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Avicenna Journal of Medicine

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https://www.readbyqxmd.com/read/30319958/skull-osteomyelitis-as-a-rare-complication-of-cat-scratch-disease
#1
Yaseen Rafee, B Keith English
Bartonella henselae , the causative agent of cat scratch disease (CSD), is one of the most common causes of regional lymphadenitis in children. Other less common manifestations of B. henselae infection including fever of unknown origin, neuroretinitis, and osteomyelitis are being increasingly recognized. We describe a 3-year-old female with a recent history of typical CSD involving lymph nodes who developed osteomyelitis of the skull, a very rarely recognized complication of this infection.
October 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30319957/creutzfeldt-jakob-disease-with-unusual-presentation-of-peripheral-neuropathy-and-ophthalmoplegia
#2
Mais Arwani, Abhishek Purohit, Abdullah Haddad, Sandeep Rana
Creutzfeldt-Jakob disease (CJD) is a well-described disease. It is characterized by rapidly progressive dementia, myoclonus, ataxia, pyramidal, and extrapyramidal signs. There are well-defined electroencephalogram and magnetic resonance imaging (MRI) findings, and markers found in the cerebrospinal fluid (CSF). The gold standard for diagnosing CJD remains brain biopsy. We present a case of a patient with a family history of biopsy-proven CJD who initially presented with symptoms of peripheral neuropathy. A month later, he developed ataxia, ophthalmoparesis, and then dysarthria...
October 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30319956/infectious-diseases-in-the-era-of-refugees-hepatitis-a-outbreak-in-lebanon
#3
Abdul Rahman Bizri, Jawad Fares, Umayya Musharrafieh
Background: The Syrian crisis has altered the epidemiology of infectious diseases in countries hosting large numbers of refugees. Lebanon witnessed several outbreaks linked to the presence of significant numbers of Syrian refugees, namely, Hepatitis A virus (HAV). We explore the epidemiology of HAV in Lebanon and the impact of the Syrian war during the 2014 outbreak and suggest solutions to prevent and minimize the HAV spread amid the current socioeconomic conditions. Methods: We reviewed all HAV cases reported to the Epidemiologic Surveillance Unit at the Ministry of Public Health between January 2001 and December 2017...
October 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30319955/vitamin-d-deficiency-in-elderly-risk-factors-and-drugs-impact-on-vitamin-d-status
#4
Hasan Kweder, Housam Eidi
Introduction: Vitamin D (VD) deficiency is a major public health problem worldwide. In spite of its high prevalence, particularly among elderly people, VD deficiency is still underestimated by many physicians. Increasingly, VD deficiency is associated with several known geriatric syndromes. Methods: The study sample consisted of 125 patients, aged 75 years and older, admitted to the acute geriatric unit. The plausible association between the serum 25-hydroxyvitamin D [25(OH)D] level and patient age, sex, body mass index, renal function, cholecystectomy history, and the prescribed drugs had been investigated...
October 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30319954/cost-reduction-associated-with-heparin-induced-thrombocytopenia-panel-ordering-for-enoxaparin-versus-heparin-for-prophylactic-and-therapeutic-use-a-retrospective-analysis-in-a-community-hospital-setting
#5
Harry Menon, Adip Pillai, Jeanine Aussenberg-Rodriguez, John Ambrose, Irini Youssef, Elizabeth A Griffiths, Omar Al Ustwani
Background: Most hospitals still use unfractionated heparin (UFH) as the primary agent for venous thromboembolism (VTE) prophylaxis in the hospital setting due to ease of use and insignificant cost. However, the risk of heparin-induced thrombocytopenia (HIT) has led some groups to favor other options for therapeutic and prophylactic anticoagulation. This is particularly relevant in light of recent data demonstrating a lower rate of HIT in patients receiving enoxaparin compared with UFH...
October 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30319953/patterns-of-pituitary-dysfunction-three-months-or-more-after-traumatic-brain-injury
#6
Nassar Taha Yaseen, Fateh A Al-Khaqani, Abbas Ali Mansour
Purpose: Chronic posttraumatic brain injury (TBI) pituitary dysfunction is not a newly discovered subject, it has been reported more frequently, probably due to increasing chances of exposure to its causes, mainly the road traffic accidents, sport-related injuries, falls, and injuries during wars. This study aims to estimate the frequency of pituitary dysfunction 3 months or more after head trauma and the patterns of hormonal deficiencies. Methods: A cross-sectional study was conducted between January 2016 and August 2017...
October 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30090754/promoting-an-academic-culture-in-the-arab-world
#7
Khaled Moustafa
No abstract text is available yet for this article.
July 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30090753/chiclero-s-ulcer-an-unusual-presentation-of-leishmania-tropica-in-syria
#8
Alexey Youssef, Samar Yaseer, Rim Harfouch, Maya Marouf, Foz Hasan
Cutaneous leishmaniasis (CL) has been an endemic disease in Syria for decades. The first reports of CL from the Syrian city Aleppo date back to the 17th century. The recent crisis has further empowered the spread of this infection not only in Syria, but also in the neighboring countries. Here, we describe a case of a 67-year-old patient with a 6-month, nonhealing ulcerative lesion of the left auricle. It was initially diagnosed as either a squamous or a basal cell carcinoma. However, the biopsy revealed an unexpected finding of Leishmania amastigotes in the histiocytes...
July 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30090752/human-menopausal-gonadotropin-induced-bioprosthetic-valve-thrombosis
#9
Rami Mahmood Abazid, Mohamed Shoman, Osama A Smettie, Osama A Elamin
Bioprosthetic valve thrombosis (BPVT) is a rare but potentially life-threatening complication. Human menopausal gonadotropin (hMG) is commonly used for ovulation induction and has been associated with arterial and venous thrombosis. We reported a case of BPVT related to in vitro fertilization in a 39-year-old female, who underwent redo mitral valve replacement. To the best of our knowledge, this is the first case of hMG-induced BPVT in a young female patient.
July 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30090751/aggressive-orbital-rhabdomyosarcoma-in-adulthood-a-case-report-in-a-public-hospital-in-damascus-syria
#10
Tagrid Younes Ahmad, Hasan Nabil Al Houri, Abdullah Nabil Al Houri, Nagham Younes Ahmad
Orbital rhabdomyosarcoma (RMS) is a highly malignant tumor that originates mainly from mesenchymal tissue. It is considered a rare childhood malignancy; therefore, presentation in adulthood is scarce. In this case report, a 36-year-old male patient presented with a rapidly progressive RMS of the left orbit. The patient was treated in a different institution with radiochemotherapy with good response. However, relapse occurred after 2 months of completing the course, as rapid growing proptosis. Computed tomography scan revealed a lesion in the left orbit with invasion of the left ethmoid cells and the left maxillary sinus...
July 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30090750/delayed-bilateral-obturator-nerve-injury-due-to-compressing-bilateral-pelvic-lymphoceles-after-robot-assisted-laparoscopic-radical-prostatectomy-and-bilateral-lymphadenectomy-for-prostatic-carcinoma
#11
Ayman Aljomaa
A clinically significant obturator nerve injury is uncommon after robot-assisted radical prostatectomy and lymphadenectomy. If the injury is due to a direct intraoperative event such as transection or stretching of the nerve, the patients present typically in the immediate postoperative period. On the other hand, an indirect injury through compression of the nerve through a pelvic fluid collection (hematoma or lymphocele) progresses insidiously and delays the presentation of these patients making a dilemma in recognizing these patients and differentiating them from those with other causes of neurological deficits...
July 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30090749/knowledge-attitude-and-practices-associated-with-the-diagnosis-and-management-of-skin-and-soft-tissue-infections-among-medical-students-residents-and-attending-physicians
#12
Norman Beatty, Jessica August, Joe Anthony Saenz, David E Nix, Kathryn R Matthias, Mayar Al Mohajer
Skin and soft-tissue infections (SSTIs) are commonly encountered by medical students, residents, and trainees. The Infectious Diseases Society of America (IDSA) has updated its recommendations regarding SSTI diagnosis and management in June 2014. We assessed knowledge, attitude, and practices toward diagnosis and management of SSTIs using an online survey. We disseminated the survey to medical students, residents, and attending physicians practicing in family and internal medicine department at a university-based hospital...
July 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30090748/prevalence-diagnosis-and-management-of-iron-deficiency-and-iron-deficiency-anemia-among-syrian-children-in-a-major-outpatient-center-in-damascus-syria
#13
Issam N Albaroudi, Majed Khodder, Tareq Al Saadi, Tarek Turk, Lama A Youssef
Background: Given the public health significance of anemia, the long-term sequelae of iron deficiency anemia (IDA) on children, the expected effect of war on the trends of anemia in Syrian society, and the lack of assessment on the national burden of anemia and/or iron deficiency (ID) data, there is a vital need to investigate all-cause anemia, ID, and IDA in Syria during the crisis. Objective: To investigate the prevalence of ID and IDA in Syrian children, the effectiveness of oral iron supplements in the management of ID, and the diagnostic effectiveness of conventional iron markers...
July 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30090747/evaluating-the-efficacy-of-best-practice-alerts-to-improve-clostridium-difficile-early-detection-in-hospital-settings-a-6-month-interim-analysis-of-the-2-year-prospective-study
#14
Ahmad Kaako
Introduction: Clostridium difficile infection (CDI) is a leading cause of hospital-associated gastrointestinal illness with high burden on the health-care system. Design: Observational, retrospective, prospective, pre- and post-intervention study on the incidence and prevalence rates of CDIs. The primary outcome is the healthcare-onset CDIs (HO-CDIs) incidence rate and proportion. Methods: Best practice alerts (BPAs) for CDI were developed in electronic medical records and released on July 13, 2016...
July 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30090746/qat-induced-intestinal-obstruction-a-case-series-of-a-new-entity
#15
Mhd Firas Safadi
Background: Qat-induced intestinal obstruction is an acute manifestation of qat chewing which was not described previously in the literature. The aim of this case series is to describe the clinical presentation, the diagnostic and therapeutic measures, and the course of the disease. Methods: This retrospective case series included all patients who presented with qat-induced intestinal obstruction between July 1, 2013, and December 31, 2015. Results: The study included seven patients (five males and two females)...
July 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30090745/cases-of-thallium-intoxication-in-syria-a-diagnostic-and-a-therapeutic-challenge
#16
Ibrahim Almassri, Mohamed Sekkarie
In mid-March 2015, a mother and her teenage daughter and son from Syria presented to a Syrian American Medical Society (SAMS) refugee clinic in the Beqaa Valley in Lebanon with the chief complaints of hair loss together with weakness and numbness of their lower extremities. They reported that on March 1, a military foe of their relative had given him several boxes of Middle Eastern cookies which were consumed by over 20 members of their families and neighbors. Soon after the consumption, most members of the households developed symptoms including abdominal pain, nausea, vomiting, and constipation...
July 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/30090744/prophylactic-mastectomy-for-the-prevention-of-breast-cancer-review-of-the-literature
#17
REVIEW
Rawan K Alaofi, Mohammed O Nassif, Marwan R Al-Hajeili
The high incidence and recurrence rate of breast cancer has influenced multiple strategies such as early detection with imaging, chemoprevention and surgical interventions that serve as preventive measures for women at high risk. Prophylactic mastectomy is one of the growing strategies of breast cancer risk reduction that is of a special importance for breast cancer gene mutation carriers. Women with personal history of cancerous breast lesions may consider ipsilateral or contralateral mastectomy as well. Existing data showed that mastectomy effectively reduces breast cancer risk...
July 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/29682482/hypertension-management-in-older-adults
#18
Ahmad Alsarah, Osama Alsara, Ghassan Bachuwa
No abstract text is available yet for this article.
April 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/29682481/modified-three-stitch-hernioplasty-technique
#19
Charalampos Kokkinos, Georgios Anagnostopoulos, Dimitrios Filippou, Panagiotis Skandalakis
No abstract text is available yet for this article.
April 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/29682480/cd4-positive-lymphoepithelial-like-carcinoma-report-of-unusual-case
#20
Luaay Aziz, Raya Saab, Toufic Eid, Mousa A Al-Abbadi
We are reporting an unusual case of lymphoepithelial-like carcinoma (LELC) in an 8-year-old female patient where the tumor cells showed unusual CD4 expression. The lesion was found in the left submandibular neck region, in the vicinity of the submandibular gland. The salivary gland was not infiltrated by the tumor, and the tumor exhibited a classic LELC with single and clusters of tumor cells surrounded by many hematolymphoid cells. The tumor cells revealed strong positivity for Epstein-Bar virus as confirmed by the EBER: Epstein-Barr Virus in situ hybridization (EBER-ISH) method of staining...
April 2018: Avicenna Journal of Medicine
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