Publications by authors named "A F Al Muhanna"

Breast cancer (BC), a major cause of death among women worldwide, has traditionally been linked to genetic and environmental factors. However, emerging research highlights the gut microbiome's significant role in shaping BC development, progression, and treatment outcomes. This review explores the intricate relationship between the gut microbiota and the breast tumor microenvironment, emphasizing how these microbes influence immune responses, inflammation, and metabolic pathways.

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  • Cryptococcal meningitis is a serious condition in individuals with HIV, particularly when their CD4 count is below 100 cells/ml, and the 2022 WHO guidelines recommend high-dose liposomal amphotericin B as the initial treatment.
  • Following the initial treatment, fluconazole, along with flucytosine, should be given for two weeks, followed by an eight-week consolidation therapy of fluconazole.
  • A case study of a 47-year-old male with AIDS who couldn't tolerate fluconazole led to the use of liposomal amphotericin B alone, showcasing its benefits like fewer side effects and better patient compliance, despite the higher cost.
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Background: Lymph node ratio (LNR) may offer superior prognostic stratification in colorectal adenocarcinoma compared with N stage. However, candidate cutoff ratios require validation. We aimed to study the prognostic significance of LNR and its optimal cutoff ratio.

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, considered among the enteric-fever-causing pathogens, is associated with a range of human infections, including gastroenteritis, bacteremia, and osteomyelitis. -induced mesenteric adenitis and terminal ileitis resembling acute appendicitis have been reported in the literature. Here, we present a rare case of a patient presenting with severe acute active ileitis and colitis mimicking Crohn's disease with no prior history of inflammatory bowel disease and found to have group B bacteremia.

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This case report highlights a patient who had persistent fevers for weeks and rapidly progressing pericardial effusion following a positive test for coronavirus disease 2019 (COVID-19) two weeks before presentation to the hospital. The initial thought was that her fever was of infectious etiology, but relevant investigations led to the diagnosis of acute myeloid leukemia (AML). AML, which is characterized by clonal expansion of immature "blast cells" in the peripheral blood and bone marrow resulting in ineffective erythropoiesis and bone marrow failure, is the most prevalent form of leukemia.

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