Objective Prevalence of erectile dysfunction (ED) in diabetic men is considerably high but it is often underdiagnosed and undermanaged. There were no data available about the prevalence and the risk factors of ED in our region. So a cross-sectional study was conducted to identify the prevalence and associated risk factors of ED in a tertiary care diabetic center in Northern Sri Lanka. Results 326 diabetic male patients between ages 18–60 years were interviewed. Majority (62.9%; 95% CI 57.5–68.0%) of the diabetic patients suffered from ED and 22.4% (95% CI 17.8–26.8%) were found to have severe ED. Most of the patients (98.8%) were not screened or treated for ED. Bivariate analysis showed age above 40, duration of DM (> 5 years), type of diabetes (type 2), having micro-vascular complications, co-existing hypertension, BMI, consuming unsafe level of alcohol and taking beta-blockers were associated with ED at 5% level (P < 0.05). This study failed to show association with dyslipidemia, macro vascular complications such as coronary artery disease (CAD, P-0.052), glycemic control (P-0.082) and smoking. Regression analysis revealed age > 40 (AOR: 2.13; 95% CI 1.05–4.33), duration of diabetes (AOR: 2.90; 95% CI 1.67–5.01), co-existing hypertension (AOR: 1.8; 95% CI 1.06–3.06), and unsafe level alcohol intake (AOR: 3.14; 95% CI 1.76–5.59) were independent risk factors. Electronic supplementary material The online version of this article (10.1186/s13104-019-4244-x) contains supplementary material, which is available to authorized users.

Envenomation by the honey bee can cause multi-organ dysfunction as a result of toxic effects and may cause a severe anaphylactic reaction. Acute myocardial ischemia is an extremely rare complication of bee envenomation. We report a case of a 58-year-old woman with acute myocardial injury following massive bee envenomation.

Pleural effusion caused by drug is an uncommon event in clinical practice. Etoricoxib induced pleural effusion is an extremely rare. We describe a patient with pleural effusion as an adverse drug reaction of etoricoxib.

Keywords: takayasu arteritis • epileptic seizure • bruitBackground: Takayasu arteritis is a vasculitic disease involving major arteries. It commonly presented with constitutional symptoms. Neurological manifestations such as headache, transient ischemic attack, stroke, vertigo, dementia, confusion, hypertensive encephalopathy and bilateral blindness can be the presenting features rarely. Takayasu arteritis presenting as epileptic seizure is extremely rare. We report a 32 years old previously healthy lady presented with a history of generalized tonic clonic seizure associated with loss of consciousness and ultimately found to have takayasu arteritis and manage with steroids successfully without antiepileptic drugs.

Dengue is a febrile illness caused by infection with one of four dengue viruses (DENV). It is highly endemic in many tropical countries. Nervous system involvement is seen with serotypes 2 and 3. Neurological manifestations in dengue fever are rare and include encephalopathy, meningitis, acute pure motor weakness, mononeuropathies, transverse myelitis, stroke (both hemorrhagic and ischemic), acute disseminated encephalomyelitis, Guillain Barre Syndrome, hypokalemic paralysis and neuromyelitis optica. Only a few cases of isolated facial nerve palsy in dengue haemorragic fever has been reported.