Definitive diagnosis of an anomalous coronary artery from the main pulmonary artery (ALCAPA) can be difficult.  Cardiac computed tomography (cardiac CT) has the ability to safely, cheaply and non-invasively allow direct visualization of the anomalous coronary connection and can demonstrate the systemic-to-venous flow which underlies the coronary steal phenomenon.

Zika Virus is neurotropic. We report two children from the Caribbean Island of Grenada, a three-year-old with acute neuro-inflammation who had intractable seizures, meningo-enceph-alitis, cerebrospinal fluid (CSF) pleocytosis and Zika Immunoglobulin M (IgM) positive acute serology and a four-year-old with acute demyelinating encephalomyelitis manifesting as generalized seizures, optic neuritis, diffuse cerebral dysfunction, encephalopathy, impaired speech and ataxia who also had CSF pleocytosis as well as Zika IgM and Dengue IgM positive acute serologies.

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ABSTRACT

We report the case of a 29-year old G3P1⁺¹ woman with a spontaneously conceived live twin tubal ectopic pregnancy. Her history was significant for infertility for 11 years after an induced abortion. Pelvic ultrasound scan showed live twin ectopic pregnancy and a partial salpingectomy was done.

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ABSTRACT

ABSTRACT

De novo CD5-positive (CD5+) diffuse large B-cell lymphoma (DLBCL) is a highly aggressive subtype of DLBCL with a high incidence of misdiagnosis when spinal cord compression is the initial symptom. We report a case of a 45-year old man with de novo CD5+ DLBCL primarily presenting as spinal cord compression. Unfortunately, this patient was resistant to rituximab-based therapy, which indicated a poor prognosis.

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Conversion symptoms can develop in adults with a childhood history of chronic sexual abuse. Allowing the patient to reconstruct the trauma narrative can result in a diminution of symptoms. 

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ABSTRACT

Gamma-hydroxybutyrate (GHB) use became more prominent during the 1990s in various parts of the developed world. To date, no case of GHB use has been identified in Jamaica, though this drug is frequently used in other parts of the world at “raves” and other parties characterized by elaborate lights and fast-paced music. Here, a case of a 30-year old visitor to Jamaica is presented, highlighting the typical features of GHB withdrawal and the ease with which this party drug can be imported into the country.