Cryptogenic Stroke in an Adult Sudanese Female with Interatrial Septal Aneurysm: A Case ReportMahmoud Hussien Salih Daoud1, Ejlal Ahmed.E. Abushama2, Abdallah H. Mahmmoud3, Mohammed Mahmmoud Fadelallah Eljack4, Khabab Abbasher Hussien Mohamed Ahmed5, Mazin S. Hassan Haroun6, Elfatih A. Hasabo7, Duaa Baderaldeen Ibraheem Elsheikh8, Sulieman Abdelkareim G. Mohammed9, Ahmed Eltayeb O. Eltayeb10, Yusif Abduelmagid M. Naimallah11, Alameen Ahmed Alameen Ahmed12, Mohamed Yusif Mohamed Yusif13, Asmaa Esam Abbas Mokhtar14, Sara Nasreldeen Ibrahim Awadalbari15, Rowida Babikir Osman Eltayeb16

Acute fatty liver disease of pregnancy (AFLP) is a rare condition associated with other common liver manifestations such as hemolysis, elevated liver enzymes, and low platelets syndrome (HELLP). We present a 27-year-old pregnant woman who developed hepatic encephalopathy and DIC after being diagnosed with Acute fatty liver disease of pregnancy.

Yellow nail syndrome is a rare lymphatic abnormality without a clear pathogenesis. Hereby, we report A 70-year Sudanese female who presented with recurrent cough, recurrent lower limb swelling and yellowish nail discoloration diagnosed as yellow nail syndrome but unfortunately passed away due to acute respiratory distress syndrome (ARDS).

HIV can be associated with cardiovascular complications. We highlight unusual presentation of HIV patient with MI and stroke. 30 year old HIV male presented with MI complicated by stroke. Recovered within 5 days with anti-ischemic and diuretics. Screening tests for unusual presentations prevent fatal complications of common diseases.

Acute pericarditis is uncommon presentation of COVID-19. Here we described a case of 50-year-old male who presented with chest pain without fever nor cough and diagnosed with acute pericarditis complicated by pericardial effusion due to COVID-19 after exclusion of other cause and receive supportive treatment and improve over two weeks.

Hereditary hemorrhagic telangiectasia (HHT) is a rare disorder affecting skin and body’s internal organs with tendency for bleeding. We reports a case of Sudanese 42-year-old with family history of HHT presented with recurrent epistaxis and telangiectasias

HIV can be associated with cardiovascular complications. We highlight unusual presentation of HIV patient with MI and stroke. 30 year old HIV male presented with MI complicated by stroke. Recovered within 5 days with anti-ischemic and diuretics. Screening tests for unusual presentations prevent fatal complications of common diseases.

COVID-19 is of uncommon diagnosis in pediatric with their presentation in much of time of a nonspecific entity; here we experienced a case of two years old female with Malaria presented with fever, cough, rhinorrhea, hemoptysis and convulsion diagnosed as COVID-19, complicated with encephalitis, received treatment and improved over weeks.

A 3 years old child presented with recurrent chest pain for 3 months, echocardiography showed a thorn inside left ventricle, patient diagnosed as foreign body plus infective endocarditis, received proper treatment, and operation done after inflammatory reaction subsided.

A 16-year-old female presented to our ED with fever and coughing of blood for 3 days. She is known to have SLE for 5 months and takes oral prednisone. She was tested positive for COVID19. She developed hypocalcemia with clinically-diagnosed massive pulmonary embolism. She was treated with heparin and recovered.

Ectopic origin of the right coronary artery from the left sinus of Valsalva is an extremely rare anomaly of coronary arterial morphology, often incidentally discovered and clinically silent. We, hereunder, experienced a case of ectopic origin of the right coronary artery from the left sinus of Valsalva.