Cutaneous Leishmaniasis (CL) is the most prevalent clinical form of leishmaniasis. CL is difficult for the clinicians to diagnose because of the rarity of the disease and non-specific presentation. As CL is rare and given the limitation of available diagnostic modalities in a resource poor setting, diagnosis can be confusing.
Cow's milk allergy non-responsive to amino acid-based formula must raise suspicion of Immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome. This is a potentially fatal disease associated with food allergy, sometimes leading to diagnostic delay. In our case, early diagnosis and management provided life-saving therapy.
We presenting a patient suffering from a multi-focal liver abscess. Due to the corona pandemic the patient was treated conservatively using recurring out-patient visits. Follow-up was carried through dialogue with the GP, as well as daily telemedicine visits. The virtual visits were supplemented by episodical ultrasound scans.
Traditional palatal and vestibular surgical approaches for removing deeply impacted mesiodens with a crown facing the nasal floor are accompanied by significant complications. Herein, we describe a novel modified intranasal approach to minimize the complications. Also, it can be performed under local anesthesia with proper preoperative workup.
Airway management of patients with difficult airways is a challenge to the anesthesiologists and awake tracheal intubation is the recommended strategy. A safe, comfortable, unconscious, and satisfied intubation with spontaneous breathing keeping was achieved by intermittent sevoflurane inhalation and the modified spray-as-you-go technique for airway topicalization and intubation.
A 59-year-old male was diagnosed with JAK2-positive Polycythemia Vera. Subsequently, further lab testing revealed elevated ferritin and iron saturation. Genetic testing for HFE gene mutation screen revealed that the patient was positive for heterozygous C282Y mutation. The patient was ultimately diagnosed with both Polycythemia Vera and Hereditary Hemochromatosis.
Behcet's Disease is a rare systemic vasculitis characterized by recurrent episodes of acute inflammation affecting blood vessels of all sizes. Symptoms include orogenital apthosis, cutaneous skin lesions, and uveitis. We present the case of a 38-year-old Nepalese man with Behcet's Disease. In Nepal, Behcet's Disease may still be under-reported.
Appendix adenocarcinoma associated with ulcerative colitis (UC) is extremely rare. Pathological examination of a man with 6-year history of UC revealed a primary appendix adenocarcinoma mixed with adenoma component. Dysplasia was not identified. The adenoma-carcinoma sequence, but not the dysplasia-carcinoma sequence, might be involved in this UC-associated appendix adenocarcinoma.
A 48-year -old male patient with Type 2 diabetes mellitus(T2D) on insulin replacement therapy, glipizide and Dapagliflozin admitted for generalized weakness found him in euglycemic diabetic ketoacidosis which means normal or near normal glucose levels with high anion gap metabolic acidosis recovered on insulin drip per DKA protocol.
Vascular access for percutaneous coronary intervention (PCI) is usually obtained through the radial or femoral, and to lesser extent the brachial or ulnar artery. We describe the transcarotid approach for PCI in a patient with severe peripheral artery disease. No adverse neurological or cardiac events were observed.