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6 results on '"Talib Al Maqbali"'

1. COVID-19-Associated Mucormycosis: An Opportunistic Fungal Infection. A Case Series and Review

Author

Asma Al Balushi, Ahmed Al Ajmi, Qais Al Sinani, Varna Menon, Zainab Al Berieki, Asma Al Shezawi, Saleh Al Azri, Azza Al Rashdi, Amina Al Jardani, Thuwaiba Al Baluki, Salem Al Ghaithi, Ali Al Reesi, Ahmed Talib Al-Za'abi, Mohammed Abdullah Al’ Balushi, and Talib Al Maqbali

Subjects
Mucorales, Rhizopus oryzae, COVID-19 associated mucormycosis, Rhino-orbital-cerebral mucormycosis, Invasive mold infections, COVID-19 variants, Infectious and parasitic diseases, RC109-216
Abstract

Background: A surge in COVID-19-associated mucormycosis cases has been observed during the second wave of COVID-19 in summer of 2021. Most cases were reported from India. The Delta variant (B.1.617.2) was the most common variant circulating at that time. Mucormycosis is an opportunistic angioinvasive fungal infection with high morbidity and mortality. Methods: We present 10 cases of COVID-19-associated rhino-orbital and rhino-orbital-cerebral mucormycosis managed in a secondary hospital in Oman. Results: The median time for developing mucormycosis was two weeks after COVID-19 diagnosis. All patients were newly diagnosed or already known to have poorly controlled diabetes mellitus. Five patients received corticosteroid therapy for COVID-19. Three patients had severe COVID-19 and died of severe acute respiratory distress syndrome and septic shock. Another three patients died of advanced mucormycosis and cerebral involvement. Despite aggressive medical and surgical intervention, the mortality rate was 60% (6/10). Conclusion: Mucormycosis is an aggressive opportunistic infection with high morbidity and mortality that requires prompt recognition and urgent intervention.Uncontrolled blood sugar, the use of corticosteroids, and immune dysfunction due to COVID-19 are all important risk factors for development of mucormycosis. Worse outcomes are associated with poor glycemic control despite aggressive medical and surgical interventions.

Published
2022
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2. Malignancy risk analysis in patients with inadequate fine needle aspiration cytology (FNAC) of the thyroid.

Author

Talib Al Maqbali, Miroslav Tedla, Martin O Weickert, and Hisham Mehanna

Subjects
Medicine, Science
Abstract

BackgroundThyroid fine needle aspiration cytology (FNAC) is the standard diagnostic modality for thyroid nodules. However, it has limitations among which is the incidence of non-diagnostic results (Thy1). Management of cases with repeatedly non-diagnostic FNAC ranges from simple observation to surgical intervention. We aim to evaluate the incidence of malignancy in non-diagnostic FNAC, and the success rate of repeated FNAC. We also aim to evaluate risk factors for malignancy in patients with non-diagnostic FNAC.Materials and methodsRetrospective analyses of consecutive cases with thyroid non diagnostic FNAC results were included.ResultsOut of total 1657 thyroid FNAC done during the study period, there were 264 (15.9%) non-diagnostic FNAC on the first attempt. On repeating those, the rate of a non-diagnostic result on second FNAC was 61.8% and on third FNAC was 47.2%. The overall malignancy rate in Thy1 FNAC was 4.5% (42% papillary, 42% follicular and 8% anaplastic), and the yield of malignancy decreased considerably with successive non-diagnostic FNAC. Ultrasound guidance by an experienced head neck radiologist produced the lowest non-diagnostic rate (38%) on repetition compared to US guidance by a generalist radiologist (65%) and by non US guidance (90%).ConclusionsThere is a low risk of malignancy in patients with a non-diagnostic FNAC result, commensurate to the risk of any nodule. The yield of malignancy decreased considerably with successive non-diagnostic FNAC.

Published
2012
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3. Antimicrobial stewardship program in COVID-19 era: Ruin of the reign?

Author

Arash Eatemadi, Sirous Golchinheydari, Talib Al Maqbali Maqbali, Aiman Al Wahaibi, Majid Al Maqbali, and Mohammed Al Reesi

Subjects
Reign, Coronavirus disease 2019 (COVID-19), Law, Political science, Antimicrobial stewardship
Abstract

COVID-19 is the most important matter in the medical field worldwide in 2020. Although COVID-19 is a viral disease, the threshold to antibiotic prescription for COVID-19 patients is low, partly because of WHO recommendations and previous experiences from influenza, despite the lack of strong evidence of co-infection or superimposed bacterial infection in COVID-19 patients. Antibiotic stewardship program (ASP) could play an important role in this period, otherwise, we will face a crisis of superbugs in the early future. Keywords: COVID-19, Antibiotic stewardship program (ASP), Superbugs

Published
2021
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5. Radiosurgical correlation of obstructive adenoids in children

Author

Subirendra Kumar, Talib Al Maqbali, and Mazin Al Khabouri

Subjects
Male, medicine.medical_specialty, Referral, Endoscope, Radiosurgery, Adenoid, Adenoidectomy, Correlation, otorhinolaryngologic diseases, medicine, Humans, Prospective Studies, Child, business.industry, Endoscopy, Hypertrophy, General Medicine, medicine.disease, Surgery, Radiography, Treatment Outcome, medicine.anatomical_structure, Otorhinolaryngology, Child, Preschool, Radiological weapon, Adenoids, Female, Neurosurgery, Radiology, Nasal Obstruction, business, Adenoid hypertrophy, Follow-Up Studies
Abstract

The aim of this prospective work was to study the radiological and surgical correlation of adenoid size in children symptomatic with obstructive adenoid hypertrophy, and carried out at Tertiary care referral teaching hospital. Data of 25 randomly selected patients were used for analysis. Post nasal space images (lateral soft tissue neck X-ray) were analyzed using Fujioka's method. Surgical findings based on endoscopic picture of choanal view using 0-2.7 mm endoscope were analyzed. The comparison between the two results was subjected for statistical analysis. A total of 25 cases were included in the study. The mean age was 7 ± 0.45 years. The findings showed good correlation between adenoid sizes on X-ray films compared to the size seen intraoperatively using the methods mentioned above. The current study showed positive correlation between adenoid size on lateral view X-ray films and surgical findings. X-rays can be used as a helpful diagnostic tool when post nasal endoscopy is not available or not possible.

Published
2011
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6. Malignancy risk analysis in patients with inadequate fine needle aspiration cytology (FNAC) of the thyroid

Author

Miroslav Tedla, Martin O. Weickert, Talib Al Maqbali, and Hisham Mehanna

Subjects
Thyroid nodules, Male, medicine.medical_specialty, Science, Biopsy, Fine-Needle, Thyroid Gland, Malignancy, Thyroid, Papillary Carcinoma, Endocrinology, Fine needle aspiration cytology, Diagnostic Medicine, Risk Factors, Biopsy, medicine, Cancer Detection and Diagnosis, Humans, In patient, Thyroid Neoplasms, Endocrine Tumors, skin and connective tissue diseases, Ultrasonography, Thyroid, Multidisciplinary, medicine.diagnostic_test, Endocrine Physiology, business.industry, Incidence (epidemiology), Cancers and Neoplasms, Nodule (medicine), Thyroid, Anaplastic Carcinoma, Middle Aged, medicine.disease, body regions, medicine.anatomical_structure, Oncology, Thyroid, Follicular Carcinoma, Medicine, Surgery, Female, Radiology, medicine.symptom, business, RC, Research Article
Abstract

Background\ud Thyroid fine needle aspiration cytology (FNAC) is the standard diagnostic modality for thyroid nodules. However, it has limitations among which is the incidence of non-diagnostic results (Thy1). Management of cases with repeatedly non-diagnostic FNAC ranges from simple observation to surgical intervention. We aim to evaluate the incidence of malignancy in non-diagnostic FNAC, and the success rate of repeated FNAC. We also aim to evaluate risk factors for malignancy in patients with non-diagnostic FNAC.\ud \ud Materials and Methods\ud Retrospective analyses of consecutive cases with thyroid non diagnostic FNAC results were included.\ud \ud Results\ud Out of total 1657 thyroid FNAC done during the study period, there were 264 (15.9%) non-diagnostic FNAC on the first attempt. On repeating those, the rate of a non-diagnostic result on second FNAC was 61.8% and on third FNAC was 47.2%. The overall malignancy rate in Thy1 FNAC was 4.5% (42% papillary, 42% follicular and 8% anaplastic), and the yield of malignancy decreased considerably with successive non-diagnostic FNAC. Ultrasound guidance by an experienced head neck radiologist produced the lowest non-diagnostic rate (38%) on repetition compared to US guidance by a generalist radiologist (65%) and by non US guidance (90%).\ud \ud Conclusions\ud There is a low risk of malignancy in patients with a non-diagnostic FNAC result, commensurate to the risk of any nodule. The yield of malignancy decreased considerably with successive non-diagnostic FNAC.

Published
2012

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