Issue 4 Articles
Covid-19 A New Viral Trigger to Hemophagocytic Lymphohistiocytosis?
Case Report

1. Summary
We report a case of patient with COVID-19 pneumonia who had prolong course in critical care unit and developed clinical and laboratory features of Hemophagocytic Lymphohistiocystosis (HLH) supported by findings on bone marrow. Patient received supportive treatment and IL-6 inhibitor but developed multiorgan failure and could not revive back to life. HLH is life threatening condition with rapid course and can lead to multiorgan failure and death. This case highlights the importance of fact that HLH can lead to significant morbidity and mortality in critically ill patient with COVID-19 pneumonia and it warrants early evaluation in these patients.

DOI: http://dx.doi.org/10.47829/ACMCR.2020.5405
The Role of Genetic Mutations in Y Chromosome Infertility Syndrome
Review Article

1. Abstract
Sex chromosome Y infertility is a genetic disorder that affects sperm production and causes affected men to become infertile. Most men with Y chromosome infertility syndrome have some sperm cells in their urine that can be extracted for this purpose. As the name implies, this type of infertility is caused by changes in the Y sex chromosome. Infertility of the Y sex chromosome is usually caused by the removal of genetic material in areas of the Y chromosome called Azosperm Factor (AZF) A, B or C.

DOI:http://dx.doi.org/10.47829/ACMCR.2020.5403

Sri Lankan Undergraduate Healthcare Student’s Perceptions of Interprofessional Learning: A Cross-Sectional Study
Research Article

1. Abstract
1.1. Introduction: Interprofessional learning primarily aims to reduce prejudice among professionals, improve awareness of the roles and duties of other professional groups, and advance teamwork and collaborative competencies. This study was conducted in order to assess the perception of undergraduate health care professional students on interprofessional education/learning in Sri Lanka.
1.2. Methods: This was a cross-sectional and descriptive-analytical study conducted in 2016 on 300 undergraduate health care professional students.

DOI: http://dx.doi.org/10.47829/ACMCR.2020.5402
Sustained Amylasemia in a Patient with Newly Diagnosed Alcoholic Cirrhosis; “A Clinical Picture That Is Worth a Thousand Words”
Case Presentation

1. Abstract
Inflammation and distortion of the liver parenchyma leading to cirrhosis can be triggered by various causes. Alcohol is one of the commonest culprit factors among viruses, medications, toxic metals or autoimmune mechanisms. It has been observed though, that alcohol may injure not only the liver but the pancreatic tissue as well, either simultaneously or at a deferred time. This perplexes the clinical picture if both organs are diseased and each manifestation cannot be always clearly explained.

DOI: http://dx.doi.org/10.47829/ACMCR.2020.5401

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