Clinical Medical

Reviews and Case ReportsISSN: 2378-3656

Early Online

 Open Access DOI:10.23937/2378-3656/1410378

One Head Trauma, Three ENT Manifestations

Pedro Santos, MD, Ângela Rego, MD, Isabel Carvalho, MD and Luís Meireles, MD

Article Type: Case Report | First Published: December 31, 2021

It is well known that head trauma (HT) can cause hypoacusis; as well as benign positional paroxysmal vertigo (BPPV) and anosmia, which are frequently referred as sequelae of HY. However, the post-HT triad of BPPV, hypoacusis and anosmia is extremely rare to occur in the same patient, with only two cases reported in the literature. With this case report we wish to describe a clinical case of HT that caused hypoacusis, BPPV and anosmia as sequelae, and to review the importance of ENT evaluation in...

 Open Access DOI:10.23937/2378-3656/1410377

Acute Limb Ischemia as an Unusual Presentation of Spontaneous Coronary Artery Dissection

Basel Musmar and Alaa Gabi

Article Type: Case Report | First Published: December 31, 2021

Spontaneous coronary artery dissection (SCAD) is a rare, though, important cause of acute coronary syndrome that is more commonly seen in young and middle-aged women without risk factors for, or a history of, coronary artery disease. Acute embolization of left ventricular (LV) thrombus is an uncommon but known cause of acute limb ischemia. In this case, we present a rare case of SCAD that led to acute limb ischemia due to embolization of LV thrombus. A 53-year-old female with a past medical his...

 Open Access DOI:10.23937/2378-3656/1410376

Bilateral Lung Transplantation Due to Sjögren’s Syndrome in a Patient with Klinefelter Syndrome

Beauperthuy Levy Thais, MD, Anguera de Francisco Gabriel, MD, Fonfría Esparcia Carles, MD and Mancheño Franch N, MD

Article Type: Case Report | First Published: December 24, 2021

Klinefelter syndrome is one of the most frequent congenital chromosome disorders. Autoimmune diseases are not uncommon in patients with Klinefelter syndrome and associations between them have long been described. However, there is a paucity of literature regarding the effect of hypogonadism on respiratory system in these patients. Herein, we described a 28-year-old patient who presented with a constellation of unexplained respiratory signs and symptoms, such as tachypnea, hypoxemia, crackles rec...

 Open Access DOI:10.23937/2378-3656/1410375

An Unusual Complication of Mesenteric-Portal Axis Thrombosis and Septic Shock in a Patient with Mesangial Proliferative Glomerulonephritis

Sicharam Vijaya Luxmi, Sun Yue, Chen Xing Qing, Cao Fang Fang, Swalay Fedally and Du Xiao Gang

Article Type: Case Report | First Published: December 18, 2021

Thromboembolic events contribute to the most serious outcomes in patients with nephrotic syndrome. We report a case of a young male patient with mesangial proliferative glomerulonephritis presenting with nephrotic syndrome, which rapidly progressed to mesenteric and portal veins thrombosis and septic shock, ultimately leading to death. A 19-years-old, male patient was admitted due to bilateral lower extremity edema and abdominal distension. The abdominal distension appeared 2 months ago with acc...

 Open Access DOI:10.23937/2378-3656/1410374

Acute Wound with Varicose Vein in Rural Setting: The Challenge and Importance of Comorbidity Management

Agustini Song, MD, Kevin Leonard Suryadinata, MD and Nabila Viera Yovita, MD

Article Type: Case Report | First Published: November 30, 2021

Acute wound healing with comorbidities, such as a varicose vein, may be impaired and result in prolonged healing and unsightly scar if comorbidity identification and management are not done properly. We aimed to present the alternative comorbidity diagnosis and treatment for better outcome in rural setting. A 59-year-old woman was admitted to the ED with an open wound on the dorsolateral side of her left foot with comorbidity of uncontrolled hypertension and varicose vein. After wound closure wi...

 Open Access DOI:10.23937/2378-3656/1410373

Short Review of the Covid-19 Pandemic

Hamida Amer and Amal Ouhida

Article Type: Review Article | First Published: November 30, 2021

There is a dangerous virus spread across the globe since the end of 2019. The virus’s name is Coronavirus disease (Covid-19). Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus. COVID-19 is caused by one virus, called severe acute respiratory syndrome coronavirus 2, or SARS-CoV-2. An epidemic of Coronavirus disease 2019 (COVID-19) outbroke in December 2019 in China, Wuhan, which is becoming a Public Health Emergency of International Concern. As thi...

 Open Access DOI:10.23937/2378-3656/1410372

Factitious Disorder: A Paradox Case with Recurrent Symptomatic Hypoglycemia

Dana Hassneiah, MD, Seyma Sevinc, MD, Kendyl Stewart, MD, Charlotte Chaiklin, MD and Marcia Williams, MD, FACP

Article Type: Case Report | First Published: November 28, 2021

The patient was hospitalized and started on a Dextrose intravenous infusion. She underwent primary adrenal insufficiency testing with a normal co-syntropin stimulation test. She had normal glucose levels throughout her hospitalization. She was discharged home with instruction to discontinue use of oral hypoglycemic medications. A week after discharge the patient was found unresponsive and was brought to the emergency department for further evaluation. En route to the hospital, the patient was no...

 Open Access DOI:10.23937/2378-3656/1410371

Painless Cervical Lymphadenopathy in an Elderly Patient - A Rare Case of Rosai-Dorfman Disease and Hodgkin’s Lymphoma

Shi Ying Tan, MB, BCh, BAO, Pemasiri Upali Telisinghe, MBBS and Justin Fook Siong Keasberry, MB ChB, FRACP

Article Type: Case Report | First Published: November 22, 2021

Rosai-Dorfman disease is a rare, benign disease presenting with extensive lymphadenopathy. In this case, an 81-yearold gentleman with previous pulmonary tuberculosis, presented with painless cervical lymphadenopathy associated with generalized weakness, loss of appetite, and cough. The causes of cervical lymphadenopathy in elderly are comprehensive; hence thorough history taking, examination, and appropriate investigations are vital in diagnosing diseases. If blood investigations and imaging are...

 Open Access DOI:10.23937/2378-3656/1410370

Delayed Splenic Abscess Post Splenic Arterial Embolization for Trauma in a Patient with Previous Sleeve Gastrectomy

Thomas Vu, Charles Pilgrim, Warren Clements and Ee Jun Ban

Article Type: Case Report | First Published: November 20, 2021

In haemodynamically stable patients with blunt splenic injuries, non-operative management (NOM) including the use of selective splenic artery embolization have been shown to be an effective treatment option. Proximal splenic arterial embolization reduces bleeding by decreasing pulse pressure to the spleen, hence lowering intra-splenic arterial blood pressure and promoting thrombosis of injures vessels. Splenic tissue perfusion is still achieved through a collateral arterial network, deriving fro...

Volume 8
Issue 11