1
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Patel M, Shiwlani S, Kachhadia MP, Abdalla M, Samreen I, Mohamed AS, Nasir H. Neurosarcoidosis and Transverse Myelitis: Life-Threatening Manifestations of Sarcoidosis. Cureus 2024; 16:e52629. [PMID: 38374863 PMCID: PMC10876160 DOI: 10.7759/cureus.52629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2024] [Indexed: 02/21/2024] Open
Abstract
Sarcoidosis, a systemic granulomatous disorder, typically involves the lungs, skin, and lymph nodes. Neurological manifestations are diverse and may include longitudinally extensive transverse myelitis (LETM), an uncommon inflammatory disorder of the spinal cord. We present a case of a 62-year-old female with LETM as the initial manifestation of sarcoidosis. The patient exhibited progressive bilateral lower extremity weakness, urinary retention, and sensory disturbances. Diagnostic workup revealed characteristic findings on spinal magnetic resonance imaging (MRI), cerebrospinal fluid analysis, and thoracic biopsy. Treatment with high-dose corticosteroids and subsequent immunomodulatory therapy resulted in significant improvement. Our case highlights the importance of including sarcoidosis in the differentials of LETM, particularly in patients with no respiratory manifestations.
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Affiliation(s)
- Mitwa Patel
- Internal Medicine, David Tvildiani Medical University, Tbilisi, GEO
| | | | | | | | - Iqra Samreen
- Internal Medicine, Augusta University, Augusta, USA
| | | | - Hira Nasir
- Internal Medicine, Mayo Hospital, Lahore, PAK
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2
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Singh B, Manita B, Suman F, Kumari N, Shiza ST, Samreen I, Shah S, Mokhtar SM, Patel U, Devi J, Reza RR, Mohamed KH, Ahmad S, Nasir H. A Systematic Review of COVID-19 Vaccine-Induced Takotsubo Cardiomyopathy: A 2023 Update. Cureus 2023; 15:e50319. [PMID: 38205494 PMCID: PMC10777791 DOI: 10.7759/cureus.50319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/08/2023] [Indexed: 01/12/2024] Open
Abstract
Takotsubo cardiomyopathy (TCM) is a life-threatening transient left ventricular dysfunction triggered by either physical or emotional stressors. Concerns have been raised on reports of TCM after the coronavirus disease 2019 (COVID-19) vaccine. Our study provides comprehensive detail on COVID-19 vaccine-induced TCM. We conducted a systemic literature search using major databases, including PubMed, EMBASE, and Google Scholar up to November 2023, to identify cases of COVID-19 vaccine-induced TCM using the MeSH terms and keywords "covid-19 vaccines" and "takotsubo cardiomyopathy". We identified 15 case reports, including 16 patients with COVID-19 vaccine-induced TCM. The mean age was 55.81 ± 19.13 years, and 75% of the patients were female. The most common presentation was chest pain (62.5%), and the average time to first symptom onset was 3.12 ± 2.24 days. COVID-19 vaccine-induced TCM was reported in 43.75% of patients receiving the first and second dose each, and 87% of patients had messenger ribonucleic acid (mRNA) COVID-19 vaccine (Pfizer, Moderna). The elevated level of cardiac troponins was found in all the patients with a left ventricular ejection fraction (LVEF) of <50% in 15 patients, and T-wave inversion (50%) was the most common electrocardiographic finding. The mean length of the hospital stay was 7.27 ± 3.95 days, and 87% of patients were discharged. COVID-19 vaccine-induced TCM is a rare but life-threatening complication. TCM should be included in the differential diagnosis of chest pain or dyspnea in patients recently receiving the COVID-19 vaccine.
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Affiliation(s)
| | - Bai Manita
- Internal Medicine, Ghulam Muhammad Mahar Medical College, Sukkur, PAK
| | - Fnu Suman
- Internal Medicine, Ghulam Muhammad Mahar Medical College, Sukkur, PAK
| | - Nikita Kumari
- Internal Medicine, Ghulam Muhammad Mahar Medical College, Sukkur, PAK
| | - Saher T Shiza
- Internal Medicine, NYC Health and Hospitals-Lincoln Hospital, New York, USA
| | - Iqra Samreen
- Medicine, Deccan College of Medical Sciences, Hyderabad, IND
| | - Siddhi Shah
- Medicine and Surgery, Hinduhridaysamrat Balasaheb Thackeray (HBT) Medical College and Dr. RN (Rustom Narsi) Cooper Municipal General Hospital, Mumbai, IND
| | - Saria M Mokhtar
- Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Utsav Patel
- Internal Medicine, Medical College Baroda and SSG (Sir Sayajirao General) Hospital, Vadodara, IND
| | - Joti Devi
- Pharmacy, Clifton Medical Services, Karachi, PAK
| | | | - Khalid H Mohamed
- Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR
| | - Sarfaraz Ahmad
- Internal Medicine, Saint James School of Medicine, Chicago, USA
| | - Hira Nasir
- Internal Medicine, Mayo Hospital, Lahore, PAK
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3
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Agboola AA, Mohamed KH, Syed M, Shiwlani S, Butt R, Reza RR, Haseeb M, Nasir H. Type 1 Autoimmune Pancreatitis Masquerading as Pancreatic Head Carcinoma. Cureus 2023; 15:e47471. [PMID: 38022068 PMCID: PMC10662655 DOI: 10.7759/cureus.47471] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/22/2023] [Indexed: 12/01/2023] Open
Abstract
Obstructive jaundice is a joint clinical presentation with many etiologies, including pancreatic cancer and autoimmune pancreatitis (AIP). Differentiating between these two conditions is pivotal due to the divergent management approaches and prognoses. In this case report, we present a case of a 49-year-old female patient who presented with weight loss, intermittent chronic abdominal pain, and jaundice. She was initially suspected of having pancreatic cancer because of clinical presentation and imaging findings. However, she was ultimately diagnosed with Type 1 AIP due to histopathology findings and elevated immunoglobulin G4. This case highlights the complexities in diagnosis, the role of advanced imaging techniques and tissue sampling, and the lessons learned regarding managing this challenging clinical scenario.
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Affiliation(s)
| | - Khalid H Mohamed
- Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR
| | - Maria Syed
- Surgery, Aga Khan University Hospital, Karachi, PAK
| | | | - Rowaida Butt
- Family Medicine, Avalon University School of Medicine, Ohio, USA
| | | | - Muhammad Haseeb
- Internal Medicine, Allama Iqbal Medical College, Lahore, PAK
- Internal Medicine, Bahria International Hospital, Lahore, PAK
| | - Hira Nasir
- Internal Medicine, Mayo Hospital, Lahore, PAK
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4
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Reza RR, Parajuli A, Padullaparthi T, Aloori S, Baddam A, Parajuli A, Karnati SS, Nasir H. Takotsubo Cardiomyopathy Following COVID-19 Vaccine Booster Dose: A Case Report. Cureus 2023; 15:e43295. [PMID: 37692656 PMCID: PMC10492645 DOI: 10.7759/cureus.43295] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/10/2023] [Indexed: 09/12/2023] Open
Abstract
Although the efficacy and safety of the coronavirus disease 2019 (COVID-19) vaccine have been established, side effects and adverse events related to the COVID-19 vaccine are still coming out. COVID-19 vaccine also has the potential to cause acute and long-term cardiovascular effects, which include myocarditis, pericarditis, myopericarditis, myocardial infarction, pulmonary embolism, thrombotic thrombocytopenia, and pulmonary hemorrhage. Although uncommon, takotsubo cardiomyopathy (TCM) has also been reported following COVID-19 vaccination. We report a case of TCM following the COVID-19 vaccine in a 59-year-old female who presented with intermittent chest pain and dyspnea following the COVID-19 vaccine booster dose. She had no identifiable triggers for TCM, no risk factors for cardiovascular disease, and normal cardiac enzyme levels, ruling out other causes of cardiac dysfunction. The diagnosis of TCM was supported by imaging findings and the absence of obstructive or thrombotic lesions on angiography.
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Affiliation(s)
- Rezaur Rahman Reza
- Internal Medicine, Jalalabad Ragib Rabeya Medical College, Victorville, USA
| | - Aalok Parajuli
- Medicine and Surgery, Prime Health Care/Desert Valley Hospital, Victorville, USA
| | | | - Swetha Aloori
- Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, USA
| | - Anusha Baddam
- Internal Medicine, Malla Reddy Medical College for Women, Hyderabad, IND
| | - Aakriti Parajuli
- Epidemiology and Biostatistics, Benedictine University, Chicago, USA
| | | | - Hira Nasir
- Internal Medicine, Mayo Hospital, Lahore, PAK
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5
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Agboola AA, Oshikoya AF, Fasoranti-Sowemimo OF, Sachdev P, Samreen I, Anigbo CL, Haseeb M, Nasir H. Cardiac Angiosarcoma With Pulmonary Metastasis: A Rare and Challenging Case. Cureus 2023; 15:e43962. [PMID: 37746442 PMCID: PMC10515094 DOI: 10.7759/cureus.43962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/22/2023] [Indexed: 09/26/2023] Open
Abstract
Cardiac angiosarcoma is a rare and aggressive malignant tumor arising from the endothelial cells of the heart. It accounts for only a small fraction of all cardiac neoplasms and has a poor prognosis. We present a challenging case of a 20-year-old student who presented exertional dyspnea, palpitation, and occasional chest discomfort. Her clinical picture, radiological and pathological investigations confirm the diagnosis of cardiac angiosarcoma with pulmonary metastasis. This case highlights the importance of early diagnosis and multidisciplinary management for improved patient outcomes.
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Affiliation(s)
| | - Adetola F Oshikoya
- Internal Medicine, Near East University, Nicosia, CYP
- General Practice, General Hospital Odan, Lagos, NGA
| | | | - Priyanka Sachdev
- Internal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, PAK
| | - Iqra Samreen
- Internal Medicine, Deccan College of Medical Sciences, Hyderabad, IND
| | | | - Muhammad Haseeb
- Internal Medicine, Allama Iqbal Medical College, Lahore, PAK
- Internal Medicine, Bahria International Hospital Lahore, Lahore, PAK
| | - Hira Nasir
- Internal Medicine, Mayo Hospital, Lahore, PAK
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6
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Sadia H, Oshikoya AF, Sachdev P, Fasoranti-Sowemimo OF, Shawl SH, Kumar K, Mohamed AS, Haseeb M, Nasir H. Atrial Myxoma: An Unusual Etiology of Ischemic Stroke in an Adult Patient. Cureus 2023; 15:e40599. [PMID: 37469821 PMCID: PMC10353846 DOI: 10.7759/cureus.40599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/18/2023] [Indexed: 07/21/2023] Open
Abstract
Atrial myxoma is the most frequent primary cardiac tumor; however, it is a rare, substantial cause of cardiogenic emboli causing a stroke, especially in young adults. A cardiac myxoma has no specific clinical presentation, ranging from constitutional symptoms to non-cardiac symptoms and emboli, which leads to a diagnostic challenge in the clinical process. We report a case of a left atrial myxoma in an adult female who presented with sudden onset of right-sided weakness, headache, and numbness. Imaging confirmed cardiogenic emboli from the cardiac myxoma, which was reflected in an ischemic stroke.
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Affiliation(s)
- Haleema Sadia
- Internal Medicine, Khyber Teaching Hospital Peshawar, Peshawar, PAK
| | - Adetola F Oshikoya
- Internal Medicine, Near East University, Nicosia, CYP
- Internal Medicine, General Hospital Odan, Lagos, NGA
| | - Priyanka Sachdev
- Internal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, PAK
| | | | - Saima H Shawl
- Internal Medicine, Midwest Sleep and Wellness Clinic, Chicago, USA
- Medicine, Chattogram Medical College Hospital (CMCH), Chittagong, BGD
| | - Kapil Kumar
- Medicine and Surgery, Liaquat National Hospital and Medical College, Karachi, PAK
| | | | - Muhammad Haseeb
- Medicine, Allama Iqbal Medical College, Lahore, PAK
- Internal Medicine, Mount Sinai Hospital, Brooklyn, USA
| | - Hira Nasir
- Internal Medicine, Mayo Hospital, Lahore, PAK
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7
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Mohamed KH, Oshikoya AF, Kumar K, Anigbo CL, Sri Satya Sai Prashanth P, Mohamed AS, Haseeb M, Nasir H. Takotsubo Cardiomyopathy: A Possible Rare Complication of Guillain-Barré Syndrome. Cureus 2023; 15:e40083. [PMID: 37425556 PMCID: PMC10327529 DOI: 10.7759/cureus.40083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/07/2023] [Indexed: 07/11/2023] Open
Abstract
Dysautonomia is a common and severe complication of Guillain-Barré syndrome (GBS), which may manifest as cardiac arrhythmias, labile blood pressure, diaphoresis, and changes in gastrointestinal motility. Takotsubo cardiomyopathy (TCM) is a life-threatening manifestation of dysautonomia in patients with GBS, which is not widely underlined in the literature. The association between GBS and TCM has been well-documented in previous studies; however, there are few reported cases with GBS who developed TCM following their diagnosis with GBS. In this case report, we will discuss our experience treating a 59-year-old female patient who became hemodynamically unstable while recovering from an acute GBS infection. She was diagnosed with TCM after undergoing an echocardiogram and coronary angiogram ruling out thrombotic or obstructive coronary disease and myocarditis.
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Affiliation(s)
- Khalid H Mohamed
- Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR
| | - Adetola F Oshikoya
- Internal Medicine, Near East University, Nicosia, CYP
- Internal Medicine, General Hospital Odan Lagos, Lagos, NGA
| | - Kapil Kumar
- Medicine and Surgery, Liaquat National Hospital and Medical College, Karachi, PAK
| | | | | | | | - Muhammad Haseeb
- Internal Medicine, Allama Iqbal Medical College, Lahore, PAK
- Internal Medicine, Mount Sinai Hospital, Brooklyn, USA
| | - Hira Nasir
- Internal Medicine, Mayo Hospital, Lahore, PAK
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8
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Shiza ST, Parajuli A, Samreen I, Padullaparthi T, Mohamed AS, Haseeb M, Sadia H, Mohamed KH, Nasir H. Acute Pancreatitis Simulating Myocardial Infarction: A Challenging Case. Cureus 2023; 15:e37769. [PMID: 37214020 PMCID: PMC10194184 DOI: 10.7759/cureus.37769] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/17/2023] [Indexed: 05/23/2023] Open
Abstract
Acute pancreatitis is an inflammatory condition with varying local and systemic complications and variable severity. Although rare, cardiovascular complications induced by acute pancreatitis are rarely described in the literature. Epigastric pain with acute pancreatitis often simulates electrocardiographic changes in the absence of coronary artery abnormalities, resulting in a diagnostic dilemma for optimal treatment and management. We underline a case of acute pancreatitis complicated by acute coronary syndrome in a patient who presented with chest heaviness, dyspnea, nausea, and worsening epigastric pain associated with vomiting. Clinical and laboratory evaluations and using imaging modalities were suggestive of acute pancreatitis mimicking myocardial infarction (MI) in the absence of coronary artery abnormalities.
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Affiliation(s)
- Saher T Shiza
- Internal Medicine, New York City Health and Hospitals - Lincoln Hospital, New York, USA
| | - Aalok Parajuli
- Internal Medicine, Jalalabad Ragib Rabeya Medical College & Hospital, Jalalabad, BGD
| | - Iqra Samreen
- Internal Medicine, Deccan College of Medical Sciences, Hyderabad, IND
| | | | | | - Muhammad Haseeb
- Internal Medicine, Allama Iqbal Medical College, Lahore, PAK
| | - Haleema Sadia
- Internal Medicine, Khyber Teaching Hospital Peshawar, Peshawar, PAK
| | - Khalid H Mohamed
- Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR
| | - Hira Nasir
- Internal Medicine, Mayo Hospital, Lahore, PAK
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9
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Mohamed KH, Shiza ST, Samreen I, Agboola AA, Mohamed AS, Kalluru PKR, Haseeb M, Munawar RZ, Nasir H. Non-ST-Segment Elevation Myocardial Infarction As Initial Thrombotic Event of Thrombotic Thrombocytopenic Purpura: A Rare Challenging Case. Cureus 2023; 15:e36363. [PMID: 37082484 PMCID: PMC10112854 DOI: 10.7759/cureus.36363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2023] [Indexed: 04/22/2023] Open
Abstract
Thrombotic thrombocytopenic purpura (TTP) is a rare autoimmune and devastating blood disorder that results in micro-clots throughout the body, leading to tissue damage and organ dysfunction resulting in widespread microangiopathic hemolytic anemia, thrombocytopenia, fever, and neurological symptoms. TTP patients commonly manifest renal and neurological symptoms; however, cardiovascular involvement is not widely reported in the literature. We report a case of non-ST-segment elevation myocardial infarction (NSTEMI) as an initial manifestation of TTP. Although rare, TTP complications must be considered among other possible causes of unexpected thrombocytopenia during acute phase treatment of acute coronary syndrome because of high morbidity and mortality.
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Affiliation(s)
- Khalid H Mohamed
- Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR
| | - Saher T Shiza
- Internal Medicine, Deccan College of Medical Sciences, Hyderabad, IND
| | - Iqra Samreen
- Internal Medicine, Deccan College of Medical Sciences, Hyderabad, IND
| | | | | | | | - Muhammad Haseeb
- Internal Medicine, Allama Iqbal Medical College, Lahore, PAK
- Internal Medicine, Mount Sinai Hospital, Brooklyn, USA
| | | | - Hira Nasir
- Internal Medicine, Mayo Hospital, Lahore, PAK
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10
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Muacevic A, Adler JR, Agboola AA, Mohamed KH, Mohamed AS, Zahid N, Haseeb M, Nasir H. Immune Thrombocytopenia and Cerebral Venous Sinus Thrombosis Following COVID-19 Vaccination: A Case Report. Cureus 2023; 15:e34272. [PMID: 36855477 PMCID: PMC9968471 DOI: 10.7759/cureus.34272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/26/2023] [Indexed: 01/28/2023] Open
Abstract
Mass vaccination against coronavirus disease 2019 (COVID-19) has been safe and effective. The ongoing emergence of vaccine-induced complications has challenged the public trust in vaccination programs and, though uncommon, can lead to significant morbidity and mortality. Vaccine-induced immune thrombocytopenia and thrombosis (VITT) is a rare and fatal complication of the COVID-19 vaccine. We present a rare case of VITT in a young female who presented with worsening headache, body rash with deteriorating neurological deficit after 12 days of the second dose of the ChAdOx1 COVID-19 vaccine. Initial blood tests showed thrombocytopenia with deranged clotting time and D-dimer levels. Her computed tomography venogram showed thrombosis in the left transverse sinus, and she was diagnosed with a provisional diagnosis of VITT. She initially managed with dexamethasone, intravenous immunoglobulins, and apixaban to reverse the autoimmune process. Our case highlights the clinical course, diagnosis, and management of VITT, which will assist physicians in the timely recognition and adequate management of VITT.
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11
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Tan CS, Nasir H, Pheh KS, Cong CW, Tay KW, Cheong JQ. The Mediating Role of Work Engagement in the Relationship between Executive Functioning Deficits and Employee Well-Being. Int J Environ Res Public Health 2022; 19:13386. [PMID: 36293965 PMCID: PMC9602681 DOI: 10.3390/ijerph192013386] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 09/24/2022] [Accepted: 10/11/2022] [Indexed: 06/16/2023]
Abstract
Executive functioning and its related components have been found to promote well-being. However, there is a limited understanding of the underlying mechanism. Drawing from the job demands-resources and PERMA models, the present study examined the hypothetical mediating role of work engagement in the relationship between executive functioning deficit and well-being among 314 working adults in Malaysia. Participants answered a survey consisting of the Executive Skills Questionnaire-Revised (ESQ-R; a new measure of executive functioning deficits for working adults), Utrecht Work Engagement Scale, Employee Well-Being Scale, and Self-Rated Creativity Scale. Pearson correlation analysis showed that the ESQ-R score was negatively associated with all other target variables, while the latter was positively related to each other. Moreover, supporting the hypotheses, the results of mediation analysis using PROCESS macro found that work engagement mediated the negative relationship between executive functioning deficits and well-being after statistically controlling for the creativity score. The findings not only replicate the beneficial role of executive functioning in employees' well-being but also shed light on the underlying process of the relationship. Implications and directions for future studies are discussed.
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Affiliation(s)
- Chee-Seng Tan
- Department of Psychology and Counselling, Faculty of Arts and Social Sciences, Universiti Tunku Abdul Rahman, Kampar 31900, Perak, Malaysia
| | - Hira Nasir
- Department of Psychology and Counselling, Faculty of Arts and Social Sciences, Universiti Tunku Abdul Rahman, Kampar 31900, Perak, Malaysia
| | - Kai-Shuen Pheh
- Department of Psychology and Counselling, Faculty of Arts and Social Sciences, Universiti Tunku Abdul Rahman, Kampar 31900, Perak, Malaysia
| | - Chin Wen Cong
- Department of Psychology and Counselling, Faculty of Arts and Social Sciences, Universiti Tunku Abdul Rahman, Kampar 31900, Perak, Malaysia
| | - Kok-Wai Tay
- Department of Psychology and Counselling, Faculty of Arts and Social Sciences, Universiti Tunku Abdul Rahman, Kampar 31900, Perak, Malaysia
| | - Jia-Qi Cheong
- Faculty of Business, Economics and Accountancy, Universiti Malaysia Sabah, Jalan UMS, Kota Kinabalu 88400, Sabah, Malaysia
- Centre for Economic Development and Policy, Universiti Malaysia Sabah, Jalan UMS, Kota Kinabalu 88400, Sabah, Malaysia
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12
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Uddin K, Mohamed KH, Agboola AA, Naqvi WA, Hussaini H, Mohamed AS, Haseeb M, Nasir H. Antineutrophil Cytoplasmic Antibody (ANCA)-Associated Renal Vasculitis Following COVID-19 Vaccination: A Case Report and Literature Review. Cureus 2022; 14:e30206. [PMID: 36381730 PMCID: PMC9650918 DOI: 10.7759/cureus.30206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/11/2022] [Indexed: 11/05/2022] Open
Abstract
Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is an immune-mediated disorder of small and medium-sized vessels, characterized by the production of autoantibodies that target the neutrophilic antigens leading to mononuclear cell infiltration and destruction of blood vessels in lungs, skin, and kidneys. Although rare, the coronavirus disease 2019 (COVID-19) vaccine may trigger autoimmune vasculitis. We report a rare case of ANCA-associated renal vasculitis following COVID-19 vaccination in a 59-year-old male who presented with flu-like symptoms and deranged renal function tests. He received his second dose of the Pfizer COVID-19 vaccine 17 days ago. His clinical picture, serological testing, and radiological imaging were concerned with glomerular disease. His serum was positive for ANCAs, and the renal biopsy specimen revealed pauci-immune glomerulonephritis. He was diagnosed with AAV-associated renal vasculitis following COVID-19 vaccination because no other etiology was identified. His clinical improvement after starting rituximab and steroids reinforced the diagnosis.
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13
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Agboola AA, Uddin K, Taj S, Gopakumar G, Anigbo CL, Nasir H, Haseeb M, Javed A. Dermoid Cyst Spillage Resulting in Chemical Peritonitis: A Case Report and Literature Review. Cureus 2022; 14:e29151. [PMID: 36258939 PMCID: PMC9562604 DOI: 10.7759/cureus.29151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2022] [Indexed: 12/03/2022] Open
Abstract
A dermoid cyst, also called a mature teratoma, is a benign tumor of the ovary derived from pluripotent germ cells. It is often asymptomatic; however, it can be expressed by several complications, including infection, adnexal torsion, and rupture. Rarely ovarian dermoid cysts can also transform into malignant degeneration. A ruptured teratoma is a rare and life-threatening complication and may arise spontaneously. However, cystic rupture is often secondary to surgical procedures such as ovarian cystectomy, leading to acute peritonitis and surgical emergency. Herein, we report a case of acute peritonitis in a female resulting from ovarian dermoid cyst spillage. Her clinical picture and radiological imaging were consistent with a ruptured ovarian cyst leading to chemical peritonitis, and a histopathological examination confirmed an ovarian dermoid cyst.
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14
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Nazir N, Abbas S, Nasir H, Hussain I. Electrochemical sensing of limonene using thiol capped gold nanoparticles and its detection in the real breath sample of a cirrhotic patient. J Electroanal Chem (Lausanne) 2022. [DOI: 10.1016/j.jelechem.2021.115977] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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15
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Nasir H, Tan CS, Pheh KS. The Executive Skills Questionnaire-Revised: Adaptation and Psychometric Properties in the Working Context of Malaysia. Int J Environ Res Public Health 2021; 18:ijerph18178978. [PMID: 34501571 PMCID: PMC8430784 DOI: 10.3390/ijerph18178978] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Revised: 08/08/2021] [Accepted: 08/13/2021] [Indexed: 11/16/2022]
Abstract
Executive functions (EFs) are a set of high-level cognitive and behavioral monitoring skills that are important to employees’ work performance. The 25-item Executive Skills Questionnaire-Revised (ESQ-R) measures executive dysfunction in five dimensions (e.g., emotional regulation). Nevertheless, the usability of this newly developed scale for employees remains unclear. The present study evaluated the psychometric properties of the adopted ESQ-R for working adults in Malaysia. A total of 325 employees responded to an online survey consisted of the ESQ-R, Executive Function Index (EFI), self-rated creativity scale (SRCS), and 9-item Utretch Work Engagement Scale (UWES-9) and Employee Well-being Scale. Several CFAs were conducted to compare three competing models. While all models showed a good fit, the 5-factor second-order model that is in line with the theoretical structure is preferable. The ESQ-R showed excellent internal consistency. Moreover, the ESQ-R score was negatively correlated with EFI, creativity, and UWES-9 scores, supporting the convergent, discriminant, and concurrent validity. The ESQ-R score also explained incremental variance in well-being above and beyond scores of the UWES-9 and SRCS. Taken together, the ESQ-R is a useful tool for assessing employees’ executive dysfunction and suggesting intervention programs helping employees with deficits in EFs.
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Khlaif SF, Nasir H, Sadeq J. The genetic relationship for Klebsiella pneumoniae isolated from human urinary tract and beef. IJVS 2019. [DOI: 10.33899/ijvs.2019.125531.1053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Shah SZ, Rehman A, Nasir H, Asif A, Tufail B, Usama M, Jabbar B. Advances In Research On Genome Editing Crispr-Cas9 Technology. J Ayub Med Coll Abbottabad 2019; 31:108-122. [PMID: 30868795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
BACKGROUND The current era of genome engineering has been revolutionized by the evolution of a bacterial adaptive immune system, CRISPR (Clustered Regularly Interspaced Short Palindromic Repeats) into a radical technology that is making an expeditious progress in its mechanism, function and applicability.. METHODS A systematic literature review study was carried out with the help of all available information and online resources.. RESULTS In this review, we intend to elucidate different aspects of CRISPR in the light of current advancements. Utilizing a nonspecific Cas9 nuclease and a sequence specific programmable CRISPR RNA (crRNA), this system cleaves the target DNA with high precision. With a vast potential for profound implications, CRISPR has emerged as a mainstream method for plausible genomic manipulations in a range of organisms owing to its simplicity, accuracy and speed. A modified form of CRISPR system, known as CRISPR/Cpf1 that employs a smaller and simpler endonuclease (Cpf1) than Cas9, can be used to overcome certain limitations of CRISPR/Cas9 system. Despite clear-cut innovative biological applications, this technology is challenged by off-target effects and associated risks, thus safe and controlled implementation is needed to enable this emerging technique assist both biological research and translational applications. CONCLUSIONS CRISPR/Cas9 systems will undoubtedly revolutionize the study and treatment of both immunologic and allergic diseases. Concerned authorities should formulate and authorize such laws and regulations that permit the safe and ethical use of this emerging technology for basic research and clinical purposes.
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Affiliation(s)
- Syed Zawar Shah
- Centre of Excellence in Molecular Biology, University of the Punjab, Lahore, Pakistan
| | - Anum Rehman
- Centre of Excellence in Molecular Biology, University of the Punjab, Lahore, Pakistan
| | - Hira Nasir
- Centre of Excellence in Molecular Biology, University of the Punjab, Lahore, Pakistan
| | - Azka Asif
- School of Biological Sciences, University of Punjab, Lahore, Pakistan
| | - Bakhtawar Tufail
- Department of Biotechnology, Quaid-i-Azam University, Islamabad, Pakistan
| | | | - Basit Jabbar
- Institute of Biochemistry and Biotechnology, University of the Punjab, Lahore, Pakistan
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Shah SZ, Jabbar B, Ahmed N, Rehman A, Nasir H, Nadeem S, Jabbar I, Rahman ZU, Azam S. Epidemiology, Pathogenesis, and Control of a Tick-Borne Disease- Kyasanur Forest Disease: Current Status and Future Directions. Front Cell Infect Microbiol 2018; 8:149. [PMID: 29868505 PMCID: PMC5954086 DOI: 10.3389/fcimb.2018.00149] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2017] [Accepted: 04/20/2018] [Indexed: 12/17/2022] Open
Abstract
In South Asia, Haemaphysalis spinigera tick transmits Kyasanur Forest Disease Virus (KFDV), a flavivirus that causes severe hemorrhagic fever with neurological manifestations such as mental disturbances, severe headache, tremors, and vision deficits in infected human beings with a fatality rate of 3-10%. The disease was first reported in March 1957 from Kyasanur forest of Karnataka (India) from sick and dying monkeys. Since then, between 400 and 500 humans cases per year have been recorded; monkeys and small mammals are common hosts of this virus. KFDV can cause epizootics with high fatality in primates and is a level-4 virus according to the international biosafety rules. The density of tick vectors in a given year correlates with the incidence of human disease. The virus is a positive strand RNA virus and its genome was discovered to code for one polyprotein that is cleaved post-translationally into 3 structural proteins (Capsid protein, Envelope Glycoprotein M and Envelope Glycoprotein E) and 7 non-structural proteins (NS1, NS2A, NS2B, NS3, NS4A, NS4B, and NS5). KFDV has a high degree of sequence homology with most members of the TBEV serocomplex. Alkhurma virus is a KFDV variant sharing a sequence similarity of 97%. KFDV is classified as a NIAID Category C priority pathogen due to its extreme pathogenicity and lack of US FDA approved vaccines and therapeutics; also, the infectious dose is currently unknown for KFD. In India, formalin-inactivated KFDV vaccine produced in chick embryo fibroblast is being used. Nevertheless, further efforts are required to enhance its long-term efficacy. KFDV remains an understudied virus and there remains a lack of insight into its pathogenesis; moreover, specific treatment to the disease is not available to date. Environmental and climatic factors involved in disseminating Kyasanur Forest Disease are required to be fully explored. There should be a mapping of endemic areas and cross-border veterinary surveillance needs to be developed in high-risk regions. The involvement of both animal and health sector is pivotal for circumscribing the spread of this disease to new areas.
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Affiliation(s)
- Syed Z. Shah
- Center of Excellence in Molecular Biology, University of the Punjab, Lahore, Pakistan
| | - Basit Jabbar
- Center of Excellence in Molecular Biology, University of the Punjab, Lahore, Pakistan
- Institute of Biochemistry and Biotechnology, University of the Punjab, Lahore, Pakistan
| | - Nadeem Ahmed
- Center of Excellence in Molecular Biology, University of the Punjab, Lahore, Pakistan
| | - Anum Rehman
- Center of Biotechnology and Microbiology, University of Peshawar, Peshawar, Pakistan
| | - Hira Nasir
- Center of Excellence in Molecular Biology, University of the Punjab, Lahore, Pakistan
| | - Sarooj Nadeem
- Center of Excellence in Molecular Biology, University of the Punjab, Lahore, Pakistan
| | - Iqra Jabbar
- School of Biological Sciences, University of the Punjab, Lahore, Pakistan
| | - Zia ur Rahman
- Center of Excellence in Molecular Biology, University of the Punjab, Lahore, Pakistan
| | - Shafiq Azam
- Center of Excellence in Molecular Biology, University of the Punjab, Lahore, Pakistan
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Zaheer R, Alam N, Faqir Hussain KC, Herekar AA, Nasir H, Bhutta SZ. Awareness about human papillomavirus as a cause of cervical cancer and its prevention in the undergraduate female students of Karachi. J PAK MED ASSOC 2017; 67:27-32. [PMID: 28065950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
OBJECTIVE To determine the rate of acceptance of human papillomavirus vaccine for prevention of cervical cancer, and to identify causes of its low acceptance and means of encouraging its uptake. METHODS This cross-sectional study was conducted at five different universities of Karachi, from July to December 2011, and comprised female undergraduate students. The participants, aged between 17-26 years, were in their first four years of undergraduate studies, and were selected from five universities. The distributed questionnaire included queries related to demographic information, knowledge and attitude about sexually transmitted diseases, cervical cancer, human papillomavirus and its vaccine. SPSS 20 was used for data analysis. RESULTS Of the 1,277 participants, 1,038(81.3%) filled in the questionnaires correctly. Of them, the awareness level regarding sexually transmitted diseases, cervical cancer, human papillomavirus, and human papillomavirus as a cause of cervical cancer was 863(83.1%), 483(51.3%), 244(23.5%), and 138(13.3%), respectively. Moreover, 200(19.3%) participants were aware of the vaccine and 13(1.3%) had had themselves vaccinated. CONCLUSIONS Few respondents were aware of all the three topics, i.e. sexually transmitted diseases, cervical cancer and human papillomavirus. .
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Affiliation(s)
- Ramsha Zaheer
- Graduate Class of 2014, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
| | - Nabiha Alam
- Graduate Class of 2014, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
| | | | - Anam Asif Herekar
- Graduate Class of 2014, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
| | - Hira Nasir
- Graduate Class of 2014, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
| | - Shereen Zulfiqar Bhutta
- Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Center, Karachi, Pakistan
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Abbas A, Nasir H, Zehra A, Noor A, Jabbar FA, Siddqui B. Assessment of Depression as Comorbidity in Diabetes Mellitus Patients using Beck Depression Inventory II (BDI II) Scale. J Young Pharm 2015. [DOI: 10.5530/jyp.2015.3.11] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Nasir H, Kumar H, Hussain R, Jamil B, Naqvi SA. Pericardial effusion as a cause of morbidity in patients on maintenance hemodialysis: is it preventable? J PAK MED ASSOC 2001; 51:146-8. [PMID: 11759496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
OBJECTIVE Cardiovascular diseases are the cause for 45% mortality and 20% morbidity in hemodialysis (HD) patients. Pericardial effusion (PE) accounts for 03-04% of all deaths in HD patients as a result of tamponade, arrhythmias or heart failure. This study aims to find out the prevailance and precipitating factors for PE in hemodialysis patients. PATIENTS AND METHODS Fifty-five patients were identified for echo-cardiographic assessment on the basis of signs and symptoms suggestive of PE i.e., hypotension during dialysis, dyspnea, globular heart in chest x-ray, raised JVP, soft heart sounds and low voltage ECG. A matched controlled group of 55 patients for age, sex, dialysis schedule, cause of ESRD and dialysis bath, was also studied echocardiographically. RESULTS Pericardial Effusion was detected in 12 patients (10.9%), 10 (83.3%) were on 2/week and only two on 3/week dialysis. Of these 75% were non-compliant in fluid intake and 58.3% were irregular in treatment. The morbidity of PE in study group (18.2%) is significantly higher as compared to controls (3.6%) (P = < 0.05). No correlation was found between development of PE and high iPTH and low albumin levels. Ten patients with mild PE responded to vigorous dialysis. Two patients developed cardiac tamponade needing pericardiocentesis. CONCLUSION We have identified 2/week dialysis (inadequate dialysis dose), acetate bath and fluid and dialysis non-compliance as factors contributing to development of PE in HD patients.
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Affiliation(s)
- H Nasir
- Kidney Centre, 197/9, Rafiqui Shaheed Road, Karachi
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