Blerina Asllanaj
YOU?
Author Swipe
View article: A late-onset leg rash, unique Janeway lesions or Jarisch-Herxheimer reaction? A case report
A late-onset leg rash, unique Janeway lesions or Jarisch-Herxheimer reaction? A case report Open
Jarisch-Herxheimer reactions typically manifest as a response to antimicrobial therapy for spirochete infections, although these reactions have also been documented following treatment of other microbes. Almost always occurring within 24 h…
View article: Asymptomatic bradycardia as a manifestation of intermediate high-risk pulmonary embolism
Asymptomatic bradycardia as a manifestation of intermediate high-risk pulmonary embolism Open
Progressively worsening dyspnea as an initial manifestation of an intermediate high-risk pulmonary embolism (PE) is a readily reported life-threatening cardiac emergency. Atypical presentation of PE may make the initial diagnosis challengi…
View article: Pyoderma gangrenosum associated with rheumatoid arthritis mimicking vasculitis
Pyoderma gangrenosum associated with rheumatoid arthritis mimicking vasculitis Open
Pyoderma gangrenosum is a rare neutrophilic dermatosis characterized by painful, rapidly progressing necrotic ulcers. Although PG has been reported in association with various autoimmune diseases, its coexistence with rheumatoid arthritis …
View article: Pyoderma gangrenosum associated with rheumatoid arthritis mimicking vasculitis
Pyoderma gangrenosum associated with rheumatoid arthritis mimicking vasculitis Open
Pyoderma gangrenosum is a rare neutrophilic dermatosis characterized by painful, rapidly progressing necrotic ulcers. Although PG has been reported in association with various autoimmune diseases, its coexistence with rheumatoid arthritis …
View article: Amiodarone induced myxedema coma presenting with cardiogenic shock and junctional rhythm
Amiodarone induced myxedema coma presenting with cardiogenic shock and junctional rhythm Open
We describe the case of an elderly female, with no prior history of thyroid dysfunction, who presented with facial swelling and worsening fatigue. She was found to have myxedema coma, with thyroid-stimulating hormone (TSH) 98.90 uIU/mL and…
View article: Amiodarone induced myxedema coma presenting with cardiogenic shock and junctional rhythm
Amiodarone induced myxedema coma presenting with cardiogenic shock and junctional rhythm Open
We describe the case of an elderly female, with no prior history of thyroid dysfunction, who presented with facial swelling and worsening fatigue. She was found to have myxedema coma, with thyroid-stimulating hormone (TSH) 98.90 uIU/mL and…
View article: Intra-abdominal abscess with Candida in a post-operative setting
Intra-abdominal abscess with Candida in a post-operative setting Open
The goal in this case report is to discuss one presentation of the microbiology of the Candida species in an intra-abdominal abscess which is under reported. In general, the Candida species fungi is a common yeast found h…
View article: Intra-abdominal abscess with Candida in a post-operative setting
Intra-abdominal abscess with Candida in a post-operative setting Open
The goal in this case report is to discuss one presentation of the microbiology of the Candida species in an intra-abdominal abscess which is under reported. In general, the Candida species fungi is a common yeast found human beings as par…
View article: Type 2 Decompensated Diabetes Mellitus Weaned off Subcutaneous Insulin Therapy by Utilizing a Continuous Glucose Monitoring Device
Type 2 Decompensated Diabetes Mellitus Weaned off Subcutaneous Insulin Therapy by Utilizing a Continuous Glucose Monitoring Device Open
A case series was conducted on three patients diagnosed with decompensated type 2 diabetes mellitus (T2DM) who had hemoglobin A1c (HbA1c) levels ranging from 9.5% to above 14%. Patients were self-monitoring blood glucose (SMBG) levels four…
View article: Fluid management in septic patients with pulmonary hypertension, review of the literature
Fluid management in septic patients with pulmonary hypertension, review of the literature Open
The management of sepsis in patients with pulmonary hypertension (PH) is challenging due to significant conflicting goals of management and complex hemodynamics. As PH progresses, the ability of right heart to perfuse lungs at a normal cen…
View article: Incidental skin manifestation of trisomy 12 chronic lymphocytic leukemia
Incidental skin manifestation of trisomy 12 chronic lymphocytic leukemia Open
Chronic lymphocytic leukemia (CLL) is one of the most prevalent B-cell cancers for people over the age of 65. CLL is commonly comorbid with trisomy 12, as reported in up to 20% of cases. In our case, trisomy 12 was incidentally found on th…
View article: Incidental skin manifestation of trisomy 12 chronic lymphocytic leukemia
Incidental skin manifestation of trisomy 12 chronic lymphocytic leukemia Open
Chronic lymphocytic leukemia (CLL) is one of the most prevalent B-cell cancers for people over the age of 65. CLL is commonly comorbid with trisomy 12, as reported in up to 20% of cases. In our case, trisomy 12 was incidentally found on th…
View article: Elongated inferior vena cava and intracardiac mass: Thrombus in-transit or metastasis
Elongated inferior vena cava and intracardiac mass: Thrombus in-transit or metastasis Open
Cardiac masses are rare entities categorized as either neoplastic or non-neoplastic. We present a case of cardiac mass from the inferior vena cava (IVC) extending to the right atrium, right ventricle and pulmonary artery that was diagnosed…
View article: Elongated inferior vena cava and intracardiac mass: Thrombus in-transit or metastasis
Elongated inferior vena cava and intracardiac mass: Thrombus in-transit or metastasis Open
Cardiac masses are rare entities categorized as either neoplastic or non-neoplastic. We present a case of cardiac mass from the inferior vena cava (IVC) extending to the right atrium, right ventricle and pulmonary artery that was diagnosed…
View article: Managing Acute Intermediate Risk Pulmonary Thromboembolism in a Patient Who Developed Heparin-Induced Thrombocytopenia: Review of Current Guidelines and Literature
Managing Acute Intermediate Risk Pulmonary Thromboembolism in a Patient Who Developed Heparin-Induced Thrombocytopenia: Review of Current Guidelines and Literature Open
Intermediate-risk pulmonary embolism describes hemodynamically stable patients with evidence of right ventricular strain, whereas high-risk pulmonary embolism comprises hemodynamic decompensation resulting in cardiogenic shock. The clinica…
View article: Acute partial papillary muscle rupture as a rare complication following non-ST elevation myocardial infarction
Acute partial papillary muscle rupture as a rare complication following non-ST elevation myocardial infarction Open
Papillary muscle rupture is a life-threatening complication of acute myocardial infarction that most commonly occurs 2–7 days after the infarct. We present a rare case of acute partial anterolateral papillary muscle rupture following non-S…
View article: Managing Acute Intermediate Risk Pulmonary Thromboembolism in a Patient Who Developed Heparin Induced Thrombocytopenia: Review of Current Guidelines and Literature
Managing Acute Intermediate Risk Pulmonary Thromboembolism in a Patient Who Developed Heparin Induced Thrombocytopenia: Review of Current Guidelines and Literature Open
Mortality rates for pulmonary embolism differ significantly, indicating a need for escalated management. Treatment options include systemic anticoagulation, catheter-directed thrombolysis and/or thrombectomy and surgical thrombectomy. Hepa…
View article: No HELLP at all: Post-partum atypical hemolytic uremic syndrome treated with Eculizumab: A case report
No HELLP at all: Post-partum atypical hemolytic uremic syndrome treated with Eculizumab: A case report Open
Atypical hemolytic uremic syndrome (aHUS) is a rare condition among thrombotic microangiopathies (TMA). Pregnancy is a known precipitating factor of complement mediated TMA. The occurrence of microangiopathic hemolytic anemia, thrombocytop…
View article: No HELLP at all: Post-partum atypical hemolytic uremic syndrome treated with Eculizumab: A case report
No HELLP at all: Post-partum atypical hemolytic uremic syndrome treated with Eculizumab: A case report Open
Atypical hemolytic uremic syndrome (aHUS) is a rare condition among thrombotic microangiopathies (TMA). Pregnancy is a known precipitating factor of complement mediated TMA. The occurrence of microangiopathic hemolytic anemia, thrombocytop…
View article: A Case of Brugada Phenocopy in Adrenal Insufficiency-Related Pericarditis
A Case of Brugada Phenocopy in Adrenal Insufficiency-Related Pericarditis Open
This is a report of a 27-year-old man with known history of Addison’s disease, noncompliant with medications, and hypothyroidism who presented with shortness of breath, nausea, vomiting, fever, and chest pain as well as Brugada sign seen o…
View article: Myxedema Coma: A Rare Case of Shock Post-Pericardial Window Procedure
Myxedema Coma: A Rare Case of Shock Post-Pericardial Window Procedure Open
The clinical features of severe hypothyroidism vary in presentation, ranging from subclinical symptoms to multiorgan failure referred to as myxedema coma. The cornerstone treatments of myxedema coma include aggressive thyroid hormone repla…
View article: Viral Myocarditis Mimicking ST-Segment Elevation Myocardial Infarction Complicated by Thrombocytopenia and Vasculitic Peripheral Neuropathy
Viral Myocarditis Mimicking ST-Segment Elevation Myocardial Infarction Complicated by Thrombocytopenia and Vasculitic Peripheral Neuropathy Open
Symptomatic myocarditis is classically featured by a flu-like prodrome, dyspnea on exertion, palpitations, substernal chest pain, and abnormal electrocardiogram (ECG). The clinical diagnosis has often been challenging due to its similariti…
View article: Barbiturates Versus Benzodiazepine for the Treatment of Severe Alcohol Withdrawal Syndrome: A Systematic Review and Meta-Analysis of Clinical Trials
Barbiturates Versus Benzodiazepine for the Treatment of Severe Alcohol Withdrawal Syndrome: A Systematic Review and Meta-Analysis of Clinical Trials Open
Context: The utility of phenobarbital in the treatment of severe alcohol withdrawal is contentious. Objective: The aim was to conduct a meta-analysis of existing observational and randomized controlled trials investigating the efficacy and…
View article: Repeat Episodes of Massive Hemoptysis Due to an Anomalous Origin of the Right Bronchial Artery in a Patient with a History of Coccidioidomycosis
Repeat Episodes of Massive Hemoptysis Due to an Anomalous Origin of the Right Bronchial Artery in a Patient with a History of Coccidioidomycosis Open
Anomalous bronchial arteries originate outside the space bound by the T5 and T6 vertebrae at the major bronchi. Here, we highlight a case of a 37-year-old man with a past medical history of coccidioidomycosis and who presented with massive…