Articles

Pyogenic liver abscesses are rare, caused mostly by Enterobacteriaceae and anaerobes. Liver abscesses caused by Clostridium perfringens commonly exhibit a strong association with extensive hemolysis and multiorgan failure, resulting in a high mortality rate, especially in immunocompromised individuals. The authors describe a case of liver abscess in a patient without any identified risk factors and no clinical or radiologic suspicious findings upon admission.

Bioprosthetic Valve Dysfunction (BVD) and Bioprosthetic Valve Failure (BVF) can be divided into structural valve deterioration, non-structural valve dysfunction, thrombus and endocarditis. BVF is a clinical consequence of BVD, leading to both morphological and hemodynamic deterioration, often requiring reintervention. This case report aims to explore the mechanisms contributing to BVD.

Leishmaniasis is an important infectious disease caused by kinetoplastid protozoan parasites of the genus Leishmania, transmitted to mammalian hosts by the bite of infected female phlebotomine sandflies. The clinical manifestations of the disease are broadly classified into three types: Visceral (VL), Cutaneous (CL), and Mucocutaneous (MCL) leishmaniasis, depending on the Leishmania species.

Gigantomastia is a rare condition in pediatric patients characterized by excessive breast growth. We report the case of a female patient, 13 years old, followed up in the B pediatric department of Mohammed VI University Hospital in the year 2022, presenting a gigantomastia with Hashimoto thyroiditis, which is an uncommon association. The aim of this case report is to explain the mechanisms underlying those conditions’ association.

Spontaneous or non-traumatic subarachnoid hemorrhage is predominantly attributed to the rupture of an aneurysm, accounting for 85% of cases, while non-aneurysmal peri mesencephalic hemorrhage constitutes approximately 10%. Although rare, cerebral venous thrombosis can also lead to subarachnoid hemorrhage, presenting clinical and radiological signs.

To explore the relationship between the degree of fatty infiltration of the lumbar multifidus muscle and the maximum compression degree of the lumbar spinal canal in patients with lumbar disc herniation (LDH); The second objective is to investigate the relationship between the degree of fatty infiltration of the lumbar multifidus muscle and the Oswestry Disability Index.

The varicella and shingles virus VZV is a strictly human virus which belongs to the family of herpesviridia which is transmitted by air or in contact with skin lesions rich in virus, it is a virus with dermo-neurological tropism whose primary infection corresponds to chicken pox and reactivation after stagnation in the sensory ganglia, caused by shingles during a drop in immunity.

Vascular access in preterm infants is a critical yet challenging aspect of neonatal care, often fraught with complications. We report the case of a 30-week gestational age female infant who experienced two consecutive and life-threatening vascular access complications: An Umbilical Venous Catheter (UVC) fracture and subsequent cardiac tamponade from a tunneled central line.

Kaposi’s Sarcoma (KS) is a multicentric antiproliferative tumor of mesenchymal origin with 4 variants, namely, classic, African, AIDS-associated, and iatrogenic. The iatrogenic variant has been associated with immunosuppressive treatment [1]. Iatrogenic Kaposi’s Sarcoma (IKS) cooccurring with Rheumatoid Arthritis (RA)

Fabry disease is a rare genetic disease that falls under the category of lysosomal storage diseases. The estimated prevalence of Fabry disease in the general population is approximately 1 in 40,000 to 1 in 117,000 individuals. It has been found to be more common in certain ethnic groups, such as populations of Ashkenazi Jewish, African-American, and European descent [1,2].

Marchiafava-Bignami Disease (MBD) is a rare disorder, traditionally associated with chronic alcohol consumption, characterized by demyelination and necrosis of corpus callosum. However, there have been described in non-drinking patients.

Suicide is a growing public health and economic problem and the number of hair dye poisoning has nowadays been emerging as one of the predominant causes of selfharm especially in developing countries due to their easy availability and low cost despite this growing trend observed the amount of clinical knowledge regarding the clinical manifestation, treatment, and prognosis is still vague, especially in the rural part of developing countries

This report describes a rare case of a 74-year-old woman with a giant pelvic mass initially suspected to be of ovarian origin but later identified as a Low-Grade Appendiceal Mucinous Neoplasm (LAMN) with ovarian metastasis. The patient presented with compressing symptoms. A contrast-enhanced CT scan revealed a large cystic mass (21 x 15 x 19 cm).

Esophageal cancer is one of the most common leading causes of cancer-related mortality worldwide, its incidence has increased particularly in the last few decades in the Western world. Esophageal cancer also has a poor prognosis as it cannot be diagnosed until the advanced stages due to the shortage of early clinical symptoms.

Multisystem Inflammatory Syndrome in Children (MIS-C) is a complication that occurs 4 to 6 weeks after an infection with SARS-CoV2. The aim of the study was to compare our data to the published literature and secondly to see if there are any prediction markers of the severity of the disease. We conducted a multicenter national retrospective study based on a cohort of 80 patients diagnosed with MIS-C from 3 centers in Romania.

Pancreatic fluid collections are a common complication of both interstitial and necrotizing pancreatitis. Drainage is indicated if there is a concern for superinfection or symptoms secondary to size or location. The proximity of the pancreas to the stomach and duodenum makes stenting the top therapeutic choice for drainage in many cases.

A 2-year-old female was brought to the emergency department due to decreased oral intake and drooling that began earlier the same day. Upon exam, vitals were unremarkable, and the patient had no respiratory distress. Point-of-care ultrasound was used to diagnose an esophageal foreign body (Figure 1) confirmed via X-ray (Figure 2).

Avoidant/Restrictive Food Intake Disorder (ARFID) is a recently recognized feeding disorder in the DSM-5. It involves the avoidance or restriction of food intake due to a lack of interest or aversion to certain or all foods, unrelated to body image perception or a desire to lose weight. This disorder can lead to significant weight loss and nutritional deficiency.

A healthy 61-year-old man sought emergency care after experiencing neck swelling (Figure 1), throat discomfort, and hoarseness, which developed gradually over two days following a forceful and blocked sneeze. He reported a painful sensation of rupture in his anterior neck. Neck palpation revealed subcutaneous emphysema and clicking sounds over the larynx.

A Spindle Cell Lipoma (SCL) is a variant of lipoma that accounts for approximately 1.5% of all lipomas; its prevalence within the larynx is rare. We present the case of a female patient whose foreign body sensation was ultimately attributed to an SCL that was emanating from the supraglottic and we review the literature on the natural history of supraglottic SCLs as well as their histological features and options for excision.

A 21-year-old male with no prior medical history presented to the emergency department for epistaxis and bleeding ulcers in his mouth. In addition to small ulcers with dried blood in the oropharynx, physical exam also revealed a petechial rash and bruising on his extremities that the patient noted were new and atraumatic.

A previously healthy 50-year-old man was brought to the Emergency Department, after presenting from sleep, sudden generalized involuntary movements. After recovering conscience, he complained of severe pain and functional limitation in shoulders. He was diagnosed comminuted fracture of the metaphysis at the level of the surgical neck and lower-posterior dislocation of humerus bilaterally and was treated surgically.

A 33 years old female, without underlying medical comorbidity, presents with hypopigmentation over left lateral aspect of elbow for 3 weeks. She had a history of left lateral aspect elbow pain for 5 weeks duration and was diagnosed with tennis elbow. Patient was initially treated with oral Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) along with physiotherapy.

65-year-old male who presented with recurrent erythema and pruritic papules for one year, Initially, he developed numerous keratotic red papules, featuring central umbilication and necrosis with scab formation. He was previously diagnosed with “nodular prurigo and eczema” and treated with oral ebastine, cetirizine, prednisone, and topical steroid cream. While the rash initially subsided, it recurred intermittently.

Granulomatosis with Polyangiitis (GPA) is a granulomatous, necrotizing small-vessel vasculitis associated with the presence of Antineutrophil Cytoplasmic Antibodies (ANCA). In more than eighty percent of GPA patients ANCA have a Cytoplasmatic Pattern at the indirect immunofluorescence (c-ANCA) and recognize the autoantigen Proteinase 3 (PR3), while in few cases they have a perinuclear pattern (p-ANCA) and are directed toward the autoantigen Myeloperoxidase (MPO) [1].

Autoimmune Encephalitis (AE) is an emerging autoimmune inflammatory neurological disorder in which antibodies are directed against intracellular or cell surface neuronal antigens in Central Nervous System (CNS). Autoimmune Encephalitis (AE) can be subcategorized on the basis of presence of specific autoantibody.

Anaphylaxis is a serious systemic reaction by immediate hypersensitivity, secondary to the release of mediators active on vascular and bronchial muscles such as histamine, prostaglandins, leukotrienes etc. Exposure to an allergen in a sensitized patient is the simplest method of triggering anaphylaxis.

Electromagnetic spectrum infrastructures and 5G biomedical robots are design to work in line with the national healthcare policy to advance the society well-being and improve human life expectancy as they are adopted to fight against hospital acquired infection. In order to increase public healthcare safety, the current study investigated the biomedical technology application of Ultraviolet Light Emitting Diodes (UV-LEDs).

Acute Esophageal Necrosis (AEN) is a rare condition characterized by circumferential black discoloration and necrosis of the esophageal mucosa. This report presents a case of a 79-year-old female with metastatic cancer diagnosed with black esophagus and literature reviews of 68 cases. Our literature search highlighted common presenting symptoms were hematemesis (55%), gastrointestinal symptoms (54%), and melena (19%).

Myclobutanil is a fungicide commonly used in agriculture and horticulture. While it is generally considered safe, ingestion of myclobutanil can result in severe toxicity. This case report presents the clinical features, diagnosis, and management of a 45-year-old male with myclobutanil poisoning.

Alcoholism not only harm to the person who consumes it but also one’s family. Spouses are mostly affected because of the intimate nature of the relationship, studies on the impact on spouses have been very limited in psychiatric literature.

A 4-year-old girl presenting with chyluria is very rare, especially with the initial presentation of nephrotic range proteinuria, presenting to a nephrologist. The final diagnosis was parasitic chyluria and there are only 6 reported cases of chyluria in children.

Neuritis Ossificans, known as intraneural heterotopic ossification, is a rare condition impacting peripheral nerves. Symptoms typically include pain and paraesthesia along the affected nerve’s distribution. The cause of this condition remains unknown. This unusual case managed in a tertiary referral centre for peripheral nerve injury, highlights the successful conservative management of a patient with neuritis ossificans affecting the sciatic nerve, showing both clinical and radiological resolution within 12 months.

Heterotopic Ossification (HO) is not a rare finding and is associated with many conditions particularly when there has been tissue damage. HO may be an incidental, asymptomatic finding or be severe requiring mechanical intervention for symptoms or function improvement. A very dramatic case of HO of uncertain etiology is presented.

Visual impairments can be caused by various conditions affecting the visual pathway, including stroke, migraine, and multiple sclerosis. However, when diagnosing patients presenting with visual impairments, the presence of white matter lesions adds a layer of complexity, particularly in differentiating between Patent Foramen Ovale (PFO) related strokes and Multiple Sclerosis (MS).

An 11-year-old adolescent with a personal and family history of depression presented to the Emergency Department (ED) five times within one month. She reported pain, swelling, erythema, and itching in the left breast (Figure 1). Bloody nipple discharge was noted during the initial episode.

Scleritis is a painful, sight-threatening, inflammatory condition of the sclera often presenting with an acute red and painful eye and potential decreased visual acuity. Inflammation of the periorbital soft tissues and ophthalmoplegia are not typically associated with posterior scleritis. We present a comprehensive visual documentation of a diagnostically challenging case of panscleritis.

Thyroid lymphoma is a rare malignancy that can present with acute airway compromise, posing a diagnostic and therapeutic challenge. Though it usually presents as a rapidly enlarging neck mass, patients can also manifest with pressure symptoms like stridor, dysphagia or hoarseness.

We describe the case of a 54-year-old female presenting with a large pedunculated mass arising from the labia minora. Initially suspected to be a papilloma, histopathology confirmed the mass to be benign in nature secondary to chronic lymphedema, likely a massive localised lymphedema (MLL).