Open Access DOI:10.23937/2474-3682/1510201

Simultaneous Complex Fracture of the Corpora Cavernosa Bilaterally with Total Disjunction of the Urethra: Case Report and Literature Review

Adil Mellouki, Ahsaini Mustapha, Mellas Soufiane, El-Ammari Jalal Eddine, Tazi Mohammed Fadl, Elfassi Mohammed Jamal and Farih Moulay Hassan

Article Type: Image Article | First Published: March 24, 2022

Penile fracture is a rare urological emergency described as the traumatic rupture of the tunica albuginea of an erect penis, it usually occurs during sexual intercourse. Patients typically report a sound at the time of the injury, described as a snapping sound, immediate detumescence, and subcutaneous hematoma. Prompt surgical exploration and corporal repair is the most effective therapy. Urethral injury associated with a penile fracture is reported to be between 2 and 27% of cases; this latter ...

 Open Access DOI:10.23937/2474-3682/1510200

When Hemophilia Comes Late: A Spontaneous psoas Hematoma Revealing Acquired Hemophilia a in a 50-Year-Old Woman

Adil Mellouki, Anas EL Allali, Rhyan Alami Ouadane, Ahsaini Mustapha, Mellas Soufiane, EL-Ammari Jalal Eddine, Tazi Mohammed Fadl, Elfassi Mohammed Jamal and Farih Moulay Hassan

Article Type: Case Report | First Published: March 19, 2022

Spontaneous hematoma of the psoas muscle is a rare entity whose incidence varies between 0.6% and 6.6% and is potentially fatal. Although hematomas of traumatic origin are reported, spontaneous hemorrhages are relatively more frequent. Spontaneous iliopsoas hematomas usually occur in patients with coagulopathy due to hemophilia or anticoagulants/antithrombotics. Clinically, patients present with pain in the right iliac fossa, groin or back, with a flexed hip and tenderness in passive extension, ...

 Open Access DOI:10.23937/2474-3682/1510199

CT Guided Biopsy Revealing Pseudotumoral Autoimmune Pancreatitis

Hajar EL AGOURI and Mustapha AZZAKHMAM

Article Type: Medical Image | First Published: March 19, 2022

Immunoglobulin G4-autoimmune pancreatitis (IgG4- AIP) is a relatively rare chronic inflammatory disease of the pancreas. The physiopathology of this disease is poorly understood and still unclear. Due to the lack of specific clinical symptoms and imaging findings, it is often misdiagnosed as pancreatic cancer which may lead to abusive surgery. Herein we are report a rare case of IgG4-AIP in a 70-year-old woman, admitted in hospital for chronic epigastric pain. Clinical investigations and CT-scan...

 Open Access DOI:10.23937/2643-4474/1710100

Pulmonary Infarction and Acute Respiratory Distress Syndrome Resulted from Small Amount of Peripheral Pulmonary Cement Embolism following Cement-Augmented Pedicle Screw Fixation: A Rare Case and Literature Review

Chia-Jung Hsieh and Fon-Yih Tsuang

Article Type: Case Report | First Published: March 14, 2022

The information about symptomatic pulmonary cement embolism (PCE) following vertebroplasty and cement-augmented pedicle screw fixation is limited. To our knowledge, this is the first reported case of severe acute respiratory distress syndrome (ARDS) caused by a relatively small amount of peripheral PCE, which resulted in mortality. A 78-year-old man underwent L1 corpectomy and reconstruction and posterior fixation for painful T11, T12, and L1 burst fracture and concurrent osteonecrotic changes o...

 Open Access DOI:10.23937/2572-4010.1510044

The Obesity and Its Effect on Kidney Disease

Esraa A Ghazaly

Article Type: Comparative Study | First Published: March 12, 2022

Obesity has become a worldwide epidemic disease. It is a complex disease involving an excessive amount of body fat. Obesity isn’t just a cosmetic concern. It’s a medical problem that increases the risk of other diseases and health problems, such as heart disease, diabetes, high blood pressure and certain cancer. Besides, it has been pointed out as a vital cause of kidney diseases. Due to its close association with diabetes and hypertension, excess weight and obesity are important risk factor...

 Open Access DOI:10.23937/2474-3658/1510253

Achieving Zero Coronary Artery Bypass Graft Surgical Site Infections for Over Four Years: Our Experience Utilizing Bundle Elements, Education, and Audits

Mohamed Adawee, MSN-IPC, CIC, CPHQ, Ara Pridjian, MD, Linnea Eifert, CST, Chaney Manarin, MPH and Viviana Snyder, BSN, RN, CIC

Article Type: Original Article | First Published: March 14, 2022

SSI prevention bundle elements are pre-operative, peri-operative, and post-operative steps that are required to achieve best results. We follow the CDC’s SSI prevention bundle checklist recommendations. Pre-operative bundle elements include Methicillinresistant Staphylococcus aureus (MRSA) screening and nasal decolonization. Antiseptic prophylaxis via CHG soap or wipes are used for bathing the night before or morning of the procedure, antimicrobial prophylaxis is administered one to two hours ...

 Open Access DOI:10.23937/2474-3658/1510252

Determinants of Death among COVID-19 Patients Admitted in Amhara Region COVID-19 Treatment Centers, Ethiopia, 2021, Unmatched Case Control Study

Zelalem Animut, Melkamu Bedimo, Abebayehu Bitew, Sefineh Fenta, Anteneh Mengist and Tewodros Nigussie

Article Type: Original Article | First Published: March 14, 2022

The rapid emergence of the novel corona virus disease 2019 (COVID-19) has resulted in millions of infected patients and deaths in worldwide. Studies conducted till today show that the outcome of COVID-19 varies based on individual characteristics. The purpose of this investigation was to identify the determinants of COVID-19 deaths in Amhara Region. The study aimed to identify the determinants of death among COVID-19 patients admitted in Amhara region COVID-19 treatment centers, Ethiopia, 2021. ...

 Open Access DOI:10.23937/2474-3658/1510251

The Pattern of COVID-19 among Hospitalized Athletics Patient: A Comparative Study from Basrah City, Southern Iraq

Ali Raheem Hashim, Haithem Jawad Kadhum and Hassan Ala Farid

Article Type: Original Research | First Published: March 09, 2022

Acute infection with the novel coronavirus causing COVID-19 illness results in a wide range of clinical manifestations in the general adult population. The clinical course and effects in non-athletic people have already been studied, but insufficient data is available on athletics. This study is designed to evaluate the pattern, clinical course, the outcome of COVID-19 among athletics in Basrah city in the south of Iraq. A comparative study design was used to compare 18 athletics with sexed an...

 Open Access DOI:10.23937/2474-3690/1510066

Effects of a Four-Week Isometric Exercise Training on Blood Pressure of Hypertensive Stroke Survivors in a Tertiary Health Institution

Obaseki Chigozie Okwudili, Adodo M Samuel, Ede Stephen Sunday and Elvis I Agbonlahor

Article Type: Research Article | First Published: March 13, 2022

Little is known about the potency of isometric exercise for blood pressure control among hypertensive stroke survivors (HSS). Meanwhile, the isometric exercise regimen stands to be a preferable intervention for at-risk subjects even at acute phases as it could be carried out at a resting position compared to aerobic and resistance exercise regimens. This study investigated the acute effect of isometric exercise training protocol on blood pressure of hypertensive stroke survivors in the Universit...

 Open Access DOI:10.23937/2469-567X/1510081

Atypical Toxoplasmosis and Progressive Multifocal Leukoencephalopathy in HIV Infected Patients

Andrea Gutiérrez Villanueva, Alberto Díaz de Santiago, Sara De la Fuente Moral, Fernando Martínez Vera, Jesús Herráiz Jiménez, Rocío Velasco and Lucía Alba Alcántara

Article Type: Case Report | First Published: March 12, 2022

Concerning two cases of atypical toxoplasmosis and progressive multifocal leukoencephalopathy coinfection in HIV-positive patients and due to the clinical and prognostic relevance of both entities, we decided to make a review of space-occupying lesions in the CNS in HIV patients. Both patients presented neurological symptoms and atypical intracranial lesions on imaging tests. On admission they were diagnosed with advanced stage HIV, so we made the differential diagnosis with the most frequent op...