We report a modified minimally invasive surgery for thoracic pyogenic spondylitis by single-stage posterior fixation with curettage of the spinal anterior segments and autogenous iliac bone grafting using a separate posterolateral approach. This surgical method avoids contamination of spinal implants by maintaining a muscular barrier from the curettage/grafting site.

Congenital bronchial webs are extremely rare and usually remain undiagnosed due to non-specific symptoms. Herein, we reported a 4-years-old case of the bronchial web who was initially undiagnosed upon bronchoscopy following foreign-body aspiration and afterward misdiagnosed as childhood asthma through his consistent cough and exertional dyspnea for several months.

This clinical image presents unexpected bronchial dilatations with radiographic images suggestive of progressive pulmonary tuberculosis. The aim is to remind the value of thoracic imaging in the early diagnosis of bronchopulmonary pathologies to improve the prognosis of patients.

Sporotrichoid-lymphocutaneous-pattern is classically seen in sporotrichosis, though also present in other infections like atypical mycobacteriosis and leishmaniasis. Cutaneous atypical mycobacterial infection presents as localized lesions in immunocompetent and is widespread in immunosuppressed patients. Here, we present a case of sporotrichoid-lymphocutaneous infection due to atypical mycobacteria, in a fish-seller under immunosuppressants.

Tuberous sclerosis complex (TSC) is a rare genetic multisystem disorder that was first described by Von Recklinghausen. We report a case of a female who initially presented with hematuria and was later found to have multiple manifestations of the disease. The report emphasizes the value of investigations on suspected cases.

From 2016 to 2021, two cases of rabies encephalitis were diagnosed and hospitalized at the Kiffa hospital center. Neither of them had started the rabies vaccination after the dog bites before symptoms appeared. In countries where rabies still occurs, health workers should be trained for an efficient management of dog.

This paper presents a case with type 2 diabetes mellitus on a very low-carbohydrate diet who developed euglycemic diabetic ketoacidosis (EDKA) 3 days after starting sodium-glucose cotransporter 2 inhibitors (SGLT2i). When initiating SGLT2i, healthcare providers should confirm the implementation of a low-carbohydrate diet and provide intensive guidance to prevent EDKA.

We report the case of a teenager with a neurofibromatosis Type 2 (NF2) presenting a locked-in syndrome due to a brainstem ischemic syndrome. The presence of sudden or rapidly worsening onset of neurological deficits in NF2 patients, should evoke this underknown entity and not only tumors as predisposed by NF2.

Leishmaniasis is a common cause of pancytopenia and hepatosplenomegaly in tropical and sub-tropical regions. A high index of suspicion is required to diagnose and manage patients with leishmaniasis. History of travel should always be elicited in patients with suggestive clinical presentation.

The Rumpel-Leede phenomenon is when the distal dermal capillaries of an extremity rupture in response to local mechanical pressure, such as an inflated blood pressure cuff or a compression band, disrupting the capillary membrane. This article presents an image of the rumpel-leede phenomenon after transulnar percutaneous coronary intervention.

Neurofibromatosis type 1 (NF1) is not known to cause serious vascular complications. This report describes a 49-year-old man with NF1 who presented to our hospital in hemorrhagic shock due to vascular leakage within a neurofibroma tumor. Physicians should be aware that NF1 can cause a wide variety of vascular lesions.

Two patients with concomitant vitiligo and autoimmune atrophic gastritis a comparative histological study on skin and gastric mucosa were preformed.Common findings were seen in both specimens .Down expression of E-Cadherin and Collagen IV leading to detachment of melanocytes and parietal cells in addition to CD8 and CD4 Infiltration were detected.

Duodenal diverticula perforation due to an impacted bezoar is a rare disease. Surgical treatment is associated with high rates of complications and mortality; therefore, treatment strategies must be carefully decided. Endoscopic treatment offers significant benefits to patients over surgery.

Nervous system involvement in IgG4-related systemic disease (IgG4-RD) is rarely reported and manifests as hypertrophic pachymeningitis and hypophysitis. In this report, a 33-year-old woman with neurological manifestations was diagnosed with IgG4-RD by biopsy. The patient showed improvement in symptoms after the treatment.

POLR3A is a main subunit encoding RNA polymerase III which is involved in transcription of many RNA structures. Here we report a new presentation of c.1771-6C>G intronic variant presenting as developmental regression, seizure and dystonia in a 6-year-old boy associated with striatum involvement in the brain MRI.

Ondansetron is an FDA-approved selective serotonin 5-HT3 receptor commonly indicated as an anti-emetic agent for nausea and vomiting. It is rare to observe fatal reactions from ondansetron despite having no allergies or previous exposure. We report a case of anaphylactoid reaction with spontaneous coronary vasospasms in response to intravenous ondansetron.

Herpes simplex encephalitis (HSE) is the most common type of sporadic encephalitis that inflicts high rates of morbidity and mortality. Differentiating a progressing encephalitis syndrome from a lobar hemorrhage as a complication presents a challenge and requires great vigilance and insight on part of the treating physician.

Fibrolipoma is a variant of lipoma that is relatively uncommon in the mouth tissues, especially the attached gingiva. It is diagnosed by histopathologic and immunohistochemistry evaluation and treated by total excision. A case of a patient with attached gingiva fibrolipoma, treated by surgical excision under local anesthesia is reported.