Jonathan Vincent M. Reyes
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View article: Three Years After a Whipple Pancreaticoduodenectomy: Case Report and Review of Clinical Evolution
Three Years After a Whipple Pancreaticoduodenectomy: Case Report and Review of Clinical Evolution Open
Three years after a Whipple pancreaticoduodenectomy, a 62-year-old male patient presented with progressive obstructive jaundice, pruritus, dark urine, and weight loss. Imaging revealed a 4-cm mass in the second portion of the duodenum caus…
View article: An Incidental Finding of a Cecal Lymphangioma Managed Conservatively
An Incidental Finding of a Cecal Lymphangioma Managed Conservatively Open
View article: Hepatic Sarcoidosis Found Incidentally in a Patient Presenting With Recurrent Clostridium difficile Infections
Hepatic Sarcoidosis Found Incidentally in a Patient Presenting With Recurrent Clostridium difficile Infections Open
View article: Herbal Supplement-Induced Liver Injury: A Case Report
Herbal Supplement-Induced Liver Injury: A Case Report Open
View article: A case report of multiple abscesses caused by <i>Streptococcus intermedius</i>
A case report of multiple abscesses caused by <i>Streptococcus intermedius</i> Open
Streptococcus intermedius is a beta‐hemolytic, non‐motile, catalase‐negative, gram‐positive member of the Streptococcus anginosus group. When compared to other members of this group like S. anginosus and Streptococcus constellatus , S. int…
View article: A case report of multiple abscesses caused by Streptococcus intermedius
A case report of multiple abscesses caused by Streptococcus intermedius Open
In this case, we present a 47-year-old male who was found to have S. intermedius abscesses in his lungs, liver, and brain. The treatment of choice for these abscesses is a combination of drainage, surgery, and antibiotic therapy
View article: Delayed presentation of cannabis induced pancreatitis
Delayed presentation of cannabis induced pancreatitis Open
A thorough history and identifying risk factors are pivotal in establishing the cause of pancreatitis and preventing recurrences to curb the incidence of chronic pancreatitis and/or pancreatic cancer.
View article: Giant basal cell carcinoma of anterior chest wall reveals metastasis to lungs: A case report
Giant basal cell carcinoma of anterior chest wall reveals metastasis to lungs: A case report Open
Basal cell carcinoma (BCC) is the most common cutaneous malignancy in the world, and the incidence of pulmonary metastasis is exceedingly rare. We present a case of middle‐aged male with findings consistent with BCC with metastasis to the …
View article: Zieve Syndrome: A Clinical Triad, or Perchance a Quartet?
Zieve Syndrome: A Clinical Triad, or Perchance a Quartet? Open
Zieve syndrome presents with a triad of hemolytic anemia, unexplained jaundice, and hyperlipidemia secondary to alcohol use/alcohol-induced liver injury, highlighting hemolytic anemia as the hallmark feature. Zieve syndrome is more common …
View article: A Rare Presentation of Sarcomatoid Carcinoma of Duodenum: A Case Report
A Rare Presentation of Sarcomatoid Carcinoma of Duodenum: A Case Report Open
Sarcomatoid tumors are very rare biphasic tumors characterized by a mixture of malignant epithelial and mesenchymal cells that have been usually identified in the lungs with other documented cases in skin, bone, thyroid gland, salivary gla…
View article: PLEURAL FLUID IN A PNEUMOTHORAX: DON'T ANCHOR IN SHALLOW WATER
PLEURAL FLUID IN A PNEUMOTHORAX: DON'T ANCHOR IN SHALLOW WATER Open
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: Ectoparasitosis, a rare cause of severe iron deficiency anemia: A case report
Ectoparasitosis, a rare cause of severe iron deficiency anemia: A case report Open
Pediculosis is a common condition caused by an infestation of head and body louse (ectoparasites) and remains a public health concern. Generally, infestation presents as pruritus in children and has a benign course, but there have been a h…
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: A case of isolated sinus bradycardia as an unusual presentation of adrenal insufficiency
A case of isolated sinus bradycardia as an unusual presentation of adrenal insufficiency Open
It is imperative for clinicians to be aware of rare etiologies for underlying symptomatic bradycardia. While extremely effective at preventing symptomatic bradycardia, avoiding a pacemaker by correcting the underlying etiology of symptomat…
View article: Typhlitis: A Rare Appendicitis Mimic in a Young Healthy Female
Typhlitis: A Rare Appendicitis Mimic in a Young Healthy Female Open
View article: Clinical indicators for progression of nonalcoholic steatohepatitis to cirrhosis
Clinical indicators for progression of nonalcoholic steatohepatitis to cirrhosis Open
Non-alcoholic fatty liver disease (NAFLD), is a disease spectrum characterized by fat accumulation in hepatocytes presenting as hepatic steatosis to advance disease with active hepatic inflammation, known as nonalcoholic steatohepatitis. C…
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: Oxybutynin-Induced Hyperthermia in a Patient With Parkinson’s Disease
Oxybutynin-Induced Hyperthermia in a Patient With Parkinson’s Disease Open
View article: Lisinopril-Induced Acute Necrotizing Pancreatitis
Lisinopril-Induced Acute Necrotizing Pancreatitis Open
Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that is used as one of the first-line antihypertensive medications. Necrotizing pancreatitis induced by the use of ACE inhibitors is an extremely rare occurrence. Although an u…
View article: Case Series: Hypercalcemia From Granulomatous Silicosis Developing After COVID-19 Infection
Case Series: Hypercalcemia From Granulomatous Silicosis Developing After COVID-19 Infection Open
Hypercalcemia is one of the most commonly encountered laboratory abnormalities in clinical medicine. Various causes have been well established. However, it is likely that the novel coronavirus, severe acute respiratory syndrome coronavirus…
View article: Rare Adult Subtype of Rhabdomyosarcoma, a Common Childhood Soft Tissue Carcinoma
Rare Adult Subtype of Rhabdomyosarcoma, a Common Childhood Soft Tissue Carcinoma Open
Rhabdomyosarcoma is a malignant soft tissue sarcoma of primitive mesenchymal cells, showing varying degrees of striated skeletal muscle cell differentiation. It is a very common cancer of childhood and adolescence, but rarely seen in the a…
View article: A Case of IgG4-Related Kidney Disease Developing While on Steroid Treatment for Autoimmune IgG4 Pancreatitis
A Case of IgG4-Related Kidney Disease Developing While on Steroid Treatment for Autoimmune IgG4 Pancreatitis Open
IgG4 (immunoglobulin G4)-related systemic disease is an autoimmune process affecting multiple organ systems. This inflammatory process can present as but not limited to pancreatitis, cholangitis, or unspecified kidney disease. In this case…
View article: A Case of Gastric Emphysema: Incidental Findings or Serious Illness
A Case of Gastric Emphysema: Incidental Findings or Serious Illness Open
Gastric emphysema (GE) or gastric pneumatosis is a rare entity defined as air within the gastric wall. Etiologies include pneumothorax, instrumentation, infection, gastric wall ischemia, and mechanical injury. Several theories exist as to …
View article: Non-steroidal Anti-inflammatory Drug-induced Acute Pancreatitis: A Case Report
Non-steroidal Anti-inflammatory Drug-induced Acute Pancreatitis: A Case Report Open
View article: Hemorrhoid Energy Therapy for Treatment of Deep Chronic Anal Fissures
Hemorrhoid Energy Therapy for Treatment of Deep Chronic Anal Fissures Open
Energy therapy is a well-known, minimally invasive treatment for internal hemorrhoids. This treatment has not yet been studied in anal fissures refractory to medical therapy. Anal fissures, such as hemorrhoids, can disrupt the quality of l…