Open Access DOI:10.23937/2469-5807/1510118

Prevalence of Incidental Thyroid Nodules at Necropsies Performed at a Division of Postmortem Inspection in Brazil

Gilberto Mendes Menderico Jr, PhD, MD, Leonardo Salgado Alves, MD, Layla Riva Ismail, MD, Pedro Estefan Otaviani Bernis, MD, Larissa Cichello Benassi, MD, and Rodrigo Lopes Pessoa da Silva, MD

Article Type: Original Article | First Published: March 08, 2021

Thyroid nodules are prevalent in the general population, especially in women and the elderly. Often, the diagnosis of nodular lesions is incidental, representing a very common finding, and usually these lesions are not clinically important since few of them carry a malignant neoplasm. Despite the low incidence of malignancy, it is imperative to exclude the presence of thyroid carcinoma. This report aims is to identify the prevalence of thyroid nodules in the population of Baixada Santista (a geo...

 Open Access DOI:10.23937/2643-4563/1710026

Destructive Mono-Arthritis Caused by Mycobacterium bovis during Treatment with Pembrolizumab in a Patient Previously Treated with BCG Instillations for Bladder Cancer: A Case Report

Cynthia Epskamp, Susanne M Huijts, Peter AHM van der Lubbe and Debbie G.J. Robbrecht

Article Type: Original Article | First Published: February 10, 2021

Immune checkpoint inhibitor (ICI) treatment is an integral part of second line treatment of patients with urothelial carcinoma (UC) as well as in first line in cisplatin-ineligible patients with PD-L1 positive tumours. A substantial proportion of patients with bladder cancer have been treated with intravesical Mycobacterium bovis BCG in the past. Although it is rare, disseminated infections with Mycobacterium bovis have been described, but not in association with ICI treatment. We herein report ...

 Open Access DOI:10.23937/2469-5734/1510127

Oral Biofilm and Its Impact on Oral Health, Psychological and Social Interaction

Gedif Meseret Abebe

Article Type: Review Article | First Published: March 12, 2021

Oral health can be act as “mirror” that indicate and reflect the overall health condition, life style and oral hygiene. Oral cavity harbours arrays of microorganisms that interact with diet, oral environment, and host. This complex dynamic interaction results in microbial colonization and the subsequent oral biofilm formation. Oral biofilms are highly ordered, surface-associated assemblages of microorganisms embedded in an extracellular matrix. These surface-attached microbial communities ar...

 Open Access DOI:10.23937/2378-346X/1410124

Pars Plana Vitrectomy for Symptomatic Vitreous Floaters: Another Look

Tayab C Waseem, PhD, Evan R DaBreo, MD, Jiang Douglas, MS, Yousef Hasanzadah, BS, Rebecca Clawson, BS, Alan L Wagner, MD, FACS and Kapil G Kapoor, MD, FACS

Article Type: Original Research | First Published: March 22, 2021

Historically, pars plana vitrectomy (PPV) has been considered a controversial treatment for elective removal of primary symptomatic vitreous opacities (floaters) due to the possibility of extreme and even blinding side effects of the procedure. The purpose of this study is to determine the safety and patient satisfaction level for those who undergo PPV for removal of vitreous floaters. This was a retrospective study of 54 eyes in 51 patients (average age 68) who underwent 23 gauges PPV between 2...

 Open Access DOI:10.23937/2378-3001/1410108

Multiple Mononeuropathy in Churg-Strauss Syndrome Presenting as a Subacute Ascending Polineuropathy: A Case Report

Michele Pistacchi, Manuela Gioulis, MD, Sergio Ferrari, MD, Tiziana Cavallaro, MD and Sandro Zambito Marsala, MD

Article Type: Case Report | First Published: March 13, 2021

Multiple mononeuropathy is not unusual in Churg-Strauss Syndrome. Presenting symptoms may be subacute and the differential diagnosis became complicated, particularly when neuropathy is the sole manifestation of disease. We report a clinical case of an adult man hospitalized complaining symptoms of subacute neuropathy successively recognized as multiple mononeuropathy. Histological examination of sural nerve showed the evidence of systemic necrotizing vasculitis with eosinophils infiltration, con...

 Open Access DOI:10.23937/2378-3672/1410057

Factors Affecting the Pattern of Skin Dermatoses among Human Immunodeficiency Virus Infected (HIV) Children in Aminu Kano Teaching Hospital Kano

Aishatu Yahya Muhammad

Article Type: Research Article | First Published: March 13, 2021

The pattern of skin dermatoses in HIV infected individuals particularly children are associated with some factors. The type of skin dermatoses gives an insight on diagnosing HIV disease. This study was conducted to identify those factors among HIV infected children that are associated with the pattern of skin disorders among HIV infected children in Aminu Kano Teaching Hospital, Kano, Nigeria. A cross-sectional study was conducted to determine the factors associated with pattern of skin dermatos...

 Open Access DOI:10.23937/2643-3885/1710052

Use of a Second Ray Amputation for Foot Salvage in a Collegiate Athlete with Proteus Syndrome

Ethan R Harlow, MD, Pranav Khambete, BS, Jason Ina, MD, and Shana Miskovsky, MD

Article Type: Case Report | First Published: February 22, 2021

Our patient is a 20-year-old female, NCAA Division II collegiate soccer player, who presented to the office with progressive deformity and pain of the right foot and second toe that has been worsening over one year. At age 5, she was diagnosed with PS with the right foot overgrowth as the presenting symptom. Her symptoms progressed to the point where prolonged standing would cause her pain and thus rendered her unable to continue her athletic endeavors, limited her shoe wear, and began to affect...

 Open Access DOI:10.23937/2378-3419/1410148

Metastatic Tfe3-Overexpressing Renal Cell Carcinoma: Case Report and Literature Review

Paulo Victor Zattar Ribeiro, Leonora Zozula Blind Pope, Beatriz Granelli, Milena Luisa Schulze, Andréa Rodrigues Cardovil Pires and Mateus da Costa Hummelgen

Article Type: Case Report | First Published: March 19, 2021

Renal cell carcinoma (RCC) associated with Xp11.2 translocation/TFE3 gene fusion (Xp11.2 RCC) is a rare subtype of RCC which is delineated as a distinct entity in the 2004 World Health Organization renal tumor classification. To highlight a rare case, with few publications on the topic, in addition to providing scientific explanations about it. This is a case report of a 58-year-old white male with the diagnosis of renal clear cell carcinoma (RCC). The immunohistochemistry was performed and show...

 Open Access DOI:10.23937/2378-3419/1410147

Triple Chemotherapy (DOX) in Patients with Advanced Gastro- Esophageal Adenocarcinoma - A Phase II Study

Tarpgaard LS, Jensen M, Schønnemann KR, Jensen HA, Yilmaz M and Pfeiffer P

Article Type: Original Research | First Published: March 19, 2021

Triple chemotherapy improves efficacy in patients with advanced gastro-esophageal (GE) cancer. In a phase I dose- finding trial including 23 patients we established a recommended dose of triple chemotherapy with docetaxel (D), oxaliplatin (O), and capecitabine (X) (DOX). We found promising activity and here we present efficacy data from the succeeding phase II trial. Patients and Methods: All patients had histologically confirmed GE adenocarcinoma. Therapy was docetaxel (51 mg/m2 as a 60 minutes...

 Open Access DOI:10.23937/2378-2951/1410222

Innovative Technique of Primary Percutaneous Coronary Intervention in Patients with Impaired Renal Function using Ultra Low Volume Contrast Agent Using Side Branch Wire as a Marker

Santosh Kumar Sinha, FACC, FAESC, FSCAI, Awadesh Kumar Sharma, Mahmodullah Razi and Umeshwar Pandey

Article Type: Case Report | First Published: March 22, 2021

Contrast-induced nephropathy (CIN) is a serious complication in patients with chronic kidney disease with coronary artery disease who undergo percutaneous coronary intervention (PCI), and is associated with higher morbidity and mortality in short and long term. The limiting volume of contrast agent is safest and most reliable strategy to prevent CIN. Here, we report a case of suc¬cessful primary PCI using only 13 ml of contrast (iodixanol) of mid left anterior descending artery where wire in di...