Publications by authors named "Mohammad Nasser Affas"

Article Synopsis
  • - A 50-year-old man with a history of double prosthetic valves and uncontrolled diabetes presented with symptoms of a cerebellar stroke, likely due to embolism from prosthetic valve endocarditis (PVE).
  • - Diagnosis was complicated and required transesophageal echocardiography (TEE), revealing vegetations on the mitral valve prosthesis; the patient was started on antifungal therapy but faced financial barriers to surgery.
  • - Due to persistent infection, the AngioVac system was considered for vegetative aspiration, but ultimately, the patient was discharged with a long-term plan for suppressive antifungal treatment instead of surgery.
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Non-urothelial carcinoma accounts for <5% of urinary bladder tumors, and primary bladder adenocarcinoma accounts for 0.5-2%, but the variant primary signet-ring cell is extremely rare. We present a rare case of a synchronous of dual primary malignancy from a rare variant of urinary bladder adenocarcinoma (signet-ring cell) with indolent prostate adenocarcinoma in a 61-year-old male.

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Introduction: Severe acute respiratory syndrome-coronavirus 2 (SARSCoV2) pandemic has been an unceasing plight with a wide range of clinical presentations. The direct effects of the virus, increased use of medications, and lifestyle changes have contributed to the vulnerability to co-infections. Fungal and bacterial co-infections led to increased morbidity and mortality during the pandemic.

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Thrombolysis is an established therapeutic modality for patients with high-risk (and some selected intermediate-risk) pulmonary embolism (PE) with hemodynamic instability. Physicians sometimes experience cases where both a high-risk PE and thrombocytopenia coexist. Although thrombocytopenia of <  100 × 10/mm is considered a contraindication in patients with ischemic stroke, the safety and outcomes of thrombolysis in patients with acute PE and thrombocytopenia are unknown.

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