A Rare Association: Apical Hypertrophic Cardiomyopathy with Multiple Coronary Artery-Left Ventricular Fistulae
Isabel Monedero-Sánchez, MD, Pablo Robles-Velasco, MD, Amador Rubio-Caballero, MD, Yago González-Doforno, MD, Cecilia Marco-Quirós, MD, Victoria Espejo-Bares, MD, Verónica Artiaga-de-la-Barrera, MD and Carla Jiménez-Martínez, MD
Article Type: Case Report | First Published: October 20, 2021
A 59-year-old woman was referred for evaluation of chest pain and she was diagnosed of acute coronary syndrome. Coronary arteriography showed a severe stenosis of left anterior descending artery but also the presence of multiple coronary artery-left ventricle micro-fistulae. Echocardiographic findings were consistent with apical hypertrophic cardiomyopathy and the fistulae were also patent by colour Doppler echocardiography. Little is known about clinical features of micro-fistulae arising from ...
Surviving the Death Roll; Unveiling the Undiagnosed: Case of Hispanic Man with Covid-19 Pneumonia
Michael Khorsandi, MD, Nirmala Manjappachar, MD, Elnaz Ebrahimihoor, MD and Nargiz Muganlinskaya, MD, MMS, FACP
Article Type: Case Report | First Published: October 15, 2021
Brugada syndrome (BrS) is an inherited electrophysiological abnormality which typically manifests in patients with diverse ethnicities as ventricular arrhythmias or sudden cardiac death. The onset is frequently unmasked by various precipitating factors including but not limited to febrile diseases. Severe acute respiratory syndrome (SARS) coronavirus 2 (SARS-CoV-2) infection and associated COVID-19 illness continues to evolve. We are reporting a severe case of Covid-19 infection unveiling the un...
Complete Perioral Reconstruction for High Power Electrical Burn
Abiel Kwok, BSc and Colin Hong, MD, FRCP
Article Type: Case Report | First Published: October 20, 2021
Facial reconstructive procedures aim to restore function and appearance to a section of the face affected by trauma, surgery or illness. Lip reconstructions are common procedures due to the mouth’s role in numerous key functions, such as speech, chewing and displaying emotion, as well as its contributions to the overall aesthetic of the face. Lip and perioral reconstruction for the purpose of restoring function is more complicated. Selecting the best source of the skin flap used to cover the a...
Lymphangioma of the Tongue Revisited
Ahmed Hassan Kamil Mustafa, MSC, FFDRCSI
Article Type: Mini Review | First Published: October 08, 2021
Lymphangioma is a benign, congenital hamartomatous malformation of the lymphatic system, it is more common in the head and neck region. Oral lymphangiomas are rare but if it occurs, the tongue is the most commonly affected site, rarely on other sites such as the palate, gingiva, and alveolar ridge of the mandible. This study aims to throw light on lymphangioma of the tongue regarding pathogenesis, clinical signs and symptoms, and the different treatment modalities. Although lymphangioma is benig...
Implant Therapy of Non-Syndromic Severe Oligodontia: A Clinical Report
Luis Gabriel Ladino, DDS and Diego Rosselli, MD, EdM, MSc
Article Type: Original Article | First Published: October 06, 2021
A healthy, 23-year-old, nonsmoking, partially edentulous woman was referred to prosthodontist private practice in Bogota, Colombia, with the complaint of malocclusion, and an unattractive smile resulting from absence of some teeth. She had received fixed orthodontic treatment. She never used prostheses and refused using removable partial denture. Clinical, intraoral, and radiographic examinations were performed, and diagnostic casts were made. Intraoral status revealed absence of all lateral inc...
Successful Treatment of a Cesarean Scar Ectopic Pregnancy Using a Novel Approach with Oral Mifepristone followed by Trans Cervical Suction Evacuation with Prophylactic Tranexamic Acid: A Case Report
Muhunthan K, MBBS, MS, FRCOG, Anton Jenil Amirthanathan, MBBS, MD, Raguraman S, MBBS, MD, MRCOG and Guruparan K, MBBS, MD
Article Type: Case Report | First Published: October 09, 2021
Cesarean scar pregnancy is a rare form of ectopic pregnancy where the conceptus is implanted at the site of a previous cesarean section scar which pauses lifethreatening complications if not diagnosed and managed timely. Though numerous types of treatment approaches have been described there is no consensus on the optimal treatment modality which is a challenge to clinicians. Current treatment approaches are a combination of medical and surgical interventions with varying success rates and compl...
Case Report: Rare Presentation of Invasive Mole Following Term Pregnancy after Assisted Reproduction
S Raguraman, K Muhunthan and P Kabileshan
Article Type: Case Report | First Published: October 06, 2021
Invasive mole (IM) is one of the Gestational trophoblastic neoplasia lesions, characterized by local invasion of trophoblastic with rare distal spread. It could follow any type of pregnancy and commonly arising from a complete hydatidiform mole (CHM). Pathogenesis of hydatidiform mole due to an underlying oocyte defect. Embryos are examined for triploidy to exclude dispermic fertilization in assisted reproduction technology (ART). Besides, several potential mechanisms and risk factors had been d...
Outcomes following Suboccipital Decompressive Craniectomy for Posterior Fossa Stroke with Malignant Cerebellar Oedema: A Case Series and Review of the Literature
Michael Brooks, MD, Rebecca Nguyen, MD, Ganeshwaran Shivapathasundram, MBBS, FRACS and Mark Sheridan, MBBS, FRACS
Article Type: Case Series | First Published: October 09, 2021
Suboccipital decompressive craniectomy is a procedure that has been performed to treat malignant cerebellar oedema secondary to posterior fossa strokes. Due to the rarity of the procedure, more evidence is required to better identify factors associated with good or poor outcomes to aid in appropriate patient selection for surgical intervention. Currently known good prognostic factors include reduced time until surgery from deterioration and unilateral infarction. A retrospective review was perfo...
The Role of Skeletal Radiology and the Limits of Serologic Assays in Distinguishing among the Causes of Inflammatory Arthritis
Bruce Rothschild, Michael Gernert and Ottar Gadeholt
Article Type: Case Report | First Published: October 07, 2021
Radiologic findings are important for the diagnosis and treatment of inflammatory joint disease. Current classification criteria utilize different serological findings, such as anti-citrullinated-peptide antibodies (ACPA) and rheumatoid factor (RF), as well as clinical findings, for diagnosis of rheumatoid arthritis (RA). The presence of erosions allows diagnosis, even if serological criteria are not fulfilled. However, the pertinent erosions are not clearly defined. Previous studies have shown ...
Community Awareness of the Importance of Immunity Enhancement against COVID-19 in Saudi Arabia
Ali S Alqahtani, Samah SA Salem, Mansour S Almetwazi, Omer I Fantoukh, Doaa AA Ali, Yousef TM Alharbi, Waleed A Alobaid, Raha S Orfali and Wael M Abdel-Mageed
Article Type: Research Article | First Published: September 27, 2021
Coronavirus-19 disease (COVID-19) is an infectious disease whose outbreak has reached global pandemic status. UpToDate, there is no effective cure for COVID-19, and only a healthy immune system is an important weapon against viral infection. The study used a cross-sectional online survey conducted in the Kingdom of Saudi Arabia for random sample from all the governorates. The final study sample was made up of 1387 Saudi citizens and residents. The data were analyzed using SPSS software. The find...