Gastroenteritis can be associated with life-threatening complications like myocarditis. A 16-year-old male presented with acute myocarditis mimicking STEMI after gastroenteritis. He made an uneventful recovery after appropriate treatment. This case report highlights that clinicians should be aware of this rare, but serious, cardiac complication when treating patients with gastroenteritis.

Basal ganglia calcifications have been linked to a wide range of causes. Mostly it is an idiopathic finding, especially in elderly. Endocrinological and neurological disorders are major causatives. Hyperthyroidism was not related to this finding. We present a case of incidental basal ganglia calcification in man with Grave's disease.

Masked polycythemia vera due to iron deficiency anemiaKoma Hotta, MD1, Ryotaro Niwa, MD21Department of General Internal Medicine, Takatsuki Hospital, Osaka, Japan2Department of Hematology, Japanese Red Cross Takatsuki Hospital, Osaka, Japan

The case is a 67-year-old female with autosomal dominant polycystic kidney disease who was followed up regularly. CT scan showed a mural nodule growing over the past 4 years inside the hypodense region surrounded by hepatic cysts. Surgery was performed and the pathological diagnosis was StageⅠ gallbladder cancer.

Moebius Syndrome is a rare multifactorial condition defined by congenital complete or partial VII and VIth cranial nerves palsy and other physical abnormalities. We present the case of a 3 months old infant with Moebius sequence and breathing and eating difficulties, managed by tracheostomy and laryngoplasty.

Streptococcus intermedius is a commensal bacterium reported in few cases as the causative agent of brain and lung abscesses, pneumonia, and endocarditis. Lung abscesses due to Streptococcus intermedius are rare, especially in pregnancy. We describe the first case of lung abscess due to streptococcus intermedius in a pregnant woman.

We present the case of a 65 years old patient who developed a complete, sensorineural hearing loss on the right side due to an intravestibular schwannoma. Our video shows a transcanal, endoscopic approach with complete schwannoma removal on the right side, subsequent e-BERA recordings, and cochlear implantation.

Herein we report the intriguing case of a 42-year-old woman presenting with grade three hypertension, severe hypokalemia and primary amenorrhea, which revealed to be the complete form of 17 alpha-hydroxylase deficiency. We also discuss the challenging therapeutic approach as well as the outcomes and the follow-up of this patient.

Methemoglobinemia is a rare but fatal disorder of the oxygen-carrying capacity of hemoglobin. Here is a case representing high-dose Sulfamethoxazole/ Trimethoprim ( SMX/TMP ) induced Methemoglobinemia in a boy treated for Ventilator-associated pneumonia (VAP), which was resolved successfully after administration of methylene blue and discontinuation of SMX/TMP

Retroperitoneal sarcoma is relatively uncommon. We share our experience in encountering retroperitoneal sarcoma with vascular and urethral adhesion in a 46-year-old woman. Given the rarity of these tumors, evaluation and management should ideally be performed in a center equipped with multidisciplinary expertise in treating sarcomas.

A 55-year-old female patient presented with generalized tonic-clonic seizures. Laboratory evaluation showe low calcium (4.9 mg/dL), low PTH (0.9 pg/mL), & positive activating CaSR antibodies. The condition was diagnosed as autoimmune hypoparathyroidism. Vitamin supplements did not correct the patient’s hypocalcemia and steroids were added to the treatment.

Here we discuss a diabetic 54 years old female presented with malignant otitis externa and bilateral facial paresis followed by cervical spondylitis and C1-C2 instability. Skull base osteomyelitis confirmed by clinical presentation, imaging, and lab data. Fortunately, she responded well to anti-bacterial and antifungal therapy.

The use of Dynamic Movement Orthoses® is examined in a young woman with hypermobile Ehlers-Danlos syndrome (hEDS) referred for physiotherapy with hip dysplasia, prior to a right peri-acetabular osteotomy. Dynamic Movement Orthoses® plus rigorous subjective examination, therapists’ listening skills and patient-centred goals was useful for this hEDS patient.

we report two cases of parapharyngeal space tumors that were removed with a mandibular lateral segment-osteotomy technique without median lower lip incision to avoid esthetic problems.

Objective: To present 29-year-old patient with neurosyphilitic changes characterized by multiple acute ischemic brain strokes along with significant narrowing of several large intracranial arteries. After treatment of patient with ceftriaxone for 14 days following benzathine benzylpenicillin weekly for additional three weeks, meningovascular changes regressed.

Paraneoplastic syndrome is often not an obvious or common clinical presentation, but this report demonstrates that migratory arthropathies, may be the first presenting sign for non-small cell lung cancer (NSCLC). This study showcases an example of paraneoplastic syndrome, so other healthcare providers can be aware of early NSCLC manifestations.

Congenital dyserythropoietic anemias (CDA) is a heterogeneous class of anemia of varying degrees of ineffective erythropoiesis and secondary hemochromatosis. We reported a case of CDA and showed our approach to reaching a diagnosis, highlighting the importance of the typical morphological appearance of bone marrow erythroblasts to reach the diagnosis.

Necrobiosis Lipoidica (NL) is a rare granulomatous skin condition typically occurring in lower extremities. We report an atypical case of NL and we highlight the role of dermoscopy in the diagnostic approach.