Fetal hematometrocolpos is a rare finding with an incidence of 1 in 16,000 female births. Timely diagnosis enables clinicians to formulate an appropriate management plan for the newborn. We present a case of fetal hematometrocolpos managed exclusively by prenatal and postnatal ultrasound scans allowing for effective immediate postnatal surgical treatment.
Acute decompensation in patient with COVID19 is usually a consequence of worsening ARDS , however acute pulmonary embolism and acute pneumothorax are frequently recognized causes of acute decompensation , the later causes are treatable and having high index of suspicion is very important in order not to miss them.
Primary squamous cell carcinoma (PSCC) of the stomach is a rare type of gastric malignancies. Diagnosis crireria are well defined but diagnosis is generally late made at an advanced stage with metastases explaining it’s poor diagnosis. We report a case of gastric PSCC with a bilio-gastric fistula and Krukenberg sydrome.
DiGeorge syndrome, an immunodeficiency disorder due to long arm microdeletion of chromosome 22. Isolated hemolysis is rarely seen in DiGeorge syndrome and is usually reported in conjunction with idiopathic thrombocytopenic purpura. We report a case of DiGeorge syndrome with AIHA, which was successfully managed by intravenous steroids and intravenous immunoglobulins.
In 2020, we had reported one of the few cases of trisomy 13 with ectrodactyly, a rare form of limb deformity. Herein, we report another newborn who suffered from trisomy 13 and ectrodactyly. The patient also possessed another unusual manifestation of trisomy 13, congenital diaphragmatic hernia, a life- threatening pathology.
A 49-year-old woman presented to the emergency department with dyspnea, a respiratory rate of 26 times per minute and a room air oxygen saturation of 69% after nasal inhalation of heroin. A chest computed tomography angiogram (CTA) revealed diffuse ground-glass opacities in all five lung lobes representing hypersensitivity pneumonitis
A 61 years old male had minimally symptomatic SARS-CoV-2 infection while taking everolimus. He remained RT-PCR positive for viral RNA for 52 days. Pegylated interferon for 4 weeks led to viral RNA clearance. The observations support consideration and further evaluation of combination therapy with everolimus plus interferon for COVID-19.
This report describes Streptococcus suis meningitis with ventriculitis in a 66-year-old kushiyaki chef, which presented with fever and meningeal irritation signs. Cerebrospinal fluid testing revealed increased cell counts and protein levels, and presence of gram-positive cocci. Kushiyaki chefs are at high risk of this infection and prophylaxis should be considered.
A 78 years-old woman was found with worsening hypercalcemia, osteopenia and memory loss during the past 2 years. Multiple, repeated imaging studies failed to reveal the aetiology of the primary hyperparathyroidism. Bilateral neck exploration revealed a 4.5X2,3 cm right superior parathyroid adenoma in an ectopic position.
A 13-month-old infant, born from a consanguineous marriage. She presented isolated cyanosis. Physical examination was normal. Pulsed oxygen saturation was 94% in room air. Methemoglobin level was 39.4%. The diagnosis of congenital methemoglobinemia type I was retained. She was successfully treated with methylene blue infusions and ascobic acid.
A patient with coronavirus disease 2019 showed complete atrioventricular block on electrocardiogram. The patient was undergoing mechanical ventilator treatment for severe hypoxia. Intrathoracic pressure was reduced by adjusting the tidal volume and the positive end-expiratory pressure of the mechanical ventilator. After that, complete atrioventricular block didn't occur during the hospitalization.
Tonsilloloth Kiyoshi Shikino, MD, PhD1, and Masatomi Ikusaka, MD, PhD11Department of General Medicine, Chiba University Hospital, JapanFunding: None.Conflicts of Interest : None.Authorship: All authors had access to the data and a role in writing the manuscript.Acknowledgments: NA.Article type: Images in Clinical MedicineRunning head: TonsillolothText word count: 166 wordsNumber of figures: 2References: 2
Fetal Atrial flutter (AF) is an uncommon condition accounting for about 30% of all fetal tachyarrhythmias. It is associated with structural heart anomalies and hydrops, with 10% fetal mortality rate. This case demonstrates a successfully managed atrial flutter at term with postnatal electrocardioversion using multidisciplinary team approach.
We report a case of natural healing of a ruptured unstable coronary plaque using serial OCT examination. Stenting procedure was deferred based on the angiographic and mainly OCT findings. A healing process of ruptured plaque without foreign body was studied using OCT at 3, 14 and 24 months after PCI.