OTHERS_CITABLE
Comparison of PCR and culture methods for detecting of Listeria monocytogenes in vaginal samples
Listeria monocytogenes is an opportunistic intracellular pathogen that has become an important cause of human food borne infections worldwide. The aim of this study is the determinate sensitivity of diagnostic methods of this organism and achieving a test that can detect Listeria monocytogenes in all circumstances in clinical samples. Materials and Methods: In this study 88 vaginal swabs were collected from women with age of (15-45) referred to gynecologic clinics in the hospital (Sari, Iran). Vaginal swabs were examined by culture on specific PALKAM agar medium and PCR technique by specific primers. Results: Out of 88 studied vaginal swabs, 8 cases with culture method and 27 cases were positive with PCR technique. The sensitivity of PCR and culture is reported %100, %29 respectively. Conclusion: The results show that PCR is a more sensitive, easier, and faster method in comparison to in clinical samples.
http://intjmi.com/article-1-275-en.pdf
2017-07-16
71
74
Listeria monocytogenes
PCR
culture methods
Mohtaram
Nasrollahi
1
Professor in Microbiology, Department of Microbiology, Mazandaran University of Medical Science, Mazandaran, Sari, Iran.
AUTHOR
Zeynab
Marzhoseyni
2
MSc in Microbiology, Department of Microbiology, Mazandaran University of Medical Science, Mazandaran, Sari, Iran
AUTHOR
Tahoora
Mousavi
3
Ph.D. Student in Molecular and Cell Biology, Student Research Committee, Molecular and Cell Biology Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
AUTHOR
Mohammad
Ahanjan
4
Associate Professor, Department of Microbiology, Mazandaran University of Medical Science, Mazandaran, Sari, Iran.
AUTHOR
CASE_STUDY
Meningitis retention syndrome: a case report
Urinary retention is a urologic emergency that is defined by an inability to voluntarily void urine, which can be acute or chronic. Benign inflammatory nervous diseases also cause acute urinary retention, in which patients lack apparent urethral outlet obstruction, but exhibit minor neurological and cerebrospinal fluid (CSF) abnormalities. The development of urinary retention in the context of meningitis and CSF pleocytosis without any lumbosacral radiculomyelitis is known as Meningitis Retention Syndrome (MRS). We report a 24-year-old male with complaints of urine dribbling, fever and also complete urinary retention a few hours later and nausea/vomiting, headache and flank pain. The general and genitalia examinations, routine laboratory tests, diagnostic ultrasound, and brain MRI were normal. But HSV Ab (IgG) and PCR HSV were positive in CSF analysis. Finally, Urologist performed the Urodynamic study and flaccid neurologic bladder was reported due the patient was treated with intravenous acyclovir 500 mg, every eight hours, with the diagnosis of MRS. MRS is a rarely described clinical entity with features of meningitis and acute urinary retention. The most common cause of urinary retention is benign prostatic hyperplasia. Other common causes include prostatitis, cystitis, urethritis, stones, and vulvovaginitis receiving medications in the anticholinergic and alpha-adrenergic agonist classes and cortical, spinal, or peripheral nerve lesions. Since MRS has a benign and self-remitting course, the effectiveness of immune treatments (steroid pulse therapy) remains unclear, although such treatments may shorten the duration of the disease. Management of the acute urinary retention is necessary to avoid renal injury due to hydronephrosis.
http://intjmi.com/article-1-276-en.pdf
2017-07-16
75
80
urinary retention
Meningitis Retention Syndrome
MRS
Farhang
Babamahmoodi
1
Antimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, Iran.
AUTHOR
Roya
Sheikholeslami
2
Antimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, Iran.
AUTHOR
Tahoora
Mousavi
3
Ph.D. Candidate in Molecular and Cell Biology, Student Research Committee, Molecular and Cell Biology Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
AUTHOR
Lotfollah
Davoodi
4
Antimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, Iran.
AUTHOR
OTHERS_CITABLE
A Case Series of Portal Vein Thrombosis Following Laparoscopic Sleeve Gastrectomy
Background: laparoscopic sleeve gastrectomy is presently the most common bariatric surgery at our center (King Hussein Medical Center). Portal vein thrombosis is a rare surgical complication with an insidious presentation and a high risk of bowel compromise. The aim of this study is to present a series of patients who developed portal vein thrombosis post sleeve gastrectomy, and to describe the overall incidence, associated risk factors, clinical presentation and management. Case Reports: Four patients developed portal vein thrombosis post laparoscopic sleeve gastrectomy at King Hussein Medical Center during the period (Jan 2006 to Feb 2017). All patients presented with abdominal pain, nausea, and vomiting and decrease oral intake. The abdominal Computed tomography (CT) scan confirmed the diagnosis of portal vein thrombosis in all of them. One patient required medical treatment along with operative intervention and bowel resection. The other three patients were treated conservatively with anticoagulation and fluid resuscitation. Conclusion: Portal vein thrombosis is a rare but severe complication after laparoscopic bariatric surgery. Familiarity with this high-risk entity is critical. Early diagnosis and management, initiated by a high index of suspicion, is crucial.
http://intjmi.com/article-1-278-en.pdf
2017-08-06
81
92
Acute Porto-mesenteric Venous Thrombosis
Laparoscopic Sleeve Gastrectomy
Omar
Al-Shawabkeh
1
Laparoscopic and Bariatric Surgery Specialist, Department of Surgery, Division of upper GI, laparoscopy and bariatric surgery , Royal Medical Services, Amman, Jordan
AUTHOR
Ramadan
Al-Hasanat
2
Laparoscopic and Bariatric Surgery Specialist, Department of Surgery, Division of upper GI, laparoscopy and bariatric surgery, Royal Medical Services, Amman, Jordan.
AUTHOR
Adnan
Zayadeen
3
Senior Specialist in Diagnostic Radiology, Radiology Department, Royal Medical Services, Amman, Jordan
AUTHOR
Mohammed
Al-Hroot
4
FACS, Laparoscopic and Bariatric Surgery Consultant, Department of Surgery, Division of upper GI, laparoscopy and bariatric surgery, Royal Medical Services, Amman, Jordan
AUTHOR
Wael Ali
Al-Na’ssan
5
FACS, Laparoscopic and Bariatric Surgery Consultant, Department of Surgery, Division of upper GI, laparoscopy and bariatric surgery , Royal Medical Services, Amman, Jordan.
AUTHOR
CASE_STUDY
A case report of primary hyperparathyroidism in pregnant female: clinical diagnostic and therapeutic procedures challenges
Primary hyperparathyroidism (PHPT) is a disease caused by excessive secretion of parathyroid hormone (PTH), and occurs because of individual parathyroid adenomas.in this report we discussed prgnant 25 female who suffered from as weakness, lethargy, nausea and vomiting . Primary experimental results suggested severe hypercalcemia. Ultrasonography of patient’s neck revealed a cystic thyroid nodule (12.8mm) in mid of right lube. The observation suggested normal parotid and submandibular glands.Based on ultrasound and MRI results, the patient received protective treatment. Early diagnosis can helpful to best managament of primary hyperparathyroidism especially during the pregnancy.
http://intjmi.com/article-1-279-en.pdf
2017-08-08
93
98
Primary hyperparathyroidism
pregnancy
hypercalcemia
Tahereh
Babaei
1
Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Arash Rezaei
Shahmirzadi
2
Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Hossein
Ghanadanhili
3
Department of neurology, Clinical Research Development Unit (CRDU), Sayad Shirazi hospital, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Seyed Arad Mosalammi
Aghili
4
School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Seyed Fateme Zahra
Hashemi Tervejeni
5
Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran.
AUTHOR
Hamide
Akbari
6
Department of endocrinology, Clinical Research Development Unit (CRDU), Sayad Shirazi hospital, Golestan University of Medical Sciences, Gorgan, Iran.
AUTHOR
CASE_STUDY
Morgagni hernia in a 73-year-old woman: A case report.
The majority of adult diaphragmatic hernias is due to a chronic hiatal hernia or caused by a diaphragmatic hernia. Compared to other different forms of congenital hernias, Morgagni hernias are relatively rare. Here we introduce a case of a 73-year-old woman diagnosed with Morgagni Hernia and the choice of treatment used for the patient. The patient, a 73-year-old woman, presented with abdominal pain with the onset of 10 days prior to her visit. In the chest x-ray silhouette sign on the right side border of the heart was seen that suggested a Morgagni hernia as our primary differential diagnosis. The patient was discharged 3 days after the operation. Studies show that a Morgagni hernia should be a differential diagnosis for any patient that presents with unspecific abdominal pain or respiratory symptoms.
http://intjmi.com/article-1-280-en.pdf
2017-08-08
99
102
Morgagni
Hernia
Diaphragmatic
Reza
Afghani
1
Professor of thoracic, Faculty of Medicine, Golestan University of Medical Sciences, Golestan, Iran.
AUTHOR
Saeid
Amirkhanlou
2
Department of Nephrology, Clinical Research Development Unit (CRDU), Sayad Shirazi hospital, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Hamed
Jafarpour
3
Medical Student, Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Arash Rezaei
Shahmirzadi
4
Medical Student, Student Research Committee, Faculty of Medicine, Golestan University of Medical Sciences, Golestan, Iran
AUTHOR
Tahere
Bakhshi
5
Student Research Committee, Faculty of ParaMedicine, Golestan University of Medical Sciences, Golestan, Iran
AUTHOR
CASE_STUDY
Inferior Vena Cava injury in an elderly man with penetrating abdominal trauma
Inferior vena cava injury in abdominal trauma is rare but it puts a big problem in front of trauma surgeon. Despite improvements in preoperative care, skills and surgical facilities, inferior vena cava injury mortality rate remains high. The most important factors that play a prominent role in mortality are presence of shock on admission, anatomic level of vena caval injury or other major vascular and visceral injuries. In this article we have reported successfully treated a case of the inferior vena cava injury after penetrating abdominal trauma in old age man with hemorrhagic shock, survived due to immediate laparotomy, successful surgical management with team approach and critical postoperative surgical management without any residual complication.
http://intjmi.com/article-1-281-en.pdf
2017-08-08
103
108
Inferior Vena Cava
Massive haemoperitoneum
abdominal trauma
hemorrhagic shock
Reza
Motalebi
1
Golestan University of Medical Sciences, Trauma Centre, 5 Azar Hospitals, Gorgan, Iran.
AUTHOR
Mohammad Hadi
Molseghi
2
Clinical Research Development Unit (CRDU), Sayad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Arash Rezai
Shahmirzadi
3
Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Mahdi
Babaei Hatkehlouei
4
Dentistry student, student research committee, Mazandaran University of medical science, sari, Iran
AUTHOR
Sohrab
Malekmahmoudi
5
Clinical Research Development Unit (CRDU), Sayad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
AUTHOR
Saeid
Amirkhanlou
6
Department of Nephrology, Clinical Research Development Unit (CRDU), Sayad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
AUTHOR
CASE_STUDY
Treatment of acute antibody-mediated rejection using Rituximab
Introduction: One of the optimal therapies for most of the end-stage renal disease (ESRD) patients is transplantation. Acute Antibody Mediated Rejection is one type of acute rejection in which antibodies are directed against donor specific human leukocyte antigen (HLA). Rituximab is one kind of the drugs used for AMR treatment based on elimination of circulating Ab. It is a chimeric monoclonal Ab which is specific for human B lymphocyte– restricted differentiation antigen (CD20). Concerning the incidence of AMR in transplantation, existence of resistance to usual AMR therapy and their poor outcomes, we decided to use Rituximab (RTX) in treatment of AMR and to study its outcomes. Material/Patients: All patients who underwent renal transplantation from 2009 to 2014 in Chamran and Labbafinejad centers enrolled. these patients further receiving conventional therapy AMR (tacrolimus + Cellcept + corticosteroids ± PP), were treated with one or two dosage of RTX 500mg and the graft`s response and the patient's response to RTX were studied. Results: After 5-11 months follow-up, patients’ survival was 100% and grafts survival was 77%. In 17 patients renal function improved which the average creatinine (Cr) in the first month after treatment was 1.6+/-0.5 (P<0.001) and the average Cr in 6 month was 1.5+/- 0.8 (P<0.001).Conclusion: In comparison with outcomes reported before in treatment of AMR, our study obtained excellent outcomes in patient and graft survival (100% and 77% respectively). Our findings suggest that the usage of RTX in the treatment of AMR at least in short and medium term may be effective.
http://intjmi.com/article-1-282-en.pdf
2017-08-08
109
115
Rituximab
Renal Transplantation
Acute Antibody-Mediated Rejection
Saeid
Amirkhanlou
1
Department of Nephrology, Clinical Research Development Unit (CRDU), Sayad Shirazi hospital, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Anna
Rashedi
2
Department of Radiology, Clinical Research Development Unit (CRDU), Sayad Shirazi hospital, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Mohammad Hadi
Molseghi
3
Medical Student, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Mahdi
Babaei Hatkehlouei
4
Dentistry student, student research committee, Mazandaran University of medical science, sari, Iran.
AUTHOR
Mohsen
Nafar
5
Chronic Kidney Disease Research Center and Department of Nephrology, Shahid Labbafinejad Medical Center and Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Fatemeh
Rezaghoulipoor
6
Chronic Kidney Disease Research Center and Department of Nephrology, Shahid Labbafinejad Medical Center and Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Arash
Rezai Shahmirzadi
7
Student Research Committee, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
AUTHOR
CASE_STUDY
Aggressive Ulcerating Squamous Cell Carcinoma Arising In Old Burn Scar: A Case Report
Carcinoma arising in posttraumatic ulcers and chronic wounds was first described by Jean- Nicholas Marjolin in 1828. Marjolin’s ulcers are malignant neoplasms that originate from chronic irritation such as burn wounds, venous stasis ulcers, traumatic wounds, osteomyelitis, fistulas, and lacerations, Burn wounds are the most frequent underlying etiology of Marjolin’s ulcers. We reported Marjolin’s ulcer that arising from very old burn scar in foot.
http://intjmi.com/article-1-283-en.pdf
2017-08-15
116
120
Carcinoma
Marjolin’s ulcer
scar
Masoud
Shayesteh Azar
1
Associated Professor of orthopedic surgery, Orthopedic Research center, Mazandaran university of medical science, Sari, Iran
AUTHOR
Fatemeh
Montazer
2
Assistant Professor, Dermatopathologist. Department of Pathology, Orthopedic Research center, Mazandaran University of Medical Science , Sari, Iran
AUTHOR
Mohammad Hossein
Karimi Nasab
3
Associated professor of orthopedic surgery, Orthopedic Research center, Mazandaran university of medical science, Sari, Iran
AUTHOR
Abolfazl
Kazemi
4
Orthopedic resident, Orthopedic Research center, Mazandaran university of medical science, Sari, Iran
AUTHOR
Soroush
Felezi
5
Pathology Resident, department of pathology, Mazandaran university of medical science, sari, Iran
AUTHOR
Hamed
JafarPour
6
Medical student, Student research committee, Mazandaran university of medical science ,sari, Iran
AUTHOR