Open Access DOI:10.23937/2378-3656/1410318

Duodenal Malt Lymphoma Developed in 1 Year

Ferdane Sapmaz, MD, Evrim Kahramanoğlu Aksoy, MD, Muhammed Yener Akpınar, MD, Ayşegül Erdem Metin Uzman, MD, and Yusuf Sedar Sakin

Article Type: Case Report | First Published: September 19, 2020

Intestinal MALT lymphoma is a very rare neoplasm and there is limited data about clinical and pathological characteristics. They can become visible in a very short time. A 47-year-old woman was referred to our department because of epigastric pain. Gastroduodenoscopy revealed an irregular mucosal nodular lesion with ulceration extending from the bulb to the second portion of the duodenum. Endoscopic findings were normal about one year ago. The pathology spesiemens show that; duodenal biopsy reve...

 Open Access DOI:10.23937/2474-3682/1510154

Dilated Pulmonary Artery Containing Swirling Smoke (SEC)

Sudeb Mukherjee, MBBS, MD, DM and Suhana Datta, MBBS, MS

Article Type: Image Article | First Published: September 23, 2020

Cases of dilatation of pulmonary artery in medical literature are not very uncommon. However presence of swirling smoke in dilated pulmonary arteries is very rare. Detection and management of such cases are very urgent to prevent fatal complications. Here I have reported one such rare case of dilated pulmonary artery with spontaneous echo contrast/smoke in a case of idiopathic pulmonary artery dilatation. 55-year-old female presented with shortness of breath on minimal exertion for last 4 months...

 Open Access DOI:10.23937/2643-3907/1710042

Immediate Placement and Provisionalization of Maxillary Incisors Implants in an Adolescent Patient: A Case Report

Vilma Umanzor, Mayra Pineda, Hugo Romero and Luis Gabriel Ladino

Article Type: Case Report | First Published: September 13, 2020

The evidence of implant-supported restoration on patients in physical development stages is scarce and controversial. The loss of permanent teeth in children and adolescents, usually caused by trauma or agenesis, can have a negative impact on aesthetics, function, and even social acceptance. The patient presented the need for replacement of both maxillary incisors due to increased mobility and recurrent infection. Cephalometric analysis, hand, and wrist radiographs were analyzed to identify the ...

 Open Access DOI:10.23937/2377-9004/1410171

Uterine Arteriovenous Malformation after First Trimester Termination of Pregnancy in a Patient with Hereditary Haemorrhagic Telangiectasia

Nicola Strobelt, MD, Elena Osella, MD and Vittorio Aguggia, MD

Article Type: Case Report | First Published: September 13, 2020

Hereditary haemorrhagic teleangiectasia (HHT) is a rare autosomic dominant genetic disorder, characterised by epistaxis, cutaneous teleangiectasias, and arteriovenous malformations (AVMs) located mainly in lungs, gastrointestinal tract, liver, and central nervous system. We report a case of uterine arteriovenous malformation acquired after medical pregnancy interruption in a patient with HHT, discussing the atypical genetic setting and the strategy for the case management. Uterine arteriovenous ...

 Open Access DOI:10.23937/2643-4474/1710041

Multiple Spinal Metastases from a Malignant Paraganglioma

Chrystal Calderon, MBBS, MRCS, Alberto Perez Villafuerte, Arianne Lalla, MBBS and Sandeep Maharajh, MBBS

Article Type: Case Report | First Published: September 16, 2020

A malignant paraganglioma is a rare form of cancer that depicts varying symptomatology on presentation. This case serves to highlight an aggressive form of the disease, with considerable metastasis to the cervical, thoracic, and lumbar spine. This case was reliant on histopathological analysis to confirm the diagnosis. A 34-year-old male of Afro-Caribbean descent presented with a 1-month history of shortness of breath, body pains and lower limb weakness. On investigation for a pulmonary embolus,...

 Open Access DOI:10.23937/2474-3658/1510161

Non-Invasive Diagnosis of Pulmonary Kaposi Sarcoma: A Case Report

Richard H Zou, MD, Vi Dam-Bao Nguyen, BS, Patrice A Zigrossi, MD, John M Beckham, MD, Brandon J Smith, MD, PharmD, Matthew J Gorgone, DO, Haris Zia, MD, Daniel Martinez Coconubo, MD, Michael S Landau, MD, Humberto E Trejo Bittar, MD, FACP, Roy W Semaan, MD, Georgios D Kitsios, MD, PhD and Christiane M Hadi, MD, MPH, MSc

Article Type: Case Report | First Published: September 13, 2020

Pulmonary Kaposi sarcoma (KS) is a low-grade malignant neoplasm associated with human herpesvirus-8 (HHV-8), seen predominantly in immunocompromised hosts. Classically, diagnosis relies on the combination of clinical history, exclusion of alternative infectious and neoplastic etiologies, and histopathologic confirmation of proliferating spindle cells staining positive for HHV-8. Tissue-based diagnosis requires bronchoscopy with biopsy and is associated with procedural complications, such as blee...

 Open Access DOI:10.23937/2474-3658/1510160

Ocular Manifestation of Lyme Disease: A Rare Case of Branch Retinal Vein Occlusion

Nasha Elavia, Si Li, Yichen Wang, Ibitola Yusuf and John Weisenreider

Article Type: Case Report | First Published: September 13, 2020

A 63-year-old male from Northeastern Pennsylvania presented in fall with the complaint of sudden onset of blurred vision in the right eye. This was preceded by a history of Lyme arthritis diagnosed with positive immunoglobulin titers (IgG and IgM) on Western blot analyses of the synovial fluid four weeks ago. His past medical history was remarkable for hypertension and hyperlipidemia. The sudden decrease in right eye visual acuity was moderate and reported at all distances. The patient denied an...

 Open Access DOI:10.23937/2474-3658/1510159

Genotype 4 Reassortant Eurasian Avian-like H1N1 Virus: Are We Ready for Another Global Threat or Pandemic?

Mujahed I Mustafa, Ayman Ahmed and Abdelrafie M Makhawi

Article Type: Commentary | First Published: September 13, 2020

The currently developing devastating pandemic of the coronavirus disease 2019 (COVID-19) has took over the global attention. Meanwhile, another virus with high potentiality to grow into a global pandemic has emerged in China, where human infections of the strain genotype 4 (G4) reassortant Eurasian avian-like (EA) H1N1 virus had been reported. However, fortunately human-to-human transmission was not detected yet but we need to keep an eye out for such potential scenario particularly that by the ...

 Open Access DOI:10.23937/2474-3658/1510158

Mathematical Model for the Transmission of Covid-19 with Nonlinear Forces of Infection and the Need for Prevention Measure in Nigeria

Daniel Deborah O

Article Type: Review Article | First Published: September 13, 2020

The Coronavirus Disease 2019 (COVID-19) has posed a great threat to global public health; of which was reported to emerge in Wuhan, China at the end of the year 2019. It became alarming to Nigerians when Nigeria recorded her first index case in February 2020 in the city of Lagos which has led to a total number of 5162 confirmed cases, 1180 recovered with 167 death recorded as at May 14, 2020. This paper proposes a mathematical model SEIQCRW which adopt the SEIR model to study the current outbrea...

 Open Access DOI:10.23937/2474-3658/1510157

Clinical Signs of River Blindness and the Efficacy of Ivermectin Therapy in Idogun, Ondo State, Nigeria

Afolabi Olajide Joseph

Article Type: Original Article | First Published: September 12, 2020

River blindness is a skin, and an eye disease caused by Onchocerca volvulus and vectored by a female hematophagous blackfly. The study aims to evaluate the distribution of the clinical signs of river blindness and the efficacy of Ivermectin in the treatment of river blindness in Idogun. Observational studies in epidemiology which involve the use of structured questionnaire to obtain useful epidemiological information from the respondents, physical assessment via palpation from head to ankle was ...