahmed I, Ullah I, Shaikh M. Tackling the case report. Auris Nasus Larynx 31:205– 207, 2004.
    9. 9.Chelvarajah R, Bycroft J. Writing and publishing case reports: the road to success. Acta Neurochir (Wien) 146:313–316, 2004.