Open Access DOI:10.23937/2378-3656/1410465
Antibiotic Stewardship to Combat Antimicrobial Resistance Menace: Present Updates, Challenges, and Future Directions
Mohan Bilikallahalli Sannathimmappa
Article Type: Review Article | First Published: March 19, 2025
The increasing trend in resistance to antimicrobial agents is a major threat to the management of infectious diseases. If nothing is done, we may return to a pre-antibiotic era where a minor infection is potentially fatal. Therefore, it is important to use antibiotics judiciously to prevent serious public health threats. To this day, many policies and guidelines have been laid out to define the ideal selection, the correct dosing, and the appropriate duration of antibiotic therapy....
Open Access DOI:10.23937/2378-3656/1410464
Unusual Presentation of Differentiated Thyroid Collision Tumor
Assadullah Akhtarzai, MD, DLO, MPH, MRCS, ENT, Shwan Mohamad, MRCS, DO-HNS, MCh, FRCS, Nawal Ibraheem, MRCP, MRC, CCT, Shekhar Vinod Shikare, MBBS, DRM, DNB, Ehsan Ahmad, MBBS, MD, EBP and Hina Javaid, MBBS, MRCP
Article Type: Case Report | First Published: December 30, 2024
Here in, we report a rare case of synchronous two histologically distinct thyroid tumors in a patient, a papillary thyroid cancer in left lobe and follicular thyroid cancer in right lobe of thyroid. Subclinical hyperthyroidism was diagnosed based on suppressed TSH levels and normal Free T3 and Free T4 levels. Serum Anti-Thyroglobulin and TSH-receptor antibodies were undetectable. Further investigations, including ultrasound of the thyroid gland and 99 mTechnetium uptake scintigraphy, revealed a ...
Open Access DOI:10.23937/2378-3656/1410463
Migration of a Subdermal Contraceptive Implant into Left Pulmonary Artery: A Case Report and Literature Review
Cosimo Oliva, Achille De Dominicis, Valerio Galli, Marco Monti, Stefano Rotolo, Giuliano Marcelli, Fabrizio Salvati, Stefano Canitano, Filippo Murina, Carlo Trani, Vincenzo Spina and Angela Musella
Article Type: Case Report and Literature Review | First Published: 2024/12/20
Long-acting contraceptives including subdermal implants are reversible methods considered as first-line choice from National and International Guidelines due to their high efficacy not related to patient adherence. We report the first Italian case of an asymptomatic Nexplanon migration to a pulmonary artery in a 36-year-old Caucasian female patient. On chest CT a radiopaque foreign body, with a thread-like appearance, approximately 40 mm long and approximately 4 mm thick, located endo-luminally ...
Open Access DOI:10.23937/2378-3656/1410462
The Vaginal Microbiome in Women's Health and Bacterial Vaginosis
Hamida Mohammed Amer
Article Type: Review Article | First Published: 2024/12/13
You may have heard of the gut microbiome, but the vagina also has a microbiota. The bacterial composition of the vaginal microbiome is thought to be associated with women's health and disease states. The vaginal microbiome is a complex and dynamic micro-ecosystem that fluctuates throughout the menstrual cycle and throughout a woman's life. The vaginal mucosa consists of a stratified, non-keratinised squamous epithelium covered by cervicovaginal secretions. The composition of the vaginal microbio...
Open Access DOI:10.23937/2378-3656/1410461
Traumatic Brain Contusion Assessment by Bedside, Portable MRI
Ihsan Mamoun, MD, John Gachani, MD, Cesar Menchaca, MD and Yong Sing da Silva, MD
Article Type: Case Report | First Published: 2024/11/30
Traumatic brain injury (TBI) continues to be "the leading cause of death and disability in children" [1]. Computed tomography (CT) is the first line imaging study in every hospital emergency department. A delayed CT scan at 6-24 hours is typically performed as well. However, more recently, there has been interest in the use of a portable, bedside magnetic resonance (MR) scanner to avoid the additional radiation, to reduce the workflow demands of bundling and transporting children with TBI to a f...
Open Access DOI:10.23937/2378-3656/1410459
Anaesthesia Challenge: Kasai's Portoenterostomy in a CMV Positive Infant with Tetralogy of Fallot and Biliary Atresia
Aakriti Sharma, Pavan Gaurav, Neelam Dogra, Pratibha Rathore and Rama Chatterjee
Article Type: Case Presentation | First Published: 2024/10/31
Biliary atresia is a multifactorial neonatal disorder affecting the extrahepatic bile ducts leading to cholestatic jaundice and eventual liver transplantation. The most frequent viral infection linked to biliary atresia is CMV. It has not yet been documented that Tetralogy of Fallot, a common cyanotic congenital cardiac defect, is connected to BA. An unusual feature of the case is the rare combination of cytomegalovirus infection, tetralogy of Fallot, and biliary atresia....
Open Access DOI:10.23937/2378-3656/1410458
A Rare Case of Herpes Zoster Ophthalmicus in an Infant
G. Basri, Z. Basri, I. Chikhaoui, S. Nejjari, K. Slamti, FZ. Agharbi and S. Chiheb
Article Type: Editorial | First Published: 2024/09/20
Herpes zoster ophtalmicus is a viral infection caused by reactivation of the chickenpox virus (HHV-3). It is a severe form of herpes zoster, mainly affecting immunocompromised patients. In addition to post-herpetic pain, its severity lies in the functional impact of ophthalmic damage, which requires the initiation of oral treatment. The occurrence of this condition in immunocompetent infants is an exceptional event. We report a case in this article....
Open Access DOI:10.23937/2378-3656/1410457
Digital Innovations in the Field of Endodontics: A Review
Rakesh Kumar Yadav
Article Type: Review Article | First Published: 2024/09/12
Dentistry has had one of the fastest and largest advancements in digital technology. There have been significant developments in endodontic technology over the past few decades. The digitalization of endodontics has unquestionably improved practitioners' daily clinical practice. These innovations have not only simplified and increased the accuracy of dentistry but also eased many difficulties for dentists. As a result, many technical techniques must be used to ensure the predictability and progn...
