Open Access DOI:10.23937/2378-2951/1410061
Serum Omentin-1 Concentrations and Biochemical Markers of Chronic Subclinical Inflammation in Obese Subjects
Eman M Alissa, Maisa'a M Al-Salmi, Nabeela Alama and Gordon A Ferns
Article Type: Original Research Article | First Published: November 21, 2015
Background: Whilst chronic subclinical inflammation is now considered to be a predisposing risk factor of cardiovascular diseases. The extent by which adipokines induce metabolic abnormalities in humans is not fully resolved. The purpose of this study was to examine the relationship between insulin resistance and serum inflammatory markers in obese subjects. Methods: One hundred and five subjects without any clinically evident CVD were classified into 3 coronary risk levels according to Framingh...
Open Access DOI:10.23937/2378-2951/1410060
Brugada Syndrome; Cause of Syncope during Transcutaneous Electrical Nerve Stimulation Therapy
Abdulmelik Yildiz, Mustafa Budancamanak and Cennet Yildiz
Article Type: Case Report | First Published: November 20, 2015
38 year old male patient with preauricular abcess developed presyncope during high-grade fever and diagnosed as having Brugada syndrome with type 1 ECG pattern. The diagnosis of Brugada syndrome was made in educational and research hospital. His Electroencephalography (EEG) was normal. Coronary angiography showed myocardial bridging of the left anteriyor descending coronary artery after second diagonal branch and no hemodynamically significant coronary artery disease. Technesium (TC99 MIBI) Myoc...
Open Access DOI:10.23937/2378-3656/1410075
Coxofemoral Arthritis Caused by Mycobacterium Bovis after Bacillus Calmette-Guerin Therapy
R Bouchentouf, K Idrissi Koulali, O Ghoundale, A Elktaibi and A Benjelloun
Article Type: Case Report | First Published: December 08, 2015
BCG therapy is the standard treatment for superficial bladder tumors. However, this treatment is not devoid of local and systemic side effects such as flu-like symptoms, liver granulomatosis, damage of both the gastrointestinal and the urinary tracts and bone lesions. Rheumatological complications such as arthralgia, reactive arthritis and osteoarticular infections, although rare, were reported after BCG therapy....
Open Access DOI:10.23937/2378-3656/1410074
Reactive Edema after Endoscopic Polipectomy Simulating a polypoid Lesion: A New Pitfall in CT Colonography
Francesco Lassandro, Luigi Urciuoli, Marilina D'Amora, Tullio Valente, Giulia Lassandro and Enrica Barra
Article Type: Case Report | First Published: December 08, 2015
Computed Tomography Colonography (CTC) is a feasible and minimally invasive technique widely accepted both for screening and diagnosis of colon cancer. The major limit of CTC compared to optical endoscopy resides in its minor specificity due to false positive findings. Several non-pathologic aspects mimicking true polyps are described in medical literature and are well known to radiologists. In this study we report seven pathologically documented cases of reactive edema appearing after a previou...
Open Access DOI:10.23937/2378-3656/1410073
Trapped in a Breathless Condition - A Case Report and Discussion of a Malignant Pleural Effusion and Trapped Lung
Ashima Lal, Paul L Desandre and Tammie E Quest
Article Type: Case Report | First Published: December 02, 2015
A 26 year old male with no significant past medical history presented in March of 2015 with hematuria found to have bilateral renal masses - large mixed cystic/solid lesions on computerized tomography. He was diagnosed with clear-cell renal cell carcinoma with metastasis to the lymph nodes and pulmonary nodules suspicious of metastasis. Shortly after diagnosis, he completed 3 cycles of chemotherapy (sunitinib) prior to developing a pleural effusion, requiring thoracentesis for symptom relief as ...
Open Access DOI:10.23937/2378-3656/1410072
Use of Infraclavicular Temporary Perineural Catheter in the Exercise for Range of Joint Motion - Case Report
Ilke Kupeli, Ufuk Kuyrukluyildiz, Hakan Gokalp Tas and Aysin Alagol
Article Type: Case Report | First Published: December 02, 2015
Olecranon fractures are the most common type of injury seen in the upper extremities and restricted joint mobility may be developed due to the long plaster cast time. Most of these patients will be required to participate in intense physical therapy in order to maintain and increase range of motion postoperatively. This physiotherapy process is a serious stressor for these patients because of pain. In addition to several modalities such as systemic administration of opioids, permanent/temporary ...
Open Access DOI:10.23937/2378-3656/1410071
False-Positive Radioactive Iodine Uptake in Uterine Fibroids
Teo Tee Yin T, McNeely Parren, Stolpen Alan, Menda Yusuf, and Graham Michael M
Article Type: Case Report | First Published: November 25, 2015
A premenopausal Chinese female in her forties had recently undergone thyroidectomy for multinodular goiter which she suffered for decades and failed conservative treatments. On pathology specimens, multifocal subcentimenter papillary thyroid carcinoma was detected with the largest lesion measures 3.7 cm. On the histopathology report, there was no metastatic lymph nodes, neurovascular or lymphovascular invasion identified. As part of the clinical staging process, patient was given a small dose of...
Open Access DOI:10.23937/2378-3656/1410070
Gemella Prosthetic Aortic Valve Endocarditis Treated Successfully with Vancomycin and Gentamicin
Rupa Patel, Drew Schwartz, Lemuel Non and Alan Braverman
Article Type: Case Report | First Published: November 18, 2015
Gemella, a facultative anaerobic Gram-positive cocci normally found in the oral cavity, is a well-described but rare cause of subacute infective endocarditis. Its exact incidence may be underestimated because of difficulties isolating this organism. We describe a case of bioprosthetic aortic valve, late-onset endocarditis with Gemella that was treated with vancomycin and gentamicin initially, in a 59 year-old man who reported severe allergy to penicillin....
Open Access DOI:10.23937/2378-3656/1410069
Gastrointestinal Stromal Tumor near Gastroesophageal Junction with Concomitant Hiatal Herni
Amir Aryaie, Yuxiang Wen and Leena Khaitan
Article Type: Case Series | First Published: November 12, 2015
The patient is a 71 years old lady who initially presents with significant gastroesophageal reflux, chronic blood loss anemia, and mild dysphagia. Her reflux symptoms have been refractory to optimal medical treatments. She was initially afebrile with unremarkable vital signs, and physical exam was otherwise normal: abdomen was non-tender, non-distended, and no hepatosplenomegaly. Despite the fact that she denied recent weight gain or weight loss, her hemoglobin and hematocrit levels were 8.6 an...
Open Access DOI:10.23937/2378-3656/1410068
Case Series and Proposed System of Nomenclature for Aneurysms of the Portal Venous System
Anthony Visioni, John Ammori and Jeffrey Hardacre
Article Type: Case Series | First Published: November 09, 2015
Aneurysms of the portal vein (PV), superior mesenteric vein (SMV), and splenic vein (SV) are rare. There are less than 200 cases reported in the English literature since the condition was first described in 1956 by Barzilai and Klecker. Studies to date have commented on the radiographic characteristics, natural history, and possible management options of this clinical entity. While most of the literature falls under the category of portal venous aneurysms, there are also case reports of isolated...