Publications by authors named "Fitsum A Gemechu"

Leeches are uncommon blood-feeding parasites found in polluted water, posing serious health risks. They typically affect individuals who swim in contaminated streams or drink water that has been contaminated. Once ingested, they can attach in various parts of the upper aero-digestive tract, but leeches in the larynx are rarely observed.

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Background: Proteinuria in pregnancy is often attributed to preeclampsia, but primary glomerular diseases such as focal segmental glomerulosclerosis can also present during pregnancy, complicating diagnosis and management.

Case Presentation: A 29-year-old gravida 2, para 1 African woman presented at 25 weeks of gestation with generalized edema and turbid urine. Initial investigations revealed nephrotic-range proteinuria (7.

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Malaria during pregnancy poses significant health risks, leading to severe complications such as anemia, thrombocytopenia, and placental bleeding. Severe Plasmodium falciparum infection can result in placental hematomas, which may be classified as retroplacental, subchorionic, or subamniotic. Subamniotic hemorrhages, although rare may contribute to adverse outcomes such as preterm delivery and fetal growth restriction.

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Syringohydromyelia, syringobulbia, and syringocephaly are rare manifestations of Chiari-I malformation (CM-I), each resulting from disrupted cerebrospinal fluid dynamics. While syringomyelia is commonly associated with CM-I, the rostral extension of syrinx cavities into the brainstem (syringobulbia) and cerebral parenchyma (syringocephaly) is very rare, with limited cases reported globally. This case report describes a 40-year-old woman presenting with progressive neurological deficits, including hemiparesis, sensory disturbances, and bulbar symptoms.

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Plummer-Vinson Syndrome (PVS) is a rare disorder characterized by the triad of dysphagia, iron-deficiency anemia, and esophageal webs. Limited data on its prevalence exist, with most information derived from case reports. We present the case of a 60-year-old woman with a 6-month history of a progressively enlarging anterior neck mass and worsening symptoms of heart failure, heat intolerance, and dysphagia.

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Introduction: Choledochal cysts are rare congenital anomalies of the bile ducts, with adult presentations being uncommon. This case is notable for its atypical presentation in a young adult, mimicking a hydatid cyst in a region where echinococcosis is endemic.

Case Presentation: A 22-year-old female presented with a 3-month history of progressive jaundice, accompanied by 5 months of epigastric and right upper quadrant pain, dark urine, pale stools, pruritus, and significant weight loss.

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