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Case ReportNecrotizing Neck Mass in a Young FemalePradeep Kumar Mada, Gabriel Castano and Andrew Stevenson Joel ChandranesanAbstractMycobacterium tuberculosis is one of the most common diseases in the world, with a prevalence of approximately one-third of the global population and nine million new cases per year globally. In the USA, it is more common in immune suppressed conditions such as HIV or if there is a significant history of travel to tuberculosis-endemic regions. Tuberculosis generally affects the lungs, but can also affect other parts of the body. Mycobacterial cervical lymphadenitis, also known as scrofula refers to lymphadenitis of the cervical lymph nodes associated with tuberculosis as well as atypical mycobacteria. |
Research ArticleAdsorption Isotherms and Kinetics of Multi-Walled Carbon Nanotubes (MWCNTs), Boron Nitride Nanotubes (BNNTs), Amorphous Boron Nitride Nanotubes (a-BNNTs) and Hexagonal Boron Nitride Nanotubes (h-BNNTs) for Eliminating Carcinoma, Sarcoma, Lymphoma, Leukemia, Germ Cell Tumor and Blastoma Cancer Cells and TissuesAlireza HeidariAbstractHydron, Transhumanism, H (S-train), Humanity+ (Humanity Plus), electron hole and Evolved High Speed Packet Access (or HSPA+ or HSPA (Plus) or HSPAP) from environment into human blood causes human blood cancer cells and tissues. Diagnosis and treatment of such human blood cancer before it is discharged into the human blood is essential. The present study investigated Hydron, Transhumanism, H (S-train), Humanity+ (Humanity Plus), electron hole and Evolved High Speed Packet Access (or HSPA+ or HSPA (Plus) or HSPAP) adsorption from human blood cancer cells and tissues using Multi-Walled Carbon Nanotubes (MWCNTs), Boron Nitride Nanotubes (BNNTs). |
Case ReportScalp Arteriovenous Fistula following Hair Transplantation: A Case Report and Review of the LiteratureJason I Liounakos, Timur Urakov, Brian Snelling and Eric C PetersonAbstractScalp arteriovenous fistulae, as a result of hair transplantation, are exceedingly rare, with the current literature largely limited to few single case reports. Open surgical and endovascular treatments have been described with good results. We describe a case of scalp arteriovenous fistula following hair transplantation that was successfully treated by direct puncture embolization with n-butyl cyanoacrylate glue. |
Case ReportDisseminated Intravascular Coagulation due to Amniotic Fluid Embolism in an Early Molar PregnancyVeronika A Levin, John Villeneuve and Xuezhi JiangAbstractDisseminated intravascular coagulation (DIC) is a disruption of hemostasis and imbalance between thrombosis and thrombolysis. DIC can result in life-threatening bleeding, clot formation, and multi-system end organ damage. Although the prevalence of DIC in pregnancy is low, ranging from 0.03-0.35%, the prevalence increases in pregnancies complicated by comorbidities such as placental abruption, postpartum hemorrhage, pre-eclampsia, hemolysis elevated liver enzymes and low platelets (HELLP syndrome) and pregnancies complicated by amniotic fluid embolism syndrome (AFES). |
Review ArticleVesicular Monoamine Transporter Type 2 (VMAT2) Inhibitors in the Management of Tardive DyskinesiaLillian L Smith Mosley, Juan F Mosley II, Jessica R Fleischfresser and Tiffani ReedAbstractNeuroleptic medications are prescribed for the management of mental, gastrointestinal, and neurological disorders. These disorders occur via over-excitation of dopamine in the brain. When neuroleptics are used, dopamine receptors are blocked reducing the excitation. Thus, the disorder becomes controlled. The long-term use of neuroleptics can result in a misfire of the neurons of the brain causing tardive dyskinesia (TD), an irreversible chronic condition of spontaneous movements. |
Case ReportDiagnostic Dilemma of a Mature Parapharyngeal Teratoma in an InfantMaria Cui Ying Pang and Tan Kun KiaangAbstractCervical and parapharyngeal teratomas are rare but possible causes for respiratory distress in neonates. They can also present as cystic masses in the neck and can be clinically indistinguishable from lymphatic malformations. Physicians must be cognizant of teratoma as an alternate diagnosis when faced with a cystic neck lesion that responds poorly to injection sclerotherapy. We present a case of a parapharyngeal teratoma which was initially diagnosed and treated as a lymphatic malformation. |
Case ReportManagement of Congenital Afibrinogenemia: Report of Two CasesI Alharbi, A Algethami and T AlmteriAbstractFibrinogen (Factor I) is an essential factor in the coagulation cascade. The activation of prothrombin to thrombin by Factor X is followed by the activation of fibrinogen. In turn, thrombin converts fibrinogen to fibrin, which is the end target of both extrinsic and intrinsic pathways. A deficiency in fibrinogen results in the tendency to bleed. |
Case ReportMethemoglobinemia after Local Anesthesia with Prilocaine in a Newborn after Aortic Coarctation Repair: A Case ReportDilek Altun, Adnan Yüksek, Ahmet Arnaz, Yusuf Kenan Yalçınbaş and Tayyar SarıoğluAbstractPrilocaine, widely used local anesthetic, can cause methemoglobinemia in pediatric patients even in therapeutic doses. Although complications related to local anesthesia are rare, it may occur especially in pediatric population when used in large doses exceeding the safe limits. Local anesthetic agent oxidizes hemoglobin and may cause methemoglobinemia. |
Case ReportTetanus after Application of Traditional Topical on Severe BurnIrie bi GS, Asse KV, Pete Y, Kadiane NJ, Nda-koffi C, Ogondon B, Kouadio S, Kouame KE, Boua N and Yapo BrouhAbstractThe possibility of the occurrence of tetanus after application of a traditional topical for the treatment of a severe burn is a reality in tropical environment. This is true for this case. |
Case ReportAggressive Resection of Cervical Desmoid Tumor Invading the Paraspinal Muscles without Recurrence at Eight Year Followup: A Case Report and Review of the LiteratureDaniel G Eichberg, Timur Urakov and Steven VanniAbstractTo provide an overview of head, neck, and spine Desmoid Tumor (DT), to describe the case of a patient who underwent aggressive surgical resection of a large invasive cervical DT, and to analyze the DT literature. We discuss the importance of aggressive surgical margins in decreasing recurrence risk in head, neck, and spine DTs. |
Case ReportPanhypopituitarism in a Case of Newly Diagnosed Lung Cancer with a Concurrent Pituitary MassJo Y, Zalikha A, Watford D, Khramov I and Williams MAbstractA 65-year-old homeless African American man with a past medical history significant for hypertension, Chronic Obstructive Pulmonary Disease (COPD), diabetes mellitus type II, multiple substance abuse disorder, major depression, and successful treatment of tuberculosis presented to the Miami VA emergency department with depressed mood, fatigue, and suicidal ideation. |
Case ReportFirst Report of Geniospasm in a Five-Generation Brazilian Family: Clinical Features, Electromyography Findings and Botulinum Toxin TreatmentCarvalho LB, Rampim DB and Chung TMAbstractGeniospasm is a rare movement disorder characterized by spontaneous, involuntary, irregular trembling of the chin and the lower lip with accompanying involuntary contractions of the mentalis muscle. It is thought to be an autosomal-dominant inherited condition with high penetrance, which typically manifests in early life and is triggered. |
Case ReportHypnosis and Transversus Abdominis Plane Block for Brugada Syndrome Anesthesia: A Case ReportPauline dos Santos, Loic Cailleau, Yveline Coscoy, Antoine Strzelecki, Benjamin Le Gaillard, Christophe Pelletier, Mireille Houadec, Celine Guerrini and Edmundo Pereira de Souza NetoAbstractBrugada syndrome is a distinct form of an arrhythmic disease affecting ionic channels of the heart. We report the anesthetic management of a patient with Brugada syndrome for inguinal hernia repair which was managed satisfactorily with combined light anesthesia, hypnosis with indirect suggestions and transversus abdominis plane block. |
CommentaryBrief Comment on the Challenge and Opportunities for Effective Containment of the Type 2 Diabetes Mellitus Epidemic that Affects the World PopulationMaria Eugenia Velasco-ContrerasAbstractIt is a chronic disease associated with multiple health problems: Cardio-cerebrovascular, cancer, behavioral disorders, depression or anxiety, localized or generalized neuropathy problems due to irritation or destruction of the myelin layer, non-traumatic lower limb amputation, blindness, terminal renal damage, the leading cause of death in many countries. |
Case ReportBurkitt's Lymphoma Presenting as Endobronchial LesionFatih Uzer, Levent Dertsiz and Aykut CilliAbstractPrimary endobronchial tumor is seen rarely in young adults. Benign neoplasms such as hamartoma, hemangioma, papilloma, leiomyoma are seen more often whereas maling conditions are infrequent. Lymphoma is quite rare in children. |
Case ReportSevere ANCA Associated Vasculitis in the Setting of Cocaine Abuse: A Case ReportAna Ramirez Berlioz, Orlando Garner, Eliana Wiesner, Alfredo Iardino Scarano and Kalpana BhairavarasuAbstractA 41-year-old Hispanic female with known medical history significant for bronchial asthma presents to the Emergency Department (ED) in February 2010, complaining of a 3-week long history of an erythematous tender rash with irregular margins on the tip of her nose, upper and lower extremities (Figure 1) accompanied by bilateral elbow, knee and ankle pain. |
Review ArticleEvaluation of the Functional and Clinical Outcome of Intramedullary Osteosynthesis with Gamma Nail in Treatment of Unstable Peritrochanteric FracturesHatim Mohammed A ALShareef, Hossam Mohammed Aref, Ahmed H AlHasan, Amer Mohammed A ALShreef and Mohammed Abdul Wahab Al Juhani1AbstractPeritrochanteric fractures of the femur rank among the most severe fractures in elderly people. The Gamma Nail is one of the latest advance in the treatment of trochanteric fractures based on intramedullary nailing principles during closed procedures. |
Case ReportThe Biliary Sinus: A Rare Late-Stage Complication of CholecystectomyIhsan Yildiz, Yavuz Savas Koca and Ibrahim BarutAbstractA 53-year-old female patient who had undergone open cholecystectomy due to cholelithiasis 6 years earlier was admitted to hepatobiliary surgery unit with a painful mass in the right upper quadrant and fever. Ultrasonography showed that a 3-cm fluid-filled mass in the right upper quadrant subcutaneously, in computed tomography a fluid-filled tubular lesion extending from the right lobe of liver to right upper quadrant, and percutaneous cholangiography showed that a radio-opaque density communicating with the liver. The biliary sinus tract was totally excised. The patient was uneventfully discharged on day 6 after the surgery. Histopathological examination of the lesion was reported as a bile sinus. |
Case ReportLeft Atrial Appendage Occluder with Recurrent Thrombus Formation Visualized by Three-Dimensional Transesophageal EchocardiographySebastian Greiner and Hugo A KatusAbstractA 78-year-old Caucasian female with newly diagnosed atrial fibrillation was put on anticoagulation with phenprocoumon. Two months later she developed an intracranial hemorrhage localized in the brainstem. Neurological findings were paresis and paraesthesia of the left body side. The treatment was conservative and symptoms resolved within three months. |
Case ReportChemotherapeutic Agents for Brain Metastases in Non-Small Cell Lung Cancer: A Case Report with Eribulin Mesylate and Review of the LiteratureAlejandra C Fuentes, Reordan O De Jesus and David N ReismanAbstractLung cancer accounts for the majority of cases of brain metastases, resulting in higher morbidity and mortality. Surgery and radiation are the current standard of care for the treatment of brain metastases. However, when brain metastases recur despite these treatments, the management options are limited, especially when recurrent metastatic events occur. The role of systemic chemotherapy for brain metastases remains undefined, with advances in drug delivery and ongoing studies using targeted agents showing promising results. |
Case ReportThe Use of the Gallbladder Wall for Reconstruction of the Extrahepatic Bile Ducts in a Case of Agenesis of the Common Bile Duct: A Case ReportMaher N GhabrielAbstractUnexpected anomalies of the extrahepatic biliary ducts were found intraoperatively during open cholecystectomy in a 49-year-old male, with calcular obstructive jaundice. The patient had congenital absence of the common bile duct that appears to have been replaced by the cystic duct, which opened directly into the duodenum. The right and left hepatic ducts drained into the posterior wall of the gallbladder by a short common hepatic duct. Intraoperatively the gallbladder wall (with uncompromised nerve and blood supply) was used as a vital flap to reconstruct a tubular bridge across the defect in the biliary ducts, while retaining a functional sphincter of Oddi at the end of the original cystic duct. |
Review ArticleThe Spread of Melanoma to the Adrenal Glands: Historical CasesWilson I B OnuigboAbstractPersonal interest in cancer metastasis to the adrenal glands began in 1957 and matured in a Doctorate Thesis in 1961. Part of its eminence lay in cases in which it was the only soil selected for attack. What of the melanoma? The available historical account did not contain this answer. Therefore, this paper aims to determine the situation in the classical Transactions of the Pathological Society of London, which began to publish during the 1846 - 1848 period. |
Case ReportNeurobiology of KB220Z-Glutaminergic-Dopaminergic Optimization Complex [GDOC] as a Liquid Nano: Clinical Activation of Brain in a Highly Functional Clinician Improving Focus, Motivation and Overall Sensory Input Following Chronic IntakeLucien L Duquette, Frank Mattiace, Kenneth Blum, Roger L Waite, Teresa Boland,Thomas McLaughlin1, Kristina Dushaj, Marcelo Febo and Rajendra D BadgaiyanAbstractWith neurogenetic and epigenetic tools utilized in research and neuroimaging, we are unraveling the mysteries of brain function, especially as it relates to Reward Deficiency Syndrome (RDS). We encourage the development of pharmaceuticals or nutraceuticals that promote a reduction in dopamine resistance and balance brain neurochemistry, leading to dopamine homeostasis. We disclose self-assessment of a highly functional professional under work-related stress following KB220Z use, a liquid (aqua) nano glutaminergic-dopaminergic optimization complex (GDOC). |