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Patel I, Douedi S, Makadia S, Upadhyaya V, Akoluk A, Douedi J, Hossain M, Liu E. Streptococcus anginosus Empyema Induced by Dental Abscess: A Case Report. J Med Cases 2021; 11:289-291. [PMID: 34434415 PMCID: PMC8383665 DOI: 10.14740/jmc3547] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 07/21/2020] [Indexed: 11/26/2022] Open
Abstract
Streptococcus anginosus is a gram-positive catalase-negative cocci and commensal flora of the oropharynx and gastrointestinal tract. Streptococcus anginosus is known to be highly virulent and known to cause invasive pyogenic infection which may necessitate emergent surgical treatment. We present a case of a 53-year-old female with dental caries and uncontrolled diabetes mellitus who presented with progressive shortness of breath for 1 week. A computed tomography scan of the chest showed a loculated empyema which was treated with emergent video-assisted thoracoscopic surgery. Pleural fluid culture as well as sputum cultures grew Streptococcus anginosus. The patient was treated intravenous cephalosporins and discharged on oral antibiotics after 14 days with outpatient dental follow-up and improvement of symptoms.
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Affiliation(s)
- Ishan Patel
- Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
| | - Steven Douedi
- Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
| | - Shraddhadevi Makadia
- Department of Medicine, Ocala Regional Medical Center, University of Central Florida, Ocala, FL 07753, USA
| | - Vandan Upadhyaya
- Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
| | - Arda Akoluk
- Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
| | - Jennifer Douedi
- Tufts University School of Dental Medicine, Boston, MA 02111, USA
| | - Mohammad Hossain
- Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
| | - Edward Liu
- Department of Infectious Disease, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
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Patel I, Akoluk A, Upadhyaya V, Makadia S, Douedi S, Farooq T, Flynn D, Levitt M, Hossain MA. "Do Not Ignore Musculoskeletal Pain"-Initial Presentation of a Rare Malignant Disease: Case Report and Literature Review. J Investig Med High Impact Case Rep 2021; 8:2324709620941316. [PMID: 32660277 PMCID: PMC7361477 DOI: 10.1177/2324709620941316] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Gray zone lymphoma, also known as B-cell lymphoma, unclassifiable, with features intermediate between diffuse large B-cell lymphoma and classical Hodgkin lymphoma, is a rare malignancy with overlapping features of both diffuse large B-cell lymphoma and classical Hodgkin lymphoma. Most commonly mediastinal involvement is seen. Extranodal involvement is rare. In this case report, we present the case of a 59-year-old male who presented with stress-related left shoulder pain, ultimately diagnosed with gray zone lymphoma. The patient was treated with etoposide, prednisone, vincristine, cyclophosphamide, and doxorubicin-rituximab (EPOCH-R) regimen followed by consolidation radiotherapy resulting in complete response. We are highlighting this case as rare and atypical presentation of a rare disease.
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Affiliation(s)
- Ishan Patel
- Jersey Shore University Medical Center, Neptune, NJ, USA
| | - Arda Akoluk
- Jersey Shore University Medical Center, Neptune, NJ, USA
| | | | | | - Steven Douedi
- Jersey Shore University Medical Center, Neptune, NJ, USA
| | - Taliya Farooq
- Jersey Shore University Medical Center, Neptune, NJ, USA
| | - Daniel Flynn
- Jersey Shore University Medical Center, Neptune, NJ, USA
| | - Michael Levitt
- Jersey Shore University Medical Center, Neptune, NJ, USA
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Faluk MA, Makadia S, Abdelmaseih R, Hasan SM, Abusaada K. A Rare Case of an Immunocompetent Male With Zoster Meningitis. J Investig Med High Impact Case Rep 2020; 8:2324709620952212. [PMID: 32830563 PMCID: PMC7448257 DOI: 10.1177/2324709620952212] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Varicella zoster meningitis is an uncommon complication of herpes zoster,
especially in immunocompetent patients. We report a case of a healthy
45-year-old male who developed aseptic meningitis as a result of reactivated
varicella zoster virus infection. This case highlights the importance of
remaining cognizant of varicella zoster virus as a cause of meningitis in not
only the elderly or immunocompromised patients but also in patients who are
healthy.
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Affiliation(s)
- Mohammed Ali Faluk
- University of Central Florida, Orlando, FL, USA.,Ocala Regional Medical Center, Ocala, FL, USA
| | - Shraddhadevi Makadia
- University of Central Florida, Orlando, FL, USA.,Ocala Regional Medical Center, Ocala, FL, USA
| | - Ramy Abdelmaseih
- University of Central Florida, Orlando, FL, USA.,Ocala Regional Medical Center, Ocala, FL, USA
| | - S Mustajab Hasan
- University of Central Florida, Orlando, FL, USA.,Ocala Regional Medical Center, Ocala, FL, USA
| | - Khalid Abusaada
- University of Central Florida, Orlando, FL, USA.,Ocala Regional Medical Center, Ocala, FL, USA
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Abstract
Squamous cell carcinoma (SCC) is most commonly seen in the esophagus and anal canal in the gastrointestinal tract. The incidence of SCC of the rectum is infrequent with no clear etiology. There have been limited reported cases of SCC of the rectum caused by human papillomavirus (HPV). Due to the rarity of carcinoma, the management of SCC of the rectum is not standardized. We report a case of a 51-year-old female with an insignificant medical history presenting with hematochezia and weight loss and was found to have HPV-positive SCC of the rectum. This case report emphasizes the importance of work-up, usefulness of HPV testing for high-risk patients, and clinical management of SCC of the rectum.
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Affiliation(s)
- Shraddhadevi Makadia
- Internal Medicine, Ocala Regional Medical Center, University of Central Florida College of Medicine, Ocala, USA
| | - Ishan Patel
- Internal Medicine, Jersey Shore University Medical Center, Neptune, USA
| | - Khalid Abusaada
- Internal Medicine, Ocala Regional Medical Center, University of Central Florida College of Medicine, Ocala, USA
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Makadia S, Patel I, Soosaipillai I, Tarasiuk-Rusek A. First Case of Nocardia pseudobrasiliensis Causing Primary Cutaneous Nocardiosis in an Immunocompetent Patient. J Investig Med High Impact Case Rep 2020; 8:2324709620938228. [PMID: 32602372 PMCID: PMC7328479 DOI: 10.1177/2324709620938228] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Nocardia brasiliensis is the most common cause of cutaneous nocardiosis.
Nocardia pseudobrasiliensis is an emerging species responsible for
invasive and disseminated disease in immunocompromised patients. We describe a case of a
67-year-old immunocompetent patient without significant past medical history diagnosed
with primary cutaneous nocardiosis with N pseudobrasiliensis as the
causative organism. In our opinion, we report the first case of primary cutaneous
nocardiosis in an immunocompetent patient with N pseudobrasiliensis being
the causative agent.
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Affiliation(s)
| | - Ishan Patel
- Jersey Shore University Medical Center, Neptune, NJ, USA
| | - Ivan Soosaipillai
- Ocala Regional Medical Center, University of Central Florida, Ocala, FL, USA
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Simmons T, Augustine S, Makadia S, Kovell L, Harris C, Chibungu A, Parakh K. IV Diuresis Clinic: Exploring A Population of Heart Failure Patient Needs and Outcomes. Heart Lung 2013. [DOI: 10.1016/j.hrtlng.2013.06.028] [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: 11/27/2022]
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Simmons T, Lewis B, Makadia S, Parakh K. 22. IV Diuresis clinic: An innovative approach to patient care and case management with a novel role for the heart failure nurse. Heart Lung 2012. [DOI: 10.1016/j.hrtlng.2012.04.053] [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: 10/28/2022]
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