â  background : primary sclerosing cholangitis (psc) is a chronic cholestatic disease that results in segmental stenosis of the bile ducts, cholestasis and fibrosis. during the previous two decades, patients with steroid responsive psc have been presented in a few case reports and studies. this study aims to evaluate and compare igg4 levels in patients with ulcerative colitis (uc), with and wit...

background: musculoskeletal manifestations (msm) of inflammatory bowel diseases (ibds) are usually the most frequent extraintestinal manifestations. however, they are not paid enough attention during regular office visits. this cross-sectional study aimed to draw a clinical picture of msm and their relationships with other findings in patients with ibd. materials and methods: patients of our ib...

case presentation a 43-year-old man was referred to our institution for a severe aortic regurgitation and an ascending aorta enlargement associated with a relapsing sub-aortic membrane, which had been treated in his childhood. he underwent a redo ascending aorta replacement and an aortic valve replacement (mechanical prosthesis) along with a resection of the relapsing sub-valvular membrane. som...

Klebsiella pneumoniae liver abscess (KLA) is an emerging infectious liver disease in developed countries such as the United States. This is particularly common in the East Asians living in the United States who has other comorbid medical problems, especially diabetes mellitus. Metastatic infections involving non-contiguous areas originating from Klebsiella pneumoniae liver abscess have been doc...

Introduction: Thyroid gland is well known to resist infections by rich blood supply and lymphatic drainage,   high glandular content of iodine which can be bactericidal and separation of the gland from other structures of neck. Primary thyroid abscess resulting from acute suppurative thyroiditis (AST) is an unusual type of head and neck infection and it is a rare condotion in children so that p...

Background: Secondary complications after SARS-CoV-2 virus infection including cardiovascular and neurological pose additional morbidity and mortality. Till date there no single case report of spondylodiscitis with spinal abscess after CVOID-19 infection. Case Description: A 71- year-old man presented with tachypnea and cough since 24 hours. He was febrile and the CT-chest showed typical pictu...

Objective. To review the literature concerning the 2 primary hypotheses put forth to explain the pathogenesis of peritonsillar abscess: ‘‘the acute tonsillitis hypothesis’’ (peritonsillar abscess is a complication of acute tonsillitis) and ‘‘the Weber gland hypothesis’’ (peritonsillar abscess is an infection of Weber’s glands). Data Sources. PubMed, EMBASE. Review Methods. Data supporting or ne...

introduction: brain abscess in pregnancy is very rare, which mostly progresses to neurological abnormalities. case presentation: the patient is a 24-year-old pregnant woman. she was referred to saitama hospital due to severe headache and nausea on october 2008. brain mri detected a 1.5 cm abscess mass with extensive edema in the right frontal lobe. we performed intensive therapy using some anti...

Pyogenic brain abscess are one of the commonest intracranial pathology that is encountered in a rural neurosurgical practice. The surgical treatment for abscess involves burrhole aspiration or excision of the abscess wall. Deep seated brain abscess like the one in basal ganglia are rare and pose clinical, imaging and surgical challenge. CT guided stereotactic aspiration of the brain abscess is ...