Coronavirus disease (COVID-19) is an emerging infectious disease. There may be a correlation between heatstroke and severity of COVID-19. In cases where heat stress caused by COVID-19 promotes organ failure, the proactive regulation of body temperature may be considered as an effective treatment option.

we report a 24 years old female patient, who presented with features of crushing syndrome. upon evaluation, she was found to have ectopic Adrenocorticotropic hormone (ACTH)–dependent Cushing’s syndrome due to a thymic tumor. histopathology confirmed ACTH secreting tumor. she was treated With Video-assisted thoracoscopic surgery and had a successful recovery.

We present a case of postpartum women who collapsed immediately after delivery with probable diagnosis of amniotic fluid embolism. This is a rare but fatal condition and was managed with supportive measures. Suspicion of amniotic fluid embolism should be considered in any postpartum collapse if no obvious cause is known.

COVID-19 infection can present with thrombotic manifestations like PE with no ultrasonographic evidence of lung parenchymal affection. BLUE protocol provides excellent step by step approach for diagnosis of acute dyspnoea. Adding FECHO to BLUE protocol complete the picture and help making solid diagnosis especially in sub-massive and massive PE

A female presented with Palmoplantar Pustular psoriasis (PPP) followed by Pyoderma gangrenosum (PG) on bilateral legs. Complete remission was achieved with methotrexate and prednisolone. Both dermatoses have female preponderance, similar immuno-pathologic mechanisms and rapid treatment response, suggests a possible etiological relation between the two and not a coincidental finding.

We experienced a case with accidental aspiration of a metallic round foreign body. As there is no established techniquefor retrieving a metallic round ball from an airway, we propose that endoscopic net forceps with the support of a laryngeal mask airway is the best choice for such occasions.

We report a case of Takotsubo cardiomyopathy (TTC) induced by diffuse fear of the COVID-19 pandemia and aggravated to ventricular fibrillation. After succesfull resuscitation the patient developed temporarily a J-wave after event. Though potentially live threatening in the acute phase both J-wave and TTC are reversible with receding of edema.

Isolated pulmonary valve infective endocarditis (PVIE) is very rare, with a frequency of 1.6-2.7% of all endocarditis cases. We report the case of a patient who underwent successful pulmonary valve replacement (PVR) with a bio-prosthetic valve to treat isolated PVIE.

Pyruvate dehydrogenase complex (PDHC) deficiency is a mitochondrial disorder. We report two cases of PDHC deficiency with clinical symptoms and brain imaging findings reminiscent of FOXG1 syndrome, suggesting a phenotypic overlap of these disorders.

Right heart thrombus and pulmonary embolism is a condition that requires emergent treatment with reported fatal outcomes. Endovascular mechanical thrombectomy of right heart clot has been described with the use of AngioVac. We describe the use of FlowTriever device as a feasible alternative to treat clot in transit.

A document by Alessandra Romano. Click on the document to view its contents.

Euglycemic DKA (euDKA) is a serious side effect associated with SGLT2 inhibitors. We present a case euDKA in a patient on an SGLT-2 inhibitor likely precipitated by COVID-19 infection. We suspect that COVID-19 led to euDKA. We pose the question of whether these medications should be discontinued proactively.

A 63-year-old woman was diagnosed with a giant atrial septal aneurysm (ASA) protruding into the right atrium and thrombus attached to the left side of the ASA pouch. We surgically resected the ASA, and the resection site was closed with pericardial patch. The postoperative course was uneventful.

Acute epibulbar infections are one of the most frequently diagnosed ophthalmologic infections. They are usually self-limiting but can lead to a viral preseptal cellulitis mimicking a severe bacterial infection. Early diagnosis is important to shorten the course of recovery.

Cardiac surgery in patients with hemophilia remains a serious problem due to the risk of bleeding complications. Here, we report successful treatment of mitral valve insufficiency and concomitant atrial fibrillation in a patient with severe hemophilia A.

A novel use of a jejunal graft for the successful repair of a colorectal anastomotic dehiscence after a transanal pull-through procedure in two dogs.

White esophagus is an extremely rare disease and recognized to be the result of chronic ischemic injury. We report here successful treatment of a case of white esophagus accompanying multiple areas of circumferential duodenal erosion extending to the upper jejunum in a middle-aged male.

There is evidence of increased incidence, rapid progression, and poor prognosis of Covid-19 in patients with underlying comorbidities such as diabetes and epilepsy. It is crucial to develop effective treatment regimens for these patients. Multiple organ failure is the most common cause of death in Covid-19 patients.