= Abstract =An autopsy case is described of a premature closure of the foramen ovale with a marked dilatation of the left atrium and an intact ventricular septum with aortic atresia but without left ventricular hypoplasia. This 28-week-old male baby was a stillborn to a 34-year-old multiparous mother. An intrauterine sonogram revealed marked ascites with anasarca, an enlarged left atrium and ve...

In Japan, malaria has been successfully eradicated but imported malaria is still a great problem. Blood samples of malaria patients were collected from different hospitals of Japan. The samples were diagnosed by PCR based Microtiter plate-hybridization technique (MPH). The results of MPH were compared with microscopic diagnosis done at the laboratories of different hospitals. Among the total 23...

In contrast to the gradual reduction in the number of locally transmitted malaria cases in China, the number of imported malaria cases has been increasing since 2008. Here, we report a case of a 39-year-old Chinese man who acquired Plasmodium ovale wallikeri infection while staying in Ghana, West Africa for 6 months in 2012. Microscopic examinations of Giemsa-stained thin and thick blood smears...

Dyspnea and hypoxemia are among the most common symptoms and signs that need to be assessed in clinical practice. This case illustrates how simple steps in history taking and physical examination can be crucial for diagnosis. We present a patient with intermittent hypoxemia, initially attributed to a pulmonary infection. However, the hypoxemia persisted even after successful treatment of the in...

Previous randomized trials on patent foramen ovale (PFO) Background: closure versus medical therapy for stroke prevention were inconclusive. Recently, two new randomized trials and new findings from an extended follow-up of a previous trial have been published on this topic. We conducted a systematic review and meta-analysis of randomized trials comparing PFO closure with medical therapy for st...

Isolated hand paresis is a rare presentation of stroke, which mostly results from a lesion in the cortical hand motor area, a knob-like area within the precentral gyrus. I report the case of a patient who experienced recurrent ischemic stroke alternately involving bilateral hand knob areas, causing isolated hand paresis. There was no abnormal finding on brain and neck magnetic resonance angiogr...

Air embolism is a rare complication of percutaneous nephrolithotomy. Patent foramen ovale, which is necessary in fetal circulation, is a potential route for emboli arising from the venous system to enter the systemic arterial circulation, resulting in paradoxical air embolism syndrome. A case of paradoxical air embolism during percutaneous nephrolithotomy is presented. To our knowledge, this is...

This manuscript will focus on a rare complication: shunting through a patent foramen ovale (PFO) as a long term complication of right sided pneumonectomy or bilobectomy. Three patients who were diagnosed with shunting through a patent foramen ovale following lung resection are described. In these patients right ventricular compression by the elevated right hemidiaphragm was the cause of shuntin...

Dandruff (Pityriasis simplex) is a common embarrassing scalp disorder, affecting a large chunk of population. The yeast, Pityrosporum ovale is the causative microorganism of dandruff and due to its lipase activity it releases proinflammatory free fatty acids, causing dermal inflammation and tissue damage. Currently available treatment options have various limitations, either due to poor clinica...

BACKGROUND Patients with atopic dermatitis may experience exacerbations of eczema triggered by various inflammatory stimuli. One mechanism may be IgE-mediated reactions to dermatophytes since these patients are more likely to acquire skin infections with dermatophytes and may become sensitized. OBJECTIVE This study investigates IgE-sensitization to fungi in patients with atopic dermatitis and...