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Case Report  |   Volume 2, Issue 11

False-Positive Radioactive Iodine Uptake in Uterine Fibroids

Teo Tee Yin T, McNeely Parren, Stolpen Alan, Menda Yusuf, and Graham Michael M
Abstract

A premenopausal Chinese female in her forties had recently undergone thyroidectomy for multinodular goiter which she suffered for decades and failed conservative treatments. On pathology specimens, multifocal subcentimenter papillary thyroid carcinoma was detected with the largest lesion measures 3.7 cm. On the histopathology report, there was no metastatic lymph nodes, neurovascular or lymphovascular invasion identified. As part of the clinical staging process, patient was given a small dose of 123-Iodine to evaluate for gross macroscopic disease. The small dose and short half-life of 123-Iodine is to avoid stunning.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410071

Case Report  |   Volume 2, Issue 11

Gemella Prosthetic Aortic Valve Endocarditis Treated Successfully with Vancomycin and Gentamicin

Rupa Patel, Drew Schwartz, Lemuel Non and Alan Braverman
Abstract

Gemella, a facultative anaerobic Gram-positive cocci normally found in the oral cavity, is a well-described but rare cause of subacute infective endocarditis. Its exact incidence may be underestimated because of difficulties isolating this organism. We describe a case of bioprosthetic aortic valve, late-onset endocarditis with Gemella that was treated with vancomycin and gentamicin initially, in a 59 year-old man who reported severe allergy to penicillin.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410070

Case Series  |   Volume 2, Issue 11

Gastrointestinal Stromal Tumor near Gastroesophageal Junction with Concomitant Hiatal Herni

Amir Aryaie, Yuxiang Wen and Leena Khaitan
Abstract

The patient is a 71 years old lady who initially presents with significant gastroesophageal reflux, chronic blood loss anemia, and mild dysphagia. Her reflux symptoms have been refractory to optimal medical treatments. She was initially afebrile with unremarkable vital signs, and physical exam was otherwise normal: abdomen was non-tender, non-distended, and no hepatosplenomegaly. Despite the fact that she denied recent weight gain or weight loss, her hemoglobin and hematocrit levels were 8.6 and 27.1 respectively at initial office visit.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410069

Case Series  |   Volume 2, Issue 11

Case Series and Proposed System of Nomenclature for Aneurysms of the Portal Venous System

Anthony Visioni, John Ammori and Jeffrey Hardacre
Abstract

Aneurysms of the portal vein (PV), superior mesenteric vein (SMV), and splenic vein (SV) are rare. There are less than 200 cases reported in the English literature since the condition was first described in 1956 by Barzilai and Klecker. Studies to date have commented on the radiographic characteristics, natural history, and possible management options of this clinical entity. While most of the literature falls under the category of portal venous aneurysms, there are also case reports of isolated SMV and SV aneurysms.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410068

Case Report  |   Volume 2, Issue 11

Interferon and Ribavirin-Induced Oral Hyperpigmentation in Two Taiwanese Patients: Case Report and Literature Review

Yu-Jong Weng and Min-Fu Tsan
Abstract

A variety of medications such as non-steroidal anti-inflammatory drugs, anti-malarials, amiodarone, cytotoxic drugs, tetracyclines, heavy metals, and psychotropic drugs, may cause cutaneous hyperpigmentation. Recently, hyperpigmentation of the tongue and oral mucosa have also been reported in patients with hepatitis C virus (HCV) infection who were being treated with either short acting IFN or long acting polyethylene glycol-conjugated IFN (PEG-IFN) combined with ribavirin (RBV). The IFN or PEG-IFN and RBV-induced oral hyperpigmentation appears to be more common in patients with dark skin, even though it has been reported in both Caucasian as well as non-Caucasian patients.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410067