Publications by authors named "H K Rami"
This case report describes a rare instance of intraperitoneal rupture in a redegenerated uterine fibroid during pregnancy. A 38-year-old woman at 38 weeks gestation, with a history of a single pregnancy, presented with mild pelvic pain persisting through late pregnancy. An emergency caesarean section was performed due to acute fetal distress during labor.
View Article and Find Full Text PDFSacrococcygeal teratoma (SCT) is a rare congenital tumor typically diagnosed in neonates, with management challenges arising from the size of the tumor and associated delivery complications. In this case, a 32-year-old gravida 5 para 5 woman with a history of three prior cesarean sections was diagnosed with a giant type I SCT at 30 weeks of gestation through prenatal ultrasound, confirmed by fetal MRI. At 34 weeks, an emergency cesarean section was performed due to acute fetal distress, resulting in a newborn with transient respiratory distress.
View Article and Find Full Text PDFan opportunist pathogen mainly isolated in healthcare-associated infections, is a rare cause of infective endocarditis (IE) that generates an increased mortality rate compared to the usual agents. We report a case of a 70-year-old male patient who underwent a mitral valve replacement and was readmitted two months later with a high-grade continuous fever and deterioration of the general status. The diagnosis of early IE due to was established upon further investigation.
View Article and Find Full Text PDFIntroduction And Importance: Cardiac amyloidosis (CA) is a rare condition, characterized by fibrillary proteins infiltration in the extracellular space of the heart. Even though many types of cardiac amyloidosis exist, light chain amyloidosis (AL) and transthyretin amyloidosis (ATTR) remain the most described forms. The diagnosis of amyloidosis represents a real challenge for clinicians, requiring both invasive and non-invasive investigations.
View Article and Find Full Text PDFArticle Synopsis
- Infective endocarditis is a serious heart infection primarily affecting heart valves, and while it commonly presents with fever and murmurs, it can also lead to neurological issues, particularly in cases related to mitral stenosis.
- A young patient with a history of severe mitral stenosis showed unusual symptoms, primarily febrile postural instability, leading to a diagnosis of infective endocarditis which was effectively treated with antibiotics, resulting in improvement before referral for surgical intervention.
- Although infective endocarditis due to mitral stenosis is rare, especially in developed regions, its occurrence is more common in developing countries, highlighting the need for clinicians to be aware of its symptoms for early diagnosis and treatment.