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  1. Article ; Online: Splenic infarction associated with Salmonella typhi infection

    Fahmi Yousef Khan / Sondos Khalil Khalil

    Ķazaķstannyṇ Klinikalyķ Medicinasy, Vol 20, Iss 3, Pp 109-

    A rare case report

    2023  Volume 111

    Abstract: We described a rare case of a splenic infarction associated with typhoid fever in a 26-year-old Bangladeshi man who returned from a vacation 10 days ago from his home country and presented to the emergency department with fever followed by left ... ...

    Abstract We described a rare case of a splenic infarction associated with typhoid fever in a 26-year-old Bangladeshi man who returned from a vacation 10 days ago from his home country and presented to the emergency department with fever followed by left hypochondrial pain. Contrast-enhanced computed tomography of the abdomen showed multiple areas of splenic infarction. Salmonella typhi, which was sensitive to ceftriaxone, grew in the blood culture. The patient received intravenous ceftriaxone, analgesics, hydration, antiemetics, and other supportive care. He showed significant clinical improvement and was discharged. The patient was seen at the hospital two months after discharge, he was doing well and no splenic infarction could be detected by sonography.
    Keywords Typhoid fever ; splenic infarction ; antibiotics ; analgesics ; Internal medicine ; RC31-1245 ; Specialties of internal medicine ; RC581-951
    Language English
    Publishing date 2023-06-01T00:00:00Z
    Publisher National Scientific Medical Center
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Neuropsychiatric manifestation of vitamin B12 deficiency

    Fahmi Yousef Khan

    International Journal of Medical Reviews and Case Reports, Vol 3, Iss

    two case reports and literature review

    2019  Volume 4

    Abstract: Vitamin B12 deficiency is a common condition that manifests classically with megaloblastic anaemia. However, neuropsychiatric disorders can occur as the first manifestation of vitamin B12 deficiency. Herein, we reported two cases with neuropsychiatric ... ...

    Abstract Vitamin B12 deficiency is a common condition that manifests classically with megaloblastic anaemia. However, neuropsychiatric disorders can occur as the first manifestation of vitamin B12 deficiency. Herein, we reported two cases with neuropsychiatric disorders as the first manifestation. The first was an Indian man who presented with an unsteady gait and numbness in the lower limbs associated with low back pain and normal hemoglobin with normocytosis. MR images were consistent with subacute combined degeneration of the spinal cord. Vitamin B12 level was found to be low. The second case was an Indian man without a psychiatric history who was brought to the emergency room because of abnormal behavior and poor sleep. His blood study and brain images were normal. The deterioration of his condition in addition to being vegetarian prompted the attending physician to look for another cause of his illness. Vitamin B12 was low. Both patients received B12 supplements and showed significant improvement.
    Keywords subacute combined degeneration ; vitamin B12 deficiency ; macrocytosis ; catatonia ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2019-04-01T00:00:00Z
    Publisher Bulgarian Association of Young Surgeons
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Anaphylaxis following rivaroxaban ingestion

    Fahmi Yousef Khan / Theeb Osama Sulaiman

    The Pan African Medical Journal, Vol 38, Iss

    report of an extremely rare case

    2021  Volume 333

    Abstract: We reported an anaphylactic reaction following ingestion of rivaroxaban in a 48-years-old male, who was recently discharged from the hospital as a case of deep vein thrombosis. At home, the patient developed a diffuse itchy skin rash, shortness of breath, ...

    Abstract We reported an anaphylactic reaction following ingestion of rivaroxaban in a 48-years-old male, who was recently discharged from the hospital as a case of deep vein thrombosis. At home, the patient developed a diffuse itchy skin rash, shortness of breath, and vomiting 30 minutes after rivaroxaban ingestion. Emergency Medical Service found that the patient had severe dyspnea, low blood pressure, and decreased blood oxygen saturation. The patient was given oxygen, intramuscular epinephrine, intravenous hydrocortisone, diphenhydramine, salbutamol nebulizer, and was immediately transferred to the emergency department of Hamad General Hospital. Subcutaneous enoxaparin was initiated, while hydrocortisone and salbutamol nebulizer continued. On the next day, his vital signs had stabilized, and intravenous hydrocortisone was switched to prednisolone tablets, and salbutamol nebulizer was switched to budesonide/salmeterol inhaler, whereas enoxaparin was overlapped with warfarin. After achieving the target international normalized ratio (INR), enoxaparin was discontinued and the patient was discharged with significant clinical and laboratory improvement.
    Keywords rivaroxaban ; anaphylactic reaction ; enoxaparin ; deep vein thrombosis ; case report ; Medicine ; R
    Language English
    Publishing date 2021-04-01T00:00:00Z
    Publisher The Pan African Medical Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: A fatal typhoid acute respiratory distress syndrome

    Fahmi Yousef Khan / Elmukhtar M Habas / Raza Ali Akbar / Theeb Osama Sulaiman

    Saudi Journal for Health Sciences, Vol 10, Iss 3, Pp 209-

    Report of a rare case

    2021  Volume 211

    Abstract: We report a fatal case of typhoid acute respiratory distress syndrome (ARDS) in a 32-year-old man who was hospitalized with fever, cough, and chills lasting 12 days. While waiting for the results of cultures, his condition rapidly deteriorated within 2 ... ...

    Abstract We report a fatal case of typhoid acute respiratory distress syndrome (ARDS) in a 32-year-old man who was hospitalized with fever, cough, and chills lasting 12 days. While waiting for the results of cultures, his condition rapidly deteriorated within 2 days, and he developed ARDS. The patient was transferred to the medical intensive care unit. Subsequently, his blood, urine, and stool cultures returned positive for Salmonella Typhi. The sensitivities showed that the organism was resistant to nalidixic acid, ampicillin, and ciprofloxacin but was sensitive to ceftriaxone. The patient was intubated, and mechanical ventilation was initiated, while ceftriaxone, vasoactive amines, and hydrocortisone were administered. Unfortunately, the patient died despite escalation to intensive care and the care provided thereof. This interesting case was selected from our previous study entitled Epidemiological and Clinical Features of Salmonella Typhi Infection Among Adult Patients in Qatar: A hospital-based study. Different aspects of typhoid ARDS including clinical presentation, pathogenesis, diagnosis, and treatment are discussed and the literature has been reviewed.
    Keywords acute respiratory distress syndrome ; ceftriaxone ; ciprofloxacin ; typhoid fever ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Escherichia coli pleural empyema

    Fahmi Yousef Khan

    Annals of Tropical Medicine and Public Health, Vol 4, Iss 2, Pp 128-

    Two case reports and literature review

    2011  Volume 132

    Abstract: Escherichia coli (E. coli) was isolated from the pleural space of two patients; the first one was a 32-year-old Nepali man who was healthy before, presented with 15 day fever and cough. Chest x-ray showed left-sided pleural effusion. After diagnostic ... ...

    Abstract Escherichia coli (E. coli) was isolated from the pleural space of two patients; the first one was a 32-year-old Nepali man who was healthy before, presented with 15 day fever and cough. Chest x-ray showed left-sided pleural effusion. After diagnostic workup, he was diagnosed to have E. coli parapneumonic empyema. In addition to the antibiotics and intrapleural streptokinase, decortication was required to improve his condition. The second patient was a 61-year-old Egyptian man who was presented with one-week fever with shortness of breath. He had a history of liver cirrhosis with multiple admissions for decompensated liver diseases. Chest x-ray showed right-sided massive pleural effusion. He was diagnosed with spontaneous bacterial empyema. The patient responded well to fluid drainage and administration of antibiotics; the pleural fluid decreased to minimum in 14 days.
    Keywords Escherichia coli ; hepatic hydrothorax ; parapneumonic empyema ; spontaneous bacterial empyema ; thoracic empyema ; Arctic medicine. Tropical medicine ; RC955-962 ; Special situations and conditions ; RC952-1245 ; Internal medicine ; RC31-1245 ; Medicine ; R
    Language English
    Publishing date 2011-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Tuberculous Adenitis with Concurrent Hodgkin Lymphoma

    Fahmi Yousef Khan / Antoun Y. Kamel / Mahmoud Khalifa / Bassam Muthanna / Mohammad Adam

    Oman Medical Journal, Vol 35, Iss 3, Pp e143`-e

    A Case Report

    2020  Volume 143

    Abstract: The concomitant occurrence of tuberculous adenitis and Hodgkin lymphoma is rare, posing a diagnostic dilemma since both have similar symptoms, such as lymphadenopathy, weight loss, fever, and night sweats. We reported such a case in a 15-year-old girl ... ...

    Abstract The concomitant occurrence of tuberculous adenitis and Hodgkin lymphoma is rare, posing a diagnostic dilemma since both have similar symptoms, such as lymphadenopathy, weight loss, fever, and night sweats. We reported such a case in a 15-year-old girl who presented with fever and neck swelling and was found to have lymphadenopathy. A biopsy of the right supraclavicular lymph node showed Reed-Sternberg cells and stained positive for acid-fast bacilli and tuberculosis culture. The patient was diagnosed with tuberculous adenitis with concurrent Hodgkin lymphoma in the same lymph node. She was started on anti-tubercular medications and chemotherapy and showed clinical improvement. This case highlights the need for suspicion in order to identify these two disorders in the same patient, since missing one of them is possible and may lead to fatal complications.
    Keywords hodgkin disease ; tuberculosis ; lymphadenopathy ; Medicine ; R
    Language English
    Publishing date 2020-05-01T00:00:00Z
    Publisher Oman Medical Specialty Board
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Nosocomial Pseudomonas putida Meningitis

    Fahmi Yousef Khan / Mohammed AbuKamar / Deshmukh Anand

    Oman Medical Journal, Vol 32, Iss 2, Pp 167-

    A Case Report and Literature Review

    2017  Volume 169

    Abstract: We report a case of Pseudomonas putida meningitis in a 26-year-old Nepalese man who was admitted to Hamad General Hospital with epidermoid cyst for drainage. Ommaya reservoir was placed into the cyst for drainage and externalventricular drainage (EVD) ... ...

    Abstract We report a case of Pseudomonas putida meningitis in a 26-year-old Nepalese man who was admitted to Hamad General Hospital with epidermoid cyst for drainage. Ommaya reservoir was placed into the cyst for drainage and externalventricular drainage (EVD) was performed. After four days, the patient was transferred to the ward in stable condition. His weakness resolved partially and headache severity decreased. After three days, the patient developed fever and headache severity increased with deterioration of consciousness level. Cerebrospinal fluid (CSF) through EVD showed 2 200 leucocytes/µL, protein level of 295 mg/dL, and glucose level of < 1.8 mg/dL. Meropenem was started on the patient. Aspirate from Ommaya reservoir and CSF showed gram-negative rods and cultures yielded P. putida sensitive to cefepime, gentamycin, ciprofloxacin, and amikacin, but resistant to meropenem and piperacillin-tazobactam. EVD was replaced and the patient received cefepime and ciprofloxacin for 21 days after which he improved and was discharged with right sided residual weakness.
    Keywords Nosocomial Infection ; Community-Acquired Infection ; Meningitis ; Pseudomonas putida ; Medicine ; R
    Language English
    Publishing date 2017-03-01T00:00:00Z
    Publisher Oman Medical Specialty Board
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Humoral hypercalcemic crisis in a pregnant woman with uterine leiomyoma

    Ali Rahil / Fahmi Yousef Khan

    Journal of Emergencies, Trauma and Shock, Vol 5, Iss 1, Pp 87-

    2012  Volume 89

    Abstract: We report a case of parathyroid hormone-related protein-mediated hypercalcemic crisis in a 36-year-old pregnant woman, who was admitted to women hospital with recurrent vomiting and epigastric pain. She was diagnosed with uterine fibroid since the first ... ...

    Abstract We report a case of parathyroid hormone-related protein-mediated hypercalcemic crisis in a 36-year-old pregnant woman, who was admitted to women hospital with recurrent vomiting and epigastric pain. She was diagnosed with uterine fibroid since the first month of her pregnancy, but the pregnancy had been uneventful. Serum calcium was 4.8 mmol/l, while parathyroid hormone was low. Hypercalcemia was attributed to humoral hypercalcemia associated with uterine fibroid as other causes of hypercalcemia were excluded.
    Keywords Humoral hypercalcemia ; hypercalcemic crisis ; uterine fibroid ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9 ; Internal medicine ; RC31-1245 ; Medicine ; R
    Language English
    Publishing date 2012-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Choriocarcinoma Syndrome

    Khaled Baagar / Fahmi Yousef Khan / Einas AlKuwari

    Case Reports in Oncological Medicine, Vol

    A Case Report and a Literature Review

    2013  Volume 2013

    Keywords Neoplasms. Tumors. Oncology. Including cancer and carcinogens ; RC254-282 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Oncology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2013-01-01T00:00:00Z
    Publisher Hindawi Publishing Corporation
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Nosocomial Escherichia coli meningitis in adults

    Fahmi Yousef Khan / Mohammed Abukhattab / Deshmukh Anand

    Journal of Neurosciences in Rural Practice, Vol 4, Iss 3, Pp 349-

    Report of four cases and literature review

    2013  Volume 351

    Abstract: We report four cases of nosocomial E. coli meningitis, in male patients with accidental and neurosurgical trauma. The interval between accidents/neurosurgical procedures and the onset of meningitis was 2-15 days (mean 6.25 days). The most consistent ... ...

    Abstract We report four cases of nosocomial E. coli meningitis, in male patients with accidental and neurosurgical trauma. The interval between accidents/neurosurgical procedures and the onset of meningitis was 2-15 days (mean 6.25 days). The most consistent clinical features were fever and deterioration of consciousness level. Emergence of extended spectrum beta lactamase E. coli strains had been observed in two (50%) of our cases and the mean duration of antimicrobial treatment was 16.5 days (range: 6-24 days). Two of the four patients (50%) died in the hospital.
    Keywords E. coli ; neurosurgical procedure ; nosocomial meningitis ; Neurosciences. Biological psychiatry. Neuropsychiatry ; RC321-571 ; Internal medicine ; RC31-1245 ; Medicine ; R
    Language English
    Publishing date 2013-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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