Open Access DOI:10.23937/2572-4193.1510082
How I Do It: The Reversible Tracheostomy Stitch
David K Lerner, MD, Yarah M Haidar, MD, Jill Gregory, CMI FAMI and Eric Genden, MD
Article Type: Original Article | First Published: May 30, 2020
Elective tracheostomy is routinely performed in conjunction with major head and neck surgery, notably during transoral robotic base of tongue resection and oral cavity/oropharyngeal resection with free flap reconstruction, due to concern for potential post-operative airway compromise. In these circumstances, the tracheostomy is typically intended to be temporary with reversal during the post-operative stay. In order to expedite tracheostomy site closure and preclude development of a tracheocutan...
Open Access DOI:10.23937/2474-3658/1510131
A Multicountry Level Comparison of BCG Vaccination Policy and COVID-19 Cases and Mortality
Moses Katbi, Oluwatosin Adeoye, Adefisayo Adedoyin, Adeoye Adegboye, Iyiola Faturiyele, Maryam Bello, Rose Khatri and Michele Russel
Article Type: Research Article | First Published: June 06, 2020
Globally, the COVID-19 pandemic has resulted in immeasurable disruptions in countries activities. Since the first reported case in December 2019, an estimated 140,000 people have died, with a case fatality rate of about 3%. The increasing rate of new cases and the evolving epidemiology of the COVID-19 virus means that the global health community is grappling to understand the current situation. The aim of this paper is to determine if the Bacilli Calmette-Guerin (BCG) vaccine used to protect aga...
Open Access DOI:10.23937/2469-5858/1510091
Severe Hypoglycemia in a Nondiabetic Old Woman Treated with a Single Oral Dose of Hydroxychloroquine for Covid-19
Davide Moro, Giacomo Gastaldi, Dina Zekry and Christine Serratrice
Article Type: Original Research | First Published: June 11, 2020
We report the case of a 75-year-old woman, admitted to the emergency geriatrics unit because of asthenia, non-bloody watery diarrhoea, vomitus and flu-like symptoms, started two days earlier. She had also rhinorrhoea without dyspnea, abdominal or chest pain. As far as she knew, she had no contact with Covid-19 infected individuals. She had no relevant medical history and no known allergies. She was non-smoker and had no history of alcohol consumption. She is married, the couple has a son and she...
Open Access DOI:10.23937/2469-5750/1510084
Longstanding Eruptive Keratoacanthoma of the Neck Arising From a Tattoo
Misbah Yehya, DO, Arnaud Batchou, OMS and Thomas Simpson, MD
Article Type: Case Report | First Published: June 10, 2020
Keratoacanthoma (KA) is a cutaneous neoplasm arising from follicular hair cells on sun exposed regions of the skin, particularly the head and neck. Their pathology remains controversial thus distinguishing between KA and squamous cell carcinoma (SCC) has proven to be difficult over the years. Some expert pathologists consider KA a precursor to SCC, while others define it as a well-differentiated variant of SCC or an abortive malignancy with low potential of progression to a full invasive squamou...
Open Access DOI:10.23937/2572-3286.1510053
Long-term Maintenance HP Acthar® Therapy for the Treatment of Refractory Idiopathic Membranous Nephropathy
Anushka Chadha, MD and Inderpal Chadha, MD
Article Type: Case Report | First Published: June 11, 2020
Current first-line treatments for idiopathic membranous nephropathy often insufficiently reduce proteinuria and creatinine. Additional treatments options are needed for these refractory cases. Herein, we describe the case of a 68-yearold white male with worsening dyspnea and peripheral lower extremity edema with biopsy-proven membranous nephropathy, without any identifiable secondary causes of the disease. He failed to achieve partial or complete remission after initial therapy of enalapril, ato...
Open Access DOI:10.23937/2469-567X/1510063
Prenatal is Still Neglected in Resource-Limited Areas despite the Use of Tests That Optimize the Diagnosis of Infectious Diseases in Brazil
Galileu Barbosa Costa, Raquel Gois Bastos, Ney Cristian Amaral Boa Sorte, Antônio Conceição da Purificação, Beneli Miranda dos Santos, Bernardo Galvão-Castro, Sara Nunez Vaz, Lauro Juliano Marin and Sandra Rocha Gadelha
Article Type: Original Research | First Published: June 05, 2020
Vertically transmitted infections are caused by a diversity of pathogenic microorganisms, and pregnant women are routinely screened to evaluate the risks and reduce the burden of general disorders in their unborn. We assessed the seroprevalence of syphilis, toxoplasmosis, hepatitis B and C, HIV and Human T lymphotropic virus (HTLV) in pregnant women using public healthcare services in two main cities in South region of Bahia State, Brazil. Blood samples were collected using filter paper cards fr...
Open Access DOI:10.23937/2469-5718/1510168
The Significance of Early Repolarization and Incomplete Right Bundle Block in Athletes
Samir Rafla, MD, PhD
Article Type: Brief Communication | First Published: June 12, 2020
The study included hundred persons engaged in competitive sports for duration not less than 6 months; with training at least 3 days per week and at least two hours per day. All were males. Full history especially questioning for syncope, tachycardias or chest pain was obtained as well as family history of sudden death or coronary disease. ECG was done for all plus echo Doppler in some cases. Early repolarization was accepted present if J point is elevated more than one mm in LII, III, aVF or in ...
Open Access DOI:10.23937/2378-2951/1410178
A Case of Left Ventricular Pseudo-Aneurysm
Allam Harfoush and Ousama Hayder
Article Type: Case Report | First Published: June 01, 2020
The patient was transferred from abroad hospital due to its medical costs, after performing a diagnostic CAG without PCI. However, the gentle-man did not have documents from his previous hospitalization but the videos of the CAG. Also, the patient has an undefined type of ACS due to the lack of information. The patient was asymptomatic when he consults the cardiovascular department in Tishreen University Hospital....
Open Access DOI:10.23937/2469-5696/1410051
Multicentric Castleman’s Disease with Disseminated Kaposi’s Sarcoma: A Report of Prolonged Misdiagnosis
Xiao Hu, Monika Pilichowska and Cindy Varga
Article Type: Case Report | First Published: June 06, 2020
54-year-old gentleman was diagnosed with acquired immunodeficiency syndrome (AIDS) when presenting with shingles in 2016. He was started on HAART but soon noted a very rapid increase in the size of his cervical, axillary and inguinal lymph nodes, along with profound constitutional symptoms. Immune reconstitution syndrome was suspected and prednisone was tried but did not alleviate symptoms. One month later, a core biopsy of the left axillary lymph node was undertaken and demonstrated predominant...
Open Access DOI:10.23937/2469-5823/1510144
To What Extent the Hand Hygiene among Health Care Workers Become the Core of Best Practice in the COVID-19 Era?
Sultan Mohammed Al Mutairi, MPH, Azzam Alotaibi, PhD, Mostafa Kofi, PhD, Anas Alsuraimi, MD and Amen Bawazir, PhD
Article Type: Original Article | First Published: June 13, 2020
In the Era of COVID-19 outbreak, hand hygiene become a particularly critical for frontline healthcare workers (HCWs) who are overstretched and for whom this key routine task must be easy to complete and effective to prevent Healthcare- associated infections (HAIs). Therefore, this current study aims to assess the level of knowledge, attitude and practice of hand hygiene among the HCWs and the potential factors influencing hand hygiene (HH) compliance according to the hand hygiene protocols at pr...