Al Jahrā’, Kuwait
Al Jahrā’, Kuwait

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Ceifo W.,Al Jahra Hospital | El Aziz Ahmed S.A.,Al Jahra Hospital | Singh N.G.,Al Jahra Hospital
Kuwait Medical Journal | Year: 2017

Secondary seminal vesicle tumors are rarely malignant. Tumor metastasis from colonic cancer arising in this location is even rarer and has only been described in case reports. Due to the rarity of such tumors, the appropriate optimal treatment remains unclear. We report this case of secondary tumor in the seminal vesicle. © 2017, Kuwait Medical Association. All rights reserved.


Mathew A.G.,Al Jahra Hospital | Parvez Y.,Al Jahra Hospital
Indian Pediatrics | Year: 2013

Epstein Barr virus (EBV) encephalitis is rare in children but can have severe neurological complications and sometimes fatal. It can manifest with varied neurological presentations like meningoencephalitis, brain stem encephalitis, GBS etc. This can appear alone or with clinical picture of infectious mononucleosis. Establishing a diagnosis of EBV encephalitis is difficult and consequently molecular, serological and imaging techniques should be used when investigating a child with encephalitis. To highlight this entity we report two fatal cases of EBV meningoencephalitis presenting with sole neurological manifestations.


Abdullah Z.S.,Al Jahra Hospital
Hellenic journal of nuclear medicine | Year: 2010

Pyomyositis is a relatively infrequent, sub-acute primary bacterial muscle infection, which due to its non specific clinical findings is unlikely to be early diagnosed especially in diabetic patients. This diagnostic delay may be fatal. Therefore, early diagnosis and prompt treatment are imperative. We present a poorly-controlled diabetic patient who was referred to our Nuclear Medicine department for a bone scan to evaluate osteomyelitis. Routine three-phase-planar-scintigraphy was falsely positive for osteomyelitis in the left fibula, however, single photon emission tomography (SPET/CT) images clearly showed abnormal uptake in the calf muscles rather than the bone with evidence of low-attenuation lesions in these muscles. SPET/CT and magnetic resonance imaging (MRI) provided essential information to the clinicians to consider other diagnoses rather than osteomyelitis. MRI showed inter and intra-muscular collections consistent with multiple abscesses. Based on medical history, SPET/CT and MRI findings, the diagnosis of pyomyositis was established. The patient underwent successfully multiple incision-drainage procedures with subsequent intravenous antibiotic treatment and was discharged after complete recovery. In conclusion we advocate the use of SPET/CT for the detection of pyomyositis.


Parvez Y.,Al Jahra Hospital | El Sayed O.,Al Jahra Hospital
Indian Pediatrics | Year: 2013

Apparent mineralocorticoid excess (AME) syndrome is a rare autosomal recessive disorder due to the deficiency of 11J3 hydroxysteroid dehydrogenase type 2 enzyme (11 beta-HSD2). Mutations in this gene affect the enzymatic activity resulting to an excess of Cortisol, which causes its inappropriate access to mineralocorticoid receptor leading to inherited hypertension. This is a potentially fatal but treatable disorder. We present clinical and molecular studies on two sisters diagnosed as AME.


Jagia M.,Al Jahra Hospital | Taqi S.,Al Jahra Hospital | Hanafi M.,Al Jahra Hospital
Indian Journal of Anaesthesia | Year: 2011

The objective of this case report is to highlight presentation, complications and treatment of metformin poisoning. Patient after ingestion of 45gms of metformin developed colicky abdominal pain, severe tachypnea and vomiting. He developed severe lactic acidosis, cardiac arrest, pancreatitis and hemolytic anemia which was treated with charcoal, sodium bicarbonate, early initiation of high volume continuous veno-venous hemofiltration and supportive therapy. Metformin poisoning is a rare presentation and we discuss course of events in the management of metformin poisoning and its associated complications.


Upadhyay S.P.,Al Jahra Hospital | Mallick P.N.,Al Jahra Hospital
American Journal of Hospice and Palliative Medicine | Year: 2012

Cancer pain remains undertreated and a significant number of patients with cancer pain die from severe untreated pain. With increasing survival rate in cancer, the prevalence of cancer pain is also increasing in number. Though majority of patients with cancer pain can be effectively treated with conventional medical management, still a significant portion of patients required some form of interventional pain management techniques. Among the interventional techniques, intrathecal drug delivery is increasingly used in cancer pain management. Our objective of this article is to review literatures and clinical studies on intrathecal drug delivery system (IDDS) in cancer pain management and to provide updates on its use, precautions, contraindications, side effects and its management, socioeconomic consideration, and management of IDDS in difficult or uncommon situations. © The Author(s) 2012.


Mannan A.A.S.R.,Al Jahra Hospital | Kahvic M.,Al Jahra Hospital | Abdel Aziz A.H.,Al Jahra Hospital
American Journal of Dermatopathology | Year: 2010

Phyllodes tumor occurring in the vulva is extremely rare; only 6 cases have been previously reported in the literature. The histogenetic origin of this tumor is controversial as it is being debated whether such lesions evolve from ectopic breast tissue, cutaneous apocrine glands, and most recently, anogenital mammary-like gland. We report an 18-year-old Kuwaiti girl who presented with a painless mass in the left labium majus, which was subsequently excised. Microscopic examination revealed morphologic pattern characteristic of benign phyllodes tumor. Immunostaining demonstrated the presence of estrogen receptors and progesterone receptors in the epithelial component. We present this case to emphasize the importance of recognizing this uncommon lesion occurring at an extremely unusual site. We also discuss the histogenesis of phyllodes tumor and related lesions occurring in the anogenital region in light of the current literature along with a brief review of the previously reported cases of vulvar phyllodes tumor. Copyright © 2010 by Lippincott Williams & Wilkins.


Torsion of undescended testis, although not uncommon, causes diagnostic difficulties. We here present testicular scintigraphy images of a typical case of torsion of an undescended inguinal testis with disparity between clinical and ultrasonography (USG) findings in the contralateral retractile testis.


Mannan A.A.,Al Jahra Hospital | Kahvic M.,Al Jahra Hospital
The gulf journal of oncology | Year: 2010

Idiopathic Ibn Sina, popularly known in the west as Avicenna;(980-1037 A.D.) was one of the foremost physicians and Islamic philosophers of his time. His chief medical work, Al-Qanun fi'l-tibb (The Canon of Medicine), is considered to be the most comprehensive medical encyclopedia ever written by an Arab physician. The book served as the final authority on medical matters in Europe for several centuries. It described some of the most illuminating medical thoughts that are relevant to modern medicine. In this article, we pay tribute to this great medieval Arab physician by providing a brief overview of his life and works, with special reference to his contribution to the advancement of medical science.


Parvez Y.,Al Jahra Hospital | Mathew A.G.,Al Jahra Hospital
Indian Journal of Hematology and Blood Transfusion | Year: 2014

Leukocytosis is well recognised in neonate; mostly it is physiological but the counts rarely exceed 30,000/mm3. Hyperleukocytosis defined as WBC count of more than 100,000 mm3 is rare and imposes a diagnostic challenge and should be investigated for leukaemia, leukocyte adhesion defect and myeloproliferative disorders. We report a classic case to highlight this entity. © 2013, Indian Society of Haematology & Transfusion Medicine.

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