Open Access DOI:10.23937/2378-3656/1410294
Non-Typhoidal Salmonella Meningitis in an Adult Patient with HIV Infection: The Hostage-Taking Situation. Is There Any Solution?
Tarik Hanafi, Hicham Titou, Hasna Kerrouch, Rachid Frikh, Naoufal Hjira and Mohammed Boui
Article Type: Case Report | First Published: January 25, 2020
We report a case of Non-Typhoidal Salmonella meningitis (NTS) in adult HIV patient with many relapses despite well-conducted treatment, we compare this situation to a hostage-taking situation, perpetrated by NTS, taking the body of HIV patient as a hostage who cannot get rid of this germ. This is a clinical alert to discuss the efficiency of prolonged oral administration of Trimethoprim/Sulfamethoxazole in preventing relapse and a whistleblower for the urgency of developing a vaccine....
Open Access DOI:10.23937/2474-3682/1510141
Hemorrhagic Telangiectasia
Rkiouak, M Zaizae, I El Kassimi, N Sahel and Y Sekkach
Article Type: Image Article | First Published: February 13, 2020
A 45-year-old woman came to the internal Medical School A of Mohammed V Military Hospital, complaining of mild recurrent epistaxis related to telangiectasia at the nasal septum and chronic iron deficiency anemia requiring frequent blood transfusions with iron infusions. During his physical exam, we noticed telangiectasia lesions spread throughout her lower lip, tongue (Figure 1A), face, soft palate (Figure 1B) and outer ear (Figure 1C). Doing anterior rhinoscopy, we noticed hematic points on her...
Open Access DOI:10.23937/2474-3658/1510108
An Acute Gastroenteritis Outbreak Caused by Astrovirus Serotype 4 in a School of Shenzhen City, China, 2017
Luo Li, Li Yuan, Gao Zhiyong, Zeng Jinshui, Lian Yiyao, Song Wentao, Lv Bin, Chen Qi, Liu Na, Jin Miao, Liao Qiaohong, Wu shuyu, Li Zhongjie, Shi Guoqing and Ran Lu
Article Type: Research Article | First Published: January 29, 2020
Human astrovirus (HAstV) was first detected by Appleton and Higgins in 1975 in association with an outbreak of acute gastroenteritis in a maternity ward in England, and the same year named by Madeley and Cosgrove because of its star-like appearance. Astrovirus along with rotavirus, norovirus and sapovirus, is recognized as a common cause of viral acute gastroenteritis in adults and children. Similarly, with other enteric pathogens, the main clinical symptoms of astrovirus are vomiting, diarrhea,...
Open Access DOI:10.23937/2378-3001/1410096
Complications as Poor Prognostic Factors in Patients with Hemorrhagic Stroke: A Hospital-Based Stroke Registry
Rizaldy Taslim Pinzon and Vincent Ongko Wijaya
Article Type: Research Article | First Published: February 05, 2020
Stroke is one of the most important causes of global morbidity and mortality. In 2013, stroke was ranked second as the most common cause of death, responsible for 6.5 million deaths globally and the third most common cause of disability in the world. According to the latest world health organization (WHO) data published in 2017, stroke was the leading cause of death in Indonesia reached 332,663 or 19.79% of total deaths of the country. Stroke patients commonly experience medical complications su...
Open Access DOI:10.23937/2643-3907/1710030
Advanced Perineural Invasion of a Cutaneous Squamous Cell Carcinoma Involving the Supraorbital, Supratrochlear and Optic Nerves
Dharmika Tailor, James Alexander Potter and Phillip Ameerally
Article Type: Case Report | First Published: January 30, 2020
Perineural invasion (PNI) refers to the infiltration of tumour cells into the perineural space of a nerve. It is predominately associated with cutaneous squamous cell carcinomas (cSCC). While PNI has a low level of incidence, it significantly affects the prognosis leading to a poorer outcome. We report a rare case of extensive PNI from a scalp cSCC in a Caucasian gentleman. The supraorbital, supratrochlear and optic nerves were involved requiring an orbital exenteration as part of the surgical m...
Open Access DOI:10.23937/2643-4555/1710012
The Follow-Up of Thyroid Disease in 188 Pregnant Women According to the Guidelines of ATA (American Thyroid Association) 2017
Sema Yuksekdag, Aysun Firat, Abdullah Yildiz and Ethem Unal
Article Type: Original Research | First Published: February 03, 2020
Thyroid disease in pregnancy is a common clinical problem. Since the guidelines for the management of these disorders by the American Thyroid Association (ATA) were first published in 2011, significant clinical and scientific advances have occurred in the field. A major and substantial change in the new guidelines includes raising the upper limit in the normal thyroid function tests. For Thyroid Stimulating Hormone (TSH), the upper limit was 2.5 mU/L in the 2011 guidelines. Normal upper limit in...
Open Access DOI:10.23937/2377-9004/1410159
Immature Fetiform Teratoma: An Unexpected Cause of Retroperitoneal Mass
Fernando Vazquez Rueda, Maria Rosa Ibarra Rodriguez, Francisco Javier Murcia Pascual, Sharmila Devi Ramnarine Sanchez, Sandra Rocio Wiesner Torres and Rosa Maria Paredes Esteban
Article Type: Case Report | First Published: February 06, 2020
A 5-month-old with normal prenatal checks, with a right permeable hydrocele antecedent, a non-painful and well-delimited mass, which occupied the entire right hemi abdomen, was incidentally detected. Ultrasound and abdominal CT show a retroperitoneal lesion that occupied the entire abdominal cavity, with the presence of fat bulbs and calcifications, which did not depend on any organic structure. Tumor markers were normal. Laparotomy was performed with complete exéresis of tumour. Histopathologi...
Open Access DOI:10.23937/2377-9004/1410158
Uterine Rupture Following Misoprostol Induction of Labour at 36 Weeks Gestation in an Unscarred Uterus
Ansong G, Sebuabe SA and Afrani AK
Article Type: Case Report | First Published: January 30, 2020
Case report of a 33-year-old G5P3+1SA diagnosed with an intrauterine foetal death at 36 weeks gestation and induction of labour started with 400 ug of misoprostol vaginally, which was complicated by a uterine rupture with subsequent referral and management in our facility. Intra-operative findings during laparotomy revealed uterine rupture with a macerated still birth intra-abdominally and moderate hemoperitoneum. Uterine rupture in an unscarred uterus following unsuccessful induction is an adve...
Open Access DOI:10.23937/2469-5726/1510078
Bechet or Not, that is the Question?
Adnan N Kiani, Monthida Fangtham, Wilmer Sibbitt, Roderick Fields and Nicole S Emil
Article Type: Brief Report | First Published: January 30, 2020
A 20-year-old female with recurrent childhood ear infections, and reported history of recurrent oral, genital ulcerations and UTIs, presented as transfer from outside hospital with concern for Behcet syndrome. The patient initially had a 3-4-month history of fever, oral and genital ulcerations and worsening respiratory symptoms. She was initially treated at urgent care with antivirals and nitrofurantoin. She was later admitted to an outside hospital with worsening of aforementioned symptoms and ...