Synovial sarcomas are rare malignancies. Metastatic synovial sarcomas carry a particularly poor prognosis. While primary orbital lesions have been documented, the authors are aware of only one previous report of metastatic synovial sarcoma to the orbit. In this report, the second case of a metastatic synovial sarcoma to the orbit ...

Hidradenoma papilliferum is a benign adnexal tumor originating from apocrine glands of skin. It is commonly seen in the anogenital region of middle-aged women and presents as an asymptomatic, slow-growing, solitary nodule. Rarely this tumor occurs at extragenital sites and is called ectopic hidradenoma papilliferum. Although head and neck is ...

Removable dentures are commonly used in routine dental practice at older ages. Accidental swallowing of various numbers of teeth has been reported in the literature before. However, total swallowing of removable mandibular prostheses in this size is a very rare emergency. In this study, we reported a case of accidental ...

Detailed investigations of all reported cases of herb-induced aconite poisoning are necessary to identify the major contributory causes so that preventive measures can be formulated. In the present review of 12 fatal cases that were published in the medical journals during 1992 and 2011, the available clinical data and forensic ...

This study aimed to establish the incidence of homicide, associated pathology of trauma and victim profiles in cases admitted to or managed as homicidal deaths at the Pretoria Medico-Legal Laboratory (PMLL) over the period of 2007-2008. A total of 1088 cases were reviewed. Homicides accounted for 22.7% of all cases ...

Neonicotinoids are a new class of insecticides widely applied for crop protection. These insecticides act as agonists at nicotinic acertylcholine receptors, which cause insect paralysis and death. The high specificity for receptors in insects was considered to possess highly selective toxicity to insects and relative sparing of mammals. However, an ...

Intrathecal (IT) methotrexate (MTX) overdose is a medical emergency. Available interventions include cerebrospinal fluid (CSF) drainage and ventriculolumbar perfusion, which are limited by timing and/or availability. Carboxypeptidase G2 hydrolyzes MTX into inactive metabolites and represents a promising agent for the treatment of IT MTX overdose. We set out to compile ...

Reports of magnet ingestion are increasing rapidly globally. However, multiple magnet ingestion, the subsequent potential complications and the importance of the early identification and proper management remain both under-recognized and underestimated. Published literature on such cases could possibly represent only the tip of an iceberg with press reports, web blogs ...

Insects are known to be useful in estimating time since death, but this is only possible if samples are collected and preserved correctly according to best practices. This report describes a case where an 18-year old female was found dead and during the first medico-legal investigation which determined it was ...

AIM: We describe improved reporting of paediatric out-of-hospital cardiac arrest (OHCA) by adding coronial findings to a cardiac arrest registry. METHODS: Non-traumatic OHCA occurring in paediatric patients aged less than 16 years were identified using the Victorian Ambulance Cardiac Arrest Registry and available coronial findings reviewed. RESULTS: Between the years ...

Weeksella virosa is an aerobic gram-negative rod that has rarely been reported to cause infection. We describe a fatal case of W. virosa sepsis in a young female with end-stage renal disease, report three additional cases of W. virosa infection, and review the literature regarding this infection.

Acute glomerulonephritis occurring during the course of enteric fever is a rare entity and only a few cases have been reported in the published literature. We describe two interesting cases of acute glomerulonephritis occurring in twin siblings.

The authors present a case of an incidental finding of a metallic foreign body located within the calcaneus of a 17-year-old girl. Although the presence of foreign material is a common occurrence in the foot, intraosseous metallic bodies are rare, especially so when they present as an incidental finding. A ...

Information on the leading causes of mortality will continue to rely on verbal autopsy (VA) in developing countries. The accuracy of VA methods in correctly ascertaining the cause for each individual death is crucial in order to have confidence in the data collected through the procedure. Accuracy of the VA ...

Objectives: To increase awareness of cervical osteophytes as an extremely rare cause of recurrent laryngeal nerve palsy; to outline the clinical approach to patients with unilateral vocal fold paralysis and to provide an update on the current management of osteoarthritis and osteophytes. Case report: An elderly man presented with right ...

Posttraumatic neglected Achilles tendon ruptures in a young patient have not been described in the literature to our knowledge; indeed, neglected ruptures of the Achilles tendon have only rarely been described in adults. We present the case of a 7 year old girl with posttraumatic neglected rupture of the Achilles ...

Background: Sport prostheses are used by both upper- and lower-limb amputees while participating in sports and other physical activities. Although the number of these devices has increased over the past decade, no overview of the peer reviewed literature describing them has been published previously. Such an overview will allow specialists ...

: Exposure to hydrofluoric acid can cause severe skin damage via both corrosive and chemical means. Dermatologists should be aware of the various clinical presentations and knowledgeable of how to manage such patients. A case of a man with exposure of the hands after use of a consumer product containing ...

Placement of peripherally inserted central catheters (PICCs), definitely offers a clear advantage over any other method regarding central venous catheterization. Its ultrasonographic orientation enhances significantly its accuracy, safety and efficacy, making this method extremely comfortable for the patient who can continue his or her therapy even in an outpatient basis. ...

This study seeks to provide a review of the clinical data published as of July 2011 concerning the postsurgical adhesion barrier, Seprafilm (chemically modified hyaluronic acid and carboxymethylcelulose; Genzyme Corporation, Cambridge, MA). Included articles detail the application of Seprafilm for intraabdominal uses that have been approved (on-label) and those considered ...

An individual case review of diving-related deaths reported as occuring in Australia in 2007 was conducted as part of the on-going Divers Alert Network (DAN) Asia-Pacific dive fatality reporting project. The case studies were compiled using reports from witnesses, the police and coroners. In each case, the particular circumstances of ...

Background: There is a lack of knowledge of the psychosocial wellbeing and attributes of Paralympic athletes. Such knowledge may reveal what contributes to exceptional performance. Objectives: To systematically review the literature on psychosocial wellbeing and attributes of the Paralympic athlete. Study Design: Systematic literature review. Methods: Five key databases that ...

To analyze the influence and use of autopsy report review on preventability judgments as part of trauma system performance improvement activities. All cases trauma fatalities occurring across one state within 1 year were reviewed. Preventability judgments were first analyzed by multidisciplinary panel consensus without benefit of autopsy report. Deaths were ...

Diving is a popular recreational activity in Hong Kong, and there is an associated incidence of mortality. This individual case review of reported diving-related deaths occurring in Hong Kong waters between 2006-2009 inclusive, was conducted as part of the ongoing DAN Asia-Pacific dive fatality reporting project. The eight reported deaths ...

Varicella (chickenpox) is a common disease of childhood, caused by varicella-zoster virus. Postviral thromboembolism is a rare complication of varicella-zoster virus in childhood. We describe 2 children who developed lower limb deep venous thrombosis shortly after varicella infection, along with a review of 130 previously reported cases.

Tumours of perivascular epithelioid cells (PEComas) are a heterogeneous group of uncommon mesenchymal neoplasms which exhibit a peculiar immunohistochemical co-expression of muscle and melanocytic markers. PEComas occur at various visceral and soft tissue sites, generally with a benign clinical course. Nevertheless, there has been evidence of cases having an unfavourable ...

Colchicine, a natural pseudo-alkaloid found in plants such as the Colchicum autumnale and Gloriosa superba has tremendous medicinal properties, but if misused by an unqualified person can result in fatal consequences. We report a case of colchicine poisoning in an adult man as a result of consumption of the herb ...

The criminal use of weapons is a very topical issue in the industrialized countries and worldwide, and a reconsideration of the legislation governing their possession is warranted. We retrospectively analyzed the homicides and suicides involving the use of firearms and piercing and/or cutting weapons recorded at the Medicolegal Bureau in ...

OBJECTIVE: To characterize the epidemiologic burden and the molecular determinants of group A streptococcal (GAS) meningitis among the pediatric population of the state of Paraná, Brazil. PATIENTS AND METHODS: Clinical and epidemiologic data were gathered by a compulsory notification system during the period 2003-2011. Bacterial identification, antibiotic resistance profile, emm-typing, ...

Peer review is an important stage in academic publishing, as a form of quality control to maintain the integrity of both the articles and the journals they appear in. However, the confidential nature of the relationship between reviewer and author does not necessarily benefit the system; with some reviewers using ...

Covering: 2011. Previous review: Nat. Prod. Rep. 2011, 28, 1580.This review covers the isolation, structural determination, synthesis and chemical and microbiological transformations of natural sesquiterpenoids. The literature is reviewed, and 435 references are cited.

The genus Abiotrophia comprises fastidious Gram-positive bacteria previously classified as nutritionally variant streptococci (NVS). The isolation of NVS from the central nervous system (CNS) is very rare. We describe a case of meningitis due to Abiotrophia defectiva in a patient who underwent a total hip arthroplasty 4 days previously. It ...

ABSTRACT: Little information is available on the prevalence, geographic distribution and mutation spectrum of genetic skeletal disorders (GSDs) in China. This study systematically reviewed GSDs as defined in "Nosology and Classification of genetic skeletal disorders (2010 version)" using Chinese biomedical literature published over the past 34 years from 1978 to ...

Lichen sclerosus (LS) is a chronic inflammatory skin disorder first described in 1887 by Hallopeau(1). It typically affects the anogenital area and presents clinically with ivory-white atrophic patches or plaques with associated telangiectasia and purpura(2). Only 4 cases of peristomal LS have been reported in the literature, and it has ...

Abstract Background: Sepsis is an excessive systemic inflammatory response activated by invasive infection. There has been substantial epidemiologic literature addressing perceived disparities in sepsis by demographic factors such as gender and race. There also have been multiple examinations of the disparities of sepsis with regard to environmental and socioeconomic factors. ...

The potential for para-occupational (or "take-home") exposure to a number of chemicals has been recognized for over 60 years. We conducted a literature review in order to characterize reported cases of asbestos-related disease among household contacts of workers occupationally exposed to asbestos. Over 200 published articles were evaluated. Nearly 60 ...

BACKGROUND: Paragangliomas are rare, vascular, and predominantly benign neoplasms of neural crest origin. They typically arise in the head and neck from the carotid body, jugulotympanic, or vagal paraganglia. Rarely, paragangliomas occur in the larynx. Only 2 cases of hypopharyngeal paraganglioma have been reported. We discuss the case of a ...

Background Obstructive hydrocephalus caused by vertebrobasilar dolichoectasia is an extremely rare entity. Cerebrospinal fluid pathway obstruction may be localized at the level of either the foramina of Monro or the cerebral aqueduct. Radiological imaging can sometimes be misleading in establishing the precise location of the obstruction, which is crucial in ...

Objective: This case report aims to raise awareness amongst clinicians of ear presentation of cutaneous borrelia. Case report: We report a recent case of borrelia lymphocytoma cutis benigna in a child presenting with unilateral earlobe swelling, who was otherwise well. A review of the English language literature, including management of ...

To review the evidence regarding the safety and efficacy of current anti-vascular endothelial growth factor (VEGF) pharmacotherapies for the treatment of diabetic macular edema (DME). Literature searches last were conducted in September 2011, in PubMed with no date restrictions, limited to articles published in English, and in the Cochrane Library ...

Abstract Fibroblastic and myofibroblastic tumours constitute an important group of neoplasms in children and adolescents. These span the full spectrum of clinical behaviour ranging from benign, to intermediate and malignant. We report a case of a benign mesenchymal tumour with myofibroblastic differentiation in a 9-year-old girl arising in the left ...

A 10-year-old boy, phototype V, presented with a 6-month history of a dark macula on his 2(nd) right toenail. The patient had been under treatment for vitiligo for the past three years with topical and systemic corticosteroids and phototherapy (UVB narrow band). The lesions on the skin fluctuated with periods ...

Styloid-carotid artery syndrome was first described by Eagle and is associated with cervical and facial pain caused by head movement resulting from mechanical compression of the carotid nerve plexus due to an elongated styloid process. The case of a 49-year-old man with persistent cervical pain, neurological symptoms and an elongated ...

The British Society of Gastroenterology guidelines on the management of cholangiocarcinoma were originally published in 2002. This is the first update since then and is based on a comprehensive review of the recent literature, including data from randomised controlled trials, systematic reviews, meta-analyses, cohort, prospective and retrospective studies.

OBJECTIVE: The objective of this study was to analyze the clinical and laboratory features, treatments, and prognosis of ankylosing spondylitis (AS) associated with bilateral temporomandibular joint ankylosis (TMJA). METHODS: A PubMed search was conducted from 1966 to date, and the references of published studies were also checked to identify additional ...

The VATER/VACTERL association is typically defined by the presence of at least three of the following congenital malformations: vertebral anomalies, anal atresia, cardiac malformations, tracheo-esophageal fistula, renal anomalies, and limb abnormalities. The identification of 14 twin pairs with an initial diagnosis of VATER/VACTERL association at our clinical centers led to ...

ABSTRACT: BACKGROUND: Rupture of the spleen in the absence of trauma or previously diagnosed disease is largely ignored in the emergency literature and is often not documented as such in journals from other fields. We have conducted a systematic review of the literature to highlight the surprisingly frequent occurrence of ...

This general review of the biomedical literature indexed on Medline (PubMed) and Pascal (INIST) over the past 40 years (1970-2010), supplemented by some unindexed studies, found 89 articles published about basidiobolomycosis. These case reports (n = 67) and series (n = 22) described 172 cases of basidiobolomycosis (84 in Asia, 47 in tropical Africa, ...

Please cite this paper as: Tindell K, Garfinkel R, Abu-Haydar E, Ahn R, Burke T, Conn K, Eckardt M. Uterine balloon tamponade for the treatment of postpartum haemorrhage in resource-poor settings: a systematic review. BJOG 2012; DOI: 10.1111/j.1471-0528.2012.03454.x. Background  Effective interventions addressing postpartum haemorrhage (PPH) are critically needed to reduce ...

PURPOSE: A literature review of the deltoid ligament was conducted, examining the current literature on anatomy, function, and treatment strategies. In particular, anatomical inconsistencies within the literature were evaluated, and detailed anatomical dissections are presented. METHODS: A literature search was conducted on PubMed using keywords relevant to the deltoid ligament ...