False-Positive Radioactive Iodine Uptake in Uterine Fibroids
Teo Tee Yin T, McNeely Parren, Stolpen Alan, Menda Yusuf, and Graham Michael M
Article Type: Case Report | First Published: November 25, 2015
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...
Gemella Prosthetic Aortic Valve Endocarditis Treated Successfully with Vancomycin and Gentamicin
Rupa Patel, Drew Schwartz, Lemuel Non and Alan Braverman
Article Type: Case Report | First Published: November 18, 2015
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....
Gastrointestinal Stromal Tumor near Gastroesophageal Junction with Concomitant Hiatal Herni
Amir Aryaie, Yuxiang Wen and Leena Khaitan
Article Type: Case Series | First Published: November 12, 2015
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 an...
Case Series and Proposed System of Nomenclature for Aneurysms of the Portal Venous System
Anthony Visioni, John Ammori and Jeffrey Hardacre
Article Type: Case Series | First Published: November 09, 2015
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...
Interferon and Ribavirin-Induced Oral Hyperpigmentation in Two Taiwanese Patients: Case Report and Literature Review
Yu-Jong Weng and Min-Fu Tsan
Article Type: Case Report | First Published: November 01, 2015
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-...