Latest Articles

Volume-4, 2023
Issue 1(Jan)



Infant with large arachnoid cyst presented with repetitive vomiting after minor fall

A 12-month-old boy, previously healthy, presented to our Emergency Department (ED) with 7 episodes non-bilious vomiting, parents gave history of mild head injury the night before. Clinical examination was unremarkable. According to pediatric Computerized Tomography (CT) head rule (PECARN) in less than 2 years old he would be low risk for intracranial pathology and would not require CT of the brain.

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Toxic metals and antidotes

Heavy metal intoxication is a consequence of the accumulation of metals in the body. The toxicity of heavy metals, particularly lead, arsenic, cadmium and mercury, remains a significant problem and challenge for future investigations. The toxic metals compete with or replace some vital biogenic metals in the course of which some of the biosystems could be affected.

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Life-threatening event after injection laryngoplasty in a patient with chemotherapy-induced vocal-fold motion impairment: A case report

Although chemotherapy-induced vocal-fold motion impairment was first reported in 1971, there are few reports. Herein, we describe a case in which life-threatening side effects occurred after injection laryngoplasty for the treatment of chemotherapy-induced vocal-fold motion impairment accompanied by dysphonia and aspiration in a patient with lymphoma.

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Clinical picture of bacteremia with Staphylococcus pettenkoferi in children

This was a retrospective study performed to evaluate the clinical impact of bacteremia due to Staphylococcus pettenkoferi and to determine the usefulness of Matrix-Assisted Laser Desorption/Ionization Mass Spectrometry with Time-of-Flight detector (MALDI-TOF MS) as a diagnostic tool. We retrospectively reviewed the blood culture results and medical records of all patients with a history of visits or hospitalizations at the Jichi Medical University Hospital in Japan.

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Heterotopic hip ossification in patients with severe acquired brain injury: When surgical intervention is recommended

The production of ectopic lamellar bone in soft tissues is known as Heterotopic Ossification (HO). HO is a common consequence following trauma, burns, brain injuries, and major orthopedic surgery. It can be thought of as abnormal tissue repair. The hip is the joint most frequently affected after a severe acquired brain injury, affecting the prognosis of patients.

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Clinical aspects of COVID-19 on the background of HIV infection

Against the background of the COVID-19 pandemic, the number of patients with co-infection - HIV infection + COVID-19 - has increased critically. The features of the interaction of these two infections are of scientific, clinical and practical interest. On the one hand, the combination of two severe viral infections should aggravate the patient’s health, on the other hand, people living with HIV infection receive antiviral therapy, which can have a positive effect on the course of COVID-19

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Impact of atrial fibrillation ablation on right ventricular failure and manifestation of heart failure with preserved ejection fraction symptoms: A case report

Catheter ablation is an important treatment modality for management of Atrial Fibrillation (AF). AF is a responsible factor in the pathophysiology of Heart Failure with Preserved Ejection Fraction (HFpEF). However, the relationship between AF and Right Ventricular (RV) dysfunction has not been completely distinguished.

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Cutaneous manifestations of tuberous sclerosis complex: An uncommon entity

Tuberous Sclerosis Complex (TSC) is a neurocutaneous syndrome with a prevalence of around nine in 100,000 cases. It is characterized clinically by a triad of seizures, intellectual disability, and adenoma sebaceum. However, approximately 50% patients have normal intellect, and 15% with no seizures. Cutaneous findings are the most common as well as readily appreciable manifestations of Tuberous Scleorsis Complex (TSC).

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Achalasia in the emergency room: An infrequent disease with typical images

A 36-year-old male with no medical history was referred to the Emergency Room (ER) with complaints of vomiting and progressive dysphagia for solids and liquids over a two-week period. The patient denied other symptoms. Upon presentation to the ER, both the physical examination and the blood analysis were unremarkable, but the chest X-ray revealed widening of the upper third of the mediastinum.

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A very rare case: Early double-J stent fragmentation

The increasing use of a double-J (DJ) stent in urological diseases has also increased complications. In this report, we describe two cases presenting with early spontaneous DJ stent fragmentation. The first patient was referred to our outpatient clinic due to pregnancy hydronephrosis. A DJ stent was placed in her right kidney.

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Pulmonary multinodular amyloidosis: A case report

Nodular pulmonary amyloidosis is rare in our environment with a low incidence. A 77-year-old female patient, who began her illness 20 days before hospital admission with sporadic non-productive cough without attack to the general condition. Computed tomography scan of the chest showed multiple nodular images of heterogeneous density, some of them hyperdense in calcific range, poorly defined borders, patchy in both hemithoraxes with confluence in basal regions.

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Wilkie syndrome, changing perspectives in image visualization

The superior mesenteric artery syndrome is an uncommon entity included in the spectrum of vascular syndromes. The low presentation, variety of in specific symptoms and shortage of bibliography presents a challenging diagnosis for both clinicians and radiologists. Our aim is to present a 63 years-old male patient with pancreatitis history and repeated symptoms.

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Delayed leprosy increasing morbidities in disability and neuropathic pain: A case report

Leprosy remains a public health problem in many developing countries, especially, in tropical regions. Even though the prevalence rate of leprosy in Indonesia has decreased, however from 2001 to 2019, there has been an increasing trend of leprosy cases with disabilities. The rate of grade 2 disability cases is an indicator of the effectiveness of leprosy health services, especially in terms of case detection.

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Takayasu’s arteritis diagnosed by carotid artery doppler

TA is a large vessel vasculitis involving mainly the aorta and its primary branches resulting in segmental stenosis, occlusion or aneurysms. Angiography is the gold standard for diagnosing TA but may miss wall changes in the early stages of disease. So bedside ultrasonography can serve as a valuable tool in ED for diagnosing early TA. The role of B mode ultrasound for detection of arterial thickening and follow up of patients is supported by previous studies.

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Iatrogenic Kaposi’s sarcoma

74-year-old woman with primary biliary cirrhosis under immunosuppression with azathioprine (50 mg/day) presented multiple violaceous papules and plaques with some associated edema on the distal lower right extremity. Physical examination also revealed multiple right inguinal adenopathies. She had no history of fever, weight loss, or night sweats.

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The function of pain in the diagnosis of disorders of consciousness: A case report

The correct diagnosis of patients with disorders of consciousness is still challenging. The accurate observation of the behavioral responses in patients with Disorders Of Consciousness (DoC) is crucial to avoid misdiagnosis. We observed changes in the behavioral response in a patient diagnosed with Unresponsive Wakefulness Syndrome/Vegetative State onlyafter nociceptive stimulation, administered following the Nociception Coma Scale indication.

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Moebius syndrome in association with hypogonadotrophic hypogonadism and focal motor demyelinating peripheral neuropathy with persistent conduction blocks

Congenital, non-progressive facial paralysis and a restricted abduction of one or both eyes are symptoms of Moebius Syndrome (MBS). Peripheral neuropathy, Kallmann syndrome, intellectual disability, and social impairment are also evident in a subgroup of people with inherited congenital facial nerve atrophy and oculomotor nerve palsy

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