Clinical Cases
Pulmonary Tuberculosis with Unusual Radiographic Findings – A Case Report
Tuberculosis is an infectious disease caused by the bacillus Mycobacterium tuberculosis. The most common manifestation of the disease is pulmonary tuberculosis but other organs can also be affected (so called…
Read more ›Rupture of Extensor Hallucis Longus Tendon
Extensor hallucis longus tendon injuries are uncommon. When suspected, one has to be very careful because a missed injury can lead to tendon retraction, scarring and even flexor contracture of…
Read more ›Glucagonom
Abstract. Glucagonoma is a rare neuroendocrine tumor with pancreatic alpha cell differentiation. This tumor is characterized by hypersecretion of a peptide hormone glucagon, which can be detected in this type…
Read more ›Acute Hepatic Porphyria in Diabetic Patient
Acute hepatic porphyrias are rare disorders of heme metabolism and can potentially be lethal. Diagnosis is based on the clinical presentation and laboratory analysis of urine. Adequate and early treatment…
Read more ›Termination of Ventricular Fibrillation Attacks after Acute Myocardial Infarction by Coronary Artery Bypass Surgery
We present a patient with acute myocardial infarction, by whom recurrent attacks of ventricular fibrillation 15 days after the infarction appeared. All attacks had to be terminated by defibrillation. Various…
Read more ›Metastatic Gastrinoma of the Liver
The gastrinoma was first described by the surgeons Zollinger and Ellison in 1955. The basic characteristics of this disease include an endocrine gastrin-secreting tumor of the gastrointestinal tract, gastric hypersecretion…
Read more ›1a Level Emergency Medical Service
In medical circles of Slovenia, emergency medical services are regarded as services provided exclusively by health care professionals. This concept, which excludes any participation of lay public and lay institutions,…
Read more ›Gallstone Ileus – Bouveret’s Syndrome
The article presents a female patient that was operated in acute state for gallstone ileus without a prior anamnesis having been taken. Due to multiple stones, the ileus recurred with…
Read more ›Acanthamoeba Keratitis
Acanthamoeba is a free-living protozoon. Exposure to acanthamoeba is very common, but infections occur only rarely. Acanthamoeba keratitis should be suspected in every pacient with chronic, progressive ulcerative keratitis of…
Read more ›An unusual cause of amenorrhea in an adolescent girl
Amenorrhea in younger women is a fairly common problem encountered both by general practitioners, gynaecologists and school doctors. The spectrum of its causes is very broad. Fortunately, the disease is…
Read more ›An unusual combination of acute myocardial infarction and aortic arch dissection
the authors report on a rare case of acute myocardial infarction associated with dissection of the aortic arch. Treatment and differential diagnosis are presented. Early administration of fibrinolytic agents is undoubtedly…
Read more ›Severe status asthmaticus with atelectasis of the entire pulmonary lobe
The author presents a female patient with severe status asthmaticus. He presents pathogenesis, pathophysiology and potential complications of the disease and stresses the importance of clinical evaluation of the patient…
Read more ›Acute cholangitis
Acute cholangitis is a serious complication occurring in patients with extrahepatic obstruction of the biliary tract, most commonly due to common bilr duct stones. Mortality rates associated with this complication…
Read more ›Marfan’s syndrome: case report
Marfan's syndrome, which is a fairly uncommon disease in Slovenia, is inherited in an autosomal dominant pattern and can involve connective tissue in the following three systems: cardiovascular system, skeleton…
Read more ›Cogan’s syndrome
The authors report on a young female patient with Cogan's syndrome. Diagnosis, differential diagnosis and treatment of this rare disease are presented.
Read more ›Tinea profunda in a 6–weeks–old infant and his parents
In this region, Tinea profunda capilliti occurs very rarely in infants. The paper presents a 6–week–old childe infected by his father, who had a recent history of tinea barbae and…
Read more ›Tinea Capitis Superficialis
Tinea capitis is one of the most common superficial fungal infections in children. A case of a ten-year-old boy with a superficial fungal scalp infection caused by Microsporum canis is…
Read more ›Uric acid urolithiasis in a boy with partial deficit of the enzyme hypoxanthine-guanine phosphoribosyltransferase
Clinical disorders associated with uric acid urolithiasis are described (familial uric acid urolithiasis, overproduction of uric acid, hyperuricosuria, chronic volume contraction). Diagnosis and treatment of uric acid urolithiasis in 5-year-old boy with…
Read more ›Celiac Disease
Celiac disease is a systemic disease with autoimmune inflammatory response triggered by gluten in genetically susceptible individuals. It is more prevalent than previously thought and may appear at any age.…
Read more ›Unrecognised cause of pain in the right shoulder
We present a 33-year-old patient, born in Sri Lanka and living in Switzerland for 12 years, who complained of acute pain in the right shoulder and the right upper abdomen.…
Read more ›Sudden pulseless electrical activity in a patient with severe coronary artery disease
The authors present a patient with severe coronary artery disease who suffered acute inferoposterior myocardial infarction. The first three days of rehabilitation were uneventful, but on the fourth day the…
Read more ›Rupture of abdominal aortic aneurysm with aortocaval fistula
Rupture of abdominal aortic aneurysm is a potentially fatal event, occuring quite frequently in older men with uncontrolled hypertension. Because of nonspecific symptoms, such as abdominal and back pain, the…
Read more ›Acute liver and kidney failure in a patient returning from Brazil
The author reports a patient with acute liver and kidney failure diagnosed on his returning from 14-day trip to Brasil, where he had been exposed to various risk factors for…
Read more ›Small nerve fibre neuropathy in primary Sjögren’s disease patient
The authors report on a 40-year-old female patient with pain, paresthesias and hypesthesias involving the distal parts of the lower extremities. Standard electromyography revealed no abnormalities, while the assessment of…
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