Adrian Whiting
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View article: A case of renal cell carcinoma with tumor thrombus extension into the right atrium
A case of renal cell carcinoma with tumor thrombus extension into the right atrium Open
Introduction: Over the last half-century, mortality from renal cell carcinoma (RCC) has seen a dramatic reduction, while 5-year survival rates have reached an all-time high (34% to 75%). Case presentation: A 77-year-old female with Stage 4…
View article: Weakness and Paraparesis: A Common Presentation of the Rare Retrovirus HTLV
Weakness and Paraparesis: A Common Presentation of the Rare Retrovirus HTLV Open
Limited knowledge exists about human T-lymphotropic virus and its many subtypes, various clinical presentations, devastating sequelae, and potential treatment options. In this case, a 62-year-old woman of Haitian descent presented with a c…
View article: A Mysterious Bleed
A Mysterious Bleed Open
Spontaneous spinal epidural hematoma is an extraordinarily rare condition for which there are only a few hundred documented cases, none in relation to cardiac ablation procedures. This case describes a 71-year-old woman who develops lower …
View article: Thymic cancer: A not-so-indolent cause of pericardial effusion
Thymic cancer: A not-so-indolent cause of pericardial effusion Open
The incidence of pericardial effusion in the U.S. is roughly 3.4% [1]. While most causes of pericardial effusions are indolent and transient, malignancy is a much more insidious cause that cannot be overlooked. Most cases of documented per…
View article: Chasing the dragon and stumbling upon an octopus: A case of heroin-induced leukoencephalopathy and reverse takotsubo cardiomyopathy
Chasing the dragon and stumbling upon an octopus: A case of heroin-induced leukoencephalopathy and reverse takotsubo cardiomyopathy Open
The practice of heating heroin and inhaling its vapors, commonly referred to as "chasing the dragon" has been around for decades, but only gained popularity in the United States in the 1990s. Since then, there have been many documented cas…
View article: Hakuna mycotic aneurysm, Streptococcus salivarius does not always mean “no worries”
Hakuna mycotic aneurysm, Streptococcus salivarius does not always mean “no worries” Open
Streptococcus salivarius, an easily missed and commonly disregarded Viridians strep species, is usually written off as a culture contaminant, but has been implicated as a rare cause of bacterial endocarditis with serious complicatio…
View article: Evaluation of Characteristics and Outcomes for Patients with Diabetic Ketoacidosis (DKA) With and Without COVID-19 in Elmhurst Queens During Similar Three-Month Periods in 2019 and 2020
Evaluation of Characteristics and Outcomes for Patients with Diabetic Ketoacidosis (DKA) With and Without COVID-19 in Elmhurst Queens During Similar Three-Month Periods in 2019 and 2020 Open
Aim There are reports of COVID-19 patients presenting with new onset diabetes, diabetic ketoacidosis (DKA), and hyperosmolar hyperglycemic syndrome (HHS). We compared the characteristics of patients with DKA with and without COVID-19 and t…
View article: Post-COVID-19 Fatigue: A Case of Infectious Hypothyroidism
Post-COVID-19 Fatigue: A Case of Infectious Hypothyroidism Open
Since the beginning of the coronavirus disease 2019 (COVID-19) global pandemic, an array of different clinical sequela and comorbid conditions have been discovered to be associated with COVID-19 infection. Of these sequela, subacute thyroi…
View article: Natural History and Tumor Volume Kinetics of Papillary Thyroid Cancers During Active Surveillance
Natural History and Tumor Volume Kinetics of Papillary Thyroid Cancers During Active Surveillance Open
The rates of tumor growth during active surveillance in a US cohort with PTCs measuring 1.5 cm or less were low. Serial measurement of tumor volumes may facilitate early identification of tumors that will continue to grow and thereby infor…