Bruce Sosler, MD

Articles

Salama Salama, MD;Gamil Kostandy, MD;Bruce Sosler, MD

September 14th 2005

An 82-year-old woman was admitted to the hospital with severe dilated cardiomyopathy. The condition was alcohol-induced and had been diagnosed about 12 years earlier. The patient was taking angiotensin-converting enzyme inhibitors and diuretics.

Banding of Bleeding Esophageal Varices

Gamil Kostandy, MD;Salama Salama, MD;Maged Ghaly, MD;Hesham Taha, MD;Bruce Sosler, MD

September 14th 2005

A 66-year-old man presented to the emergency department complaining of vomiting “coffee ground” emesis for 3 days. His history revealed chronic alcoholism for the last 30 years.

Bullet in the Brain

Gamil Kostandy, MD;Hesham Taha, MD;Salama Salama, MD;Maged Ghaly, MD;Bruce Sosler, MD;Hani Ashamalla, MD

September 14th 2005

While evaluating this 26-year-old man for suspected sinusitis, skull films revealed the fragments of a 32-caliber gunshot embedded in his brain. The anteroposterior and lateral radiographs show three metallic bullet fragments; the largest remnant is on the left side of the occipitoparietal region. The patient reported being shot at age 11 but denied any residual neurologic signs.

Cyclospora cayetanensis and AIDS

Gamil Kostandy, MD;Salama Salama, MD;Maged Ghaly, MD;Bruce Sosler, MD;William Miller, MD;Fernando Pujol, MD;Matei Weiner, MD

September 14th 2005

A 32-year-old Hispanic woman with AIDS presented with a 1-month history of diarrhea; abdominal bloating and cramps; loss of appetite; and pronounced fatigue, malaise, and weight loss. She had no fever or chills and was not vomiting. Her CD4+ cell count was 12/µL. Results of a routine microscopic examination of stool for ova and parasites were negative; an acid-fast stain of stool demonstrated oocytes of Cyclospora cayetanensis measuring 8.8 mm in diameter (pictured, magnification ×1,000). This is about twice the size of the Cryptosporidium parvum oocyte, which typically is 4 to 5 mm.