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October 2016

Volume 2  Issue 5

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Case Report 

Successful Treatment of Behcet’s Disease Utilizing Bacterial and Viral Antigens

A.D. Lieberman, L.T. Curtis*

Behcet’s disease (BD) is a complex multi-system auto-inflammatory and autoimmune disease involving many organ systems. A majority of BD patients experience mucocutaneous problems such as oral and genital ulcerations, papulopustular skin lesions, and erythema-nodosum (EN) like skin lesions. Other common BD manifestations include eye difficulties such as uveitis, joint disorders, cardiovascular complications, neurological and neuropsychiatric conditions such as hearing loss, depression and anxiety, cognitive function loss and hemiparesis, and gastrointestinal problems such as diarrhea, GI pain, bleeding, and ulceration. Other common health problems include chronic fatigue, sexual dysfunction, and significantly lower quality of life.

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Case Report 

Corneal Ulcer Due to the Fungus Lasiodiplodia theobromae in an Ecuadorian Farmer

Hendri Atiencia, Pedro Barba, Denisse Costales, Betty Sierra, Yadira Toapanta, David Ortega-Paredes, Jeannete Zurita*

We describe a case of a corneal ulcer as a result of traumatic implantation caused by the fungus Lasiodiplodia theobromae. It was isolated from a corneal lesion in a 35-year-old farmer in Puerto Quito (tropical forest of Ecuador). After a month of incubation, no sporulation was observed; the isolate was identified by DNA sequencing. The initial treatment with topic and intrastromal voriconazole failed. The patient was treated by conjunctival flap covering surgery and needs a corneal transplant.

 

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Case Report 

Isolated Third Cranial Nerve Palsy after Mild Head Trauma

Pometlová Jana M.D. Ph.D.*, Demel Jiří M.D., Pleva Leopold M.D. Ph.D.

Isolated third cranial nerve palsy in patients with a head injury can be the result of direct or indirect nerve injury. There are numerous causes for cranial nerve injury that include head trauma or other lesions. In most cases, oculomotor nerve injury is associated with severe cranial trauma. Traumatic oculomotor nerve palsy associated with mild head injury is uncommon. We report the case of isolated third cranial nerve palsy associated with minor head injury in the absence of abnormal brain imaging findings.

 

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Case Report 

Bilateral Superior Altitudinal Hemianopia of Uncommon Origin: A Case Report of a Hemorrhagic Stroke Patient

Renato Avesani, MD*, Giovanna Albertini, MD, Luigi Romano, MD, Cristina Bulgarelli, Luca Salvi, Laura Roncari, MD

This paper describes the case of a woman that showed bilateral altitudinal superior hemianopia after having an tetraventricular hemorrhagic stroke. While in the majority of cases the etiology of the “neurological picture” above is cardio-embolic or atherosclerotic, in the case of the woman it could be the damage of the Meyer loop caused by hemosiderin deposits. Data available in the scientific literature on this pathology is very scant and is given mainly by “case reports” of patients with occipital infarctions (PCA region).

 

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