20 articles in this issue
Cristian Rosu, Sandra Cohen, Caroline Meunier, Denise Ouellette, Gilles Beauchamp, George Rakovich
Pure red cell aplasia is a rare cause of anemia, caused by an absence of red blood cell precursors in the bone marrow. It is usually a paraneoplastic syndrome, associated most commonly with large-cell granular lymphocyte leukemia but also thymoma. For pat... see more
Poonam Mahajan, Ajay Mahajan
Anatomic variations are common in human dentition. A clear understanding of these variations is very important for success of endodontic treatment. A dentist should be aware of these anatomic variations as this can affect the treatment outcome. A case of ... see more
Kafil Akhtar, Shamshad Ahmad, Rana K. Sherwani
Early diagnosis of acute promyelocytic leukemia (APL) is essential because of its associated life threatening coagulopathy and unique response to all trans-retinoic acid (ATRA) therapy. The characteristic cell morphology supplemented by cytochemistry offe... see more
Young Rak Choi, Jae Jung Jeong, Ho Seong Lee, Sang Woo Kim, Jin-Soo Suh
A completely extruded talus without any remaining soft tissue attachments is extremely rare. The present report describes treatment of a 45-year-old man who sustained a completely extruded talus injury following a rockclimbing fall. Upon admission, the ex... see more
Ayse Albayrak, Sibel Seda Gunbey, Ferda Aktas
Salmonella infection occurs worldwide and is still an important public health problem in many developing countries. The infection can affect almost all major organs including the liver. Severe hepatic involvement with a clinical feature of acute hepatitis... see more
Olivier Facy, Nicolas Lagoutte, Brice Paquette, Patrick Rat, Pablo Ortega Deballon
We report the case of a patient with a pelvic abscess and a malignant pancreatic tumor. The management of this complicated diverticulitis included radiological drainage and surgery. This abscess was due to a peritoneal carcinomatosis originating from the ... see more
Shadi Yaghi, Archana Hinduja
Obstructive hydrocephalus is a neurological emergency that needs to be immediately identified and treated. It very rarely resolves without treatment. We report about an 86-year-old man with right frontal stroke who developed obstructive hydrocephalus caus... see more
Yashwant Kumar, Alka Bhatia
We report a case of extremely rare variant of ano-rectum malignant tumor. The tumor is often misdiagnosed as either hemorrhoids or rectal polyp, which are benign diseases. On histology also this variant may be confused with other more commonly occurring s... see more
Melanie Louise Gilbert, Weddad Hanna, Danny Ghazarian, Dean Dover, Hagen Benjamin Edward Klieb
Oral pigmented lesions are uncommon and congenital melanocytic nevi are especially rare. We report a case of a patient with multiple congenital melanocytic nevi including a palatal lesion. This is reported to add to the scant literature that exists on thi... see more
Viplove Senadhi
Hepatitis C most commonly manifests with asymptomatic elevations in transaminase levels or in advanced stages, may present with hepatic encephalopathy or ascites. We report the first case in the literature, in which the initial manifestation of hepatitis ... see more
Thomas Hanna, James Powys-Lybbe, Jacob A Akoh
Bowel infarction due to acute mesenteric ischaemia (AMI) is an abdominal emergency with a high mortality rate. We report a case of exaggerated septic response to a urinary tract infection mimicking AMI in an immunosuppressed diabetic patient. A 56-year-ol... see more
Vipul D. Yagnik
Epidermoid cyst is commonly known as sebaceous cyst. It is the most commonly encountered cyst of the skin. Epidermoid cyst over the breast is uncommon. Punctum is the hallmark for clinical diagnosis. Local excision with primary closure is the treatment of... see more
Thomas Schroeter, Nicolas Doll, Sreekumar Subramanian, Friedrich W. Mohr, Michael A. Borger
Severe tricuspid valve insufficiency causes right atrial dilatation, venous congestion, and reduced atrial contractility, and may eventually lead to right heart failure. We report a case of a patient with severe tricuspid valve insufficiency, right heart ... see more
Gautam Bir Singh, Anil K Rai, Hukum Singh, Anubha Varun
Impaction of foreign body in larynx is reported exclusively in paediatric population only. Moreover impaction of coin in larynx has never been reported previously. With this background, we report a rare case of coin impaction in larynx in a healthy adult.
Sarwan Kumar, Deepak Gupta, Shiva S. Rau
This case reflects the difficulties arising out of the patients autonomy to choose the type, timing, and extent of the medical management even though in some clinical scenarios, like the case presented, the patient was not able to communicate his physiolo... see more
Rajakrishnan Vijayakrishnan, Sourbha Dani, Aparna Ramasubramanian, Rekha Nair, Tony M. Samaha
HIV-associated thrombocytopenia is a dis- ease which can be recurrent to standard therapy which includes highly active antiretroviral therapy (HAART) therapy, steroids and immunoglobulin. We report a patient with HIV and hepatitis C who presented with res... see more
Kafil Akhtar, Sufian Zaheer, Shamshad Ahmad, Rana K. Sherwani
Umbilical metastasis is one of the main characteristic signs of extensive neoplastic disease and is universally referred to as Sister Mary Joseph’s nodule. It indicates neoplasm of inner organs mostly located in the gastrointestinal tract or the pelvis. H... see more
Carlos G. Teran, Ariel O. Antezana, Jerome Salvani, Deborah Abaitey
Endocarditis is a rare presentation of group B streptococcal infection. Its association with pulmonary septic embolism was only barely studied and limited data is available up to date. Multiple septic emboli is a common complication of bacterial endocardi... see more
The present case highlights the presentation and management of hyperkalemia and acute renal failure secondary to polysubstance abuse related subacute urinary retention due to ?-adrenergic and µ-receptor activation in a patient with Hutch diverticulum.
Emina Ogawa, Ryuji Sakakibara, Kei Endo, Fuyuki Tateno, Yasuo Matsuzawa, Nobuo Hosoe, Masahiko Kishi, Kohji Shirai
Systemic dehydration and diffuse central nervous system signs without any other illness is referred to as dehydration encephalopathy (DE). However, the incidence of DE at emergency units remains uncertain. We investigated the incidence of DE among persons... see more