Open Access DOI:10.23937/2474-3682/1510140
Sporotrichoid Leishmaniasis
Ilyass ANOUAR, MD and Naoufal HJIRA, MD
Article Type: Image Article | First Published: October 24, 2019
A 39-year-old patient, who travels 2 years ago to a desert area in south-eastern Morocco, presented with an ulcerous and crusty plaque on his left leg. The clinical exam founds numerous, ulcerous and crusty nodules, confluent to form a plaque of about 5 cm long (Figure 1A), painless with some smaller satellite lesions (arrows) arranged on sporotrichoïd pattern (Figure 1B). Parasitological examination found numerous amastigotes within mononuclear cells and pathology shows a granulomatous infiltr...
Open Access DOI:10.23937/2469-5777/1510079
Complex Thoraco-Abdominal Trauma: Transdiaphragmatic Intercostal Hernia and Rib Fractures
Sally Shepherd, MD, Annelise Cocco, MBBS, FRACS, Phillip Antippa, MBBS, FRACS and Jacob McCormick, MBBS, FRACS
Article Type: Case Report | First Published: October 14, 2019
Injuries to the costal margin which involve herniation of abdominal contents into the chest are rare. Two major mechanisms of transdiaphragmatic intercostal hernia are recognised: post-traumatic and spontaneous. It is hypothesised that disruption of either the diaphragm or intercostal muscles leads to herniation of the abdominal contents, and that negative intra-thoracic pressure then draws the herniated viscera further into the chest. A 66-year-old male was transferred to the emergency departme...
Open Access DOI:10.23937/2643-4474/1710025
Pharyngeal Perforation after Anterior Cervical Fusion Surgery
Munibe Busra Erdem, MD, Emrah Celtikci, MD, Utku Aydil, MD, Mesut Emre Yaman, MD and Hakan Emmez, MD
Article Type: Case Report | First Published: October 07, 2019
Pharyngeal perforation is a serious complication of anterior cervical fusion surgery. If it is not diagnosed in the early period and the treatment is delayed, catastrophic consequences may occur which may cause death such as septicemia, mediastinitis, pneumonia and meningitis. We shared the presentation of our two cases. In the first case, pharyngeal perforation and spontaneous extrusion of the C2-C3 fixation device occurred after eight years from surgery. The fixation device removed and the pha...
Open Access DOI:10.23937/2572-4193.1510067
Open Rhinoplasty Approach for Resection of a Subcutaneous Aneurysmal Fibrous Histiocytoma
Anna Frants, MD, Marissa Lafer, MD, Cheng Z Liu, MD and Judy W Lee, MD
Article Type: Case Report | First Published: October 14, 2019
Aneurysmal fibrous histiocytoma (AFH), also known as aneurysmal dermatofibroma, is a rare variant of the more common and benign dermatofibroma (fibrous histiocytoma). AFHs account for approximately 2% of all cutaneous fibrous histiocytomas, and have been reported to occur most often on the extremities of young to middle aged adults, with a slight female predominance. The mass was excised en bloc using an open rhinoplasty approach. Once the nasal skin-SMAS envelope was elevated, a lobular, cystic...
Open Access DOI:10.23937/2572-4193.1510066
Modified Rhinolift: A Minimally Invasive Technique for Age- Related Tip Ptosis
Nikolaus Hjelm, MD, Peter Ciolek, MD, Ryan Heffelfinger, MD and Howard Krein MD, PhD
Article Type: Case Report | First Published: October 07, 2019
As one ages, the structure of the nose undergoes a number of changes, leading to alterations in form and function. Patients with no previous history of nasal issues may present with age-related nasal obstruction later in life. Tip ptosis is a well-recognized etiology of nasal obstruction in the aging patient. The pathogenesis is believed to be due to weakening of several of the tip support mechanisms. Of primary importance, there is age-related degradation of the fibrous union at the cephalic ed...
Open Access DOI:10.23937/2572-3278.1510041
The Efficacy, Safety and Side-Effect Profile of the Ketogenic Diet in the Treatment of Pediatric Super-Refractory Status Epilepticus
Gurkan Gurbuz, Burcu Kumru, Sevinc Ozsevik, Ali Evren Bilgic and Aycan Unalp
Article Type: Research Article | First Published: October 16, 2019
Four of the six patients (66.6%) were female. Patients’ mean age was 2.8 years (min: 1, max: 9 years). Four epileptic encephalopathies were determined, two Lennox- Gastaut, one WWOX encephalopathy, and one undiagnosed epileptic encephalopathy. Mean time from the start of status epilepticus to start of ketogenic diet was 13.1 days (min: 8, max: 20) and mean duration of the ketogenic diet was 4.1 months (min: 1, max: 8). One patient's seizures ceased, and the seizures of two other patients decre...
Open Access DOI:10.23937/2474-3658/1510095
Design and Validation of a Survey for the Study of Food and Nutritional Security to Climate Change Vulnerability
Carlos Matias Scavuzzo, Eliana Álvarez Di Fino, Alberto Ferral and Maria Daniela Defago
Article Type: Original Article | First Published: October 14, 2019
Human Security is a concept instituted by the United Nations and refers to the possibility that each person can satisfy basic needs of different kinds: Health, food, environment, education, economy, politics, institutional access, etc. Both WHO and FAO emphasize these concepts related to food and nutritional security (FNS), and relate it to the vulnerability derived from emergency and disaster situations. These are increasingly frequent and complex in a context of climate change, since they affe...
Open Access DOI:10.23937/2469-5858/1510078
Interventions for Treating Urinary Incontinence in Residential Care: A Narrative Review
Karen Farrell and Akke Vellinga
Article Type: Narrative Review | First Published: October 18, 2019
Urinary incontinence (UI) is highly prevalent in elderly people residing in nursing homes. Care staff often lack the knowledge and management skills to effectively care for and treat residents with UI. The implementation of standardised treatment interventions at the individual or nursing home level can help to successfully manage and reduce UI in elderly residents. MEDLINE and PubMed were searched from 2005-2019 using selective search strategies, detailing interventions and randomised controlle...
Open Access DOI:10.23937/2469-584X/1510070
Successful Treatment of Hepatitis C, Genotype 3, Treatment Failure (Sofosbuvir/Daclatasvir) with Sofosbuvir/Velpatasvir in Decompensated Cirrhosis Complicated by Renal Insufficiency
Marco Distefano, Lorenza Di Marco, Enzo Scifo, Salvatore Gruttadauria, Gaetano Scifo and Vito Di Marco
Article Type: Case Report | First Published: September 30, 2019
Clinical trials and real word data have proven that chronic hepatitis C (HCV) can be eradicated (sustained virological response SVR or ‘cure’) in the majority of patients by direct - acting antivirals (DAAs) . There are, however, groups of patients in whom HCV treatment outcomes with direct acting antivirals (DAAs) are suboptimal (genotype (GT) 3 patients, decompensated cirrhosis, renal failure) or have not been studied in large cohorts (patients with relapse to a previous DAAs treatment (fa...
Open Access DOI:10.23937/2474-1353/1510106
Profile and Spatialization of Pregnant Women with Gestational Syphilis and Congenital Syphilis in a Municipality in South Brazil
Elenir Terezinha Rizzetti Anversa Daros dos Santos, Nicassia Cioquetta Lock, Sandra Trevisan Beck, Luciane Silva Ramos, Valeria Parecida da Rosa and Teresinha Heck Weiller
Article Type: Research Article | First Published: October 07, 2019
Congenital Syphilis (CS) is one of the most serious adverse outcomes in pregnancy, avoidable through early detection and treatment of the pregnant woman and her sexual partner. During this period, 128 cases of GS and 73 cases of CS were notified. The frequency of notifications during the studied period increased from 2.3% to 39.2% for GS and from 1% to 41% for CS. Only 23.4% of the pregnant women’s partners with GS were treated during antenatal care. Considering the number of GS and CS cases n...