Asian Journal of Case Reports in Medicine and Health
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Medical Identity Fraud in Health Insurance Schemes: Creating Awareness in Nigeria
Medical identity fraud, which includes medical identity theft and impersonation, is becoming a source of concern to many healthcare institutions. The cases reported in this study were medical identity impersonation, which involves knowingly giving one’s health insurance card to be used by another person to access medical services. Medical identity theft, which is uncommon in the Nigerian healthcare system, involves ‘stealing’ and using another person’s card or identifying information to access medical services without his/her knowledge. Medical identity fraud places financial losses on the healthcare system and can also result in medical error, misdiagnosis, mistreatment and patient safety challenges. The management and staff of healthcare facilities should be educated and trained on medical identity fraud prevention and detection. Further research on medical identity fraud in the Nigerian healthcare system is also recommended
Twin Babies, One Born with Gastroschisis & the Other with Sirenomelia in Fallujah Maternity & Children Hospital, Fallujah City, Iraq
Back Ground: Both Sirenomelia & Gastroschisis are very rare congenital anomalies & it is extremely rare to find each of the two anomalies in both twins of one pregnancy, here we reported the two anomalies in one twin pregnancy.
Case Report: We reported twin pregnancy in G3p0A2 19 years old healthy woman who had irregular antenatal visits, ultrasound exam done 4 times during pregnancy, all shown monochorionic, diamniotic twins with polyhydromnia & Gastroschisis, abnormal spine and sacrococcygeal teratoma in the 1st twin and oligohydromnia in the 2nd twin in which the anomaly was not clear & later on the baby born with Sirenomelia.
In all the references we reviewed we cauldn't find the two anomalies in one twin pregnancy and this case was considered to be the 1st reported case globally
Early Infantile Gangliosidosis GM1, a Rare Clinical Entity
Gangliosidosis is a rare lysosomal storage disease. There have been about 200 cases reported, to date. The Overall prevalence at birth of GM1 Gangliosidosis is estimated to be 1 in 100,000 to 300,000. It is an inherited enzyme deficiency of beta-galactosidase, which results in the accumulation of glycosphingolipids within the lysosomes. It leads to neurological, skeletal and dermatological manifestations. Inferred GM1 Gangliosidosis is a lysosomal storage disorder, affected by mutations in GLB1, encoding beta-galactosidase. The range of severity is from type 1 infantile disease, lethal in early childhood, to type 3 adult on set, resulting in gradually progressive neurological symptoms in adulthood. The case report relates to a 13 months old patient with early infantile type of Gangliosidosis.
 
Biliary Atresia Presenting as Post Circumcision Exsanguination
An autopsy diagnosis of biliary atresia was made in a month old male infant who died following prolonged bleeding that lasted for about 8 hours after circumcision by a non-trained local circumcision practitioner.
 
Traumatic CSF Otorrhoea with Spontaneous Closure - A Case Report and Literature Review
We present a 40-year-old male who was admitted via the accident and emergency unit of the hospital on account of bleeding from the left ear following the injury sustained from road traffic accident about 10 hours prior to presentation.He sustained a head injury with left cerebrospinal fluid otorrhoea. Plain radiograph revealed wavy lucencies over the temporoparietal region with soft tissue swelling and a defect in the temporal bone extending in to the tympanomastoid area. Patient was managed conservatively with spontaneous closure of the fistula and resolution of the leakage within 8 days after head injury. We report this to further emphasis the role of conservative management in CSF fistula.
 
A Case Series-Smokeless Tobacco Induced Oral Premalignant Lesions
Wide spectrum of oral mucosal lesions can be caused by tobacco in any form. Tobacco use causes an array of changes in the oral cavity, from mucosal pigmentation to thickening, ulceration of the epithelium. Oral cancer and other oral mucosal lesions such as tobacco induced keratosis, leukoplakia, and submucous fibrosis are strongly associated with tobacco consumption. The prevalence and severity of lesions demonstrate a dose-response relationship, which is best predicted by the amount, frequency and duration of smokeless tobacco use.
 
Clinical Management of a Mandibular Second Molar with Three Mesial Canals: A Case Study
Most mandibular second molar has two canals in mesial root and one in distal. This report represents a case of mandibular second molar with three mesial and two distal root canals. To achieve the ideal goal of endodontic treatment, clinicians should be aware of the complicated configuration of the root canal system and use suitable methods to identify the accessory canals that exist possibly.
 
Lumbar Extradural Synovial Cyst a Cause of Cauda Equina Syndrome: A Case Report
Synovial cysts (SC) of the spine are defined as cystic swelling of the synovial sheaths commonly occurs in the lumbar region. Most of the patients with lumbar synovial cysts (LSC) usually occur in their fifth to sixth decade of life with a female predominance. The aetiology of LSC is still unclear however strongly associated with spinal instability, facet joint arthropathy and degenerative spondylolisthesis. These can cause myeloradiculopathy due to compression to the spinal cord or the peripheral nerve roots. LSC which not response to conservative therapy should be treated surgically. Surgical excision and decompression with or without fusion and spinal instrumentation remains controversial. This fact collaborates with the aim of this report presentation of an elderly women with LSC complicated with progressive cauda equina syndrome with no history of trauma or associated symptoms. Urgent Magnetic resonance imaging (MRI) was done in our clinic and revealed a single extradural LSC at L4 level and causes L4/5 spinal canal stenosis. We performed complete excision biopsy and posterior instrumentation with decompression for this patient. The neurological status of the patient was immediately improved and no recurrence symptoms on follow-up after one year postoperatively.