Qatar Medical Journal - Volume 2010, Issue 1

A middle-aged lady admitted with metastatic breast cancer developed acute respiratory problems with bilateral pulmonary infiltrates after five days of cytotoxic administration, as an acute adverse drug reaction to the docetaxel that resolved completely after high dosage of dexamethasone.

A nine-year old girl presented in shock preceded by fever vomiting, lower abdominal pain and rebound tenderness with signs of peritonitis. Ultrasonography supported a diagnosis of acute appendicitis confirmed later by the presence of peritoneal fluid and by histopathology. She had also the clinical picture of meningo-encephalitis with positive meningeal signs and an abnormal electroencephalogram (EEG). Cerebrospinal fluid (CSF Read More

Mechanical ventilation is of two types: Invasive and Non-invasive. Invasive mechanical ventilation involves endotracheal intubation and tracheostomy. This requires sedation, involves the risk of infection, has major complications and is also extremely uncomfortable for the patient. Non-invasive positive pressure ventilation (NIPPV) includes Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP). NIPPV reduces Read More

Background: The herpes zoster vaccine is effective in preventing herpes zoster and postherpetic neuralgia in immunocompetent older adults. However, its safety has not been described in depth.

A great variety of procedures have been proposed for the cure of sacrococcygeal pilonidal disease. A bilobed fasciocutaneous flap, based on the parasacral perforators, is described. This retrospective study was conducted to evaluate our experience with bilobed fasciocutanous flaps and to review current publications about flap surgery for the treatment of sacrococcygeal pilonidal sinus. Eight bilobed fasciocutanous flaps have been perf Read More