Clinical and Medical Case Reports

Background: Rapid growing amyloid goiter (AG) is an extremely rare cause of thyroid gland hypertrophy associated with secondary forms of amyloidosis. Characterized by the presence of deposits extracellular amyloid protein in thyroid tissue in sufficient quantities to produce enlargement of the gland, it can be seen in chronic inflammatory disorders, with the common characteristic of amyloidotic renal failure. Case presentation: We present a case of 24-year-old male in euthyroid with AG secondary to ankylosing spondylitis and chronic renal failure. This showed a rapid enlargement of both thyroid lobes, eventually causing a loco-regional compression simulating a malignant process. Following total thyroidectomy, Diagnostic confirmation of amyloid goiter was established by microscopic examination. Conclusion: In daily practice, practitioners should discuss differential diagnosis in patients with comorbidities suggestive of amyloidosis. The entity may be already suspected by radiology, but cytological and histological examination of amyloid deposits remain the keys attributes to establish the correct diagnosis.

Awareness of the potential hepatotoxic effects of herbal preparations and dietary supplements is increasing. The drug-induced liver injury network (DILIN) states that herbal and dietary supplements (HDS) account for 16% of DILI cases, and this rate, which was 7% in 2004-2005, is estimated to increase to 20% in 2013-2014. In our series of 6 cases, 5 of the patients were from the same family, and there was a 4-month pregnant patient. One day after eating ferula communis, the patients were taken to the emergency room due to nausea, vomiting, and abdominal pain. The current hepatitis tables were evaluated as the hepatocellular pattern. Intravenous (i.v.) hydration and acetylcysteine 3x1 ampule iv. were administered to the patients. Two sessions of plasmapheresis were performed for one of the patients who had a presentation of fulminant hepatitis. An improvement was observed in the clinical presentation of the patients and their laboratory findings during follow-ups. The patients were discharged after an average of five days of follow-up. Wild plant consumption should also be questioned in patients being followed up with acute hepatitis or food poisoning clinics.

The Life Switch is part of the Immune System which is part of the body’s operating system. It is in the mind. Normally the Life Switch is always on. If it is turned off, death soon follows. Why this should happen and whether it can be stopped are the questions asked in this article.

Diabetes mellitus is a silent killer and one of the leading causes of death globally. Its complications include damage to the brain, heart, kidney and the limbs. More than 50% of people living with the disease are oblivious to it especially in Nigeria where poor healthcare, unhealthy diet, sedentary lifestyle and poverty persist. Unfortunately, Civil Service workers in Osogbo, Osun States do not know their diabetic status. Hence, this study, seeks to determine the prevalence and risk factors of diabetes mellitus among Civil Service workers in Osogbo, Osun State, Nigeria. A descriptive study was conducted in selected ministries and agencies. Sampling was done using systematic sampling technique; an Agency/Ministry-based survey was carried out among 216 respondents who are Civil Service workers in Osogbo, Osun State using questionnaire forms. The sample size of 216 was determined by Cochran’s sampling formula. The questionnaire forms were administered to the Civil Service workers to obtain information about their bio-data, health status and lifestyle; measurements taken were also recorded in the questionnaire forms. Data obtained were analyzed using frequency, percentage, bar charts, and one-way analysis of variance (ANOVA), SPSS software, version 23. Findings of this study revealed a high prevalence of diabetes, due to the high incidence of high blood pressure and obesity, coupled with consumption of soft drinks, fatty parts of meat, fried meats, and family history of diabetes and blood pressure among the respondents.

Iatrogenic ureteral injuries, which occur more than half of the time during gynecologic surgery, can be fatal for both patients and doctors. To prevent ureteral damage, gynaecologists have used a variety of procedures such as cystoscopy, ureteral stents, and LED ureteral stents. The rise in popularity of robotic surgery involves not just a re-evaluation of old procedures, but also the development of new ones tailored to the robotic modality. One of the most recent advancements in minimally invasive surgical procedures is gynecologic robotic surgery. Our gynaecological surgeons can treat a variety of disorders affecting a woman's reproductive systems using a narrow, illuminated scope and miniature equipment controlled by a robotic system. In a robotic surgery, the surgeon is unable to receive tactile feedback and must rely solely on visual cues. Intraureteral indocyanine green and subsequent visualisation under near-infrared fluorescence appears to be a potential strategy for preventing ureteral injuries during robotic gynecologic surgery, both initially and later.