Open Access DOI:10.23937/2378-3656/1410313
Multiple Cerebral and Cerebellar Infarctions following Russell’s Viper (Daboia Russelii) Envenomation - A Case Report
UDN Prasad, JMRP Bandara and HMS Senanayake
Article Type: Case Report | First Published: June 13, 2020
Ischemic stroke is a rare neurological complication following SriLankan Russell’s viper envenomation. We report a case of a 44-year-old person, who developed multiple cerebral and cerebellar infarctions following SriLankan Russell’s viper envenomation. The patient developed both local and systemic envenomation and was treated with Snake Venom Anti-Serum I.P. (VinsBioproducts Ltd). On day six, this patient developed left-sided hemiparesis. CT scan of the brain showed bilateral cerebellar, bil...
Open Access DOI:10.23937/2378-3656/1410312
Case Series of Tetanus Diagnosis and Management in Hargeisa City
Hassan Abdi, Ibrahim Caqli, MD, Mustafe Mumin, MD, Jama Osman, MD, Gregory Fricchione, MD, MPH and Zeina Chemali, MD, MPH
Article Type: Case Series | First Published: June 10, 2020
Tetanus is a global infectious disease caused by tetanospasmin toxin produced by the anaerobic clostridium tetani. It affects the brain stem and spinal cord and leads to high morbidity and mortality if untreated. East Africa reports the highest number of cases and the highest fatalities. The objective of this study is to report on five inpatient clinical cases at Hargeisa Group Hospital in Hargeisa City with lessons learned for our team, a way to educate others and advocate for a new governmenta...
Open Access DOI:10.23937/2378-3656/1410310
Pulmonary Embolism Mimicking Pneumonia, Acute Heart Failure and Myocardial Infarction: A Case Report
Hayatu Umar, Augie Ibrahim, Akintomide F. Akindotun, Muhammed E. Hadiza, Aminu M. Sakajiki, Maiyaki S. Abubakar, Balarabe A. Salisu, Mehmet S. Ulgen, Enver Erbilen, Mustafa Kirman
Article Type: Case Report | First Published: May 23, 2020
Venous thromboembolism (VTE) is a common medical condition encountered in emergency departments and is a major contributor to global disease burden. It’s often misdiagnosed in critically ill patients despite being common and diagnosis a times is at autopsy. This disease spectrum may present either as asymptomatic deep venous thrombosis (DVT) or acute pulmonary embolism (PE) leading to death. When established PE occurs without any evidence of DVT, this is known as de-novo pulmonary embolism...
Open Access DOI:10.23937/2378-3656/1410309
Outcomes of Cardiopulmonary Resuscitation and its Predictors in Hospitalized Patients
Meisam Moezzi, Golshan Afshari, Fakher Rahim, Meysam Alavian, Maryam Banitorfi, Saeed Hesam and Nasrin Fatemi
Article Type: Research Article | First Published: May 13, 2020
Cardiopulmonary resuscitation (CPR) has been a frequently performed medical intervention that increases the chance of survival of a person strickenby cardiac arrest, and there is a great value of diversity in the rate of successful rehabilitation in societies. There was no significant difference in the success rate of CPR between men and women. The comparison of age groups revealed a significant difference between the success rates of CPR in the age of 14-64 with the group above 64. The analysis...
Open Access DOI:10.23937/2378-3656/1410308
Septic Shock from Pyelonephritis in Pregnancy
Adam Rindfleisch, MD, Hannah Do, MD, Tove M Goldson, MD, PhD and Samuel N Forjuoh, MD, MPH, DrPH
Article Type: Case Report | First Published: May 06, 2020
Pyelonephritis is a relatively common infection in pregnancy. We report a case of a 20-year-old pregnant woman with limited prenatal care and history of untreated asymptomatic bacteriuria who presented to labor and delivery triage with signs and symptoms suggestive of sepsis. The initial management, although primarily driven by the patient’s chief complaints, history, and vital signs, was confounded by a relatively unremarkable urinalysis and physical exam. The patient subsequently developed s...
Open Access DOI:10.23937/2378-3656/1410301
Explantation of Silicone Breast Implants Ameliorates Gel Bleed Related Health Complaints in Women with Breast Implant Illness
Rita M Kappel, MD, PhD and Ger JM Pruijn, PhD
Article Type: Original Article | First Published: March 24, 2020
During the last decade the international debate on adverse health effects of silicone breast implants has intensified and recently the related disorder has been termed Breast Implant Illness (BII). This study aimed to explore the effects of explantation of silicone implants. In a retrospective study, women with silicone breast implants, who consulted plastic surgeons for a variety of reasons, were requested to fill out a questionnaire, which was aimed at an evaluation of health complaints. In to...
Open Access DOI:10.23937/2378-3656/1410300
The Infectious Headache- A Case of Neurocysticercosis
Supraja Thunuguntla, MD, Obinna Echeruo, MD and Jose Campo Maldonado, MD
Article Type: Case Report | First Published: March 05, 2020
A 50-year-old Hispanic female presented to her primary care physician with a progressively worsening headache over a week, associated with visual disturbances, prosopagnosia and episodes of disorientation. Outpatient workup with head CT showed abnormality in the ventral aspect of the left thalamus showing 1.2 × 1 cm low density cyst with approximately 2-3 mm right-left midline shift locally. Left basal ganglia showed multiple well-defined foci of low density measuring up to 3 mm reflecting edem...
Open Access DOI:10.23937/2378-3656/1410299
Successful Management of Hyperosmolar Hyperglycaemic State with Oral Hypoglycaemics in a Rural Setting - A Case Report
Jeremy Kay Hock Lee, Aaron Kwun Hang Ho and Lin Ho Wong
Article Type: Case Report | First Published: February 29, 2020
Hyperosmolar Hyperglycaemic State (HHS) is a diabetic emergency which requires prompt restoration of haemodynamic stability due to high early mortality. There is currently no study which recommends the use of oral hypoglycaemics to lower blood glucose levels, due to the high efficacy of parenteral Insulin. We report a case of our management of HHS using oral hypoglycaemics (Metformin and Gliclazide) due to the absence of parenteral Insulin in a rural setting, with remission of symptoms, stabiliz...
Open Access DOI:10.23937/2378-3656/1410297
Acute Simultaneous Renal and Ovarian Vein Thrombosis Mimicking Renal Colic and Associated with Factor V Leiden: Case Report and Review of Literature
Chahid Farah, Sabine Imad, Rachelle Abboud, Fady Nader, Rahil Zeaiter, Boutros Youssef, Karen Nicolas, Mireille Rizkallah, Alain Khalaf and Tony El Murr
Article Type: Case Report | First Published: February 14, 2020
Severe flank pain is a frequent complaint at the emergency department (ED). It is usually associated to other clinical symptoms like fever, dysuria, vomiting, diarrhea or radiation to the groin. Hereby, it may raise a lot of probable differential diagnosis that should be ruled out first depending on laboratory tests and imaging results. However, when flank pain is isolated and radiating to the groin without evidence of urolithiasis on abdominal CT scan, more rare diagnosis should be suggested su...
Open Access DOI:10.23937/2378-3656/1410296
Mixed Zone between Drug-Induced Hyperpigmentation and Generalized Fixed Pigmented Erythema
Tarik Hanafi, Amine Essaoudi, Hicham Titou, Hasna Kerrouch, Rachid Frikh, Naoufal Hjira and Mohammed Boui
Article Type: Case Report | First Published: January 31, 2020
We report a particular case of fixed drug eruption (FDE), in its erythematous and pigmented form, as a fixed pigmented erythema (FPE), which manifests in a generalized form, evolving for three years, and discuss the imputability to piroxicam and the Ramipril/Hydrochlorothiazide combination. Indeed, chronological, semiological, bibliographic criteria, were imprecise and non-discriminatory. We ended up retaining the diagnosis of fixed pigmented erythema (FPE) of particular diffuse presentation ind...
Open Access DOI:10.23937/2378-3656/1410295
Squamous Cell Carcinoma Complicating Hidradenitis Suppurativa in an HIV-Positive Patient
Tarik Hanafi, Hicham Titou, Hasna Kerrouch, Rachid Frikh, Naoufal Hjira and Mohammed Boui
Article Type: Case Report | First Published: January 27, 2020
Hidradenitis Suppurativa (HS), also called Acne inversa, is a Chronic inflammatory, suppurative, fistulizing disease, with a risk of malignant degeneration to squamous cell carcinoma (SCC). We report an intriguing case of a patient who developed an aggressive form of HS within a very short time of nine years, indeed, the patient was infected with the human immunodeficiency virus (HIV) and human papilloma virus (HPV). We believe that the oncogenic role of HPV was increased, given the very fast de...
Open Access DOI:10.23937/2378-3656/1410294
Non-Typhoidal Salmonella Meningitis in an Adult Patient with HIV Infection: The Hostage-Taking Situation. Is There Any Solution?
Tarik Hanafi, Hicham Titou, Hasna Kerrouch, Rachid Frikh, Naoufal Hjira and Mohammed Boui
Article Type: Case Report | First Published: January 25, 2020
We report a case of Non-Typhoidal Salmonella meningitis (NTS) in adult HIV patient with many relapses despite well-conducted treatment, we compare this situation to a hostage-taking situation, perpetrated by NTS, taking the body of HIV patient as a hostage who cannot get rid of this germ. This is a clinical alert to discuss the efficiency of prolonged oral administration of Trimethoprim/Sulfamethoxazole in preventing relapse and a whistleblower for the urgency of developing a vaccine....
Open Access DOI:10.23937/2378-3656/1410293
A Rare Case Report: Pancreatic IPMN and Lung Adenocarcinoma with Elevation of CA 19-9 in an Asymptomatic Individual
Dorovinis P, Roumpou A and Dimitroulis D
Article Type: Case Report | First Published: December 30, 2019
An 85-year-old man presented to our hospital because of an elevated value of CA 19-9 of 2000 U/ml, free of any symptoms. CT scan of the thorax and abdomen revealed a lesion in the upper lobe of the right lung and a cystic lesion located in the tail of the pancreas, comprised with dilation of the pancreatic duct, being indicative of peripheral pancreatic Intraductal Papillary Mucinous Neoplasm (IPMN). The pulmonary lesion was examined histologically through EBUS and had no specific signs of atypi...
Open Access DOI:10.23937/2378-3656/1410291
Phase Change Biological Switch: A New Hypothesis on the Mechanism of Cancer Formation
G Di Donna, MD, PhD and R. Di Muro, MD
Article Type: Research Article | First Published: November 25, 2019
The Authors hypothesize that, when in the presence of a chronic inflammatory process, the organism, while attempting to solve it, goes through a mechanism that the Authors define as Phase Change Biological Switch: the cell line regression, which differentiated in that organ with the purpose of reprogramming to overcome the chronic inflammatory process, but regression involves loss of connections with the surrounding tissues and provokes the cancerous degeneration....
Open Access DOI:10.23937/2378-3656/1410290
Percutaneous Coronary Intervention in a Cancer Patient with Dextrocardia and Situs Inversus
Patrick Lahoud
Article Type: Case Report | First Published: October 25, 2019
Although dextrocardia occurs rarely, the incidence of coronary artery disease is similar to the general population. Few cases of coronary angiography and percutaneous coronary intervention (PCI) in patients with dextrocardia have been reported. Because of unfamiliarity with performing catheterization, transradial coronary angiography has seldom been performed in a patient with dextrocardia. To the best of our knowledge, this is the first report of successful coronary angiography and ad hoc coron...
Open Access DOI:10.23937/2378-3656/1410269
General Surgery Approach to Neurofibromatosis Cases
Ethem Bilgic and Eyup Murat Yilmaz
Article Type: Mini Review | First Published: May 31, 2019
Neurofibromatosis is one of the most common autosomal dominant tumor syndromes with 1: 3000 birth incidence and 1: 4000 prevalence. Neurofibromatosis has three main forms, clinical and genetic. Von Recklinghausen disease or Neurofibromatosis is the most common known as type 1 (NF-1). Neurofibromatosis type 2 (NF-2) and Schwannomatosis are two other forms....
Open Access DOI:10.23937/2378-3656/1410268
Diagnosing Genitourinary Tuberculosis: A Case Report
Chitsimran Mann, Gina Maki, DO, Marcus Zervos, MD and Nidhi Ravishankar
Article Type: Case Report | First Published: May 30, 2019
Genitourinary Tuberculosis (GUTB) is a common manifestation of tuberculosis and usually results from the reactivation of old, dormant tuberculous diseases by pathogens of the Mycobacterium tuberculosis complex. Most often, GUTB has a varied presentation ranging from irritative voiding symptoms to renal failure. Due to this varied presentation, diagnosis of GUTB is often very difficult. We present a case of a reproductive-age female with asymptomatic infertility. Many diagnostic measures failed t...
Open Access DOI:10.23937/2378-3656/1410267
Cardiac Lipoma: Diagnosis after Cardiac Arrest
Elaine dos Reis Coutinho, Jose de Arimatea Francisco, Daniele Orrico, Mauricio Lopes Marson, Cleydicion Eloy da Costa, Gustavo Calado de Aguiar Ribeiro, Jose Humberto Pucci de Mesquita Filho, Aloisio Marchi da Rocha and Jose Francisco Kerr Saraiva
Article Type: Case Report | First Published: May 29, 2019
A 24-year-old female patient was admitted to the emergency room with palpitations associated with precordial pain and dyspnea. She was pale, sweating, with the heart rate 220 bpm and blood pressure 80 × 40 mmHg. The ECG demonstrated a sustained ventricular tachycardia rhythm evolving to a ventricular fibrillation rhythm. Four defibrillation attempts were performed with 360 J until obtained to sinus rhythm. ...
Open Access DOI:10.23937/2378-3656/1410266
Mucosa-Associated Lymphoid Tissue Lymphoma of Thyroid: A Case Report
Youn Joo Jung, Dong-il Kim, Hyun-june Paik, Jeong Hee Lee and Hyun Yul Kim
Article Type: Case Report | First Published: May 29, 2019
Mucosa-associated lymphoid tissue lymphomas are a relatively recently recognized subset of B-cell non-Hodgkin's lymphomas. Generally, mucosa-associated lymphoid tissue lymphomas in the thyroid gland are known to have good prognosis, but recurrence and metastasis have also been reported....
