Case Report

The Challenging Treatment of Mycobacterium Abscesses after Gluteal Fat Injections in the Dominican Republic a Rare Pathogen, Becoming a Frequent Problem

A 53-year-old woman presented with sepsis from gluteal cellulitis and abscesses one month after undergoing abdominoplasty and "buttock sculpting" in the Dominican Republic.

Published on 18 Dec, 2017


Case Report

Mastoid Mucocele: An Uncommon Alert of Fibrous Dysplasia Onset: Case Report and Literature Review

The Problem: Fibrous dysplasia affects bone metabolism determining nonmalignant osseous change.

Published on 17 Dec, 2017


Research Article

The Croatian Experience in Multidisciplinary Treating of Children with Muscular Dystrophy

This review will briefly discuss the condition of muscular dystrophy in children and will explore the potential of multidisciplinary treating in managing the muscular dystrophy of children.

Published on 16 Dec, 2017


Case Report

Acute Kidney Injury by Ciprofloxacin Simulating Rapidly Progressive Glomerulonephritis

Ciprofloxacin is a quinolone widely used for the treatment of gastrointestinal, respiratory and genitourinary tract infections.

Published on 15 Dec, 2017


Case Report

Eosinophilic Pustular Folliculitis of Infancy

Eosinophilic pustular folliculitis (EPF) is a rare, idiopathic, recurrent, self-limiting disease.

Published on 14 Dec, 2017


Case Report

Morbidly Adherent Placenta in the Second Trimester in a Twin Pregnancy, Complicated by Massive Hemorrhage and Peritoneo-Vaginal Fistula –The Importance of a Multidisciplinary Approach

Background: Morbidly adherent placenta has become one of the leading causes of maternal morbidity and mortality with a rising incidence.

Published on 10 Dec, 2017


Case Report

A Case of Antiphospholipid Syndrome (APS)-Chronic Thromboembolic Pulmonary Hypertension (CTEPH)

Chronic Thromboembolic Pulmonary Hypertension (CTEPH) is the group 4 pulmonary hypertension, related to blood clots blocking the arteries of the lung. CTEPH can be a complication of APS.

Published on 06 Dec, 2017


Case Report

Continuous Spinal Anesthesia for Elderly Patient with Severe Restrictive Cardiomyopathy Undergoing Surgical Repair of the Hip

Diastolic dysfunction is being increasingly acknowledged as a sole cause of heart failure.

Published on 05 Dec, 2017


Case Report

Delusional Disorder and Risk of Suicide

Delusional Disorder (DD) is uncommon but can be dramatic in its presentation.

Published on 04 Dec, 2017


Clinical Image

Strangulated Right Diaphragmatic Hernia: A Diagnostic Trap to Avoid

A 78 year old woman with chronic obstructive pulmonary disease (COPD) post tobacco (30 packs annually) and Cardiac Arrhythmia was admitted to our hospital

Published on 26 Nov, 2017


Clinical Image

Crossed Fused Renal Ectopia

Crossed renal ectopia is a rare developmental abnormality of the urinary tract, which is usually described as incidental finding, and whose incidence is approximately 1 per 75,000 autopsies.

Published on 25 Nov, 2017


Case Report

Copper Deposition in Cornea and the Lens Capsule as an Ocular Manifestation of Multiple Myeloma

A 50 year-old woman presented to the hospital with a complaint of bilateral gradual progressive visual loss since three years ago, associated with cloudy discoloration of cornea in both eyes with copper deposition in the Descemet’s membrane and deep layers of central cornea along with anterior lens capsule showed on Slit-lamp examination with other normal physical examinations

Published on 25 Nov, 2017


Case Report

Bilateral Anconeus Epitrochliaris Causing Cubital Tunnel Syndrome: A Case Report

A case report describing the very rare finding of bilateral Anconeus Epitrochliaris.

Published on 24 Nov, 2017


Editorial

Sarcopenia in Cancer Patients

Skeletal muscle consists of 40%-50% of total body mass in healthy humans [1].

Published on 23 Nov, 2017


Case Report

The Importance of Osteitis as the Originating Site of Inverted Papilloma

While inverted papilloma is a rare tumor occurring in only 0.5-4 % of all primary nasosinal tumors, its importance lies in the fact that retrospective studies have proven that 2% to 3% of nasal polyps end up being inverted papilloma.

Published on 22 Nov, 2017


Clinical Image

Holt Oram Revisited

24-year male presented with history of repeated chest infections since childhood. On examination there was right upper limb abnormality in the form of foreshortened arm, underdeveloped small sized thumb, Metacarpals and right radius.

Published on 21 Nov, 2017


Case Report

A Case Report of a Patient with HER2-Positive Metastatic Breast Cancer on Dialysis, Who Responded to Ado-Trastuzumab Emtansine

Introduction: Ado-trastuzumab emtansine (T-DM1) is a human epidermal growth factor receptor 2 (HER2)-targeted drug that comprises trastuzumab, a stable linker, and the potent cytotoxic agent derivative of maytansine (DM1).

Published on 20 Nov, 2017


Case Report

De Novo Formation and Rupture of an Intracranial Aneurysm within 17 Days in an 84-Year Old Patient without a Previous History of Intracranial Aneurysms: A Case Report

Development and rupture of an intracranial aneurysm within a short time is rare, in particular in patients without a previous history of intracranial aneurysms.

Published on 18 Nov, 2017


Letter to Editor

VrArSurgery: Virtual and Augmented Reality Kit in Surgical Training

According to The Institute of Medicine, a non-profit organization founded by the U.S. National Academy of Sciences, each year, from 44,000 to 98,000 deaths occur worldwide due to medical errors during patient treatment, within the traditional educational model the surgeon sees an operation, then performs it and finally teaches that operation to another surgeon. That is the way physicians have been taught for generations.

Published on 18 Nov, 2017


Editorial

The New Screening Guidelines for Colonic Neoplasms in Patients with Cystic Fibrosis; Are They Enough?

Cystic fibrosis (CF) is the most common lethal autosomal inherited disease of Caucasians[1,2].

Published on 17 Nov, 2017


Editorial

Hope for Japanese Psychiatric Brain Bank

As one of the founders of German psychiatry, Griesinger (Wilhelm Griesinger, 1817-1868), mentioned in his text, ‘Pathologie und Therapie der psychischen Krankheiten (1845)’ that ‘mental illness is a disease of the brain’ (Geisteskrankheiten sind Gehirnkrankheiten), promoting the place of psychiatry among modern medicine, and denied the occult interpretation of mental illness after the medieval period represented by witch-hunting.

Published on 16 Nov, 2017


Clinical Image

Renal Cell Carcinoma in Hereditary Leyomiomatosis Syndrome: When the Web Makes the Difference

A 68-year-old woman with a history of hysterectomy for leyomioma at the age of 24 and cutaneus leyomiomas in the past few years discovered a renal multicystic mass without clear radiological signs of malignancy (Figure 1A and B).

Published on 16 Nov, 2017


Case Report

Fogging Effect in Strokes: Are we aware of it?

Fogging effect is a transitory phenomenon of concealed cerebral infarction on computed tomography (CT). This effect is generally noticed within 2-3 weeks from the stroke onset.

Published on 15 Nov, 2017


Research Article

A Case of Furosemide Induced Nephrocalcinosis

Background: Although furosemide is widely used for various medical conditions in adults, its association with nephrocalcinosis is not well established.

Published on 14 Nov, 2017


Case Report

Anapylaxis Induced by Nebulized Salbutamol in an Asthmatic Boy

Salbutamol is a short-acting adrenergic agonist with a higher affinity for ß2-receptors.

Published on 14 Nov, 2017


Case Report

Lymphoma Involving the Heart and Inferior Vena Cava: Radiological and Pathological Approach

Primary cardiac lymphoma (PCL) is a very rare condition accounts for 2% of all primary cardiac tumours.

Published on 12 Nov, 2017


Clinical Image

Emphysematous Pyelonephritis

In this article, typical images of emphysematous pyelonephritis are displayed through a clinical case.

Published on 10 Nov, 2017


Case Series

Esophageal Granular Cell Tumor in the Setting of Eosinophilic Esophagitis: A Case Series

Granular cell tumors are generally benign and can be found in the gastrointestinal tract. There are six reported cases of gastrointestinal tract granular cell tumors in pediatrics.

Published on 10 Nov, 2017


Clinical Image

Hypokalemic Nephropathy as a Form of Presentation of Adrenal Carcinoma

A 29 year-old Mexican mestizo male was referred for long standing hypertension, chronic renal failure and chronic hypokalemia.

Published on 09 Nov, 2017


Commentary

Shrimp Allergy: More and More Interesting

In recent years food allergy has elicited growing attention on the media and in the general public.

Published on 26 Oct, 2017


Editorial

World without Antibiotics: Nanotechnological Approaches

From the time Sir Alexander Fleming identified penicillin, antibiotics ruled over the microbial world nearly 90 years; however, now many bacterial species developed resistance to not only to classical natural antibiotics but even latest newly generated synthetics antibiotics and have become “Super Bugs”.

Published on 24 Oct, 2017


Case Report

High Degree Atrioventricular Block and Syncope in the Tetralogy of Fallot (TOF)

Introduction: TOF is the most frequent congenital cyanogen cardiopathy. Sudden death is the most frequent adverse event after surgical treatment, mostly due to Serious Ventricular Rhythm Trouble.

Published on 24 Oct, 2017


Case Report

Isolated Hypoglossal Nerve Palsy in a Patient with Non- Small Cell Lung Carcinoma: A Rare Paraneoplastic Neurological Syndrome

Paraneoplastic neurologic syndrome is a group of disorders resulting from damage to the nervous system in carcinoma, remote from primary site and not due to metastasis, infection, or metabolic complication associated with cancer.

Published on 24 Oct, 2017


Case Report

A Frontal Sinus Mucocele after Osteoplastic Flap Surgery: Case Report

A mucocele of paranasal sinuses is a collection of mucus within an epithelial lined sinus whose outflow tract is permanently obstructed.

Published on 23 Oct, 2017


Case Report

Autoimmune Progesterone Dermatitis Treated with Gonadotropin Releasing Hormone Analogue a Case Report

Autoimmune progesterone dermatitis (AIPD) is a rare condition due to hypersensitivity reaction to own endogenous progesterone produced during second half of menstrual cycle with varieties of dermatological manifestations including urticaria, eczema and vesiculobullous eruptions.

Published on 19 Oct, 2017


Case Report

Complete Response to PD-L1 Targeted Treatment in a Patient with Anaplastic Papillary Tumor of the Pineal Region

An adult female patient underwent repeated neurosurgical procedures, radiosurgery, radiation therapy and chemotherapy for a recurrent and metastatic anaplastic papillary tumor of the pineal region.

Published on 19 Oct, 2017


Case Report

A Case of Ruptured Inferior Pancreaticoduodenal Artery Aneurysm due to Median Arcuate Ligament Compression

Inferior pancreaticoduodenal artery aneurysms are rare, comprising approximately 2% of splanchnic aneurysms.

Published on 14 Oct, 2017


Case Report

Total Body Electron-Radiation Therapy in Mycosis Fungoides: A Case Report

A cutaneous T-cell-Lymphoma was progressive after six different lines of chemotherapy.

Published on 14 Oct, 2017


Case Report

Rare 2p Gain with Complex Karyotype in a Symptomatic Patient with Small Lymphocytic Lymphoma/Chronic Lymphocytic Leukemia

Small lymphocytic lymphoma/chronic lymphocytic leukemia (SLL/CLL) is often an incidental finding in an elderly asymptomatic patient.

Published on 13 Oct, 2017


Clinical Image

Biopsy Proven Juvenile Giant Cell Arteritis

A 35-year-old woman was examined for slight tenderness and dysaesthesia in the right temporal region.

Published on 13 Oct, 2017


Clinical Image

Cannaboid Hyperemesis Syndrome

Medical cannabis is used as an antiemetic and appetite stimulant in cancer and HIV patients, but cannabis as the most widely used illicit drug in Australia can have a paradoxical proemetic effect known as cannabinoid hyperemesis syndrome (CHS).

Published on 13 Oct, 2017


Case Report

Glands in Pleura-Not Always a Malignancy

Normal visceral and parietal pleuron contain collagen, elastin fibers, lymphatics, small nerves, and blood vessels and is lined by a monolayer of mesothelium.

Published on 13 Oct, 2017


Clinical Image

Iatrogenic Thoracic Subcutaneous Emphysema, Pneumothorax, Pneumomediastinum and Pneumoperitoneum in a Preterm Baby Following a Difficult Intubation

Iatrogenic tracheobronchial perforation is a rare complication of endotracheal intubation in neonates and carries a mortality rate of 70% [1].

Published on 12 Oct, 2017


Case Report

An Aggressive Malignant form of Fibrous Solitary Tumor of the Pleura: A Case Report and Literature Review

Background: The solitary malignant fibrous tumor of the pleura is rare histological entity with aggressive potential.

Published on 12 Oct, 2017


Case Report

Intrathymic Mature Teratoma with Rupture into the Lung and Bronchus

A young 19-year-old patient consults for a productive cough with purulent sputum with a notion of trichoptysis.

Published on 12 Oct, 2017


Case Report

A Case Report Describing Intraoperative Movement of Toric Intraocular Lens (IOL) In a Patient with Keratoconus and High Astigmatism

Background: We present a case of intraoperative rotation of a toric lens during cataract surgery in a patient with high irregular astigmatism as a result of keratoconus.

Published on 10 Oct, 2017


Case Report

Levonorgestrel Intrauterine Device and Preservation of Fertility in Endometrial Cancer Grade I: Case Report and Literature Review

Endometrial cancer is the most frequent gynecologic cancer. Although it mainly occurs in postmenopausal women, it can hit younger patients as well.

Published on 07 Oct, 2017


Case Report

Successful Tracheal Decannulation in a Child with Congenital Central Hypoventilation Syndrome

Congenital Central Hypoventilation Syndrome (CCHS) is a rare genetic disorder that affects the automatic control of breathing.

Published on 07 Oct, 2017


Case Report

A Case of a Cervical Cancer Patient with Elevated CEA Caused by Hashimoto’s Thyroiditis

Carcinoembryonic Antigen (CEA) is a broad-spectrum tumor maker that can be expressed in a variety of malignancies, it relatively high sensitivity, and can be used as an index for evaluation therapeutic effect.

Published on 06 Oct, 2017


Case Report

A Case of Successful Rescue of Cardiac Arrest Caused by Diabetic Ketoacidosis Combined with Hypokalemia

A 19-year-old male patient was hospitalized with coma with extremely high blood sugar levels. Low blood potassium, shock, acidosis and cardiac arrest in the course of disease, the rescue is successful but there are limb extremity dysfunctions.

Published on 06 Oct, 2017


Case Report

OSA Masquerading as Failure to Thrive and Developmental Delay: A Case Report

An 8-month-old girl was admitted to the hospital for failure to thrive with significant developmental delays.

Published on 02 Oct, 2017


Clinical Image

Pemberton’s Sign

A 52-year-oldpreviously healthy man presented to the Emergency Department after a syncopal episode.

Published on 12 Sep, 2017


Case Report

Prostate Adenocarcinoma Presenting with Giant Shoulder Mass in a Young Man

The rising incidence across all ages made prostate cancer the most commonly diagnosed noncutaneous cancer in men.

Published on 07 Sep, 2017


Case Report

Primitive Neuroectodermal Tumor of Kidney: A Rare Case Report in an Elderly Lady

Primitive Neuroectodermal Tumors (PNET) are malignant, small round cell tumors (RCTs), which commonly de-velop in bone and soft‑tissue of the body.

Published on 07 Sep, 2017


Case Report

Treatment of Recurrent Metastatic Breast Cancer in Pregnancy: A Case Report and Literature Review

Background: We present the case of a woman previously treated with surgery, adjuvant chemotherapy and radiation who was diagnosed with recurrent metastatic breast cancer during pregnancy.

Published on 26 Aug, 2017


Clinical Image

From Crisis to Compensation-Early Physical Therapy to Address Symptoms Resulting From Vestibular Neuritis in 54-Year-Old Female: A Case Report

Background: Vestibular neuritis typically affects the superior vestibular nerve resulting in unilateral peripheral Vestibular Dysfunction (PVD).

Published on 04 Sep, 2017


Clinical Image

Spontaneous Ureteric Rupture after Forceps Delivery

A 33 years old lady was admitted to the central delivery suit for induction of labour at 40 weeks+3 days having had pre labour spontaneous rupture of the membranes for more than 24 hours.

Published on 04 Sep, 2017


Case Report

A Case of Toxic Hepatitis and Acute Liver Failure Induced by Ingestion of Raw Sansevieria

Herbal medicines are frequently used in the oriental region to treat a variety of disease and symptoms.

Published on 03 Sep, 2017


Case Report

Lobular Capillary Hemangioma Presenting as Bleeding Nasal Mass during Pregnancy

Epistaxis during pregnancy presents a difficult situation and its management can be complex depending on the pregnancy status and severity of symptoms.

Published on 30 Aug, 2017


Case Report

Facial Dysmorphism with Precordial Systolic Murmur of a Young Boy Williams Syndrome

A 7 years old boy diagnosed Williams’s syndrome by clinically with the help of some investigations. This child having mal-occlusion of multiple teeth with dental carries, large forehead, small chin, puffiness around both eye, looks like-elfin facies with low IQ.

Published on 30 Aug, 2017


Case Report

Pregnancy in Patients with Established Liver Cirrhosis – An Uncommon but High-Risk Situation

Pregnancy is uncommon in females with liver cirrhosis but represents a complicated and highrisk clinical situation.

Published on 30 Aug, 2017


Case Report

Surgical Treatment for Chronic-Contained Rupture of Thoracic Aortic Aneurysm Complicated with Vertebral Erosion: Case Report

In this article, we present the clinical case and successful surgical treatment of aneurysm of the arch and the descending aorta with the destruction of the vertebral bodies.

Published on 28 Aug, 2017


Clinical Image

Severe Desquamation in Kawasaki Disease: Is it Somehow Protective?

A previously healthy 12-year-old boy was first treated in the primary care for a possible pharyngitis because of fever, conjunctivitis and a non-desquamating skin rash.

Published on 26 Aug, 2017


Case Report

Extrusion of Ventricular-Peritoneal Shunt through the Urethra: Pediatric Case Report and Literature Review

Ventricular-peritoneal shunts are commonly used to treat hydrocephalus, but carry the risk of complications including perforation of abdominal viscera.

Published on 21 Aug, 2017


Case Report

Actinomycosis of Gallbladder: A Diagnostic Dilemma

We report a rare case of gallbladder actinomycosis in an 88 years old man.

Published on 21 Aug, 2017


Case Report

A Mediterranean Spotted Fever Case in a Febrile Trombocytopenia Patient with the Presumptive Diagnosis of Crimean-Congo Haemorragic Fever

Background: Mediterranean Spotted Fever (MSF) is a tick-borne zoonotic infection caused by Rickettsia conorii.

Published on 21 Aug, 2017





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