Case Report

My Lynch Syndrome Survivor’s Story – Duke “C” Colon Cancer While Pregnant

1. Abstract Lynch Syndrome is a familial disease, caused by a germline pathogenic variant in the mismatch repair genes: EPCAM, MLH1, MSH2, MSH6, and PMS2. Lynch Syndrome poses a lifetime-risk for related cancers such as colon, endometrial, ovarian and gastric, due to a DNA sequencing error in codon region MSH2. I (Savard, present author) inherited …

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Cardiac Transplantation in Patients with Muscular Dystrophy: A Case Report and Review of Literature

1. Abstract We report a case of slowly progressive Becker’s muscular dystrophy in a 52-year-old man who required cardiac transplantation for intractable congestive heart failure. A referral was made concerning prognosis of his muscular dystrophy in the multidisciplinary approach to transplant. A review of the literature provides limited guidance on cardiac transplantation in patients with …

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Acute Renal Failure Due to Inhaled Tobramycin. A Case Report

1. Abstract Inhaled tobramycin is a treatment option to treat respiratory infections caused by Pseudomonas aeruginosa, allowing high concentrations of this antibiotic in the respiratory tract, reducing secondary toxicity. However, nephrotoxicity is possible due to drug absorption, especially in patients with previous kidney disease. We explain the case of a 68-year-old man with a kidney …

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Refractory Vasospasm and Arterial Ischemic Stroke in Meningoencephalitis: Novel Intrathecal Nitroprusside Treatment

1. Abstract 1.1. Background Acute stroke in bacterial meningitis in children contributes to high morbidity and mortality. The incidence of stroke in pediatric meningitis is varied, with reports between 8-42%, and associated mortality as high as 25%. The majority of these are arterial ischemic strokes (80-93%). Cerebral arterial vasospasm has been proposed. We present the …

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Cardiopulmonary Bypass Graft in a Post COVI-19 Thalassemic Patient

1. Abstarct Thalassemia is of the most frequent haemoglobinopathy that includes a heterogeneous group of inherited autosomal recessive pathologies caused by defective synthesis of globin subunit that comprise haemoglobin production. In β-thalassemia, insufficient quantities of β-globin chains are produced, causing ineffective erythropoiesis and microcytic hypochromic anaemia. The clinical severity of the disease, ranging from minor …

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Mayer- Rokitansky- Kuster- Hauser Syndrome (MRKH SYNDROME)- An Unusual Case of Primary Amenorrhoea

1. Abstract The onset of mestruation is a significant milestone of sexual maturation in a girl child. Although there are numerous causes of primary amenorrhoea, Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, also known as Müllerian aplasia is one the extremely rare cause of primary amenorrhoea which is usually picked up by suitable imaging technique like Magnetic Resonance Imaging …

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Value Your Training and Don’t Lead Me into Temptation – Pitfalls in Neuroprognostication After Cardiac Arrest

1. Abstract We present the case of an 81-year-old man who was found in cardiac arrest after an unwitnessed car accident. After successful resuscitation on scene, the patient was transferred for post-resuscitation care to our intensive care unit. Because of the unexplained trauma mechanism, a whole body CT Scan was performed including brain perfusion scan, …

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