Adalimumab Induced or Provoked MS in Patient with Autoimmune Uveitis: A Case Report and Review of the Literature by Rana Alnasser Alsukhni, Ziena Jriekh, Yasmin Aboras

“…This case is reported to tell physicians to be cautious when using anti-TNF-α in patients with family history of MS and to reconsider the risk of MS in patients with autoimmune diseases.…”
Get full text

Analgesia in the Emergency Department for Lower Leg and Knee Injuries: A Case Report by Michael Shalaby, Yonhoon Lee, Joseph McShannic, Michael Rosselli

“…Conclusion: Emergency physicians possess the skill set required to effectively perform a saphenous and popliteal sciatic nerve block and should consider adding this procedure to their armamentarium of pain management techniques in treating injuries distal to the knee.…”
Get full text

A Review of the Mechanism of Injury and Treatment Approaches for Illness Resulting from Exposure to Water-Damaged Buildings, Mold, and Mycotoxins by Janette Hope

“…Physicians are increasingly being asked to diagnose and treat people made ill by exposure to water-damaged environments, mold, and mycotoxins. …”
Get full text

Disseminated Tuberculosis Presenting as Chronic Orchiepididymitis in a Military Trainee: A Case Report and Review of the Literature by Michael U. Williams, Ashley Burris, Amy Zingalis, David A. Lindholm, Brian K. White

“…However, chronic orchiepididymitis may be secondary to genitourinary tuberculosis (TB), and physicians in countries with a low prevalence of TB might not consider it in their differential diagnosis. …”
Get full text

Awareness of Postpolypectomy Surveillance Guidelines: A Nationwide Survey of Colonoscopists in Canada by Harmke van Kooten, Vincent de Jonge, Eline Schreuders, Jerome Sint Nicolaas, Monique E van Leerdam, Ernst J Kuipers, Sander JO Veldhuyzen van Zanten

“…Accordingly, this study aimed to determine the awareness of postpolypectomy guidelines among members of the Canadian Association of Gastroenterology, and the factors associated with physicians’ choices to deviate from them.…”
Get full text

Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literature by Muataz Kashbour, MBChB, Maaly Abuhlaiga, MBChB, Muhammed Asim Awan, MD, Khalid Gashoot, MD

“…Timely use of imaging aids emergency physicians in the early detection of wandering spleen. …”
Get full text

A case of thyrotoxic paralysis caused by consumption of Iodocaseine by Antonio Villa, Gabriella Nucera

“…We describe the case of a young Caucasian male with flaccid paralysis of all four limbs and severe hypokalaemia after inappropriate iodine derivatives (iodocasein) intake to show, in conclusion, how critical care physicians need to be aware of this rare but curable condition.…”
Get full text

Infective Endocarditis: Updated Guidelines by U Allen

“…The present article is targeted at practicing Canadian physicians and provides the rationale for the current recommendations. …”
Get full text

Diagnostic Challenges of Pneumocystis Pneumonia during the COVID-19 Pandemic: A Case of a Young Patient with Ground Glass Opacities and Pulmonary Embolism on Chest CT by William Lim, Maham Suhail, Keith Diaz

“…This pandemic has given rise to a mindset where physicians tend to neglect other causes of pneumonia, especially if the patient presents with signs and symptoms commonly associated with COVID-19. …”
Get full text

Chest Pain and Costochondritis Associated with Vitamin D Deficiency: A Report of Two Cases by Robert C. Oh, Jeremy D. Johnson

“…In patients diagnosed with costochondritis, physicians should consider testing and treating for vitamin D deficiency.…”
Get full text

Mucinous Colorectal Carcinoma in a 17-Year-Old Male: A Diagnosis with Low Clinical Index of Suspicion by James Joseph Yahaya, Edward Ketson Msokwa, Alex Mremi

“…This paper will help to raise awareness among the physicians and pediatricians in including CRC in the preliminary workouts for the purpose of shortening the delay for diagnosis which in turn would compromise the prognosis of the patients.…”
Get full text

Utility of Plasmapheresis in Autoimmune-Mediated Encephalopathy in Children: Potentials and Challenges by Abdulhafeez M. Khair

“…Arriving at a final diagnosis is not an easy task for treating physicians. It is very crucial to consider early use of first-line immunotherapy modalities, save those children’s lives and improve outcomes. …”
Get full text

Ischemic Colitis During Pegylated Interferon-Alpha and Ribavirin Therapy for Chronic Hepatitis C by Yvette Leung, Stefan J Urbanski, Lynn Schindel, Robert P Myers

“…The association between the therapy and the pathogenesis of ischemic colitis is unclear, but immunoregulatory, vasospastic and procoagulant mechanisms have been proposed. Physicians should be aware of this complication, and should consider it in any HCV-infected patient taking pegylated IFN-α and ribavirin who develops abdominal discomfort and gastrointestinal bleeding.…”
Get full text

Bacteremia due to Leuconostoc pseudomesenteroides in a Patient with Acute Lymphoblastic Leukemia: Case Report and Review of the Literature by Kazuko Ino, Kazunori Nakase, Kei Suzuki, Akiko Nakamura, Atsushi Fujieda, Naoyuki Katayama

“…After an isolate from blood cultures was identified as L. pseudomesenteroides, we changed the antibiotics to piperacillin-tazobactam and gentamicin, after which the patient recovered from the infection. Physicians should be aware of Leuconostoc species as causative pathogen if they encounter Gram-positive cocci bacteremia resistant to standard antibiotics such as vancomycin and teicoplanin, especially in patients with hematologic malignancies.…”
Get full text

Chorea as the First Sign in a Patient with Elderly-Onset Systemic Lupus Erythematosus by Yuko Ariizumi, Tetsutaro Ozawa, Takayoshi Tokutake, Izumi Kawachi, Masaki Hirose, Shinichi Katada, Shuichi Igarashi, Keiko Tanaka, Masatoyo Nishizawa

“…This condition was thought to be a common form of vascular chorea, which is likely to occur in elderly individuals; however, the laboratory data of this patient finally fulfilled the diagnostic criteria of SLE and APS. Physicians should be careful in diagnosing elderly individuals simply as having a vascular chorea because this symptom can be the initial manifestation of SLE or APS.…”
Get full text

Ozone as Janus: this controversial gas can be either toxic or medically useful by Velio Bocci

“…The aim of this review is to indicate that a wrong dogma and several misconceptions thwart progress: in reality, properly performed ozone therapy, carried out by expert physicians, can be very useful when orthodox medicine appears inadequate. …”
Get full text

Severe Malaria in an Adult Patient from Low-Endemic Area in Flores Island, East Nusa Tenggara by Maria Teressa, Asep Purnama, Joshua Henrina, Agustinus Wiraatmadja, Angela M. B. Boro, Candida I. L. Sam, Tersila A. D. Dedang, Alius Cahyadi

“…This case emphasizes despite living in a low-endemic malaria area, physicians should remain meticulous and consider malaria as differential diagnosis even after initially presenting with nonspecific symptoms. …”
Get full text

Müllerian Agenesis Masquerading as Secondary Amenorrhea by Gloria Tavera, Rina Lazebnik

“…Most general gynecologists and primary care physicians who see female adolescents will encounter MRKH in their careers. …”
Get full text

Mandibular Brown Tumor of Secondary Hyperparathyroidism Requiring Extensive Resection: A Forgotten Entity in the Developed World? by Mohammed Qaisi, Matthew Loeb, Lindsay Montague, Ron Caloss

“…Despite being rare in this country, it is important for nephrologists, primary care physicians, and oral health care providers to be able to recognize this entity, so that intervention may be rendered early.…”
Get full text

Association between Nonalcoholic Fatty Liver Disease and Endocrinopathies: Clinical Implications by Ana-Maria Singeap, Carol Stanciu, Laura Huiban, Cristina Maria Muzica, Tudor Cuciureanu, Irina Girleanu, Stefan Chiriac, Sebastian Zenovia, Robert Nastasa, Catalin Sfarti, Camelia Cojocariu, Anca Trifan

“…Its potential for evolution towards liver cirrhosis and hepatocellular carcinoma, as well as associations with extrahepatic manifestations, represents a double burden for patients and physicians alike. Recently, there has been increasing evidence of the association between NAFLD and a number of endocrinopathies, such as hypothyroidism, polycystic ovarian syndrome (PCOS), hypopituitarism, growth hormone deficiency (GHD), hypogonadism, and hypercortisolism. …”
Get full text