IJCR (2020), Volume 4

COVID-19 infection In Beta Thalassemia Major: Case series

COVID-19 infection In Beta Thalassemia Major: Case series
Case Report of International Journal of Case Reports COVID-19 infection In Beta Thalassemia Major: Case series Lina Okar1*, Maya Aldeeb1, Rita Ahmad1, Mohamed A. Yassin2 1Department of Medical Education, Hamad Medical Corporation, Doha, Qatar. 2Department of Medical Oncology, Hematology Section, National Center for Cancer Care & Research, Hamad Medical Corporation, Doha, Qatar. COVID-19 infection was first described in Wuhan, China after an increasing spread of atypical pneumonia of unknown pathogen. Unfortunately, this novel virus continues spreading causing a pandemic. Thalassemia considered one of the most common hemoglobinopathies. Beta thalassemia is the commonest type with a variety in clinical picture due to the deference in homozygous. A lot of vulnerable categories were at high risk of getting infected with the coronavirus and more even its complication. Despite the conflicting data and ongoing research on this topic, thalassemia patients were categorized among the high-risk population. Here we present a case series describing the clinical progression of two splenectomised patients who has transfusion dependent beta thalassemia major. Keywords: COVID-19; Beta Thalassemia Major; ...

Recurrent Post-Cardioversion Takotsubo Syndrome

Recurrent Post-Cardioversion Takotsubo Syndrome
Case Report of International Journal of Case Reports Recurrent Post-Cardioversion Takotsubo Syndrome Jean Paul Mangion1, Geoffrey Horlait1 1Intensive Care Unit, Université Catholique de Louvain, CHU UCL Namur, Avenue Gaston Therasse, 1, 5530 Yvoir Belgium. Takotsubo syndrome (TTS) is characterised by transient regional wall motion abnormalities of the left or right ventricles often associated with new ECG changes (including ST-segment elevations, ST-segment depressions, T-wave inversions and QTc prolongation) in the absence of a culprit atherosclerotic artery which could explain the ventricular dysfunction. In this article we present an unusual case of recurrent TTS following electrical cardioversion in a 61 year old female patient who was admitted to our unit. Keywords: TTS; ECG ...

Metastatic bladder tumor from pancreatic adenocarcinoma

Metastatic bladder tumor from pancreatic adenocarcinoma
Case Report of International Journal of Case Reports Metastatic bladder tumor from pancreatic adenocarcinoma Konstantinos M. Skrepetis1, Ioannis Efthimiou1, Zacharias Chousianitis1, Stavros Peroukidis1 1Department of Urology, General Hospital of Messinia, Kalamata, Greece. Metastatic pancreatic adenocarcinoma to the urinary bladder is extremely rare and has only been reported 4 cases worldwide. We describe such a case presented with hematuria and dysuria after ten months of the initial diagnosis. Immunohistochemistry helped to confirm the diagnosis of metachronous metastasis. Six months after being diagnosed with the bladder metastasis, progression with severe right hydronephrosis and mild dilatation of the left pyelocaliceal system palliated with an UventaTM metallic ureteral stent and a double J ureteric catheter. Keywords: Metastasis; Pancreas; Bladder; Hydronephrosis ...

Priapism as A Warning Sign for Chronic Myeloid Leukemia

Priapism as A Warning Sign for Chronic Myeloid Leukemia
Case Report of International Journal of Case Reports Priapism as A Warning Sign for Chronic Myeloid Leukemia Boudreaux, J, BS, BA1, Haller, CN, MD2, Maslov, D, MD, MS1,2, Bateman, L, MD2 1University of Queensland/Ochsner Clinical School, New Orleans, LA. 2Ochsner Clinic Foundation, Department of Internal Medicine, New Orleans, LA. CML is a chronic myeloproliferative disorder associated with activating mutations in tyrosine kinases forming a BCR-ABL fusion gene, causing hyperproliferation of neoplastic myeloid progenitors [1,2]. The incidence of CML peaks in the fourth and fifth decades of life [3]. In the United States, nearly 4,500 cases are diagnosed annually [3]. The onset of the disease is insidious due to the nonspecific initial “B symptoms,” such as increased fatigability, weight loss and weakness. The natural history of CML is slow with a median survival of three years if untreated [3,4]. The current treatment is targeted therapies to the BCR-ABL tyrosine kinase using imatinib or nilotinib and hydroxyurea. Although B symptoms are common, priapism can be an initial presentation of CML in ...

Ptosis resolved after cataract surgery – A case report

Ptosis resolved after cataract surgery - A case report
Case Report of International Journal of Case Reports Ptosis resolved after cataract surgery - A case report Ming Chen, MD, MSc, FACS University of Hawaii. It is well known in the literature that adult ptosis can be induced or worsen by cataract surgery even with modern sutureless clear cornea phacoemulsification. [1, 2, 3, 4,5,6,7,8] We are presenting this unusual case was the opposite. The ptosis resolved after cataract surgery. A possible effect from the successful management of dry eye disease before cataract surgery is explained. Drooping of the unilateral upper eyelid is unilateral ptosis. Ptosis may be myogenic, neurogenic, and aponeurotic from healthy aging, injury, eye diseases. [9, 10]  Ptosis also can be associated with hard contact lens wear, immunological, degenerative, or hereditary disorders, tumors, or infections. [7] Patients with ptosis often present with a lower position of the upper eyelid, complain of a tired appearance, and defect in their superior visual field even blurred vision. The levator muscle controls the position of the eyelid and is innervated by ...

Meningoencephalitis in a Child with Mycoplasma Pneumonia

Meningoencephalitis in a Child with Mycoplasma Pneumonia
Case Report of International Journal of Case Reports Meningoencephalitis in a Child with Mycoplasma Pneumonia J. Kelly Smith, MD, FACP Departments of Academic Affairs and Biomedical Sciences, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37614 The patient is a 15-year-old girl who presented with a 4-day history of fever, a persistent cough, and x-ray evidence of a right middle lobe pneumonia. On day 10 of her illness, at a time when she was afebrile and her pneumonia had cleared, she developed a severe headache and within hours lapsed into coma. Cerebral spinal fluid analysis and serological tests were diagnostic of a post-infectious meningoencephalitis due to Mycoplasma pneumoniae. Keywords: Meningoencephalitis; Mycoplasma Pneumonia ...