Determinants of Caretakers Acceptability of HIV Testing among Children Admitted at Lubango Provincial Pediatric Hospital, Angola
Ketha Francisco, Rashmi Kumar, Lucy Mungai, Dalton Wamalwa and Ruth Nduati
Article Type: Research Article | First Published: February 19, 2021
Early diagnosis and treatment of HIV infected children is particularly important since they face a very high mortality rate. With the recent availability of Antiretroviral Therapy (ART), routine HIV testing is now an essential component of HIV prevention and care. However, many HIV infected children are never identified or are lost from the health care system before they can be enrolled into care contributing to high mortality. Early diagnosis of HIV infected children is critical for optimal the...
An Unusual Cause of Epigastric Pain: Brunner’s Gland Hyperplasia of the Ampulla of Vater
Yi Hua Wu, Wen Hsin Huang, Chi Ying Yang and Kai Po Chang
Article Type: Images | First Published: February 19, 2021
A 49-year-old man with a history of chronic hepatitis B presented to our outpatient clinic with occasional epigastric pain and intermittent fullness lasting 3 months. Duodenoscopy revealed ~1.5-cm broad-based polypoid ampullary mass with smooth and hyperemic mucosa (Figure 1A). Endoscopic ultrasonography (EUS) revealed an ampullary mass with hypoechoic and heterogeneous echogenicity involving mucosal and submucosal layers without an evidence of extension into either the biliary or pancreatic duc...
Tongue-Type Calcaneal Fracture due to a Low-Energy Injury
Filipa Vilabril, José Vilaça Costa, João Vieira Dias, Rui Migue Cândido and Inês Machado
Article Type: Case Report | First Published: February 17, 2021
Tongue-type fractures are unusual calcaneal fractures that produce an unique and relatively uncommon injury pattern to the bone and soft tissues, due to the separation of the calcaneal tuberosity into superior and inferior fragments. The displacement of the superior fragment has the potential to tent the skin of the posterior heel and, if not treated emergently, partial or full-thickness skin breakdown can progress quickly, and potential necrosis can occur. Early recognition by the emergency phy...
A Case Report of Negative Pressure Wound Therapy in Post- Traumatic Raw Area
Naim Sulaiman Abuzarifa and Wan Azman Wan Sulaiman
Article Type: Case Report | First Published: January 30, 2021
Traumatic wounds vary from abrasions and minor skin incisions or tears to wounds with extensive tissue damage or loss and damage to bone and internal organs. The use of economic negative-pressure wound therapy for managing wounds and negative-pressure wound therapy is known for improving a wide range of acute and chronic wounds. This medical device involves applying a wound dressing through which negative pressure is applied and wound discharges drawn out from the wound. The treatment aims to pr...
Oropharyngeal Cancer and Human Papilloma Virus: Counselling First Line Health Professionals
Francis Gilbert, MD, Matthieu J Guitton, PhD, FRAI and Nathalie Audet, MDCM, FRCSC
Article Type: Case-Control Pedagogical Study | First Published: February 10, 2021
In the last decade, the incidence of Human papilloma virus (HPV)-associated oropharyngeal cancer has increased and as high as 70% of all oropharyngeal cancers are caused by HPV. First line health professionals might feel uncomfortable discussing topics related to sexual habits. The objectives of this study are to assess the level of knowledge about HPV-associated oropharyngeal cancer amongst first line health professionals and to evaluate the impact of an educational intervention on communicatio...
The Craniofacial Dismasking Flap: A Retrospective Study
Muñoz, Ruben, Golaszewski, Jose and Diaz, Alvaro
Article Type: Original Article | First Published: January 29, 2021
The aim of this work is to study the use of this technique for extirpation of malignant tumors of the maxillary sinus and application for a variety of facial lesions, craniofacial deformities and trauma sequel. This includes the exposure for adequate tumor resection and the preservation of tissues and they function. This approach was evaluated including the advantages and disadvantages regarding the function, aesthetic outcome and the complications related to the procedure. Eight patients underw...
Clinical Implications and ESHRE/ESGE Classification of Mullerian Anomalies: A Case Series
Uma Gupta, Vartika Tripathi and Priya Sharma
Article Type: Case Series | First Published: February 10, 2021
Mullerian or paramesonephric ducts form the female genital tract and any deviation from the normal can lead to Mullerian anomalies. Depending on the type of Mullerian anomaly; the presentations, required investigations and treatment options vary considerably and so does the counseling regarding the condition. Due to the highly varied profile of patients with Mullerian anomalies, a number of classification systems have been proposed to aid in their diagnosis and management. A thorough knowledge o...
Clinico-Radiological Presentation of Angiocentric Neuroepithelial Tumor Associated with Pharmacoresistant Epilepsy: A Case Report
Anne-Laure Hermann, MD, Christine Bulteau, MD, PhD, Marc Polivka, MD and Augustin Lecler, MD, PhD
Article Type: Case Report | First Published: February 19, 2021
The World Health Organization (WHO) Classification of Central Nervous System describes several types of glioneuronal tumors, which are known to induce refractory partial seizures in children and adults. The most frequent ones are Dysembryoplastic Neuroepithelial Tumors (DNETs), gangliogliomas and oligodendrogliomas, but other types of complex glioneuronal lesions can be observed and are described as Low-Grade Epilepsy Associated Neuroepithelial Tumors (LEAT). The angiocentric glioma, previously ...
An Infant with Posterior Fossa Hemangioma with Aortic Stenosis: Case Report and Review of Literature
Senol Yigit Can, MD, Daglioglu Ergun, MD, Aydogdu Basaran Ozge, MD and Belen Deni, MD
Article Type: Case Report | First Published: February 19, 2021
We presented a unique case of infantile type hemangioma corresponding with aortic stenosis. Therefore, we accepted this case as a PHACES syndrome. This case will be the 4th case of the literature. The most remarkable feature of PHACE syndrome is infantile hemangioma but abnormalities in the arteries which are not obvious on the clinical examination have considerable potential morbidity. We have certain diagnosis with pathology and no conflicts of interest disclosure. The most prevalent benign ne...
Non-Traumatic Intracranial Hemorrhage in Adolescent
Joana Vanessa Soares Silva, Benedita Sousa Amaral Bianchi de Aguiar, Eduardo Miguel Pereira da Costa, António Adriano Gonçalves Vilarinho, Josué Augusto de Carvalho Pereira and Magalys Sotto Gómez Pereira
Article Type: Case Report | First Published: February 15, 2021
Intracranial hemorrhage (ICH) is a rare entity in pediatric age, that is responsible to high rates of morbidity and mortality. Vascular malformations, such as Arteriovenous malformation (AVM), are the main causes in this age group. Despite its congenital nature, AVM is less commonly discovered in children than in adults unless it complicates. The authors present the clinical case of a 17-year-old boy, previously healthy, who suffered sudden focal neurologic deficits due to a hemorrhage located i...