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Article: Pulmonary Embolism in a Patient with Rheumatoid Arthritis on Etanercept Therapy.

Roy, Moni / Rathore, Himanshu / Roy, Ashish K

Journal of community hospital internal medicine perspectives

2024 Volume 14, Issue 1, Page(s) 39–42

Abstract: Pulmonary embolism (PE) represents mechanical obstruction of one or more branches of pulmonary vasculature due to thromboembolism from a deep vein thrombosis. Hormonal contraceptives, hormonal replacement therapy, antipsychotics and fibrates are ... ...

Abstract	Pulmonary embolism (PE) represents mechanical obstruction of one or more branches of pulmonary vasculature due to thromboembolism from a deep vein thrombosis. Hormonal contraceptives, hormonal replacement therapy, antipsychotics and fibrates are medications that are associated with increased risk of venous thromboembolism(VTE). Etanercept is a TNF alpha and beta receptor blocker. Rarely this medication has been identified as a risk factor for VTE. There is a possible correlation between rheumatoid arthritis(RA) and risk of VTE in patients with RA. Use of medication that can increase risk of VTE in a patient with systemic inflammatory condition that in itself may be a risk factor for VTE requires shared decision and risk versus benefit discussion with the patient. We present a case of unprovoked PE in a patient on Etanercept treatment for RA. Though in this case, a causal relationship between the drug use and the event could not be proved, the patient preferred to discontinue the medication. In newer classes of medications, when the mechanism of side effects is unclear, we strongly recommend extensive discussion with patients about available scientific literature and encourage shared decision making with the patient.
Language	English
Publishing date	2024-01-12
Publishing country	United States
Document type	Case Reports
ZDB-ID	2616884-4
ISSN	2000-9666
ISSN	2000-9666
DOI	10.55729/2000-9666.1294
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Subcutaneous pythiosis in human treated successfully with antimicrobial treatment, debridement and immunotherapy.

Roy, Moni / Borden, Joel / Kasper, Douglas J

BMJ case reports

2024 Volume 17, Issue 3

Abstract: Pythiosis is caused due to a filamentous eukaryotic micro-organism ... ...

Abstract	Pythiosis is caused due to a filamentous eukaryotic micro-organism called
MeSH term(s)	Male ; Humans ; Animals ; Horses ; Cattle ; Pythiosis/diagnosis ; Pythiosis/therapy ; Debridement ; Immunotherapy ; Anti-Infective Agents ; Lower Extremity ; Pythium
Chemical Substances	Anti-Infective Agents
Language	English
Publishing date	2024-03-18
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2023-258587
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Article: Finding of

Chatterjee, Tulika / Roy, Moni / Reddy, Yeshaswini Panathur Sreenivasa / Ahmad, Sharjeel

Germs

2023 Volume 13, Issue 3, Page(s) 282–287

Abstract: Introduction: The annual incidence of infective endocarditis (IE) is 3-9 cases per 100000 in developed countries and most cases are due to staphylococci and streptococci. IE due to Gram-positive anaerobic cocci (GPAC) is very rare.: Case report: We ... ...

Abstract	Introduction: The annual incidence of infective endocarditis (IE) is 3-9 cases per 100000 in developed countries and most cases are due to staphylococci and streptococci. IE due to Gram-positive anaerobic cocci (GPAC) is very rare. Case report: We present a case of a 38-year-old female with Conclusions: In cases of infection with fastidious organisms like GPACs, the use of next-generation sequencing (NGS) can allow the correct identification of culprit pathogens and streamlined treatment.
Language	English
Publishing date	2023-09-30
Publishing country	Romania
Document type	Case Reports
ZDB-ID	2649305-6
ISSN	2248-2997
ISSN	2248-2997
DOI	10.18683/germs.2023.1396
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Article ; Online: Treatment of Extra-Intestinal

Chatterjee, Tulika / Roy, Moni / Ahmad, Sharjeel

European journal of case reports in internal medicine

2022 Volume 9, Issue 9, Page(s) 3489

Abstract: Clostridioides difficile: Learning points: Clostridioides ... ...

Abstract	Clostridioides difficile Learning points: Clostridioides difficile
Language	English
Publishing date	2022-09-14
Publishing country	Italy
Document type	Journal Article
ISSN	2284-2594
ISSN (online)	2284-2594
DOI	10.12890/2022_003489
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Article: Listeria Meningitis in a Patient With Plaque Psoriasis on Ustekinumab Therapy.

Roy, Moni / Vuppuluri, Naveen / Roy, Ashish K

Cureus

2022 Volume 14, Issue 3, Page(s) e23336

Abstract: Listeria monocytogenes is a foodborne infection and is a leading cause of meningitis. The at-risk population includes patients over age 65, neonates, pregnant females, and patients with impaired cell immunity. Ustekinumab is a human monoclonal antibody ... ...

Abstract	Listeria monocytogenes is a foodborne infection and is a leading cause of meningitis. The at-risk population includes patients over age 65, neonates, pregnant females, and patients with impaired cell immunity. Ustekinumab is a human monoclonal antibody that binds to and interferes with the proinflammatory cytokines, interleukin-12 (IL-12) and interleukin-23(IL-23). The drug is used for the treatment of Crohn's disease, ulcerative colitis, psoriatic arthritis, and plaque psoriasis. We present a case of listeria meningitis in a patient on ustekinumab therapy for plaque psoriasis.
Language	English
Publishing date	2022-03-20
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.23336
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Article: A Case Report and Literature Review of New-Onset Myasthenia Gravis After COVID-19 Infection.

Chatterjee, Tulika / Senthil Kumaran, Sriviji / Roy, Moni

Cureus

2022 Volume 14, Issue 12, Page(s) e33048

Abstract: Myasthenia gravis (MG) is an autoimmune disorder affecting the neuromuscular junction caused by a B-cell-mediated, T-cell-dependent immunologic attack at the end plate of the postsynaptic membrane. Attack on muscle acetylcholine receptors (AChR) of the ... ...

Abstract	Myasthenia gravis (MG) is an autoimmune disorder affecting the neuromuscular junction caused by a B-cell-mediated, T-cell-dependent immunologic attack at the end plate of the postsynaptic membrane. Attack on muscle acetylcholine receptors (AChR) of the postsynaptic membrane due to the AChR, muscle-specific tyrosine kinase, or lipoprotein receptor-related peptide 4 antibodies lead to symptoms of painless, fluctuating weakness of muscle groups and often begins with ocular signs and symptoms. Coronavirus disease 2019 (COVID-19) is an acute respiratory disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel coronavirus closely related to SARS-CoV. Serious neurologic complications are infrequent and diverse with reported cases of stroke, encephalitis/meningitis, Guillain-Barré syndrome, acute disseminated encephalomyelitis, ataxia, and unspecified limb weakness. MG is a rarely reported sequela of COVID-19 infection. To date, there are 15 reported cases of post-COVID-19 MG. In this article, we present a case of post-COVID-19 MG and a concise review of other reported cases. An 83-year-old Caucasian male with a medical history of atrial fibrillation status post-ablation and non-ischemic cardiomyopathy was initially admitted for COVID-19 pneumonia. He was treated with remdesivir, convalescent plasma, and supplemental oxygen therapy but did not require invasive mechanical intubation. One month after discharge, he started experiencing fatigue with muscle weakness and progressive dyspnea. He progressed to develop dysphonia, especially at the end of the day. After extensive workup, he was diagnosed with MG with a positive antibody against the AChR. The chronological events of developing slowly worsening muscular weakness after recovering from COVID-19 infection and positive AChR antibody led to the diagnosis of post-COVID-19 new-onset MG. Post-COVID-19 fatigue, long-term use of steroids, and intensive care unit-related physical deconditioning can be confounders in the clinical presentation of post-COVID-19 new-onset MG. Careful history-taking and meticulous assessment of chronological events are needed to diagnose this rare entity.
Language	English
Publishing date	2022-12-28
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.33048
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Article ; Online: Case of coexisting

Roy, Moni / Lin, Rone-Chun / Farrell, John Joseph

BMJ case reports

2022 Volume 15, Issue 3

Abstract: Nocardiosis is a rare opportunistic gram-positive bacterial infection. The ... ...

Abstract	Nocardiosis is a rare opportunistic gram-positive bacterial infection. The genus
MeSH term(s)	Aspergillus fumigatus ; Central Nervous System/pathology ; Humans ; Immunocompromised Host ; Lung/pathology ; Nocardia ; Nocardia Infections/complications ; Nocardia Infections/diagnosis ; Nocardia Infections/drug therapy
Language	English
Publishing date	2022-03-08
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2021-248381
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Article ; Online: Strongyloides Hyper-Infection Syndrome and Ciliocytophthoria Mimicking

Roy, Moni / Ahmad, Sharjeel / Sarwari, Arif

European journal of case reports in internal medicine

2021 Volume 8, Issue 7, Page(s) 2707

Abstract: Ciliocytophthoria is a phenomenon where degenerated cells in infections or malignancy can present as ciliated cells on microscopy and so may be confused with ciliated parasitic infection. We present an interesting case of recurrent shortness of breath, ... ...

Abstract	Ciliocytophthoria is a phenomenon where degenerated cells in infections or malignancy can present as ciliated cells on microscopy and so may be confused with ciliated parasitic infection. We present an interesting case of recurrent shortness of breath, misdiagnosed as chronic obstructive pulmonary disease exacerbations leading to unnecessary exposure to antimicrobials and steroids. The case was diagnosed as Learning points: Strongyloides hyper-infection syndrome should be considered in the differential diagnosis of a patient from an endemic area presenting with non-resolving respiratory symptoms.Ciliocytophthoria is a type of degenerative process where degenerated cells can appear ciliated on microscopy.
Language	English
Publishing date	2021-07-23
Publishing country	Italy
Document type	Journal Article
ISSN	2284-2594
ISSN (online)	2284-2594
DOI	10.12890/2021_002707
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Article ; Online: More than Valley Fever: Pulmonary Actinomycosis and Coccidioidomycosis Co-infection in a Patient.

Asif, Abuzar A / Roy, Moni / Ahmad, Sharjeel

European journal of case reports in internal medicine

2021 Volume 8, Issue 7, Page(s) 2664

Abstract: Pulmonary coccidioidomycosis and pulmonary actinomycosis are unheard of as co-pathogens. Infection with these organisms on their own can mimic lung cancer, thus presenting a diagnostic challenge. We present the case of a 75-year-old woman presenting with ...

Abstract	Pulmonary coccidioidomycosis and pulmonary actinomycosis are unheard of as co-pathogens. Infection with these organisms on their own can mimic lung cancer, thus presenting a diagnostic challenge. We present the case of a 75-year-old woman presenting with haemoptysis with a chest CT chest finding of a lung mass suggestive of lung cancer. A diagnosis of concomitant infection by Learning points: Pulmonary coccidioidomycosis and pulmonary actinomycosis can mimic lung cancer.The diagnosis of infection by
Language	English
Publishing date	2021-07-01
Publishing country	Italy
Document type	Journal Article
ISSN	2284-2594
ISSN (online)	2284-2594
DOI	10.12890/2021_002664
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Article ; Online: Paecilomyces

Asif, Abuzar A / Roy, Moni / Ahmad, Sharjeel

European journal of case reports in internal medicine

2021 Volume 8, Issue 7, Page(s) 2651

Abstract: Paecilomyces: Learning points: ... ...

Abstract	Paecilomyces Learning points: Paecilomyces
Language	English
Publishing date	2021-06-21
Publishing country	Italy
Document type	Journal Article
ISSN	2284-2594
ISSN (online)	2284-2594
DOI	10.12890/2021_002651
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