Awake Craniotomy has been evidenced as an efficient surgical technique for brain tumor resection while preserving eloquent areas of the brain. However, the challenges faced with this range from patient cooperation to the expertise of the management team. In our case report, we present a 34-year-old gentleman with a local recurrence of insular astrocytoma. Concerning his otherwise insignificant health and stable psychological state, an awake craniotomy was suggested, for which the patient consented. He was prepared for over a month with psychological support, theater experience, and anticipated intra-operative tasks. The surgery was a success with no post-operative complications.
Strongyloides stercoralis is a soil-transmitted nematode endemic throughout tropical and subtropical regions. Although most of the healthy infected individuals are asymptomatic, it can be life-threatening for immunocompromised patients and is responsible for a wide range of symptoms including chronic diarrhea. Hence, it is vital to have high suspicion and routine screening for immunosuppressed patients in these endemic regions. We report a case of chronic diarrhea due to Strongyloides stercoralis infection in a 55-year-old man who was on dialysis for end-stage Chronic Kidney Disease (CKD). The patient was initially managed as culture-negative continuous ambulatory peritoneal dialysis (CAPD) peritonitis. Later a thorough examination of his stools revealed Strongyloides stercoralis rhabditiform larvae, after which he was treated with albendazole. However, he eventually died of CKD. Therefore, we emphasize the need for a thorough examination of stools with a high degree of suspicion in chronic diarrheas, particularly in immunocompromised patients.
When thinking of something that would kill millions of people, a pandemic is the greatest risk. The outbreaks hit much harder to the lowerincome nations, given the lack of access to basic health services, health infrastructure, and effective infection control mechanisms. In this context, ethical aspects related to equity in resource allocation, selective vaccination, clinical trials involving human subjects, limitation of personal freedom such as quarantine regulations, and so forth need to be addressed by the healthcare professionals. Therefore, a recognized clinical ethics scheme is imperative to balance individual and population rights during the response to an outbreak.
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