Post renal transplant patients are generally immunosuppressed and remain at a higher risk for getting bacterial and viral infections. Most of these patients are taking immunosuppressive medications, including steroids. This case series highlights the clinical outcomes and characteristics of 8 post renal transplant patients who acquired COVID-19.
We report the case of a woman with schizoaffective disorder, killing her child under the effect of an impulse motivated by Capgras syndrome in a strange crime scene including evisceration and enucleation. This case help to better understand the association between misidentification syndromes and homicide and to promote preventive measures.
Heterotopic pregnancy (HP) describes the simultaneous presence of two pregnancies at different implantation sites. One is intrauterine and the other is ectopic. It is challenging to diagnose HP. We present a very rare case of HP diagnosed in the first trimester by US and MRI and managed successfully.
Neck tumors are rare fetal conditions. They can receive their growth stimuli by activating missense mutations characterizing disorders with benign overgrowth, collectively known as PIK3CA-Related-Overgrowth-Spectrum. This results in segmental overgrowth with phenotypic variation, genetic heterogeneity or tissue specific distribution. Thus, clinical and molecular diagnosis as well as treatment remains challenging.
An 82-year-old man, suffering abscess secondary to femoral prosthesis replacement, complained of intractable watery diarrhea and melena. Autopsy disclosed 12 mm-sized perforation at the gastric prepylorus and purulent peritonitis. Amyloid A was deposited in systemic organs and tissues, including the site of gastric perforation. IgM was co-deposited in the glomeruli.
57-year-old man presented with a 3-month history of fatigue, fever and increasing abdominal pain.He had completed treatment for follicular lymphoma and JAK2 positive myeloproliferative disorder 2 months previously. This case demonstrates therapeutic and diagnostic rationale for open splenectomy in, to our knowledge, one of the largest recorded spleens
We described a minimally invasive technique for transoral removal of deep hiloparenchymal submandibular stones by Flex Robotic System; a step-by-step description of the transoral robotic approach to submandibular gland through a discrete incision of the oral floor is narrated. This approach guaranteed the preservation of the gland, minimizing complications.
Pacemakers are implanted through the subclavian vein to the right side of the heart. In rare cases, pacemakers may be inserted into the left ventricle via the subclavian artery, carrying a risk of thromboembolism. This is a case of a pacemaker inserted via the subclavian artery into the left ventricle.
Woman admitted for COVID-19 respiratory failure requiring intubation, renal failure and rising bilirubin, requiring CVVHD. Due to dropping hemoglobin and platelets, TTP was suspected and empiric plasma exchange initiated. Platelets normalized; she improved; ADAMTS13 level resulted 50.7%, indicating possible benefit of plasma exchange for COVID19 thrombotic microangiopathy despite normal ADAMTS13.
Herein, we present a new surgical approach for vibrant soundbridge implantation in advance of the plastic reconstruction of the auricle in patient with unilateral microtia-atresia and highlight the importance of cooperation between otologists and plastic surgeons in the performance of this technique.
Clinical ImagesTitle: Twenty-years’ use of expanded polytetrafluoroethylene sheet for an artificial cardiac pacemakerKenji Yorita1*, Junichi Takahashi2, Kazutoshi Tano3, Yoichi Ichikawa3, Nobumasa Hamaguchi4, Wataru Yasui51Department of Diagnostic Pathology, Japanese Red Cross Kochi Hospital, Kochi-city, Kochi, Japan2Department of Internal Medicine, Japanese Red Cross Kochi Hospital, Kochi-city, Kochi, Japan3Department of Cardiovascular Surgery, Japanese Red Cross Kochi Hospital, Kochi-city, Kochi, Japan4Department of Thoracic Surgery, Japanese Red Cross Kochi Hospital, Kochi-city, Kochi, Japan5Department of Internal Medicine, Yusuhara Hospital, Kochi-city, Kochi, JapanThe authors report no conflict of interest, financial or otherwise.＊Corresponding Author: Kenji Yorita, M.D., Ph.D.,Department of Diagnostic Pathology, Japanese Red Cross Kochi Hospital, 1-4-63-11, Hadaminamimachi, Kochi-city, Kochi 780-8562, JapanTel: +81-88-822-1201Fax: +81-88-822-1056E-mail: email@example.comKeywords : expanded polytetrafluoroethylene sheet, cardiac pacemaker, foreign body
Oropharyngocutaneous fistula is an unfavorable complication that may occur after head and neck reconstruction. The authors used a “stick-shaped platysma flap” technique to close these narrow and deep intractable fistulas. It is a highly efficient and straightforward method to close intractable fistulas with minimal morbidity.
The similarity between intestinal tuberculosis and Crohn's disease could lead us to erroneously prescribe corticosteroid therapy. Therefore, it is essential to differentiate the two pathologies because of the therapeutic implications of Crohn's disease, which can lead to an explosion of tuberculosis symptoms.
We present the case of a 35-year-old male with no medical history who presented with pancytopenia and melena and was found to have PNH in the setting of acute COVID-19 infection. Other infectious, autoimmune, and malignant etiologies were ruled out. It is unclear if this was an acquired PIG-A mutation.
Rosai-Dorfman disease (RDD) is a rare non-malignant histiocytosis disorder, commonly manifesting with massive painless cervical lymphadenopathy. Renal involvement develops in only four percent of patients with RDD. Generally, RDD is self-limiting and has a good prognosis; however, in patients with renal involvement, mortality rate can be as high as 40%.