Mixed phenotypic acute leukemia.
We present a case of a woman with an acute MPAL diagnosed as a B/myeloid leukemia. PMID: 29686566 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Krause JR, Findeis S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Usefulness of intrapartum magnetic resonance imaging for a parturient with neurofibromatosis type 1 during induction of labor for preeclampsia.
Abstract A 22-year-old woman, G3P0 at 31 weeks, 1 day gestational age, was admitted to the labor and delivery unit for induction of labor (IOL) due to preeclampsia with severe features. Her medical history included neurofibromatosis type 1 (NF-1) and systemic lupus erythematosus with pericarditis and pericardial effusion. When labor analgesia was considered, the concern for an undiagnosed spinal neurofibroma and attendant sequelae was deliberated. After a multidisciplinary discussion, the IOL was halted during the cervical ripening phase to allow timely magnetic resonance imaging (MRI) of the spine. The MRI w...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Galvan JM, Hofkamp MP Tags: Proc (Bayl Univ Med Cent) Source Type: research

Significance of green granules in neutrophils and monocytes.
We report two patients presenting with secondary liver disease who were found to have blue-green neutrophilic inclusions on the peripheral blood smear. One patient died, while the other patient recovered. We propose that this morphologic finding is likely transient and is related to liver disease and that recovery is possible. Additionally, prognosis in intensive care units continues to be determined by a number of variables, such as age, comorbidities, and severity of illness. PMID: 29686568 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Gorup T, Cohen AT, Sybenga AB, Rappaport ES Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pedunculated focal nodular hyperplasia in a healthy toddler.
We report a rare case of pedunculated FNH presenting as a large abdominal mass palpated on physical exam in a healthy 3-year-old girl with no history of malignancy or underlying liver disease. Ultrasound, computed tomography, and magnetic resonance imaging (MRI) did not demonstrate the typical imaging characteristics of FNH, because the mass was pedunculated with a poorly visualized central scar. Because approximately 75% of all primary hepatic tumors in this age group are malignant, this report also discusses the importance of adding hepatobiliary phase imaging with MRI to avoid, if possible, the need for biopsy or surgic...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Koolwal J, Birkemeier KL, Zreik RT, Mattix KD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Emphysematous osteomyelitis of the forefoot.
We report a case of emphysematous osteomyelitis of the forefoot in a 33-year-old man with type 1 diabetes mellitus. PMID: 29686570 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Abdelbaki A, Bhatt N, Gupta N, Li S, Abdelbaki S, Kumar Y Tags: Proc (Bayl Univ Med Cent) Source Type: research

Bartonella endocarditis with glomerulonephritis in a patient with complete transposition of the great arteries.
We describe a patient with history of dextro-transposition of the great vessels, ventricular septal defect, and pulmonary valve replacement who presented with fatigue, prolonged fever, and leg edema. He was found to have kidney injury, pancytopenia, and liver congestion. Echocardiogram revealed thickened leaflets with prolapsing vegetation on the pulmonary valve. Given the negative blood cultures, high Bartonella henselae immunogobulin G titer (≥1:1024) and positive immunoglobulin M titer (≥1:20), he was diagnosed with Bartonella endocarditis complicated with glomerulonephritis. PMID: 29686571 [PubMed] (Source: ...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Hashemi H, Endicott-Yazdani TR, Oguayo C, Harmon DM, Tran T, Tsai-Nguyen G, Benavides R, Spak CW, Nguyen HL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Syphilis at age 15 years.
We present a case of a 15-year-old girl who presented with 1 month of worsening nonpruritic rash limited to her palms and soles. She had been treated twice for sexually transmitted infections. With her presentation of a nonpruritic rash on the palms and soles, a diagnosis of syphilis must be considered. PMID: 29686572 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Kaufman J, Garcia B, Horrall S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acute bacterial prostatitis in an adolescent patient following blunt trauma.
Abstract Acute bacterial prostatitis is a common disease among adults. Acute bacterial prostatitis in the pediatric population is rare with only a few case reports in the literature. This case highlights an unusual presentation of prostatitis in a 16-year-old who presented with suprapubic pain and hematuria following blunt trauma to the lower abdomen. PMID: 29686573 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Wolfe T, Smith C, Jacob R Tags: Proc (Bayl Univ Med Cent) Source Type: research

Urinary urge seizure semiology localization by intracranial monitoring.
We present a patient who had initially unexplained childhood urinary urge that progressed into lapses of memory and confusion that was eventually diagnosed as epilepsy in adulthood. Due to refractoriness to medical management, our patient's epileptic focus was localized through both noninvasive and invasive subdural electrode arrays to the nondominant medial temporal lobe and successfully treated with an amygdalohippocampectomy. Only one other case of ictal urinary urgency seizures has been recorded with intracranial electroencephalogram monitoring in the literature. PMID: 29686574 [PubMed] (Source: Baylor University ...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Rengarajan R, Shamim S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Conservative management of severe serotonin syndrome with coma, myoclonus, and crossed-extensor reflex complicated by hepatic encephalopathy.
Abstract Serotonin syndrome (SS) is an underrecognized and potentially fatal disorder that occurs secondary to combinational use or overdose of a single serotonergic medication. The presentation may be complicated by hepatic encephalopathy in cirrhotic patients, which may also affect metabolism of these serotonergic agents. The authors report a rare case of severe SS complicated by hepatic encephalopathy secondary to cirrhosis in a 52-year-old woman after an increase in her home dosage of fluoxetine and addition of other psychiatric medications. PMID: 29686575 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Ramachandran V, Ding B, George R, Novakovic M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Reader comments.
PMID: 29686576 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Rowland JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Majocchi granuloma presenting as a verrucous nodule of the lip.
We present a case of Majocchi granuloma, a deep folliculitis, on the lip of a healthy 41-year-old man. The patient was successfully treated with systemic and topical antifungal medications. Correct diagnosis of this rare condition is needed, since misdiagnosis as an inflammatory dermatitis and treatment using topical corticosteroids can lead to dissemination of the infection. PMID: 29686577 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Swali R, Ramos-Rojas E, Tyring S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Anesthesiology, automation, and artificial intelligence.
Abstract There have been many attempts to incorporate automation into the practice of anesthesiology, though none have been successful. Fundamentally, these failures are due to the underlying complexity of anesthesia practice and the inability of rule-based feedback loops to fully master it. Recent innovations in artificial intelligence, especially machine learning, may usher in a new era of automation across many industries, including anesthesiology. It would be wise to consider the implications of such potential changes before they have been fully realized. PMID: 29686578 [PubMed] (Source: Baylor University...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Alexander JC, Joshi GP Tags: Proc (Bayl Univ Med Cent) Source Type: research

Caveat emptor.
PMID: 29686579 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Michel J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Mitral annulur calcium.
PMID: 29686580 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Fred HL, van Dijk HA Tags: Proc (Bayl Univ Med Cent) Source Type: research

A Baylor milestone: Combined heart/lung-heart "domino" transplant.
A Baylor milestone: Combined heart/lung-heart "domino" transplant. Proc (Bayl Univ Med Cent). 2018 Jan;31(1):123-125 Authors: Alivizatos PA PMID: 29686581 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Alivizatos PA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Medicine as a sacred vocation.
Abstract This brief survey examines the concept of medicine as a sacred vocation by examining its origins, manifestations, and development in history. In the Paleolithic and Neolithic eras, the practice of medicine was considered a sacred vocation because, like the practice of religion, it sought to preserve life. Moreover, it involved a specialized knowledge and the power of healing, both of which were associated with the sacred and the divine. In Classical Antiquity, the Hippocratic innovations in medicine used human reason and creativity to study the nature of disease. Men vowed to protect the sanctity of their...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Laurel SJD Tags: Proc (Bayl Univ Med Cent) Source Type: research

A physician's story of his own illness: Aphasia from possible stroke but more likely from encephalitis.
PMID: 29686583 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Lathan SR, Stuart D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Remembering Adrian E. Flatt, MD.
PMID: 29686584 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Solis RM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Baylor Scott & White Health news.
Baylor Scott & White Health news. Proc (Bayl Univ Med Cent). 2018 Jan;31(1):137-140 Authors: PMID: 29686585 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
PMID: 29686586 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Erratum: Successful treatment of pegaspargase-induced acute hepatotoxicity with vitamin B complex and L-carnitine.
Authors: Abstract [This corrects the article on p. 46 in vol. 29, PMID: 26722167.]. PMID: 28966442 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Clinical uptake of antimicrobial stewardship recommendations following Nanosphere Verigene Blood Culture Gram-negative reporting.
Abstract We performed a retrospective chart review of patients to determine if the Verigene Gram-negative blood culture (BC-GN) results would lead to earlier deescalation of empiric therapy for inpatients with GN bacteremia with Citrobacter spp., Enterobacter spp., Klebsiella spp., and Escherichia coli to appropriate targeted coverage. A total of 899 records were reviewed from April 2014 to February 2016 from three institutions within the Baylor Scott & White Health network. The cases were reviewed for initial antibiotic coverage, timing of Verigene results, change in antibiotic coverage, and how these changes...
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Belknap A, Grosser DS, Hale DA, Lang BJ, Colley P, Benavides R, Dhiman N Tags: Proc (Bayl Univ Med Cent) Source Type: research

Percutaneous coronary intervention and inpatient mortality in patients with advanced chronic kidney disease presenting with acute coronary syndrome.
Abstract Chronic kidney disease (CKD) is an important risk factor for coronary artery disease, yet patients with CKD are less likely to undergo coronary angiography and percutaneous coronary intervention (PCI). We retrospectively analyzed the 2006-2012 National Inpatient Sample Database to examine the temporal trends in coronary angiography and PCI among patients without CKD, with advanced CKD (CKD III-V), and with end-stage renal disease (ESRD) presenting with unstable angina/non-ST elevation myocardial infarction (NSTE-ACS) and ST-elevation myocardial infarction (STEMI). A total of 579,747 admissions for NSTE-AC...
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Patel B, Shah M, Dusaj R, Maynard S, Patel N Tags: Proc (Bayl Univ Med Cent) Source Type: research

Urinary metabolites in patients undergoing coronary catheterization via the radial versus femoral artery approach.
In conclusion, this exploratory study showed no difference in the patterns of acute vascular/renal injury metabolic markers before and after catheterization irrespective of the arterial access site. PMID: 28966445 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Vasudevan A, Schussler JM, Won JI, Ashcraft P, Bolanos I, Williams M, Bottiglieri T, Velasco CE, McCullough PA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Evaluation of medication compliance for secondary prevention of acute coronary syndrome.
Abstract To prevent recurrence of acute coronary syndrome (ACS), national practice guidelines recommend use of five-drug combination therapy. Our study assessed the proportion of patients discharged on all five medications following ACS and determined reasons for nonadherence. A retrospective, single-center chart review was conducted at a tertiary academic medical center. Patients 18 years and older who were admitted to the cardiac care unit with a diagnosis of ACS between January 2013 and January 2015 were included. Overall, 200 patients were screened and 155 were included in the study. Half of the patients recei...
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Gill D, Feldman EA, Liu K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Invited Commentary: Turning guidelines into outcomes.
PMID: 28966447 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Michel J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Efficacy of acute care health care providers in cardiopulmonary resuscitation compressions in normal and obese adult simulation manikins.
Abstract Annually, over 350,000 persons require cardiopulmonary resuscitation (CPR), either in or outside of the hospital. With obesity a rising health issue in the United States, concerns exist regarding the efficacy of quality compressions for CPR in obese patients. The aims of this study were to determine if the compressions for three adult simulation manikins (normal, obese, and morbidly obese) met quality guidelines; to examine any differences in quality of chest compressions performed by health care providers between the three manikins; and to examine the effect of participant characteristics on the quality ...
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Tellson A, Qin H, Erwin K, Houston S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas.
PMID: 28966449 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Ellis D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Comparison of outcomes of laparoscopic Heller myotomy versus per-oral endoscopic myotomy for management of achalasia.
Abstract Achalasia is a rare disorder that has several treatment options. The gold standard of treatment is a surgical myotomy called a laparoscopic Heller myotomy (LHM). More recently, an endoscopic myotomy has become an option as well, called per-oral endoscopic myotomy (POEM). An achalasia registry was queried for patients undergoing either LHM or POEM at Baylor University Medical Center at Dallas. Patient demographics, preoperative and postoperative data points, and Eckardt scores were collected. The patients were further stratified into their follow-up intervals, immediate postoperative and long-term follow-u...
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Leeds SG, Burdick JS, Ogola GO, Ontiveros E Tags: Proc (Bayl Univ Med Cent) Source Type: research

Usefulness of radium-223 in patients with bone metastases.
Abstract Castration-resistant prostate osseous metastases can be challenging to treat. There is a new era of clinical advancement with the Food and Drug Administration approval of radium-223 for use in these patients. Radium-223 is the only clinically used therapeutic radiopharmaceutical that emits alpha particles, making it extremely safe for therapeutic purposes for the patient as well as close contacts. This review discusses radium-223's mechanism of action, pharmacokinetics, indications, and safety profile, as well as findings of concluded clinical trials. PMID: 28966451 [PubMed] (Source: Baylor Universit...
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Gupta N, Devgan A, Bansal I, Olsavsky TD, Li S, Abdelbaki A, Kumar Y Tags: Proc (Bayl Univ Med Cent) Source Type: research

Adrenal crisis and autoimmune polyglandular syndromes.
We report a 67-year-old woman who presented with adrenal crisis as a manifestation of autoimmune polyglandular syndrome 2, a polygenic disorder characterized by concurrent primary adrenal insufficiency and either autoimmune thyroid disease or type 1 diabetes mellitus. PMID: 28966452 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Freeland ZK, Lueking R, Tsai-Nguyen G, Pan T, Mora A Tags: Proc (Bayl Univ Med Cent) Source Type: research

An unusual presentation of Tropheryma whipplei infection.
We present the case of a 56-year-old man with no significant prior medical history who presented with swelling and pain in the left eye. Review of systems revealed 6 months of persistent diarrhea, and intestinal biopsy revealed periodic acid-Schiff-positive macrophages. PMID: 28966453 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Heavener T, Thompson M, Patel C, Forrester L, Rawls D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Endovascular therapy of axillary artery disease with drug-coated balloon angioplasty.
We report a case of exertional right upper-extremity pain and severe right axillary artery disease that was revascularized using an off-label drug-coated balloon technology with resolution of symptoms. PMID: 28966454 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Al'Aref SJ, Swaminathan RV, Feldman DN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Combined mitral and aortic valve stenosis caused by two different etiologies, rheumatic and congenital.
Abstract Described herein are five patients who had double left-sided cardiac valve replacement for mitral and aortic valve stenosis resulting from two different etiologies: rheumatic heart disease, the cause of the mitral stenosis, and congenital heart disease (bicuspid valve), the underlying cause of the aortic stenosis. PMID: 28966455 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Roberts WC, Dodderer JK Tags: Proc (Bayl Univ Med Cent) Source Type: research

Combined atresia of one left-sided and one right-sided cardiac valve in a premature newborn.
Abstract Described herein is the heart of a 2-day-old newborn, the product of a 25-week gestation, with atresia of two cardiac valves, one on the right side and one on the left side, apparently a previously undescribed entity. PMID: 28966456 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Roberts WC, Sing AC, Guileyardo JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Listen to the patient!
PMID: 28966457 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Glancy DL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Breast implant-associated anaplastic large cell lymphoma.
We present the case of a woman who had had breast augmentation and multiple revisions over a period of 13 years and presented with recurrent fluid collections. The cause was determined to be anaplastic large cell lymphoma, which required removal of the implants, capsulectomy, and evaluation by a medical oncologist. The patient was not found to have metastatic disease on imaging studies. Breast implant-associated anaplastic large cell lymphoma is a poorly understood disease entity, and optimal treatment is unclear. PMID: 28966458 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Keith L, Herlihy W, Holmes H, Pin P Tags: Proc (Bayl Univ Med Cent) Source Type: research

Epstein-Barr virus-positive diffuse large B-cell lymphoma.
We present the case of an 81-year-old woman hospitalized for generalized weakness, increasing confusion, unexplained weight loss, and intermittent fevers. Examination showed lymphadenopathy, lesions in the liver and small intestine, and a very high EBV viral load. She experienced a rapid demise and at autopsy was found to have EBV+ DLBCL, NOS. PMID: 28966459 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Murthy SL, Hitchcock MA, Endicott-Yazdani TR, Watson JT, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Lymphoblastic lymphoma of the palate.
We present the case of a 49-year-old man with B-lymphoblastic lymphoma of the hard palate. The patient was treated with the R-Hyper CVAD regimen and is on maintenance chemotherapy. This is the first reported case of B-lymphoblastic lymphoma arising in the hard palate. PMID: 28966460 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Nambiar R, Narayanan G, Soman LV, Devi N Tags: Proc (Bayl Univ Med Cent) Source Type: research

Natural killer/T-cell lymphoma invading the orbit and globe.
This report details a 78-year-old Vietnamese woman who presented initially with vitritis of unknown cause, but later developed proptosis and conjunctival involvement as her disease spread. Biopsies of the orbit, ethmoid sinus, and conjunctiva were found to be significant for natural killer/T-cell lymphoma. The case highlights the diagnostic difficulty of this tumor given its rarity and ability to mimic other disorders. PMID: 28966461 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Lyons LJ, Vrcek I, Somogyi M, Taheri K, Admirand JH, Chexal S, Loukas DF, Nakra T Tags: Proc (Bayl Univ Med Cent) Source Type: research

Blastic plasmacytoid dendritic cell neoplasm following acquired erythropoietic protoporphyria.
This article discusses this unusual hematopoietic neoplasm, the possible evolution from erythropoietic protoporphyria, and the underlying myelodysplastic process. PMID: 28966462 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Krause JR, Baugh L, Swink A, Burch M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Sinonasal and laryngeal sarcoidosis.
We report a case of a 55-year-old woman with prior cutaneous sarcoidosis who presented with chronic nasal congestion, difficulty breathing, dysphonia, and stridor, and biopsy of the nasal vestibule revealed noncaseating granulomatous inflammation. PMID: 28966463 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Edriss H, Kelley J, Demke J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Cavernous sinus syndrome.
Abstract Cavernous sinus syndrome (CSS) is a condition characterized by multiple cranial nerve palsies manifesting with ophthalmoplegia, ptosis, and facial sensory loss due to involvement of adjacent cranial nerves. Tumors, trauma, and vascular, infectious, and noninfectious inflammatory disorders have all been described as causes. Lymphomas have been reported to involve the cavernous sinus, both as primary cavernous sinus lymphomas or as secondary lesions. Here, we describe the case of a 63-year-old-man with untreated chronic lymphocytic leukemia (CLL), diagnosed 4 years earlier, who presented with CSS. Our patie...
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Nambiar R, Nair SG Tags: Proc (Bayl Univ Med Cent) Source Type: research

Multifocal sinonasal inverted papilloma with middle ear involvement.
We describe a case of a 44-year-old woman who was treated for nasal inverted papilloma and was later found to have inverted papilloma of her temporal bone. The patient required several procedures to remove the inverted papilloma from the nasal cavity and temporal bone, and she is currently free of recurrence. PMID: 28966465 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Haywood EB, Fuller C, Hill GW, Olobatuyi F, Clark DW Tags: Proc (Bayl Univ Med Cent) Source Type: research

Congenital midline nasal anomalies.
This report describes two cases-one of nasal glioma and one of nevus lipomatosus cutaneous superficialis-that presented as respiratory distress in a newborn. Approximately 10 to 20 cases of these two conditions have been described; notably, this is the second documented case of nevus lipomatosus cutaneous superficialis with nasal presentation. PMID: 28966466 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Vora N, Kalagiri R, Guillory B, Shetty A, Raju VN, Powitzky RK, Beeram MR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Submandibular neck mass in a newborn.
Abstract A deep neck abscess is uncommon in the newborn period. In this case, we noted a clindamycin-sensitive methicillin-resistant Staphylococcus aureus infection characterized as a deep neck abscess in an 8-day-old boy. He was admitted to the pediatric intensive care unit with a progressively enlarging indurated mass below the mandible. Imaging confirmed the mass as a submandibular abscess. The patient received antibiotics in addition to incision and drainage, with resolution of the abscess. PMID: 28966467 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Skoog H, Clark DW Tags: Proc (Bayl Univ Med Cent) Source Type: research

Fetal ventriculomegaly and herpes encephalitis following primary maternal herpes simplex infection.
We present a case of a 19-year-old woman who developed a primary HSV outbreak at 17 weeks of gestation and was treated with acyclovir. A congenital malformation scan at 18 weeks of gestation demonstrated no fetal abnormalities; however, an ultrasound at 33 weeks showed a new finding of ventriculomegaly. Additionally, hydrocephalus was confirmed with magnetic resonance imaging. New-onset ventriculomegaly in the setting of primary HSV infection in pregnancy should be considered as an in utero diagnostic indicator of antenatal herpes simplex infection and herpes encephalitis. PMID: 28966468 [PubMed] (Source: Baylor Unive...
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Sloan JK, Cawyer CR, Drever NS Tags: Proc (Bayl Univ Med Cent) Source Type: research

Usefulness of nuclear whole-body bone scanning for diagnosis of leprosy.
We present a 39-year-old man who presented with chronic abdominal pain, skin ulcers, and hypercalcemia who underwent computed tomography of the chest and a whole-body bone scan to evaluate for possible underlying neoplasm due to his profound hypercalcemia. Although the diagnosis of leprosy had been established by lower-extremity skin biopsy upon admission, workup for other potential concurrent etiologies of hypercalcemia was performed before initiating therapy. We present the computed tomography scans, nuclear medicine images, and corresponding skin findings of this case. PMID: 28966469 [PubMed] (Source: Baylor Univer...
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Marquez H, McDevitt J, Öz OK, Wachsmann J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Viaticum.
PMID: 28966470 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Fine R, Michel J Tags: Proc (Bayl Univ Med Cent) Source Type: research