Occurrence of additional head of the flexor pollicis longus (FPL) muscle has been documented in the literature habitually. Additional head of FPL has been observed taking origin either from the lateral or medial border of the coronoid process and or also from the medial epicondyle of the humerus. During our routine dissection we noticed an unusual presence of additional tendinous slip of FPL muscle arising from the medial margin of the coronoid process of the ulna. However, such anomaly was not found on the left side. The embryological basis and clinical significance of current case is discussed.
Aims: Hyperbaric oxygenation (HBO) is a procedure consisting in the use of oxygen, air or a mixture of oxygen and air at a pressure exceeding 1 atmosphere (1ATA) to increase the amount of oxygen in blood serum. There is little available data on influence of HBO on neurocognitive functioning of human. The aim of this study is to present the positive effect of a short course HBO exposure on simple reaction time of adult participant and to discuss the case in the light of potential usefullness of HBO therapy for improving the neurocognitive functioning of human.
Presentation of Case: A 44 years-old lefthanded woman underwent the HBO therapy contained 15 daily sessions a 1.5 hours each at 2.5 ATA. Simple reaction time of participant was measured 7 days before HBO, 7 days after HBO and 21 days after the last HBO session.
After therapy the reaction time visibly improved, 3 weeks after the last HBO session slightly decreased but still exceeded the output level.
Discussion: HBO leads to more available oxygen to the brain therefore it is highly possible that it results with increase of cognitive processing of human or that it helps such increase when combined with pharmacotherapy.
Conclusion: Results suggest positive but transient effect of HBO therapy on human reaction time and should receive consideration for broader studies on effectiveness of HBO as a procedure with potential significant and measurable benefits as a complementary therapy in medicine for improving neurocognitive functioning of human.
Background: Weight loss and jaundice in early neonatal period are common reasons for referral of new-born to paediatricians. The cause most of the time is related to inadequate fluid and calorie intake. Rare causes should be sought for in the presence of unusual clinical picture or when there is no response to initial usual management.
Case Presentation: We report a case of a new-born with classic galactosaemia who presented in unusual manner with only weight loss and jaundice without feeding problems. The final diagnosis of galactosaemia was unclear initially and only became evident following exclusion of more common differentials.
Results: Rapid recovery of early symptoms following commencement of appropriate treatment.
Conclusion: Future advancement of galactosaemia management could help to avoid long term complications which current management does not prevent.
Empyema thoracis is a common complication of infectious diseases and is an important cause of morbidity and hospital admissions. Clinical presentation is usually unilateral but some (rare) bilateral cases have been reported. We describe a 38-year-old Hispanic male who was a heavy consumer of alcohol admitted to hospital with cough, green sputum, dyspnea, chest pain and fever of 2-week duration. Physical examination revealed a right pleural effusion. A chest tube was used to drain 1100 cm3 of yellow, thick turbid fluid, and levofloxacin and clindamycin were initiated via the intravenous route in the emergency room. In spite of prompt improvement, he developed pyrexia and dyspnea again. A new alveolar opacity on the left hemithorax was observed and imipenem was started. Despite clinical improvement, computed tomography 5 days thereafter demonstrated bilateral loculated pleural effusions. Thoracic surgeons undertook a thoracotomy with pleural decortication in the right hemithorax, and the left pleural effusion was managed with a chest tube. Cultures of pleural fluid from the right empyema were negative. However, the nosocomial bacterium Corynebacterium urealyticum was detected in cultures of pleural fluid from the left empyema. The importance of this case is that the patient developed hospital-acquired pneumonia in the left lung after he had developed community-acquired pneumonia in the right lung, and both cases of pneumonia developed loculated empyema. To our knowledge, this situation has not been reported previously. The patient was managed bilaterally simultaneously with good results.
Background: Arthroscopically assisted reconstruction of the anterior cruciate ligament (ACL) is a common and effective method for treatment of anterior knee instability following ACL injury. ACL reconstruction is not without potential complications, including post-operative infection. Reports of osteomyelitis after ACL reconstruction are rare in the literature. Hence we represent one of rare cases of osteomyelitis following ACL reconstruction.
Case Presentation: A 34 years old male patient, medically free with history of anterior cruciate ligament reconstruction following right knee anterior cruciate ligament tear presented with wound infection over the harvested site. He was febrile with right knee moderate effusion and pus discharge from harvested site. Laboratory data at the time of admission were significant high for white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and a positive C-Reactive protein (CRP). He hadtenderness over the knee with restricted range of motion. Patient diagnosed as osteomyelitis and received proper management.
Conclusion: Reconstruction of the ACL is a common and generally successful procedure. Osteomyelitis following ACL reconstruction can be a devastating complication. Osteomyelitis after ACL reconstruction is a rare complication and usually occurs secondary to septic arthritis developing in the immediate post-operative period, therefore osteomyelitis should be considered in the differential diagnosis of any patient presenting with localized knee pain post-ACL reconstruction.
