- Medical Imaging and Pathology Studies
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Tracheal and airway disorders
- Pleural and Pulmonary Diseases
- Pneumocystis jirovecii pneumonia detection and treatment
- Sarcoidosis and Beryllium Toxicity Research
- Transplantation: Methods and Outcomes
- Infectious Diseases and Mycology
- Lung Cancer Diagnosis and Treatment
- Renal Transplantation Outcomes and Treatments
- Tuberculosis Research and Epidemiology
- Gastrointestinal disorders and treatments
- Vasculitis and related conditions
- Immunodeficiency and Autoimmune Disorders
- Cancer Diagnosis and Treatment
- Trauma and Emergency Care Studies
- Abdominal vascular conditions and treatments
- Intensive Care Unit Cognitive Disorders
- Vascular Malformations and Hemangiomas
- Respiratory Support and Mechanisms
- Antifungal resistance and susceptibility
- Sepsis Diagnosis and Treatment
- Mycobacterium research and diagnosis
- Gastrointestinal Tumor Research and Treatment
- Chronic Lymphocytic Leukemia Research
Via Christi Regional Medical Center
2024
University of North Texas
2017-2022
Bay Area Medical Center
2017-2022
University of North Texas at Dallas
2019-2021
MedStar Washington Hospital Center
2019
CHRISTUS Spohn Hospital Corpus Christi - Memorial
2019
Medical Research Associates
2019
Texas A&M Health Science Center
2019
United General Hospital
2019
The University of Texas Health Science Center at Houston
2019
Helicopter emergency medical services (HEMS) extend the reach of a tertiary care center significantly. However, its role in septic patients is unclear. Our study was performed to clarify HEMS severe sepsis and shock. This single-center retrospective cohort study. at Mayo Clinic, Rochester, MN, years 2007–2009. included total 181 consecutive adult admitted intensive unit meeting criteria for or shock within 24 h admission transported from an acute facility by helicopter ground ambulance. The...
Sarcoidosis is a systemic granulomatous disease of unknown etiology characterized by presence noncaseating granulomas in the involved organs. The pulmonary interstitium most commonly affected but extrapulmonary involvement can occur almost any other organ system. Such an with or without involvement, isolated has been noted only around 10% cases. Isolated splenomegaly very rare and uncommon presentation sarcoidosis. It clinically challenging because extensive differential diagnosis. Among...
Klippel - Trenaunay Weber syndrome (KTWS) is a congenital condition characterized by triad of capillary malformations the skin, soft tissue and bone hypertrophy resulting in limb enlargement, abnormalities arteriovenous lymphatic systems affected limb. In this case, we present patient with KTWS receiving chronic anticoagulation that had massive pulmonary embolism was successfully treated thrombolytic therapy. The purpose case to educate readers about uncommon increase awareness, recognition...
A 64-year-old previously healthy man presented with a 4-week history of vague right upper quadrant abdominal pain. Imaging studies revealed extensive portal, splenic, superior and inferior mesenteric vein thrombosis mosaic perfusion wedge-shaped areas liver abnormalities. An thrombophilia workup including tests for factor V Leiden, prothrombin G20210A, lupus anticoagulant, paroxysmal nocturnal haemoglobinuria, protein C S, homocysteine antinuclear antibody titres were all negative. Other...
Amniotic fluid embolism (AFE) is a rare and life-threatening complication related to pregnancy. Early diagnosis prompt intervention are important tools for the survival of patient. Despite early intervention, mortality rate remains high. We present case 19-year-old female who was admitted labor induction delivery. Her delivery course complicated by meconium-stained amniotic fluid. The patient went into acute hypoxic respiratory failure (AHRF) hemodynamic compromise within half an hour...
The incidence of infections by rapidly growing mycobacteria has increased in recent decades. nontuberculous (NTM) represent over 190 species and subspecies can cause both pulmonary extrapulmonary symptoms. Mycobacterium abscessus complex (MABC) is among the most drug-resistant mycobacterial species, prompt diagnosis effective eradication are burdensome. We present clinical course a 55-year-old female who was diagnosed with M. explore her possible treatment options. This case report...
Pulmonary nodules have a broad differential diagnosis with primary lung cancer, metastases, benign tumors, carcinoid and infectious granulomas as their common cause. While relatively rare, pulmonary lymphoproliferative disorders such lymphomas, plasmacytomas, secondary lymphomas involving the lung, multiple myeloma leukemias should be considered in these patients presenting nodules. Primary non-Hodgkin’s lymphoma (NHL) is an extremely rare tumor accounting for 0.4% of all lymphomas....
Tracheomegaly is a medical condition where the tracheal diameter greater than upper limits of normal. can be classified as primary or secondary. Primary tracheomegaly usually congenital. Secondary due to multiple causes, including connective tissue disease, infections, autoimmune diseases like sarcoidosis, and prolonged mechanical ventilation. Here, we describe first reported case secondary coronavirus disease 2019 (COVID-19) pneumonia COVID-induced interstitial lung (ILD). While many cases...
We present the case of a 55-year-old gentleman, with bilateral pulmonary embolism and large pericardial effusion that lead to window evacuation creamy pus. Gram stains were negative, culture growing Capnocytophaga. Pathology revealed acute necrotizing exudative changes, including frank abscess formation. In developed countries, pericarditis are uncommon due availability broad-spectrum antibiotics. Pericardial Capnocytophaga is even more uncommon.
Lazarus phenomenon refers to autoresuscitation of a patient declared dead after cessation cardiopulmonary resuscitation (CPR). The is rarely encountered and pathophysiology not very well understood, but physicians need be aware this phenomenon. It prudent that physician leading CPR effort waits for some time monitors the further using blood pressure electrocardiogram before confirming actually dead.
1MD, N/A 2Mayo Clinic, Rochester, MN 3N/A, 4Mayo Clinic Department of Anesthesiology,
Introduction: Rituximab, an anti-CD 20 monoclonal antibody, is now widely used for the treatment of various hematologic and autoimmune diseases. Several case studies have reported liver failure/toxicity secondary to reactivation hepatitis B or CMV following with rituximab. However, there been few reports acute failure caused directly by drug itself. We report a in patient being treated rituximab follicular lymphoma. The was managed conservatively, lab normalization within 2 weeks cessation...