Clinical Medical

Reviews and Case ReportsISSN: 2378-3656

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Case Report Open Access

HIV-Infected Patient with Refractory Giardiasis and Lingua Villosa Nigra: A Case Report

Nina Yancheva, Nina Tsvetkova, Maria Nikolova, Ivo Alexiev and Tatyana Tchervenyakova
Clin Med Rev Case Rep Volume 3, Issue 8

Abstract: Giardia lamblia is a protozoan parasite that can cause diarrhea in both HIV-positive and HIV-negative patients. The most frequent complaints associated with Giardia infection are loose, bulky, frothy and/or greasy stool with the absence of blood or mucus, flatulence, bloating, anorexia, cramps and foul belching. We report the case of a 34-year-old HIV-infected male patient with refractory giardiasis. He had two relapses of giardiasis with nausea, loss of appetite, diarrhea, bloating, foul belching and weight loss.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410126

Case Series Open Access

Hypothesizing that a Pro-Dopaminergic Regulator (KB220z TM Liquid Variant) can Induce 'Dopamine Homeostasis' and Provide Adjunctive Detoxification Benefits in Opiate/Opioid Dependence

Kenneth Blum, Debra Whitney, Lye Fried, Marcelo Febo, Roger L Waite, Eric R Braverman, Kristina Dushaj, Mona Li, John Giordano, Zsolt Demetrovics and Rajendra D Badgaiyan
Clin Med Rev Case Rep Volume 3, Issue 8

Abstract: In order to explore the initiation of detoxification of addictive patients to opiates/opioids (along with some other anti-withdrawal agents), we developed a protocol to be utilized in treatment centers particularly with heavily dependent opiate/opioid subjects. Out of 17 subjects, only three received Buprenorphine/Naloxone (Bup/nx) along with KB220Z. In this pilot, we first used a dose of KB220Z of 2 oz twice daily before meals along with clonidine and benzodiazepines and other anti-nausea and sleep aids including Gabapentin.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410125

Case Report Open Access

A Patient with Rare Heterogenic Histopathological Presentation and Atypical Sites of Metastases in Oropharyngeal/Hard Palate Cancer: A Case Report

Aleksandra Danieluk, Aleksandra Filimoniuk, Joanna Mandziuk, Anna Marczuk, Marek Z Wojtukiewicz and Ewa Sierko
Clin Med Rev Case Rep Volume 3, Issue 8

Abstract: A case of a 45-year-old Caucasian female oropharyngeal cancer patient, who developed rare metastases to the skin and pleura, is presented. The tumour was characterised by four different histological types of cancer (mucoepidermoid carcinoma, squamous cell carcinoma, undifferentiated carcinoma and adenoid cystic carcinoma). The patient was first diagnosed with locoregionally advanced mucoepidermoid carcinoma (T3N0M0). She was primarily treated with radical surgery. Histopathological report identified the positive margin of resected fragment as squamous cell carcinoma. Subsequent chemoradiation to the tumour bed and regional lymph nodes was administered and locoregional control was achieved.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410124

Case Report Open Access

Recovery of an Under-Deployed Renal Artery Stent Responsible for a Complication of Renal Artery Stenosis

Husain Alturkistani, Youri Kaitoukov, Patrick Gilbert and Vincent Oliva
Clin Med Rev Case Rep Volume 3, Issue 8

Abstract: A 74-year-old male patient presented to our emergency room (ER) with recurring episodes of flash pulmonary edema (dyspnea worsened by lying down) and hypertension resistant to medical treatment. He had a history of left nephrectomy for renal cell carcinoma (RCC) and right renal artery angioplasty. We hereby report a case of a complication of renal artery stenosis in a patient with a single kidney secondary to an under-deployed renal artery stent that was retrieved.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410123

Case Report Open Access

Non-Puerperal Uterine Inversion in a Young Woman: A Case Report, Brief Surgical Review, and Clinical Insights

Leeya F Pinder, Kennedy O Ouma and Brett D Nelson
Clin Med Rev Case Rep Volume 3, Issue 8

Abstract: Uterine inversion is usually encountered in the puerperal period and is considered a life-threatening event. The incidence of puerperal uterine inversion is 1 in 3500 deliveries; however, the incidence of non-puerperal uterine inversion is largely unknown. With few more than 100 cases reported in the literature, the management of this condition poses many challenges.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410122

Case Report Open Access

A Rare Case of Primary Mucosal Melanoma of the Palate

Elzbieta Sierko, Aleksander Nobis, Dominika Hempel, Marek Z Wojtukiewicz and Ewa Sierko
Clin Med Rev Case Rep Volume 3, Issue 8

Abstract: Melanoma usually occurs on the skin. Only 1% of all melanomas affect mucosal membrane of the head and neck with 1951 cases reported from 1945 to 2011 in the world. The article describes the case of the 65-year-old patient suffered from the palate melanoma that was irradiated on tumor area. The other therapeutic options for melanoma patients were discussed.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410121

Case Report Open Access

An Underdiagnosed ARVC Case until the Age of 67-Years with Two Large Aneurysms in the Right Ventricle

Kevser G Balci, Mustafa M Balci, Samet Yilmaz and Ramazan Akdemir
Clin Med Rev Case Rep Volume 3, Issue 8

Abstract: Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a cardiomyopathy that manifests with ventricular tachycardia (VT), ventricular fibrillation (VF) and sudden cardiac death (SCD). Hence immediate intervention is necessary for this type of presentation. A 67-year-old man was admitted to our emergency department with palpitation. Electrocardiogram (ECG) showed VT. Despite amiodarone and lidocaine administration VT persisted.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410120

Volume 3
Issue 8