Issue 5

The presence of a colopleural fistula is a rare event related to several factors, inadequate placement of drains, poor surgical technique, infection or dehiscence of a GI anastomosis. Only a small percentage occurs as a complication of inflammatory bowel disease, cancer, trauma or radiation.

We report an unusual case of simultaneous bilateral anterior shoulder dislocation following trauma. There was no peripheral motor, sensory or vascular deficit. The patient was treated by closed reduction of both dislocations followed by immobilization for 4 weeks and subsequent rehabilitation. A review of the literature is presented

1.1. Background: Anti-PD-1 antibodies have activity across many cancers. Changes in the balance of the immune system may lead to some autoimmune manifestations, also referred to as immune-related adverse events (IRAEs).

This article describes an atypical case of post-kala azar dermal leishmaniasis associated with complications due to delayed diagnosis and poor case management. The grave consequences of the prolonged disease process, which included facial disfigurement, visual impairment and distress both to the patient and the family with increased the risk of infection spread in the community are elaborated.