A document by simon mundeli. Click on the document to view its contents.

Pericapsular nerve group block followed by regional anesthesia for pathological fracture fixation in a multiple myeloma patient

Title: Trichodysplasia Spinulosa Post Renal TransplantKey Clinical Message: Trichodysplasia spinulosa is a rare dermatological condition caused by a virus that predominantly affects immunosuppressed individuals. In this patient population, including organ transplant recipients, it is essential to maintain a high index of suspicion for possible infectious causes of persistent dermatologic conditions. Early diagnosis can facilitate treatment and help avoid disease progression and complications.

A document by Yasmine Elsherif. Click on the document to view its contents.

Clinical Case Reports

IntroductionObesity is a complex disease defined as abnormal or excessive fat tissue accumulation that presents a risk to health. 1According to the World Health Organization (WHO), obesity is a latent disease declared as a non-infectious and noncommunicable pandemic.1,2 Indeed, obesity is linked to more deaths worldwide than being underweight, being a risk factor for cardiovascular diseases, diabetes, musculoskeletal disorders, and some cancers.1,2 In particular, obesity is associated with 13 different cancers, among them: breast, endometrial, ovarian, prostate, liver, gallbladder, kidney, and colon and rectum3,4Most frequently, obesity is a primary condition, while differential diagnosis of secondary obesity includes: Hypothyroidism, Hypercortisolism, Hyperinsulinism (type 2 diabetes), Polycystic Ovary Syndrome, and drugs.Obesity stigma refers to social devaluation and denigration due to excess body weight. 5 Several large-scale studies across various countries showed that a high percentage of patients suffered from obesity stigma also from healthcare professionals.6,7 In particular, primary care physicians spend less time during office visits with patients with obesity as they consider them as noncompliant patients. 8 Therefore, experiences of and expectations for poor treatment may cause avoidance of care, mistrust of doctors, and poor adherence among patients with obesity. 8,9 Obesity stigma can reduce the patient’s quality of care, including preventive and screening care, despite the best intentions of healthcare professionals to provide high-quality care. 8–10The patient was sent to a referral center by the primary care provider for surgical evaluation for long-standing severe obesity (BMI 59). This case report is unique because of its clinical relevance to obesity differential diagnosis.

A document by Michael Robert Filoramo. Click on the document to view its contents.

Under-expansion of the coronary stent is associated with increased rates of in-stent restenosis and thrombosis. Stentablation with rotational atherectomy is used for the management of undilatable, under-expanded coronary stents; however, its effect on coronary microcirculatory function remains unclear. This novel report compares microcirculation indices before and after stentablation.

Esophagitis in a Post-Liver Transplant Patient: A Case of Cytomegalovirus and Herpes Simplex Virus-1 CoinfectionAmmad Javaid Chaudhary MD1, Taher Jamali MD2, Abdullah Sohail MD3, Allyce Caines MD, Mazen ELatrache MD1. Internal Medicine Department, Henry Ford Hospital, Detroit, MI 48202, US2. Department of Gastroenterology and Hepatology, Henry Ford Hospital, Detroit, MI 48202, US3. The University of Iowa Hospitals and Clinics, Iowa City, IA, 52246

1 Introduction:Intestinal parasites are causing a significant global health concern, with over 3.5 billion people affected worldwide [1,2,3]. The infestation rates vary depending on the country of residence and individual demographics related to populations’ exposure. Common intestinal parasites include soil-transmitted helminths such asAscaris lumbricoides , Trichuris trichiura , hookworm, and protozoa like Giardia intestinalis and Entamoeba spp [4, 5]. Least developed countries in particular, face higher prevalence and burden rates of these infections due to factors related to poverty and underdevelopment including limited access to clean water, poor hygiene and sanitation practices, malnutrition, and hot and humid climates [6,7]. This combination of conditions and practices create an ideal environment for the transmission, spread, and local establishment of intestinal parasites [8,9,10]. Sudan and South Sudan are predominantly endemic with soil-transmitted helminthes and other parasitic diseases [10 - 23].Additionally, infection with intestinal parasites poses a serious health, socio-cultural, and economic burdens in endemic countries, while in industrialized nations, mainly immigrants, seasonal workers, and nomadic populations are the primary groups at risk [24, 25]. Transmission of parasites can occur through direct person-to-person contact or contact with contaminated sources like food, water, or soil [26]. In high burden areas, coinfections with multiple parasites are increasingly occurring due to the poor living conditions, malnutrition, and weakened immuno-system [27,28, 29]. It lead to high morbidity, mortality, disability, and enhance the susceptibility to other infections [27 - 29]. Children, teens and adult, are at higher risk of adverse health outcomes with multiple parasitic infections compared to single infestations [30]. Here, we report case to highlight how poor socio-economic conditions and disadvantaged living situations of immigrants can profoundly affect health outcomes even in developed countries.

A document by Bibek Shrestha. Click on the document to view its contents.

Correction to [Anti-PL-12 anti-synthetase syndrome manifesting with multiple digital ischemia: Case report & review of the literature ][Doumeth SA, Petrinec E,Chaudhary H, Mattar M. Anti-PL-12 anti-synthetasesyndrome manifesting with multiple digitalischemia: Case report & review of the literature. ClinCase Rep. 2024;12:e9408. doi:10.1002/ccr3.9408]In the published article,”Anti-PL-12 anti-synthetasesyndrome manifesting with multiple digitalischemia: Case report & review of the literature”, the corresponding author’s name was formatted incorrectly. It should read as Abi Doumeth S.We apologize for this error.

INTRODUCTIONThe maxillary first molar is one of the most commonly treated teeth in endodontic due to its complex anatomy, which has intrigued clinicians for a long time. The primary goal of endodontic therapy is the accurate identification, thorough cleaning and shaping, and three-dimensional obturation of the entire root canal system.(1) Failure to detect additional roots or canals can lead to endodontic treatment failure.(2)Typically, maxillary molars are described as having three roots and three canals, with one canal in each root. However, studies have shown considerable variation in the number and configuration of root canals in these teeth. The occurrence of a third canal in the mesiobuccal root (MB3) of the maxillary first molar is rare, with a reported incidence ranging from 1.1% to 1.6%.(3,4) Similarly, the presence of a second canal in the distobuccal root (DB2) has been reported in 1.7% of cases.(5)This clinical report presents a rare case of a maxillary first molar with six root canals. Successful identification and treatment of all root canals in this patient were confirmed through the use of 20-degree horizontally angulated radiographs, aided by magnification with loupes.

A document by LiMing Wen. Click on the document to view its contents.

Title: Bedside intubation with the maintenance of mechanical ventilation via Ambu bag saved the life of a severe neurotoxic venomous snake bite patient in a remote district hospital in BangladeshMd. Abdul Matin¹*, Sarwar Alam Sobuj¹, Prity Saha¹, Chowdhury Adnan Sami²General Hospital, NilphamariEvercare Hospital, Dhaka

A case report of IgA-κ type multiple myeloma complicated with hyperlipidemiaJie Li†1, Jiashan Zhao†2, Songyun Wang1, Rundong Wu1, Shuyi Duan1, Huirui Wang1*1The Second Affiliated Hospital of Henan University of Science and Technology.2Luoyang Central Hospital Affiliated to Zhengzhou University.†These authors have the equally contributions in this paper.* Corresponding author: Huirui Wang, the Second Affiliated Hospital of Henan University of Science and Technology, No. 80, Jinguyuan Road, Xigong District, Luoyang City, Henan Province.E-mail:[email protected],

A surgical site cellulitis caused by an ant bite on foot 7 years after mastectomy: A Case ReportZhihan Liu1*Shuying Ye1*Zhihao Wei1*Shicheng Su1Yiwen Lu11Breast Tumor Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China*These authors contributed equally to this workCorrespondence: Dr Yiwen Lu,Breast Tumor Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, ChinaTel: +86-20-87332022Fax: +86-20-81332853Email : [email protected]

Introduction