Open Access DOI:10.23937/2469-5742/1510075
Urinothorax Following Microwave Ablation of a Renal Mass
Matt Miller, HBA, Blake Hamilton, MD and Keith Quencer, MD
Article Type: Case Report | First Published: November 11, 2020
Percutaneous ablation of renal masses is an alternative to partial nephrectomy. The three main techniques for ablation of these masses are Radiofrequency ablation, cryoablation and microwave ablation. We report a case of an 83-year-old man who underwent microwave ablation of a renal mass complicated by delayed development of an urinothorax eventually necessitating nephrectomy. Urinothorax following percutaneous renal ablation has not previously been described in the published literature. Compare...
Open Access DOI:10.23937/2572-4193.1510092
A Rare Case of Actinomyces odontolyticus Infection after Injection Laryngoplasty with Deflux
Kelti Munroe, BSc, Jonathan Melong, MD and Timothy Brown, MD, FRCSC
Article Type: Case Report | First Published: November 06, 2020
Actinomyces odontolyticus is a grampositive, anaerobic bacteria that is part of the normal oral commensal flora. It has been previously demonstrated to be a rare cause of endogenous bacterial infections in humans. In the current case report, we present a rare case of vocal cord infection caused by Actinomyces odontolyticus after injection laryngoplasty with Deflux in an otherwise healthy male patient. A 61-year-old healthy male was taken to the operating theater for injection laryngoplasty for a...
Open Access DOI:10.23937/2572-4193.1510091
A Rare Presentation of Gradenigo’s Syndrome
Nilam U. Sathe, MBBS, MS ENT, Dharmishtha R. Kaku, MBBS, MS ENT, DNB ENT, Anjali Taku, MBBS, MS ENT, Muniram Pawara, MBBS, MS ENT and Vani K. Gupta, MBBS, MS ENT, DNB ENT
Article Type: Case Report | First Published: November 05, 2020
Gradenigo’s syndrome is a characteristic triad of suppurative otitis media, pain in distribution of trigeminal nerve and abducens nerve palsy. Early diagnosis and management of Gradenigo’s syndrome is important as it can give rise to fatal complications. Careful clinical history and physical examination, neuroimaging are needed for a differential diagnosis. We present a case report of unusual presentation and eitiological cause of Gradenigo’s syndrome and its effective management. Patient ...
Open Access DOI:10.23937/2474-3658/1510173
Self-Swab and Saliva Collection for the Diagnosis of Covid-19. What Do Patients Feel About Them?
Hwang SY, Tan SY, Tan PT and Siau C
Article Type: Brief Report | First Published: November 07, 2020
SARS-CoV-2 is the virus being detected for tests for the illness COVID-19. The current gold standard for diagnosis of COVID-19 is a healthcare worker (HCW) performed nasopharyngeal (NP) swab. The IDSA (Infectious Diseases Society of America) suggests using nasopharyngeal, mid-turbinate, or nasal specimens rather than an oropharyngeal (or saliva) specimen because of limited data suggesting lower sensitivity with oropharyngeal specimens. However, subsequent studies have suggested that saliva speci...
Open Access DOI:10.23937/2474-3658/1510172
Infectious Diseases in Times of Conflict and War: The Loyal Companions
Isaac I, Malaeb M, Bou khalil A, Musharrafieh U and Bizri AR3
Article Type: Literature Review | First Published: November 04, 2020
The association between war, conflict, massive force displacement and infectious diseases has long been established. The influx of large numbers of syrian refugees to Lebanon burdened the country’s infrastructure on several levels, including the public health sector. The aim of this article is to evaluate the association between certain reportable infectious diseases, and the presence of Syrian refugees in Lebanon. Data, from non-governmental organizations and the Lebanese Ministry of Public H...
Open Access DOI:10.23937/2474-3658/1510171
Liver Abscess and Septic Pulmonary Dissemination by Klebsiella pneumoniae in a Hispanic Male: A Case Report
Jorge Cardenas, Galit Balayla and Carlos I Bustamante
Article Type: Case Report | First Published: November 04, 2020
Klebsiella pneumoniae invasive syndrome (KPIS) is a life-threatening condition with rising incidence across the globe. It is characterized by a monobacterial primary pyogenic liver abscess with or without additional dissemination. Some of the possible metastatic complications include endophthalmitis, lung nodules, meningitis, and potentially inflammation of any organ. Despite the wide distribution of common K. pneumoniae, invasive syndrome is often overlooked due to low incidence of hypervirulen...
Open Access DOI:10.23937/2378-3397/1410120
Surgical Management of an Intrathoracic Desmoid Tumor: A Rare Presentation
Santivañez JJ, Diaz A, Jiménez A and García Herreros LG
Article Type: Case Report | First Published: November 09, 2020
Desmoid tumor is a rare connective tissue tumor, accounting
for approximately 3.5% of connective tissue tumors and
0.3% of all solid tumors. It can originate in any part of the
body; however, we find them more frequently in extremities,
thorax and abdomen. True intrathoracic desmoid tumors
however (arise within the thoracic cavity) are remarkably
rare. The main problem is the ability to continue growing
more than in other locations, and the high relapse rates of
this tumor. Adequate surg...
Open Access DOI:10.23937/2378-3397/1410119
Economic Evaluation of Mammography-Based Breast Cancer Screening Program in Saudi Arabia
Awadh Alqahtani, MD, FRCSC
Article Type: Research Article | First Published: November 02, 2020
Breast cancer is the commonest malignancy among Saudi women, accounting for 23.6% of all female cancers. It has been the most frequent cancer in Saudi women for the last 30 years. The economic analysis of mammography screening carried out as a cost-effectiveness analysis. A decision tree based on a Markov model used in estimating effectiveness and costs. The purpose of the model is to integrate the following parameters: Screening costs, diagnostic costs, health care costs, discount rate and pote...
Open Access DOI:10.23937/2378-3516/1410146
Anti-PL-12 Associated Antisynthetase Syndrome-A Less Recognized Clinical Entity
Melcy Cleetus, Dantis Emmanuel, Rajesh Venkitakrishnan, Jolsana Augustine and Divya Ramachandran
Article Type: Case Report | First Published: November 06, 2020
Interstitial lung diseases, (ILD) or diffuse parenchymal lung diseases (DPLD) are umbrella terms used collectively to denote aetiologically heterogeneous group of disorders sharing clinical, radiographic and physiologic similarities. The treatment choices and prognosis vary substantially among the different causes of ILD and hence determining the correct etiology is of paramount importance. Connective tissue diseases are important causes of DPLDs and ILD is an important cause of morbidity and mo...