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Case Reports

Cardiac Computed Tomography in the Diagnosis of Adult Anomalous Left Coronary Artery from the Main Pulmonary Artery in the Caribbean

Issue: 
DOI: 
10.7727/wimjopen.2018.128

Definitive diagnosis of an anomalous coronary artery from the main pulmonary artery (ALCAPA) can be difficult.  Cardiac computed tomography (cardiac CT) has the ability to safely, cheaply and non-invasively allow direct visualization of the anomalous coronary connection and can demonstrate the systemic-to-venous flow which underlies the coronary steal phenomenon.

Accepted: 
December 26, 2018
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Meningo-encephalo-myelitis in Children during the Zika Virus Epidemic in Grenada

Issue: 
DOI: 
10.7727/wimjopen.2017.227
Pages: 
43–6
Synopsis: 
Zika Virus is neurotropic. We report two children from the Caribbean Island of Grenada, a three-year-old with acute neuro-inflammation who had intractable seizures, meningo-encephalitis, CSF pleocytosis and Zika IgM positive acute serology and a four-year-old with acute demyelinating encephalomyelitis manifesting as generalized seizures, optic neuritis, diffuse cerebral dysfunction, encephalopathy, impaired speech and ataxia who also had CSF pleocytosis as well as Zika IgM and Dengue IgM positive acute serologies. Both cases occurred during the 2016 Zika and Dengue fever epidemic in Grenada. Both children recovered completely. The aetiologic role of the Zika and Dengue arboviruses is discussed.

Zika Virus is neurotropic. We report two children from the Caribbean Island of Grenada, a three-year-old with acute neuro-inflammation who had intractable seizures, meningo-enceph-alitis, cerebrospinal fluid (CSF) pleocytosis and Zika Immunoglobulin M (IgM) positive acute serology and a four-year-old with acute demyelinating encephalomyelitis manifesting as generalized seizures, optic neuritis, diffuse cerebral dysfunction, encephalopathy, impaired speech and ataxia who also had CSF pleocytosis as well as Zika IgM and Dengue IgM positive acute serologies.

Accepted: 
December 18, 2017
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Acute Chest Syndrome in Sickle Cell Disease Patients Post Caesarean Delivery

Issue: 
DOI: 
10.7727/wimjopen.2015.435
Pages: 
21–4

ABSTRACT

Accepted: 
September 15, 2015
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De novo CD5-positive Diffuse Large B-cell Lymphoma Primarily Presenting as Spinal Cord Compression: A Case Report

Issue: 
DOI: 
10.7727/wimjopen.2015.009
Pages: 
106–8

ABSTRACT

De novo CD5-positive (CD5+) diffuse large B-cell lymphoma (DLBCL) is a highly aggressive subtype of DLBCL with a high incidence of misdiagnosis when spinal cord compression is the initial symptom. We report a case of a 45-year old man with de novo CD5+ DLBCL primarily presenting as spinal cord compression. Unfortunately, this patient was resistant to rituximab-based therapy, which indicated a poor prognosis.

Accepted: 
February 5, 2015
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A Case Report of Conversion Disorder Secondary to an Unresolved Childhood History of Sexual Abuse

Issue: 
DOI: 
10.7727/wimjopen.2014.261
Pages: 
46–8

ABSTRACT

Conversion symptoms can develop in adults with a childhood history of chronic sexual abuse. Allowing the patient to reconstruct the trauma narrative can result in a diminution of symptoms. 

Accepted: 
October 27, 2014
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Echinococcosis of Iliopsoas Muscle and Anaphylaxis as the Cause of Urgent Laparotomy

Issue: 
DOI: 
10.7727/wimjopen.2014.218
Pages: 
111–3

ABSTRACT

Accepted: 
September 6, 2014
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Redo Triple Coronary Artery Bypass Graft on a Jehovah’s Witness Patient: A “Tailored” Approach

Issue: 
DOI: 
10.7727/wimjopen.2013.355
Pages: 
9–10

INTRODUCTION

Jehovah's Witnesses are considered unusual patients because of their refusal to receive blood transfusions. Some practitioners do not consider the increased risk of death associated with refusal of blood transfusions as a sufficient deterrent. This religious conviction raises problems in the field of ethics and legal and medical management of patients for major surgical procedures in which the use of blood transfusions is an important element.

Accepted: 
January 21, 2014
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Spontaneous Live Twin Tubal Ectopic Pregnancy: A Case Report

Issue: 
DOI: 
10.7727/wimjopen.2015.384
Pages: 
25–7

ABSTRACT

We report the case of a 29-year old G3P1+1 woman with a spontaneously conceived live twin tubal ectopic pregnancy. Her history was significant for infertility for 11 years after an induced abortion. Pelvic ultrasound scan showed live twin ectopic pregnancy and a partial salpingectomy was done.

Accepted: 
September 10, 2015
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Primary Renal Lymphoma: A Case Report and Literature Review

Issue: 
DOI: 
10.7727/wimjopen.2013.324
Pages: 
6–8

ABSTRACT

Primary renal lymphoma is very rare. The prognosis is usually poor with median survival less than a year. We report a case in a 55-year old man with a mass in the left kidney detected by ultrasonography and computed tomography. Radical nephrectomy was performed under a preliminary diagnosis of renal cell carcinoma. After the surgery, four courses of chemotherapy were performed. Prognosis may have improved since those reports in the earlier medical literature.

Accepted: 
January 21, 2014
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Antineutrophil Cytoplasmic Antibody-negative Pauci-immune Crescentic Glomerulonephritis and Mantle-cell Lymphoma: A Case Report and Review of the Literature

Issue: 
DOI: 
10.7727/wimjopen.2014.198
Pages: 
114–6
Synopsis: 
We report on a rare case of antineutrophil cytoplasmic antibody (ANCA)-negative pauci-immune crescentic glomerulonephritis (GN) probably due to mantle-cell lymphoma (MCL). Chemotherapy may improve the outcome. The pathophysiologic relationship between ANCA-negative pauci-immune crescentic GN and MCL should be investigated further.

ABSTRACT

Accepted: 
September 8, 2014
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