Anomalous Right Coronary Artery from Left Main Coronary Artery and Subsequent Coursing between Aorta and Pulmonary Trunk

Anomalous origin of left main coronary artery or right coronary artery from the aorta with subsequent coursing between the aorta and pulmonary trunk is rare and can be sometimes life threatening. After hypertrophic cardiomyopathy, coronary artery anomalies are the second most common cause of sudden cardiac deaths among young athletes. This is a case presentation of an anomalous origin of right coronary artery from left main coronary artery coursing between the pulmonary trunk and aorta. Patient presented with STEMI and had coronary bypass surgery

Acute Kidney Injury and Rhabdomyolysis as an Initial Presentation of Hashimoto’s Thyroiditis

The myopathy associated with hypothyroidism is usually mild and causes myalgia,stiffness, fatigability, and muscle weakness. Severe forms of myopathy, such as rhabdomyolysiswith acute kidney injury (AKI), have rarely been reported in hypothyroidpatients. We describe a young patient who presented with generalized body aches,cramps, and abdominal pain with vomiting after physical exercise. His laboratory studiesdemonstrated that he had rhabdomyolysis and AKI secondary to hypothyroidism;both resolved with thyroid hormone replacement. Hypothyroidism should be consideredin the differential diagnosis of rhabdomyolysis when common causes are excluded

Noncompaction of the Left Ventricular Myocardium: A Cause of Syncope in a Young Patient

Noncompaction of the left ventricular myocardium (LVNC) is a rare cardiomyopathywith a spectrum of clinical presentations. The pathogenesis of this type of cardiomyopathyinvolves an arrest in the process of compaction during embryonic life. Identificationof high risk individuals with this syndrome is challenging; it can cause presentationsranging from an asymptomatic state to malignant ventricular arrhythmias and suddendeath. We present a 19-year-old man who presented with syncope and was later diagnosedwith left ventricular noncompaction

Ischemic Brain Injury Secondary to Severe Systemic Loxoscelism

Systemic loxoscelism is a rare complication from the bite of spiders in the genus Loxosceles.These bites usually cause painful indurated skin reactions, including necrosis,and occasionally cause systemic complications, such as rhabdomyolysis, acute renalfailure, and disseminated intravascular coagulation. Our case had multiple systemiccomplications, including bilateral globus pallidus infarcts with right arm weakness

Isolated Pulmonary Valve Endocarditis Complicated With Septic Emboli to the Lung Causing Pneumothorax, Pneumonia, and Sepsis in an Intravenous Drug Abuser

Intravenous drug users are at increased risk for developing right-sided infective endocarditis involving the tricuspid and pulmonary valves. Isolated pulmonary valve endocarditis in intravenous drug users is very rare, and these patients often have more complications, such as pulmonary embolism, sepsis, and pneumonia. We report a case with pulmonary valve endocarditis and extensive pulmonary complications, including sepsis, septic emboli, pneumonia, and pneumothorax. Early identification of pulmonic valve endocarditis and treatment with appropriate antibiotics with or without surgical management should provide better outcomes, and clinicians need to think about pulmonary valve endocarditis in patients with complex respiratory presentations