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Caspian Journal of Internal Medicine

Mostafa Javanian, Jila Masrour-Roudsari, Soheil Ebrahimpour
No abstract text is available yet for this article.
2018: Caspian Journal of Internal Medicine
Muhammad Shoaib Khan, Sohaib Zahid, Muhammad Ishaq
Background: Generally, it is very rare for clinically significant hypermagnesemia to develop in an individual with normal renal functions as the renal handling of serum magnesium is a very potent process and it has the capacity, under conditions of hypermagnesemia, to completely block Mg (magnesium) reabsorption from the thick ascending limb of Henle. Therefore, hypermagnesemia usually arises in the setting of renal failure. Case presentation: We present a very rare case of a 40-year-old African American obese female with prior normal renal functions, who presented post-cardiac arrest following accidental overdose of Epsom salt...
2018: Caspian Journal of Internal Medicine
Azade Tarashande Foumani, Forouzan Elyasi
Background: The prevalence of using anabolic steroids such as oxymetholone is increasing. This highlights the need for closely monitoring side effects of this drug. Acute renal failure (ARF) has been reported as a complication of rhabdomyolysis in anabolic steroids users. Case presentation: We present one 33-year-old man complaining of decreased urine volume, urine color change, and lower abdominal pain. He is engaged with a rare side effect of oxymetholone abuse...
2018: Caspian Journal of Internal Medicine
Maja Crkvenac, Marko Jakopovic, Ana Hecimovic, Gordana Pavlisa, Miroslav Samarzija, Andrea Vukic Dugac
Background: Pulmonary arteriovenous malformations (PAVM) are rare pulmonary vascular anomalies and hemothorax as a presenting feature of PAVM is a very rare occurrence. Case presentation: A 45-year old woman presented with chest pain and breathlessness. A chest x-ray showed left-sided pleural effusion. An emergency MSCT scan with contrast showed no signs of pulmonary embolism but instead a probable AV malformation was shown. Diagnostic thoracocentesis revealed hemorrhagic exudate with negative cytology and microbiology findings...
2018: Caspian Journal of Internal Medicine
Stamatis Karakonstantis, Sofia Pitsigavdaki, Dafni Korela, Despoina Galani
Background: Persistent hiccups can be a debilitating symptom and many such patients present to the emergency department seeking relief. A variety of serious conditions have been associated with persistent hiccups. Cases of pneumonia as a cause of hiccups have been rarely described. Case presentation: A 79-year-old male patient presented to the hospital due to persistent hiccups for 4 days. Despite lack of new respiratory symptoms or fever, a chest x-ray demonstrated a left lower lobe consolidation, which was also confirmed with a chest CT...
2018: Caspian Journal of Internal Medicine
Farzaneh Ghassabi, Yalda Malekzadegan, Hadi Sedigh Ebrahim-Saraie, Hamid Heidari, Mozhgan Sabet, Abdollatif Bagheri, Narges Bagheri, Hadi Raeisi Shahraki, Alireza Hasanabadi, Mohammad Motamedifar
Background: Neisseria gonorrhea and Treponema pallidum as an obligate human pathogen are two common causes of sexually transmitted diseases (STDs). The present study aimed to determine the prevalence of N. gonorrhoeae and T. pallidum among human immunodeficiency virus (HIV) patients in the southwest Iran. Methods: This retrospective study was performed from 2004 to 2013, on HIV patients who were tested for detection of gonorrhea and syphilis infection at Shiraz HIV/AIDS Research Center...
2018: Caspian Journal of Internal Medicine
Mojhde Karajibani, Mohammad Reza Hasanjani Roushan, Masomeh Bayani, Mostafa Javanian, Jila Masrour-Roudsari
Background: Chronic hepatitis B virus infection (HBV) may reactivate during the course of the disease and is called spontaneous relapse. The purpose of this study was to evaluate the incidence of relapse of hepatitis in subjects with inactive HBV carriers. Methods: This follow-up study was performed on 785 patients with inactive HBV carriers that were followed-up at six month intervals. The presence of serum HBsAg and anti-HBe, without HBeAg, HBV DNA levels <2000 IU/ml with normal alanine aminotransferase (ALT) levels was defined as inactive carriers...
2018: Caspian Journal of Internal Medicine
Farzan Kheirkhah, GholamAbbas Roustaei, Elham Mohebbi Abivardi, Angela Hamidia, Sakineh Javadian Kutenai
Background: Cataract induced vision impairment can lead to loss of older people's independence and self-esteem and limit their daily activities. Moreover it has comorbid cognitive impairment and depression. Cataract surgery may be one way to attenuate these comorbidities. The aim of this study was to compare pre-operative and postoperative depressive symptoms and cognitive impairments of patients who underwent cataract surgery. Methods: This study was a before - after clinical trial...
2018: Caspian Journal of Internal Medicine
Parvin Mirmiran, Hoda Hadavi, Azadeh Mottaghi, Fereidoun Azizi
Background: Metabolic syndrome is a prevalent condition with dramatic rising trend worldwide. Single dietary factors, such as omega-3 fatty acids consumption protect body against oxidative damage by reinforcement of dietary total antioxidant capacity but the combination of all dietary components may be more effective when studied as integrated dietary patterns. This present study was designed to assess the association between different dietary patterns and oxidative stress in a population of Tehranian adults suffering from metabolic syndrome...
2018: Caspian Journal of Internal Medicine
Shahnaz Barat, Azita Ghanbarpour, Zinatossadat Bouzari, Zohre Batebi
Background: Using oral glucose for glucose challenge test (GCT) and glucose tolerance test (GTT) is problematic, especially in early pregnancy when the pregnant woman is experiencing gastrointestinal complications. This research seeks to investigate the relationship between the ratio of Triglyceride (TG) to high-density lipoprotein cholesterol (HDL-C) and the risk of gestational diabetes and large for gestational age (LGA) fetus for suggesting a more appropriate index for diagnosis of gestational diabetes...
2018: Caspian Journal of Internal Medicine
Fahimeh Kazemian, Seyed Farzad Jalali, Karimollah Hajian-Tilaki, Afsaneh Arzani, Kamyar Amin
Background: Coronary artery disease (CAD) is one of the most progressive and life-threatening diseases and is the first leading cause of death affecting both genders in Iran. The present study aimed to determine the extent of coronary vessel involvement and relevant relationship with several underlying risk factors. Methods: In this cross-sectional study, 1452 patients undergoing angiography who met the inclusion criteria were recruited consecutively in Babol, Iran during 2016...
2018: Caspian Journal of Internal Medicine
Yousef Yahyapour, Rabeae Rahmani, Majid Alipour, Ahad Alizadeh, Aynaz Khademian, Farzin Sadeghi
Background: Studies concerning on esophageal squamous cell carcinoma (ESCC) etiological factors have been done for several decades, however, results reported from various investigations were not consistent. The present investigation aimed to explore the presence of 3 oncogenic viruses, human papilloma virus (HPV), Epstein-Barr virus (EBV) and Merkel cell polyomavirus (MCPyV) in the neoplastic and non- neoplastic esophageal lesions collected from Mazandaran, a high risk area of Iran. Methods: In total, 168 esophageal specimens (100 with ESCC confirmed diagnosis and 68 without esophageal malignancy) were analyzed for HPV, EBV and MCPyV by Real Time PCR...
2018: Caspian Journal of Internal Medicine
Alireza Peyro-Shabani, Mehrdad Nabahati, Mohammad-Ali Saber-Sadeghdoust, Mohammad Jafar Soleymani, Farshid Oliaei
Background: There are some uncertainties among the risk factors of vascular calcification in the hemodialysis patients. This study was planned to examine the association between abdominal aortic calcification and concerned biochemical parameters in hemodialysis patients. Methods: In this cross- sectional study, 84 stable hemodialysis patients admitted on hemodialysis section of Shahid Beheshti Hospital in 2013 were enrolled after obtaining informed consent. Pre-dialysis venous blood samples were taken from patients to determine the amount of intact parathyroid hormone (iPTH), alkaline phosphatase (Alk...
2018: Caspian Journal of Internal Medicine
Mohsen Mahmoodi-Nesheli, Shaabanali Alizadeh, Hassan Solhi, Jila Mohseni, Masomeh Mahmoodi-Nesheli
Background: According to the side effects of the usual treatment of burns, in improving the patients' prognosis, there is a need to introduce faster and more effective adjuvant therapies to treat wounds, thus to improve the prognosis of patients. The aim of this study was to investigate the effect of adjuvant treatment with oral silymarin on wound healing process caused by second degree-burns among the patients admitted to Valiasr Hospital of Arak. Methods: This randomized, double-blind clinical trial study was carried out on 80 patients with second-degree burns covering 20 to 30 percent of the body with flame...
2018: Caspian Journal of Internal Medicine
Vijay Kumar Agrawal, B Saroj Kumar Prusty, Ch Santosh Reddy, Gangireddy Krishna Mohan Reddy, Rakesh Kumar Agrawal, Venkata Chandra Sekher Srinivasarao Bandaru
Background: Dengue is endemic and prevalent in tropical and sub-tropical countries including India and can cause significant mortality and morbidity. There are limited studies available on factors associated with severe dengue from India, to investigate the predictors of severe dengue in south Indian patients. Methods: We recruited 334 patients with dengue admitted in Yashoda Hospital, Hyderabad. Study period was between March 2015 and February 2017. Based on clinical symptoms, we divided patients into severe dengue and non-severe dengue...
2018: Caspian Journal of Internal Medicine
Mohammad Mahdi Majzoobi, Mojgan Mamani, Seyyed Hamid Hashemi, Hadis Gazan, Hamidreza Ghasemibasir, Mina Nikbakht, Farzaneh Esna-Ashari
Background: Concomitant hepatitis B and HIV infections are common. In some of these patients, HBcAb is the only serologic marker of hepatitis B. This study was conducted to elucidate the cause of isolated HBcAb in HIV-infected patients via hepatitis B vaccination. Methods: In this interventional study during 2014-15 in the HIV Clinic in Hamadan, thirty four patients with HIV infection and isolated HBcAb positive isolate, received hepatitis B vaccine and their responses to vaccination were investigated...
2018: Caspian Journal of Internal Medicine
Mojtaba Mikaniki, Neda Babaee, Ebrahim Mikaniki, Mohammad Reza Hasanjani Roushan, Ali Bijani
Background: Behcet's syndrome is a disease with different aspects in its clinical manifestations. The purpose of this study was to evaluate the simultaneous presence of oral mucosal and ophthalmologic lesions in patients with Behcet's syndrome. Methods: From April 2012 to December 2014, 50 cases of Behcet's syndrome who referred to the Departments of Ophtalmology, Oral Diseases and Infectious Diseases of Babol University Medical Sciences were entered into the study...
2018: Caspian Journal of Internal Medicine
Yousef Veisani, Salman Khazaei, Ali Delpisheh
Background: According to epidemiological studies, leukemia is among the five most common cancers in Iran. Keeping efforts to estimate survival is critical to monitoring and improving patients' quality of life with leukemia. The purpose of this study was to evaluate the 5-year survival rate of leukemia patients in Iran using meta-analysis method. Methods: This meta-analysis was carried out according to studies that adhere to inclusion and exclusion criteria during enrolment...
2018: Caspian Journal of Internal Medicine
Kazem Anvari, Masoumeh Gharib, Amir Hossein Jafarian, Amin Saburi, Seyed Alireza Javadinia
Background: Melanoma is a neoplasm derived commonly from melanocytic cells of skin. Although coetaneous presentation of malignant melanoma is easily recognizable, the presentation of melanoma in other organs is so confusing. In particular, when it metastasizes to other organs, many bizarre figures and unusual organs may be involved. In this report, we present a case of primary duodenal malignant melanoma. Case Presentation: A 68-year-old man presented with a history of iron deficiency anemia...
2018: Caspian Journal of Internal Medicine
Ali Torkaman, Alireza Yousof Gomrokchi, Omid Elahifar, Pooyan Barmayoon, Seyedeh Fahimeh Shojaei
Background: Bilateral rupture of the patellar tendon is a very rare injury, which takes place in relation to chronic systemic diseases. These injuries are known causes. Some of these causes are particular in patellar tendon rupture and another are in quadriceps tendon rupture. Case presentation: 70-year-old diabetic man with simultaneous bilateral patellar tendon disruption of proximal insertion without trauma, receiving long-term hemodialysis. Conclusions: In the present study, we report a case of patellar tendon rupture that has two differences with literature: first, renal failure is a known risk factor for quadriceps tendon rupture, and secondly, the prevalent age of patellar tendon rupture is less than 40 years...
2018: Caspian Journal of Internal Medicine
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