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Image Article  |   Volume 3, Issue 1

Interval Form of Carbon Monoxide Intoxication

Ee Wei Lim, Yee Hau Pang and Pavanni Ratnagopal
Abstract

A 41-year-old gentleman attempted suicide by burning charcoal in an enclosed room. He was found unconscious and was intubated for poor Glasgow Coma Scale (GCS). He was successfully extubated and transferred to our hospital on day 6. Initial physical examination showed no neurological deficits with normal scoring of Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MOCA).

  PDF   |    Full Text | DOI: 10.23937/2474-3682/1510062

Image Article  |   Volume 3, Issue 1

Sarcoidosis on Traditional Tattoo: A Complication to Know

Hafsae Bounniyt and Meriame Meziane
Abstract

The introduction of an exogenous pigment in the dermis is not without risk. We report a case of a sarcoidosis complicating a traditional tattoo after several years. Currently only temporary henna tattoos are subject to frequent publications in the literature. It must be known to the dermatologist ahead this type of skin lesions will have to undertake explorations necessary for the identification of systemic sarcoidosis.

  PDF   |    Full Text | DOI: 10.23937/2474-3682/1510061

Image Article  |   Volume 3, Issue 1

Giant Vegetation in a Mitral Prosthetic Valve

Julio Cesar Sauza-Sosa and Nilda Gladys Espinola-Zavaleta
Abstract

Forty-eight-year-old woman with history of mechanical prosthetic replacement of mitral and aortic valves in February 2005, came to emergency department with fatigue, weakness and chills since two months and dyspnea and edema of lower limbs from three days. The physical examination revealed jugular engorgement, peripheral edema, normal prosthetic clicks and mitral regurgitant murmur II/IV.

  PDF   |    Full Text | DOI: 10.23937/2474-3682/1510060

Image Article  |   Volume 3, Issue 1

Central Neurocytoma Presenting as Large Intraventricular Mass Diagnosed by Stereotactic Biopsy

Nasuhi Engin Aydin
Abstract

A 40-year-old man presenting with headache and dizziness of several months duration was found to have a large intraventricular mass during the clinical workup (Figure 1). A stereotactic biopsy of the mass revealed cellular neoplastic tissue with monotonous round cells (Figure 2).

  PDF   |    Full Text | DOI: 10.23937/2474-3682/1510059

Image Article  |   Volume 3, Issue 1

Microsporidia Stromal Keratitis

Sarah Farukhi Ahmed, Donald Minckler and Hans E Grossniklaus
Abstract

Microsporidia Stromal Keratitis presents more commonly in immune competent patients. Risk factors include contact lens wear, trauma or travel to Southeast Asian countries with exposure to contaminated water. Patients present unilateral progressive eye redness, vision loss and pain. This presentation is often misdiagnosed as herpes simplex virus, so a corneal scraping or biopsy should be performed to confirm the diagnosis.

  PDF   |    Full Text | DOI: 10.23937/2474-3682/1510058