MyMedR

Migrating fish bone piercing the common carotid artery, thyroid gland and causing deep neck abscess

Johari HH, Khaw BL, Yusof Z, Mohamad I

World J Clin Cases, 2016 Nov 16;4(11):375-379.

Foreign body (FB) ingestion is very common in Malaysian population. The most commonly ingested FB is fish bone. Common presenting symptoms include FB sensation, odynophagia and or sharp pricking pain during swallowing. A careful history and physical examination is very important. Despite negative laryngoscopy and rigid esophagoscopy, persistent symptoms warrants further radiographic imaging studies. The FB can migrate extraluminally and involve other important adjacent structures of the neck and along the digestive tract. We report 3 cases of extraluminal migration of fish bone and their complications, which were successfully managed. One case with vascular complication which involve common carotid artery and the other two cases with neck abscess formation involving thyroid gland, retropharyngeal and parapharyngeal abscess.

Traumatic Neck Injury: An Accidental Impalement by a Needlefish

Ali AA, Gurung R, Hayati F, Zakaria AD, Mohamad I, Ching FF

Wilderness Environ Med, 2021 Dec;32(4):517-521.

PMID: 34479771 DOI: 10.1016/j.wem.2021.07.006

Encounters between marine animals and humans can result in critical injury and fatal complications. We highlight a 20-y-old male who sustained a penetrating injury to the neck as a result of impalement by needlefish (Tylosurus sp) while snorkeling. He sustained a penetrating injury in the posterior triangle of the neck. On presentation, he was stabilized and received empirical antibiotics, analgesia, and antitetanus toxoid injection before being transferred to a tertiary center. On presentation to the tertiary hospital, the patient was hemodynamically stable with no clinical evidence of injury to surrounding neck structures, and this was confirmed using computed tomography. The patient underwent local wound exploration and retrieval of the needlefish beak under general anesthesia. The wound was left open to heal by secondary intention. The patient was discharged with oral antibiotics and went on to make a complete recovery.

Fulltext Managing supraglottitis in the COVID-19 era

Sahril S, Narayanan MS, Mohamad I

Vis J Emerg Med, 2021 Jul;24:101092.

PMID: 34277997 DOI: 10.1016/j.visj.2021.101092

Fulltext Missed by RTK, caught by PCR, unimagined chest Radiograph

Mazlan MZ, Mohamad I, Deris ZZ

Vis J Emerg Med, 2021 Oct;25:101194.

PMID: 34642642 DOI: 10.1016/j.visj.2021.101194

Acute labyrinthitis secondary to aural tick infestation

Shibghatullah AH, Abdullah MK, Pein CJ, Mohamad I

Southeast Asian J. Trop. Med. Public Health, 2012 Jul;43(4):857-9.

PMID: 23077807

Aural tick usually menisfests as intolerable otalgia. The severity of pain makes the patient to seek early treatment. Other uncommon symptoms include inner ear dyfunctions such as vertigo and tinnitus. The diagnosis is established by clinical examinaion either by otoscopic evidence of the tick itself, or its fecal remnant. We report a case of patient with acute labyrinthitis features with concurent otoscopic findings of tick fecal material.

Cryptococcocis: a rare fungal infection of the tongue

Mohamad I, Abdullah B, Salim R, Rajet KA, Naik VR

Southeast Asian J. Trop. Med. Public Health, 2010 Sep;41(5):1188-91.

PMID: 21073040

Fungal infection in the oral cavity is not uncommon. The site involved is usually species related. Cryptococcus rarely infects the oral cavity. We report an elderly patient who presented with a central lesion on the dorsum of the tongue. Biopsy revealed a fungal infection. Special stains confirmed cryptococcus. Being a rare location for cryptococcal infection, clinical suspicion should be correlated with histopathological examination. Once confirmed, the patient should be treated with an antifungal medication.

"Double Tongue" Appearance in Ludwig's Angina

Mohamad I, Narayanan MS

N Engl J Med, 2019 Jul 11;381(2):163.

PMID: 31291518 DOI: 10.1056/NEJMicm1814117

Fulltext Cutaneous lesions as a presenting sign of metastases in male breast cancer: a rare clinical entity

Poovaneswaran S, Lee ZEJ, Lim WY, S Raja Gopal N, Mohd Dali F, Mohamad I

Med J Malaysia, 2013 Apr;68(2):168-70.

PMID: 23629568 MyJurnal

Male breast cancer accounts for only 1% of cancers in men and 1% of breast cancers. Cutaneous metastases occur less than 10% of all patients with visceral malignancies and are considered a rare and late event in progression of metastatic disease. A 45-year-old man presented with a lump in the left breast which was confirmed to be infiltrating ductal carcinoma. He underwent a left mastectomy and axillary clearance followed by chemotherapy and radiotherapy to the left chest wall. However, he was non-compliant to adjuvant tamoxifen due to hot flushes. One year later, he presented with biopsy proven cutaneous metastases. Initially he had complete excision of the lesions, however, two months later more skin lesions appeared predominantly over the chest wall and back. Hormonal therapy failed to control the metastases as such he was treated with systemic chemotherapy. He is currently on third line chemotherapy.

Fulltext Intramuscular sternohyoid hemangioma: an unusual neck mass

Mohamad I, Soleh MN, Abdul Rahman KS, Tuan Sharif SE

Med J Malaysia, 2013 Apr;68(2):166-7.

PMID: 23629567 MyJurnal

A neck mass with soft consistency suggests the diagnosis of a cyst which is usually congenital in origin. Needle aspiration yielding blood should alert the physician the possibility of hemangioma although it is very rare. Ultrasonography and computed tomography will delineate the extent and nature of the lesion and provide the roadmap for surgical excision. We report a case of a girl who presented with a painless neck mass which was later found to be a hemangioma originating from the sternohyoid muscle. The morphology and immunohistochemical stain were consistent with hemangioma.

Fulltext Papillary thyroid carcinoma presenting with intraluminal tracheal mass symptoms

Mohamad I, Haron A

Med J Malaysia, 2013 Apr;68(2):164-5.

PMID: 23629566 MyJurnal

Papillary thyroid carcinoma is a common thyroid malignancy reported world wide. It affects females more commonly in the 4th to 6th decades of life. The patients usually present with a painless anterior neck mass and occasionally with lymph node involvement. We report a case of an elderly male who presented with hoarseness and hemoptysis, which warranted bronchoscopy. Biopsy of the intraluminal tracheal mass revealed the diagnosis of papillary thyroid carcinoma. Computed tomography scan of the neck confirmed the presence of the primary lesion in the right thyroid lobe with invasion into the adjacent trachea and esophagus.

Fulltext Bilateral pulmonary aspiration of teeth and the migration of a foreign body from one main bronchus to another

Mohamad I, Mohamad H, Ismail H

Med J Malaysia, 2010 Dec;65(4):309-10.

PMID: 21901953

Foreign body aspiration in the adult airway is very rare. A neglected foreign body can occur when the patient is mentally challenged or is in an unconscious condition such as following trauma. The diagnosis can be delayed because there is no typical history of choking or breathing difficulty.

Paediatric burkitt lymphoma presenting as a mandible swelling and intussusception

Retinasekharan S, Sinnathamby P, Mohamad I

Med J Malaysia, 2019 02;74(1):90-91.

PMID: 30846671

Burkitt lymphoma is a rare entity especially in this part of the world. We had an 11-year-old patient presented with swelling of the mandible for a short one-month duration. He was planned for excision biopsy. However developed severe abdominal pain while in the hospital and was diagnosed as intussusception after ultrasound was done. We proceeded with right hemicolectomy and excision of buccal mass. Early recognition and close monitoring of insidious jaw lesions is recommended even in young adults not within the modal age category of endemic Burkitt.

Challenges in conducting post graduate otorhinolarygology-head and neck surgery specialty examination in the time of pandemic

I Mohamad I, Hamizan A, Abdullah B

Med J Malaysia, 2021 08;76(Suppl 4):45-48.

PMID: 34558559

No abstract provided.

Thyroid function status evaluation in patient post-radiotherapy for nasopharyngeal carcinoma: A retrospective study

Loh ZH, Mohamad S, Gan BC, Zakaria Z, Mohamad I

Med J Malaysia, 2023 Mar;78(2):197-201.

PMID: 36988530

INTRODUCTION: Nasopharyngeal carcinoma (NPC) is among the most common malignancy in Malaysia. Radiationinduced hypothyroidism has been reported in other countries. However, in Malaysia, no studies were ever done to determine the effect of radiation on hypothyroidism. The objective of this study is to evaluate the practice of taking thyroid function test (TFT) and determine hypothyroidism post-radiation in patients with NPC.

MATERIALS AND METHODS: A retrospective study on the symptoms and results of TFT according to the dosage of intensity-modulated radiotherapy (IMRT) given to patients with NPC. Data were traced and analysed.

RESULTS: A total of 78 patients were identified. All patients received IMRT with 33-35 fractions of radiotherapy (RT) with total dosage of 66-70 Gray given. Not all patients had their thyroid function status measured routinely. Twelve patients did have symptoms of hypothyroidism. TFT were obtained in this group but the results were normal. No correlation was found between RT and hypothyroidism.

CONCLUSION: There was no correlation between IMRT and the development of hypothyroidism. A prospective study with better control of inclusion and exclusion criteria, and longer follow-up period with TFT, is needed to demonstrate the consistency of these findings.

Lichenoid uvula mass as a rare cause of hot potato voice and progressive dysphagia

Kandiah R, Aziz A, Nik Min NFA, Rahim MR, Zawawi N, Sayuti KA, et al.

Malays J Pathol, 2021 Dec;43(3):457-461.

PMID: 34958068

Lichenoid uvula mass is an unusual entity and the clinicopathologic entities are important for the diagnosis. In this case report, we report an elderly lady presented with dysphagia and "hot potato voice" due to a lichenoid uvula mass. Apart from muffled voice, the other associated symptoms are dysphagia, sore throat, globus pharyngeus and snoring. She was a non-smoker, and not on any medications except for hypertension and dyslipidaemia. Apart from the enlarged uvula, other parts of the oral cavity, oropharynx and larynx were normal. She has no other signs such as cutaneous lesions. The mass was excised under general anaesthesia followed by resolution of symptoms. Awareness of this entity, the clinical and histopathological features should be highlighted to differentiate it from other diagnosis.

Fulltext The routine histopathological examination of tonsillectomy specimens at Hospital Universiti Sains Malaysia - retrospective study and its implication

Mohamad I, Hassan S, Salim R

Malays J Med Sci, 2007 Jul;14(2):19-21.

PMID: 22993487 MyJurnal

Tonsillectomy is performed for several indications, the two commonest in practice are infective ( chronic tonsillitis ) and obstructive symptoms such as sleep apnea. The objective of this study is to determine the necessity of routinely performed histopathological examination of specimens post-tonsillectomy. In this paper, a retrospective evaluation of 480 specimens from 241 patient who has undergone tonsillectomies in Hospital Universiti Sains Malaysia between January 2004 and October 2005 was done. It was found that 462 ( 96.25 % ) were reactive lymphoid hyperplasia and 18 ( 3.75 % ) were follicular hyperplasia. None of them were found malignant. The result of this study indicate that routine histopathological examination of tonsillectomy specimens are unnecessary and results only in added cost and a loss of man hours.

Fulltext The routine histopathological examination of tonsillectomy specimens at Hospital Universiti Sains Malaysia - a retrospective study and its implication

Mohamad I, Hassan S, Salim R

Malays J Med Sci, 2007 Jan;14(1):53-5.

PMID: 22593652

Tonsillectomy is performed for several indications, the two commonest in practice are infective (chronic tonsillitis) and obstructive symptoms such as sleep apnea. The objective of this study is to determine the necessity of routinely performed histopathological examination of fonsillectomy specimens. In this paper, a retrospective evaluation of 480 specimens from 241 patient who had undergone tonsillectomies in Hospital Universiti Sains Malaysia between January 2004 and October 2005 was done. It was found that 462 (96.25 %) were reactive lymphoid hyperplasia and 18 (3.75 %) were follicular hyperplasia. None of them were found to be malignant. The result of this study indicates that routine histopathological examination of tonsillectomy specimens are unnecessary and results only in added cost and a loss of man hours.

A Critical Appraisal of COVID-19 in Malaysia and Beyond

Abdullah JM, Wan Ismail WFN, Mohamad I, Ab Razak A, Harun A, Musa KI, et al.

Malays J Med Sci, 2020 Mar;27(2):1-9.

PMID: 32308536 DOI: 10.21315/mjms2020.27.2.1

When the first report of COVID-19 appeared in December 2019 from Wuhan, China, the world unknowingly perceived this as another flu-like illness. Many were surprised at the extreme steps that China had subsequently taken to seal Wuhan from the rest of the world. However, by February 2020, the SARS-CoV-2 virus, which causes COVID-19, had spread so quickly across the globe that the World Health Organization officially declared COVID-19 a pandemic. COVID-19 is not the first pandemic the world has seen, so what makes it so unique in Malaysia, is discussed to avoid a future coronacoma.

Fulltext Sustainable Medical Teaching and Learning During the COVID-19 Pandemic: Surviving the New Normal

Yusoff MSB, Hadie SNH, Mohamad I, Draman N, Muhd Al-Aarifin I, Wan Abdul Rahman WF, et al.

Malays J Med Sci, 2020 May;27(3):137-142.

PMID: 32684814 MyJurnal DOI: 10.21315/mjms2020.27.3.14

During the first phase of the Movement Control Order, many medical lecturers had difficulty adapting to the online teaching and learning methods that were made compulsory by the institutional directives. Some of these lecturers are clinicians who need to juggle between clinical work and teaching, and consider a two-week adaptation during this period to be not enough. Furthermore, converting traditional face-to-face learning to online formats for undergraduate and postgraduate clinical programmes would reduce the learning outcomes, especially those related to clinical applications and the acquisition of new skills. This editorial discusses the impact that movement restrictions have had on medical teaching and learning, the alternatives and challenges and the way forward.

Fulltext Managing Aerodigestive Emergencies During the COVID-19 Pandemic: Challenges for Healthcare Workers

Krishnamoorthy M, Mamat Nasir MSN, Mohamad I

Malays J Med Sci, 2020 May;27(3):153-156.

PMID: 32684817 DOI: 10.21315/mjms2020.27.3.17

Displaying publications 1 - 20 of 125 in total