Right sided infective endocarditis: a forgotten complication of septic abortion

Right-sided native valve infective endocarditis (IE) refers to IE involving the tricuspid or pulmonic valve. In developing countries, septic abortion is still prevalent due to instrumental delivery by untrained personnel. We report a case of a 22-year-old lady with right-sided IE and pulmonary septic embolization complicating septic abortion. The patient was treated with IV antibiotics, however, she succumbed to the illness following worsening respiratory distress and cardiac arrest

An unusual case of hypopituitarism

Lymphocytic hypophysitis represents a difficult diagnostic and therapeutic challenge. The clinical presentation of this inflammatory condition may mimic that of a pituitary adenoma with apoplexy. We report a case of a 45 years old male patient with acute adrenal crisis complicating chronic hypopituitarism secondary to lymphocytic hypophysitis. The patient was managed acutely with high dose steroids and supportive measures, and is currently doing well

A Polynomial Kernel for Deletion to Ptolemaic Graphs

For a family of graphs F, given a graph G and an integer k, the F-Deletion problem asks whether we can delete at most k vertices from G to obtain a graph in the family F. The F-Deletion problems for all non-trivial families F that satisfy the hereditary property on induced subgraphs are known to be NP-hard by a result of Yannakakis (STOC\u2778). Ptolemaic graphs are the graphs that satisfy the Ptolemy inequality, and they are the intersection of chordal graphs and distance-hereditary graphs. Equivalently, they form the set of graphs that do not contain any chordless cycles or a gem as an induced subgraph. (A gem is the graph on 5 vertices, where four vertices form an induced path, and the fifth vertex is adjacent to all the vertices of this induced path.) The Ptolemaic Deletion problem is the F-Deletion problem, where F is the family of Ptolemaic graphs. In this paper we study Ptolemaic Deletion from the viewpoint of Kernelization Complexity, and obtain a kernel with ?(k?) vertices for the problem

Spontaneous rupture of splenic artery aneurysm in pregnancy: an autopsy-based case report

Splenic artery aneurysm (SAA) is an infrequent form of vascular disease that has a significant potential for rupture, resulting in life-threatening intraperitoneal hemorrhage commonly during pregnancy. The incidence of splenic artery aneurysms has been estimated between 0.01% and 0.98%. We describe a case of sudden death of a 36 years old full term, primigravida female. During autopsy we found ruptured splenic artery aneurysm about 2.0 cm in diameter near hilum with intraperitoneal hemorrhage. It is important to be alert about the possibility of SAA in pregnant women for its early diagnosis, as the chance of it getting ruptured during pregnancy is high with high maternal and fetal mortality rates