Open Access DOI:10.23937/2378-2951/1410192
Percutaneous Reversal of Cyanosis on Catheterization Table in a 12-Year-Old Boy using Cera Vascular Plug - A Case Report
Santosh Kumar Sinha, FACC, FAESC, FSCAI, Mahmodullah Razi, Umeshwar Pandey and Vinay Krishna
Article Type: Case Report | First Published: July 29, 2020
Pulmonary arteriovenous malformations are commonly treated by embolization with coils or balloons to prevent cerebral complications and to raise the oxygenation of the blood. The Cera vascular plug (Lifetech Scientific, Shenzhen, China) is a new vascular device made of a self-expanding cylindrical nitinol mesh. Here we report a case of a 13-year-old boy who had presented with 4 year history of progressive exertional dyspnoea, cyanosis, and clubbing. Pulmonary arterio-venous malformation (multipl...
Open Access DOI:10.23937/2378-2951/1410191
Syncope in a Patient with H/O Kearns Sayre Syndrome
Saddam Yasin, MD, Kanwal Mehmood, MBBS and Osama Alsara, MD
Article Type: Case Report | First Published: July 29, 2020
Patients with history of mitochondrial disorders are at increased risk of having conduction disorders and cardiomyopathy and should have low threshold for pacemaker and implantable cardioverter defibrillator placement. Kearns Sayre syndrome is the result of deletions in mitochondrial DNA which causes bilateral pigmentary retinopathy and conduction abnormalities. Judicious use of implantable cardioverter defibrillator in this subset population with cardiomyopathy or prolonged QT interval is requi...
Open Access DOI:10.23937/2378-2951/1410189
Rapid-Onset Thrombocytopenia Following Tirofiban Administration
Andrew M Smith, MD, Timothy G Petrie, MD and Brian J Page, MD
Article Type: Case Report | First Published: July 24, 2020
A 61-year-old male presented to the emergency department with a two day history of intermittent, burning chest pain which became constant and radiated to the left arm. His past medical history was significant for coronary artery disease with two prior myocardial infarctions, three prior cardiac stenting procedures (in 1999, 2001, and 2006), tobacco use with more than a forty pack year history, hypertension, hyperlipidemia, gastroesophageal reflux, cluster headaches, and an early family history o...
Open Access DOI:10.23937/2378-3656/1410314
Immune-Mediated Necrotizing Myopathy with Anti-SRP Autoantibodies and Typical Clinical Presentation
Desislava Kalinova, Alexander Kopchev, Zlatimir Kolarov and Rasho Rashkov
Article Type: Case Report | First Published: July 27, 2020
Immune-mediated necrotizing myopathy (IMNM) is a relatively new disease, described for the first time in 2004. IMNM is a form of myositis since it is an inflammatory myopathy with strict involvement of the skeletal muscles albeit lymphocytic infiltration is sparse or absent. The clinical picture, pathological features and autoantibodies (Abs) of IMNM differ markedly from those of antisynthetase syndrome and non-specific myositis. Anti-HMGCR and anti-SRP Abs are strongly specific for IMNM, but th...
Open Access DOI:10.23937/2474-3682/1510147
Vitamin-K Dependent Protein Deficiency and Pseudoxanthoma Elasticum
Manish Kumar
Article Type: Image Article | First Published: July 25, 2020
27-year-old male referred from Dental clinic, due to asymptomatic incidental abnormal coagulation parameters. Clinical examination showed loose skin folds of axilla, anterior abdominal wall and chest which were suggestive of Pseudoxanthoma Elasticum. Rest systemic examinations WNL. Patient has similar family history. Coagulation profile showed PT-46 seconds, (control 12.50), INR 4.64 seconds, APTT 61.30 seconds (control 23.80), Mixing Studies-PT 13.8 seconds, PTT-29.7 Seconds....
Open Access DOI:10.23937/2474-3658/1510150
On Distance Respiratory Virus Transmission: Sate of Evidence
Luisetto M, Naseer Almukthar, A Yesvi Rafa, Manmohan Singh Jangdey, Fiazza C, Ferraiuolo A and Latischev Oleg Yu
Article Type: Research Article | First Published: July 31, 2020
Aim of this work is to verify hypotesys of air-borne transmission on distance related some respiratory and other virus and to compare with actual Covid-19 pandemic diffusion. After an analysis of relevant literature involved and submitting an experimental hypotesys a global conclusion is submitted for further research activity. Some peculiarity in Covid-19 diffusion velocity and mortality rate in some high polluted world region contributes to increase the interest in these topics....
Open Access DOI:10.23937/2377-9004/1410169
Giant Hemorrhagic Ovarian Cyst with Torsion-Rare Case Report
Durga K, MD, Yasodha A and S Yuvarajan
Article Type: Case Report | First Published: July 23, 2020
Giant ovarian tumours are rare nowadays due to early recognition of these tumours in clinical practice. Management of these tumours depends on age of the patient, size of the mass and its histopathology. We are reporting a rare case of torsion of hemorrhagic ovarian cyst presented to us with acute abdomen. 22-year-old, unmarried girl came to our outpatient department with complaints of lower abdominal pain for 3 days. Patient was apparently normal before 3 days after which she developed lower ab...
Open Access DOI:10.23937/2377-9004/1410168
A Case of a 33-Week Pregnant Woman with COVID-19 and Term Birth
György Léhner, MD, Walter Krugluger, MD, Stephan W Aberle, MD, Lukas Weseslindtner, MD and Beda Hartmann, MD
Article Type: Case Report | First Published: July 17, 2020
In this case report, we present a pregnant woman diagnosed with COVID-19 at 33 weeks gestation and having a vaginal birth at term. The postpartum and neonatal courses were uncomplicated. Anti-SARS-CoV-2-IgG antibodies were detected in the neonate. A vaginal delivery in this case was safe with clinical diagnosis of COVID-19. To date, there are only limited data about the effect of novel coronavirus (SARS-CoV-2) infection on pregnancy, delivery and placental transfer of antibodies. According to re...