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  1. Article: Breaking Stereotypes: A Unique Presentation of New-Onset Multiple Sclerosis.

    Girgis, Kyrillos / Brown, Jacob / Lipat, Kevin / Bustillo, Jose

    Cureus

    2023  Volume 15, Issue 10, Page(s) e47584

    Abstract: Multiple sclerosis (MS) is a chronic demyelinating disorder resulting in demyelination, neuroaxonal degeneration, and sclerosis. This often-debilitating disease affects young females mainly. Literature describing the pathology and phenotypic features is ... ...

    Abstract Multiple sclerosis (MS) is a chronic demyelinating disorder resulting in demyelination, neuroaxonal degeneration, and sclerosis. This often-debilitating disease affects young females mainly. Literature describing the pathology and phenotypic features is vast. Although there are extensive descriptions of new-onset MS presentations, few document the initial presentation as a transient ischemic attack or ischemic stroke. The case we present highlights the rarity of such presentation. In the literature, we found scarce reports about MS as presenting as a stroke mimicker with some studies quoting from 2.2% to 4.4% of the cases having MS. Our case serves as a reminder that MS can mimic acute ischemic strokes and the importance of maintaining MS apart of the differential in a young female with no significant history present with acute neurological deficits to reduce the complications of MS and the healthcare-associated costs.
    Language English
    Publishing date 2023-10-24
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.47584
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: An Unusual Pigmented Plaque in a Newborn.

    Song, Jena / Bustillo, Jose / Meledathu, Sherin

    Pediatrics in review

    2021  Volume 42, Issue Suppl 2, Page(s) 122–126

    MeSH term(s) Humans ; Infant, Newborn ; Skin Abnormalities ; Skin Neoplasms
    Language English
    Publishing date 2021-09-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.2018-0270
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2595: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 53: Show issues

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  3. Article ; Online: Evaluation of horizontal condylar angle in malocclusions with mandibular lateral displacement using cone-beam computed tomography.

    Velásquez, Roberto L / Coro, Jorge C / Bustillo, José M / Sato, Sadao

    The Angle orthodontist

    2021  Volume 91, Issue 6, Page(s) 815–821

    Abstract: Objectives: To evaluate the horizontal condylar angle (HCA) in mandibular lateral displacement (MLD).: Materials and methods: HCA in MLD malocclusions were examined using cone-beam computed tomography data in subjects with MLD and control subjects.!## ...

    Abstract Objectives: To evaluate the horizontal condylar angle (HCA) in mandibular lateral displacement (MLD).
    Materials and methods: HCA in MLD malocclusions were examined using cone-beam computed tomography data in subjects with MLD and control subjects.
    Results: HCA in joints of control patients and contralateral side joints of MLD patients were not significantly different. The mean HCA on the shifted side was larger than on the contralateral side (P < .001) in the different HCA groups. HCA was significantly larger on the shifted side than on the contralateral side in skeletal Class I, Class II, and Class III groups (P < .001).
    Conclusions: (1) There was no statistically significant difference between HCA in control patients and on the contralateral side in MLD patients. (2) HCA was significantly larger on the shifted side than on the contralateral side. (3) HCA on the shifted side and the contralateral side in MLD Class I, Class II, and Class III are significantly different.
    MeSH term(s) Cone-Beam Computed Tomography ; Humans ; Imaging, Three-Dimensional ; Malocclusion/diagnostic imaging ; Mandible/diagnostic imaging ; Mandibular Condyle/diagnostic imaging
    Language English
    Publishing date 2021-06-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 390289-4
    ISSN 1945-7103 ; 0003-3219
    ISSN (online) 1945-7103
    ISSN 0003-3219
    DOI 10.2319/012621-76.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 350: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article: A Rare Culprit of Spontaneous Abortion, Latent Tuberculosis Complicated by Disseminated Peritoneal TB.

    Sossou, Christoph / Pal, Chaitanya / Bustillo, Jose R

    Case reports in infectious diseases

    2018  Volume 2018, Page(s) 2318539

    Abstract: This is a case of a 38-year-old female with latent TB complicated by disseminated peritoneal TB with associated spontaneous abortion, who was initially thought to have an ovarian neoplasm, prompting extensive workup. Laparoscopy with biopsy later ... ...

    Abstract This is a case of a 38-year-old female with latent TB complicated by disseminated peritoneal TB with associated spontaneous abortion, who was initially thought to have an ovarian neoplasm, prompting extensive workup. Laparoscopy with biopsy later confirmed the patient's condition; she was initiated on the appropriate therapy and had a full recovery.
    Language English
    Publishing date 2018-10-28
    Publishing country Egypt
    Document type Case Reports
    ZDB-ID 2627642-2
    ISSN 2090-6633 ; 2090-6625
    ISSN (online) 2090-6633
    ISSN 2090-6625
    DOI 10.1155/2018/2318539
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Visual Diagnosis: A 3-week-old Girl with an Unusual Rash.

    Jaffery, Fatema / Khan, Fatima / Bustillo, Jose

    Pediatrics in review

    2017  Volume 38, Issue 9, Page(s) e35–e37

    MeSH term(s) Diagnosis, Differential ; Exanthema/etiology ; Female ; Humans ; Infant, Newborn ; Lupus Erythematosus, Systemic/complications ; Lupus Erythematosus, Systemic/congenital ; Lupus Erythematosus, Systemic/diagnosis
    Language English
    Publishing date 2017-09
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.2016-0035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2595: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 53: Show issues

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  6. Article: A Band That Causes Leaky Valves: Severe Mitral Regurgitation due to Left Atrial Fibrous Band-A Case Report and Literature Review.

    Nnaoma, Christopher / Sandhu, Gurdarshan / Sossou, Christoph / Vavilin, Ilan / Bustillo, Jose / Garg, Anshu

    Case reports in cardiology

    2019  Volume 2019, Page(s) 2458569

    Abstract: Left atrial fibrous band is a rare clinical and echocardiographic finding characterized by the presence of a fibrous band attached to the mitral valve. Diagnosis is accomplished with transesophageal echocardiography (TEE), live 3D imaging, or cardiac MRI. ...

    Abstract Left atrial fibrous band is a rare clinical and echocardiographic finding characterized by the presence of a fibrous band attached to the mitral valve. Diagnosis is accomplished with transesophageal echocardiography (TEE), live 3D imaging, or cardiac MRI. Most patients are asymptomatic and incidental findings. However, in rare cases, an atrial fibrous band can produce symptoms such as dyspnea on exertion, fatigue, and lightheadedness secondary to mitral regurgitation (MR) which can lead to heart failure if unattended to. More serious complications such as cardioembolic phenomenon can occur. We herein report a case of a 55-year-old male with hypertension who presented with dyspnea on exertion and chest pain. Transthoracic echocardiography (TTE) showed mitral valve prolapse with moderate to severe mitral regurgitation. TEE showed an atrial fibrous band. Given the patient's poor exercise tolerance, he was taken to surgery for a mitral annuloplasty.
    Language English
    Publishing date 2019-03-19
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2627627-6
    ISSN 2090-6412 ; 2090-6404
    ISSN (online) 2090-6412
    ISSN 2090-6404
    DOI 10.1155/2019/2458569
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Unmasking the Masquerader: A Delayed Diagnosis of MS and Its 4.5 Years of Implications in an Older African American Male.

    Dong, Deanna / Carlson, Joshua / Ruberwa, Joseph / Snihur, Thomas / Al-Obaidi, Nawar / Bustillo, José

    Case reports in medicine

    2019  Volume 2019, Page(s) 5787206

    Abstract: Multiple sclerosis (MS) has classically been described as a disease of the young Caucasian female. While the prevalence may seem to be higher in Caucasians (CAs), recent studies suggest that the real incidence of MS may actually be higher in African ... ...

    Abstract Multiple sclerosis (MS) has classically been described as a disease of the young Caucasian female. While the prevalence may seem to be higher in Caucasians (CAs), recent studies suggest that the real incidence of MS may actually be higher in African Americans (AAs). Here, we discuss a nonclassical case of MS in an older African American male, prognostic factors, disease patterns in African Americans, and how a delay in diagnosis and socioeconomic factors can lead to worse outcomes. In patients that present with possible symptoms of MS, a high suspicion for MS should be entertained even in epidemiologically atypical patients to prevent delay in diagnosis and irreversible disability.
    Language English
    Publishing date 2019-08-07
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2502642-2
    ISSN 1687-9635 ; 1687-9627
    ISSN (online) 1687-9635
    ISSN 1687-9627
    DOI 10.1155/2019/5787206
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Venovenous Extracorporeal Membrane Oxygenation in a Gravid Patient with Acute Respiratory Distress Syndrome: A Case Report.

    Nnaoma, Christopher / Chika-Nwosuh, Ogechukwu Z / Isedeh, Anthony / Bustillo, Jose / Al Twal, Abdullah / Patel, Patrik

    The American journal of case reports

    2019  Volume 20, Page(s) 705–708

    Abstract: BACKGROUND Extracorporeal membrane oxygenation (ECMO), also known as extracorporeal life support (ECLS), is a technique used to provide prolonged cardiac and respiratory support to persons whose heart and lungs are unable to deliver adequate perfusion or ...

    Abstract BACKGROUND Extracorporeal membrane oxygenation (ECMO), also known as extracorporeal life support (ECLS), is a technique used to provide prolonged cardiac and respiratory support to persons whose heart and lungs are unable to deliver adequate perfusion or gas exchange to sustain life. It is indicated in patients with severe ARDS, severe hypothermia, and cardiac and respiratory failure when other conventional methods fail. CASE REPORT We report the case of a 22-year-old gravid 2 Para 1 woman who presented to the Emergency Department with pyelonephritis, who subsequently developed sepsis that progressed to ARDS. She was managed successfully with extracorporeal membrane oxygenation [ECMO] for 5 days, with heparin used as an anticoagulant. After significant improvement, she was successfully de-cannulated and extubated. CONCLUSIONS The use of ECMO in pregnancy and post-partum can be associated with several complications to both mother and fetus. With appropriate patient selection, good knowledge of the procedure, and early initiation, successful outcomes can be attained.
    MeSH term(s) Extracorporeal Membrane Oxygenation ; Female ; Humans ; Pregnancy ; Pregnancy Complications/diagnosis ; Pregnancy Complications/etiology ; Pregnancy Complications/therapy ; Respiratory Distress Syndrome, Adult/diagnosis ; Respiratory Distress Syndrome, Adult/etiology ; Respiratory Distress Syndrome, Adult/therapy ; Young Adult
    Language English
    Publishing date 2019-05-17
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2517183-5
    ISSN 1941-5923 ; 1941-5923
    ISSN (online) 1941-5923
    ISSN 1941-5923
    DOI 10.12659/AJCR.914490
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Misdiagnosis: Acute Chest Syndrome That Evolved into Acute Respiratory Distress Syndrome in a Patient without a Documented History of Hemoglobinopathy.

    Sossou, Christoph / Chika-Nwosuh, Ogechukwu / Nnaoma, Christopher / Bustillo, Jose / Chohan, Asad / Okundaye, Etinosasere / Patel, Pratik

    Case reports in medicine

    2019  Volume 2019, Page(s) 2893056

    Abstract: Acute chest syndrome (ACS) is a feared complication of sickle cell disease. Here is a case of a patient who presented with symptoms suggestive of acute chest syndrome yet had a delayed diagnosis presumably due to the lack of documented history of sickle ... ...

    Abstract Acute chest syndrome (ACS) is a feared complication of sickle cell disease. Here is a case of a patient who presented with symptoms suggestive of acute chest syndrome yet had a delayed diagnosis presumably due to the lack of documented history of sickle cell disease of the patient, consequently evolving into acute respiratory distress syndrome (ARDS). He was subsequently diagnosed with heterozygous sickle cell SC disease on hemoglobin electrophoresis. After appropriate management with mechanical ventilator, broad-spectrum empiric intravenous antibiotics, exchange transfusion, and intravenous fluid resuscitation, the patient was medically optimized and safely discharged home, with significant improvement noted on successive follow-up visits.
    Language English
    Publishing date 2019-02-03
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2502642-2
    ISSN 1687-9635 ; 1687-9627
    ISSN (online) 1687-9635
    ISSN 1687-9627
    DOI 10.1155/2019/2893056
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: A Rare Culprit of Simultaneous Arteriovenous Thromboembolism: Acute Viral Perimyocarditis.

    Sossou, Christoph / Ogundare, Tobi / Chika-Nwosuh, Ogechukwu / Sodha, Amee / Nnaoma, Christopher / McKinney, Cynthia / Bustillo, Jose

    Case reports in cardiology

    2019  Volume 2019, Page(s) 5361529

    Abstract: Simultaneous arteriovenous embolism is extremely rare. Herein, we present a rare case of systemic arteriovenous emboli in a healthy 33-year-old male after an episode of acute viral perimyocarditis. The culprits are postulated to be viral-induced ... ...

    Abstract Simultaneous arteriovenous embolism is extremely rare. Herein, we present a rare case of systemic arteriovenous emboli in a healthy 33-year-old male after an episode of acute viral perimyocarditis. The culprits are postulated to be viral-induced myocardial necrosis and resulting proinflammatory state in the setting of negative malignant, autoimmune, genetics, and chronic infectious conditions. The patient was successfully managed with guideline-directed medical therapy and safely discharged to a subacute rehabilitation facility.
    Language English
    Publishing date 2019-01-08
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2627627-6
    ISSN 2090-6412 ; 2090-6404
    ISSN (online) 2090-6412
    ISSN 2090-6404
    DOI 10.1155/2019/5361529
    Database MEDical Literature Analysis and Retrieval System OnLINE

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