by Avinash Murthy, Arti Singh and Jay Meizlish
Case Report
A 73 year old female with coronary artery disease presents with chest pain, and diagnosed with inferior STEMI. Coronary angiography revealed patent left coronary system with no new disease. Right coronary artery angiogram revealed extravasation of contrast into the pericardium at the mid portion of the RCA with severe disease thereafter. We present a rare case of spontaneous coronary artery rupture of the RCA presenting as an acute MI. Few such cases have been reported thus far. Management was challenging, and not well defined in literature. Prompt recognition of this entity may contribute to optimal therapy and better outcomes.my husband cheated with a man
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American Journal of Medical Case Reports. 2014, 2(9), 198-199. DOI: 10.12691/ajmcr-2-9-9
Pub. Date: September 29, 2014
14891 Views5177 Downloads35 Likes
by Khurshid Mattoo, Puneet Mahajan and Nishant Gaba
Case Report
Aging of the brain brings decline in memory and thinking. The condition ranges from mild to severe with no clear distinct border. Waning in cognitive skills causes’ functional impairment, which if neglected could lead to problems of self-feeding and self-care. Non-verbal communication is an essential component that promotes initiation of self-care. This article describes a rare case of an elderly female patient who was successfully able to remind herself about self-feeding with the help of a complete denture prosthesis that had a visual brand identifier incorporated on the occlusal surfaces of the artificial teeth.sms spy android
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American Journal of Medical Case Reports. 2014, 2(9), 194-197. DOI: 10.12691/ajmcr-2-9-8
Pub. Date: September 29, 2014
20391 Views6283 Downloads35 Likes
by Mahmoud Ibrahim Yousef Elbadry and Ahmed Othman Ahmed Emam
Case Report
Epidermodysplasia verruciformis (EV) is a lifelong, rare autosomal recessive genetic hereditary skin disorder characterized by a unique susceptibility to human papilloma virus, associated with a high risk of malignant transformation. The disseminated verrucous lesions and pityriasis versicolor-like lesions persist from early childhood and can transform into a cutaneous malignancy in a fourth of patients. No definitive treatment against Epidermodysplasia verruciformis has been found yet. Extracutaneous cancers reported in Epidermodysplasia verruciformis are intestinal adenocarcinoma, plasmablastic lymphoma and leiomyosarcoma. Mantle cell lymphoma is uncommon under the age of 40 years and rare in patients under the age of 30 years. Here we are reporting a 19 year male patient with Epidermodysplasia verruciformis, astrocytoma and pulmonary tuberculosis who presented with symptoms of weight loss, indigestion and burning epigastric pain four months duration, Upper GIT endoscopy showed a gastric mass with active peptic ulcers. Biopsy revealed Mantle cell lymphoma. We investigated further and found to have immunodeficiency and hepatitis B virus infection. EV patients should receive regular follow-up for possible cutaneous or extracutaneous malignancy.how many guys cheat
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American Journal of Medical Case Reports. 2014, 2(9), 187-193. DOI: 10.12691/ajmcr-2-9-7
Pub. Date: September 29, 2014
25492 Views7931 Downloads45 Likes
by Onwuakor C.E
Review Article
Ebola hemorrhagic Disease (EHD) is a severe, often-fatal disease in humans that was first identified in 1976 in Democratic Republic of the Congo (formerly Zaire) in Africa. Ebola hemorrhagic disease (EHD) is one of the most feared diseases known to mankind. This is because of the high mortality rate (up to 90%) associated with the disease, and also its propensity for person-to-person spread through close contact with infected tissues and body fluids of affected persons, particularly in the unprotected home-care setting and during preparation of bodies for burial, while spread is amplified in hospitals with poor infection control practices. Several western parts of the African continent are currently experiencing an unprecedented outbreak that has proved particularly challenging to contain. A hemorrhagic fever outbreak requires a comprehensive and intensive public health response that would put even an ideal healthcare system to the test. Substantial external support is always required during these events to ensure appropriate clinical management of patients, sufficient infection control procedures in difficult healthcare environments, intensive contact tracing to identify the chains of transmission of the virus. Clinical management of cases involves employing strict isolation procedures and providing symptomatic and supportive treatment as required.why do men cheat on their girlfriends
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American Journal of Medical Case Reports. 2014, 2(9), 184-186. DOI: 10.12691/ajmcr-2-9-6
Pub. Date: September 25, 2014
15021 Views5070 Downloads34 Likes
by Chettri ST, Karki Smriti, Paudel D, Shah BP, Shah SP, Manandhar S and Jayaswal R
Case Report
Isolated laryngeal leishmaniasis is a rare condition and we report a 46 years old patient who presented with progressive, non fluctuating hoarseness of voice for 8 months along with foreign body sensation of throat and difficulty in swallowing. Indirect laryngoscopy followed by flexible nasoendoscopy revealed grossly edematous epiglottis, right arytenoid, right aryepiglottic fold and medial wall of the right pyriform sinus. Direct laryngoscope was performed under general anesthesia and biopsy was taken. The histopathology report section revealed numerous extracellular L.D. bodies in an inflammatory milieu comprising of lymphocytes, neutrophils and macrophages set in an edematous subepithelial stroma. He has no other systemic manifestation. He had no HIV infection or immunocompromised condition nor took immunosuppressive drugs. He responded well with liposomal Amphotericin B.how many guys cheat
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American Journal of Medical Case Reports. 2014, 2(9), 181-183. DOI: 10.12691/ajmcr-2-9-5
Pub. Date: September 18, 2014
18631 Views5489 Downloads34 Likes
by Syed Shoeb Ahmad, Shuaibah Abdul Ghani and Lindfay Laura Lau
Case Report
Purpose: To report a case of branch retinal artery occlusion (BRAO) in a pregnant patient of Chinese descent found to have Protein S deficiency. Case report: A 35 year-old apparently healthy, pregnant female of Chinese origin reported in the eye clinic of our hospital with a complaint of sudden appearance of a “shadow” in the periphery of her left eye for the last three days. On examination, she was found to have a BRAO in that eye. A number of laboratory, radiological and systemic examinations were done to find out the cause of the occlusion. However, a deficiency of Protein S was the only abnormality found. So far there have been only a few cases reported concerning this hematological deficiency causing a BRAO. This case report describes the events leading to the diagnosis of this rare condition. Conclusion: In cases of BRAO, especially in young patients it is important to rule out Protein S deficiency which may have life-threatening consequences.pro abortion
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American Journal of Medical Case Reports. 2014, 2(9), 175-180. DOI: 10.12691/ajmcr-2-9-4
Pub. Date: September 17, 2014
20392 Views5739 Downloads35 Likes
by Olusegun Sheyin, Taiwo Falade and Olufemi Fasanmade
Case Report
Introduction: Apathetic thyrotoxicosis is an uncommon manifestation of hyperthyroidism. We report a case of apathetic thyrotoxicosis in an elderly Nigerian woman presenting with hemoptysis. Case Presentation: An 85 year old woman with past medical history of hypertension and euthyroid goiter presented with a two-week-history of subjective weight loss, cough, hemoptysis and progressively worsening dyspnea. Examination findings included dyspnea, pallor, goiter, an irregularly irregular pulse, tachypnea, jugular venous distension, a third heart sound and rales in both lung bases. Thyroid function tests revealed elevated free triiodothyronine and free thyroxine with a suppressed thyroid stimulating hormone. Her brain natriuretic peptide was 980pg/L and her electrocardiogram revealed atrial fibrillation with rapid ventricular response. Findings on trans-thoracic echocardiogram included a dilated left atrium, mild concentric left ventricular hypertrophy with grade 1 diastolic dysfunction, but preserved left ventricular systolic function, without any significant valvular abnormalities. A diagnosis of apathetic throtoxicosis presenting with heart failure with preserved ejection fraction, precipitated by atrial fibrillation was made and treatment was instituted. The patient reverted to sinus rhythm with resolution of her hemoptysis and heart failure symptoms within one week of admission. Discussion: Apathetic thyrotoxicosis is an atypical manifestation of hyperthyroidism more commonly found in the elderly. It presents with cardiac disease, wasting or depression with only a few of the more typical clinical manifestations of thyrotoxicosis. The hemoptysis found in our patient is most likely due to pulmonary edema from left ventricular failure. Conclusion: A diagnosis of apathetic thyrotoxicosis should be considered in the elderly patient presenting with heart failure in the absence of the usual risk factors for heart failure. Early recognition and treatment can reduce the morbidity and mortality associated with this condition.why do men cheat on their girlfriends
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American Journal of Medical Case Reports. 2014, 2(9), 173-174. DOI: 10.12691/ajmcr-2-9-3
Pub. Date: September 15, 2014
16415 Views6225 Downloads33 Likes
by Preeti Goswami and Yogesh Yadav
Case Report
The fusion of vertebral column is a rare anomaly usually congenital in origin. Fusion of the vertebra can be congenital or acquired. Embryologically, failure of resegmentation of the vertebra is the cause. The differentiation and resegmentation of vertebrae occur at the time of organogenesis. Thus resegmentation is the hallmark of vertebral development. Inappropriate vertebral fusion results in block vertebrae or spinal fusion or vertebral synostosis. Fusion of vertebrae can be acquired in case of trauma, tuberculosis and juvenile arthritis. It can occur at various levels viz., cervical, lumbar and thoracic vertebral levels in order of frequency. Among the 350 dry specimens of all vertebrae collected in the Department of Anatomy, two analomous sets of fused thoracic vertebrae were found. Knowledge about any deviation from the normal anatomy of our vertebral column is very essential especially for orthopedician, forensic pathologist, neurologist and clinical anatomist for diagnosing the patients with such vertebral anomalies. Any congenital or acquired abnormality in the vertebrae may be asymptomatic or a cause of discomfort and inability to carry out various day to day activities because of the important structure related to them.catch a cheat
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American Journal of Medical Case Reports. 2014, 2(9), 170-172. DOI: 10.12691/ajmcr-2-9-2
Pub. Date: September 09, 2014
18227 Views5447 Downloads34 Likes
by Patil Shital and Laxman Kasture
Case Report
Tuberculosis is the leading cause of cavitation on chest radiograph, more than 90% cases with cavitary lung diseases are because of tuberculosis especially in high burden countries like India. Overall 8-24% of pulmonary tuberculosis cases are having cavitation on chest radiograph. Although no radiological feature is the predictor of tuberculosis, some morphological characteristic features of lung cavitation on chest radiograph will help in predicting active form of pulmonary TB from cured form of disease. In this case report we described a 26 year male, with symptoms of weight loss, fever and cough of 2 months duration, found to have ‘Tennis Racket cavity’ on chest radiograph. We investigated further and found to have sputum smear positive pulmonary TB. We documented therapeutic response to the routine anti tuberculosis (ATT) drugs, and shown complete clinical and radiological recovery. Careful chest radiograph evaluation and interpretation is must in all the cases with respiratory symptoms, high index of suspicion with adequate chest radiology training is key in high burden setting especially in South East Asian region to cut the transmission of disease.why does my boyfriend cheat
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American Journal of Medical Case Reports. 2014, 2(9), 167-169. DOI: 10.12691/ajmcr-2-9-1
Pub. Date: September 09, 2014
18064 Views5190 Downloads40 Likes