A 49-year-old male presented with a gradually progressive loss of vision in both eyes. Funduscopic examination revealed bilateral optic disc swelling and two yellowish elevated choroidal lesions in the LE. Ophthalmic imaging raised suspicion of choroidal metastasis. Adenocarcinoma of the lung was detected in further systemic evaluation.
Papillary thyroid carcinoma of the pyramidal lobe is rare. We describe a case of a 77-year-old woman who corroborates current literature findings, namely greater presence of adverse prognostic factors. Upper Neck Papillary Thyroid Cancer is a new entity, proposed to group these tumors with potential clinical and therapeutic implications.
It is difficult to anatomically understand the three-dimensional structure of the middle ear and temporal bone during surgery, and great surgical technique are required. Therefore, complications are avoided through simulation using a three-dimensional printer, which was effective in not only safe and reliable surgery but also educating young physicians.
Transoral robotic surgery (TORS) has evolved into a common surgical modality used to treat primarily oropharyngeal malignant and benign pathologies. The single port Intuitive Surgical da Vinci surgical robotics system facilitates access to the hypopharynx and cervical esophagus. We aim to describe our approach and advantages of the technique.
Necrotizing pneumonia (NP) is a severe form of lung disease with a high mortality rate. Although NP generally occurs as a complication in community-acquired pneumonia, our case illustrates that NP can occur as a secondary infection even if the clinical course of COVID-19 pneumonia is favorable, particularly in intubated patients.
Takayasu arteritis is a granulomatous inflammation of the aorta and its major branches.Can present as an isolated, atypical,and/or catastrophic disease.The disease has been reported around the world, although it appears to be more prevalent in Asians.We report case of a 29-year-old pregnant lady presented with TA.
Trapezium fracture is a rare condition that goes undetected and exposes to long-term comorbidities : chronic pain and rhizartrosis. In presence of suggestive clinical presentation with a normal radiograph, CT scan should be considered. Therapeutic guidelines are not well established due to the lack of series reported in the literature.
Herpes Simplex Encephalitis is the most common cause of infectious encephalitis. Our case is of a 75-year-old woman who presented with dysuria and altered mental status. Our case addresses the difficulties in diagnosis and highlights the importance of early recognition of HSE and its associated neurological sequelae.
Alveolar bone exostoses (ABE) are benign localized convex outgrowths of buccal or lingual bone from the cortical plate, often known as buttress bone development. Our review and case series shows ABE following orthodontic treatment. If self-remission fails after orthodontic forces are removed, we have shown surgical methods to correct ABE
Cutaneous leiomyomas are benign tumors arising from smooth muscles of the skin. Multiple lesions may be arranged in segmental, zosteriform, disseminated patterns. Multiple pilar leiomyomas may be inherited in an autosomal dominant pattern and may be associated with uterine fibroids and renal cell carcinoma, also known as Reed Syndrome.
Guillain-Barre syndrome (GBS) is a rare autoimmune disease that often manifests as a post-viral complication. However, its association with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is unclear. We present a rare case of GBS secondary to COVID-19 infection complicated by rapidly progressive sensorimotor deterioration resistant to plasma exchange therapy.
Congenital heart disease is a risk factor for infective endocarditis. Ventricular septal defects and ventricular outflow tract obstructions are the most common causes of endocarditis in this population. We presented a patient diagnosed with leukocytoclastic vasculitis with renal and pulmonary involvement with right-sided infective endocarditis as an etiology for vasculitis.
Atrial fibrillation is associated with low-flow state and increased thrombogenicity in the left atrium (LA). Multiple echocardiographic presentations, including thrombosis, sludge, and smoke formation, have been demonstrated in just one biplane transesophageal echocardiographic view, along with normal structures, i.e., pectinate muscles and Coumadin ridge, which are highly educational for cardiologists.
We present the case of a 70-year-old man diagnosed with acute myelomonocytic leukemia, albeit that his leukemic blasts at initial presentation had scant cytoplasm, inconspicuous cytoplasmic granules, and morphologically mimicked lymphoblasts. We would like to raise the recognition that acute myelomonocytic leukemia can actually present with atypical blast morphology.
A 70-year-old female presented with a long history of HIV and five years of disturbing delusions of infestation that impaired her functioning. The delusion resolved with haloperidol but was followed by depressive symptoms. The case presents the complexity of managing neuropsychiatric manifestations of elderly patient with HIV/AIDS and medical comorbidities
Pulmonary embolism can be a complication following an attempted salvage of a dysfuctional arteriovenous fistula (AVF). We report a case of bilateral pulmonary embolism in a patient with underlying pericardial effusion who, following minimal venotomy and milking of the AVF, developed sudden and significant respiratory distress, and later improved.