brucella endocarditis is an uncommon but not rare manifestation of brucellosis in our country. we report six adult patients aged 20 to 45 years. two of our patients were female, and this is the first time that brucella endocarditis was reported in adult females. in five cases, aortic valve replacement was performed in addition to combined antibiotic therapy. one of them died due to immediate co...

Brucella endocarditis is an uncommon but not rare manifestation of brucellosis in our country. We report six adult patients aged 20 to 45 years. Two of our patients were female, and this is the first time that Brucella endocarditis was reported in adult females. In five cases, aortic valve replacement was performed in addition to combined antibiotic therapy. One of them died due to immedia...

background : since the introduction of silicone based medical devices in to clinical practice, several reports appeared in the medical literature regarding their adverse effects. however, there are few reports of immunologic reactions to these implants. case presentation : a case of systemic reaction to a breast implant inserted for immediate breast reconstruction in a breast cancer patient is ...

the management of carotid artery stenosis reduces the risk of stroke and its related deaths.   management options include risk factor modification and medical therapy, carotid endarterectomy (cea), and carotid artery stenting (cas). although several randomized controlled trials (rcts), mostly conducted in late-1980s and mid-1990s, have proved cea to be effective in the prevention of ipsilateral...

Background: Endometriosis is defined as the presence of endometrial glands and stroma outside the endometrial cavity and uterine musculature. The most common site of endometriosis is pelvis, but endometrotic implants may occur nearly anywhere in the body. Endometriosis is a common and serious gynecologic problem in reproductive age women, who have pelvic pain, dyspareunia, or infertility. The g...

hydatidsis is a zoonosis transmitted by domestic and wild animals. two distinct clinical presentations are as followes: unilocular of cystic hydatid disease and the more malignant form, called alveolar hydatid disease.this case report presents a patient who complained of chest pain and hemoptysis and his lung ct scan suggested solid tumor. he was found to have alveolar diseae which responded to...

idiopathic retroperitoneal fibrosis is a rare disorder of an unknown etiology characterized by an inflammatory proliferative fibrosing process that may involve the ureters in 80-100% of cases. â the present study was carried on a 38 years old man who was admitted to imam khomeini hospital with severe abdominal pain and renal failure. abdominal mri showed encasement of abdominal aorta and bilate...

BACKGROUND Surgical intervention for advanced Parkinson's disease is an option if medical therapy fails to control symptoms adequately. We aimed to assess whether surgery and best medical therapy improved self-reported quality of life more than best medical therapy alone in patients with advanced Parkinson's disease. METHODS The PD SURG trial is an ongoing randomised, open-label trial. At 13 ...