Oman Medical JournalPub Date : 2025-07-31eCollection Date: 2025-07-01DOI: 10.5001/omj.2025.23
Y W Cheong, Mohd Noh Malehah, Hadi Hairul, Paramasivam Shahleni
{"title":"Kikuchi Disease Unveiling Systemic Lupus Erythematosus: A Rare Case of Initial Manifestation.","authors":"Y W Cheong, Mohd Noh Malehah, Hadi Hairul, Paramasivam Shahleni","doi":"10.5001/omj.2025.23","DOIUrl":"10.5001/omj.2025.23","url":null,"abstract":"<p><p>Kikuchi disease is a rare condition, typically characterized by cervical lymphadenopathy and fever. Although its association with systemic lupus erythematosus (SLE) is well established, the majority of SLE cases do not present with Kikuchi disease. We report a case of a young patient who presented with fever and cervical lymphadenopathies for two-weeks. This presents a broad differential, initially suggesting the possibility of infections or malignancies. However, after further clinical evaluation, including cervical node biopsy, direct histological examination revealed Kikuchi disease. Combining all clinical information and laboratory data, we concluded that the patient's condition was consistent with Kikuchi disease associated with SLE and probable autoimmune hepatitis. This case illustrates a young female patient with clinical presentations of SLE associated with Kikuchi disease as the first manifestation.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e784"},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12907541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70685806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2025-07-31eCollection Date: 2025-07-01DOI: 10.5001/omj.2025.86
Gowda P Prashanth, Fida Al Ghailani, Maryam Al Maqbali, Maather Al Saidi, Sachin Jose, Tamadhir Al-Mahrouqi
{"title":"Prevalence of Tobacco Use and Secondhand Smoking Among Omani Male Adolescents and the Sociodemographic Correlates: A Cross-sectional Study.","authors":"Gowda P Prashanth, Fida Al Ghailani, Maryam Al Maqbali, Maather Al Saidi, Sachin Jose, Tamadhir Al-Mahrouqi","doi":"10.5001/omj.2025.86","DOIUrl":"10.5001/omj.2025.86","url":null,"abstract":"<p><strong>Objectives: </strong>We sought to assess the prevalence of tobacco use among adolescent males in Oman and identify sociodemographic factors influencing usage and attitudes towards tobacco products.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between January and March 2024 among male adolescents in public schools (grades 9-12) in Sohar, Oman. A two-stage cluster sampling approach was employed: six schools were randomly selected proportional to enrollment size, followed by random selection of classrooms within each school. Data were collected using a validated Arabic version of the Global Youth Tobacco Survey, administered in-person.</p><p><strong>Results: </strong>All participants completed the survey in classroom settings (100% response rate; n = 227). Forty participants (17.6%) reported having tried tobacco, with the age at initiation largely between 14 and 15 years. Current smoking prevalence was 7.5% (n = 17), and exposure to secondhand smoke (SHS) was reported by over 40% of participants, both in enclosed and open spaces. Awareness of the harmful effects of tobacco was high, with 61.7% (n = 140) acknowledging the health risks associated with tobacco use. However, misconceptions concerning tobacco use remained prevalent, notably regarding the risks of SHS, perceived prevalence of peer smoking, and social desirability associated with smoking.</p><p><strong>Conclusions: </strong>Despite relatively high awareness of harmful effects, tobacco use among adolescents in Sohar remains an important public health concern, particularly regarding SHS exposure and social influences. Appropriate intervention strategies should target persistent misconceptions and address social influences. Strengthening public health initiatives and enforcing smoking bans in public spaces are recommended to limit tobacco exposure among Omani youth.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"40 4","pages":"e772"},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12797195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145970869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2025-07-31eCollection Date: 2025-07-01DOI: 10.5001/omj.2025.21
Alawi A Al-Attas, Njood A Alhrkan, Muteb A Alwatid, Saifullah M Zaman, Mohammed F Salawaty, Nouf A Mansour
{"title":"Sick Sinus Syndrome and Cerebral Venous Thrombosis: A Connection or Coincidence?\u2028A Case Report and Literature Review.","authors":"Alawi A Al-Attas, Njood A Alhrkan, Muteb A Alwatid, Saifullah M Zaman, Mohammed F Salawaty, Nouf A Mansour","doi":"10.5001/omj.2025.21","DOIUrl":"10.5001/omj.2025.21","url":null,"abstract":"<p><p>It has been hypothesized that increased intracranial pressure (ICP) may cause sick sinus syndrome (SSS) due to its effect on vagal discharge to the heart, resulting in disruption to the sinus cycle, despite age-related degeneration of the sinoatrial node being the most common intrinsic factor leading to sinus node dysfunction. In this case report, a 47-year-old man with unknown medical conditions presented to the emergency department at King Saud Medical City with a four-day history of headache, confusion, and chest pain. He also reported dizziness and lightheaded. Extensive cerebral venous thrombosis (CVT) and SSS were identified. We investigated the SSS etiology and its relation to CVT, concluding that SSS was caused by elevated ICP secondary to CVT.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"143 1","pages":"e782"},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12907542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70686006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2025-05-31eCollection Date: 2025-05-01DOI: 10.5001/omj.2025.77
Zaheena Islam, Anum Aziz, Nida Najmi, Amir Raza, Shazia Masheer
{"title":"Preeclampsia and Prematurity: Implications for Maternal and Perinatal Outcomes in a Low-middle Income Country.","authors":"Zaheena Islam, Anum Aziz, Nida Najmi, Amir Raza, Shazia Masheer","doi":"10.5001/omj.2025.77","DOIUrl":"10.5001/omj.2025.77","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the maternal and perinatal outcomes of preeclampsia in accordance with the World Health Organization prematurity criteria, in a low-resource setting.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from January 2017 to December 2019 at Aga Khan University Hospital, Karachi. All women with preterm preeclampsia were included in the study. Cases with fetal anomalies or incomplete medical records were excluded. Participants were grouped according to gestational age at delivery, following the World Health Organization prematurity classification: (I) extremely preterm birth (EPB): 24-27<sup>+6</sup> weeks, (II) very preterm birth (VPB): 28-31<sup>+6</sup> weeks, and (III) moderate to late preterm birth (MLPB): 32-36<sup>+6</sup> weeks. Data was statistically analyzed.</p><p><strong>Results: </strong>The study included 324 women who delivered at the following gestation terms: EPB = 89 (27.5%), VPB = 35 (10.8%), and MLPB = 200 (61.7%), resulting in 331 neonates. Serious maternal complications developed in 45 (13.9%) women. Intrauterine death occurred in 18 (5.6%) cases. The median birth weights were significantly lower in the EPB and VPB groups. Of the 331 neonates, 21 (6.3%) died (20 in the EPB group and one in the MLPB group). Neonatal ICU admission, ventilator support, and low Apgar scores were also significantly more frequent in the EPB group.</p><p><strong>Conclusions: </strong>Neonatal mortality rises significantly when delivery occurs before 28 weeks of gestation. Complications rise with preeclampsia before 32 weeks. Vigilant monitoring and timely referral improve outcomes, but in resource-limited settings like Pakistan, restricted access to specialized care indicate the need for targeted healthcare investment.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"40 3","pages":"e754"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12766690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145912415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Detection of Suspected Dementia and Risk Factors Among Older Adults in Maldives.","authors":"Mariyam Fiyaza, Zubair Hassan, Rukhsana Ahmed, Shyh Poh Teo","doi":"10.5001/omj.2025.75","DOIUrl":"10.5001/omj.2025.75","url":null,"abstract":"","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"40 3","pages":"e767"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12640514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2025-05-31eCollection Date: 2025-05-01DOI: 10.5001/omj.2025.15
Kalpana Devi Kariyappa, Abdul Rahman Al Farsi, Maheswari Rajalingam, Hemantkumar Maharaja
{"title":"Isolated Tubal Torsion: An Elusive Presentation.","authors":"Kalpana Devi Kariyappa, Abdul Rahman Al Farsi, Maheswari Rajalingam, Hemantkumar Maharaja","doi":"10.5001/omj.2025.15","DOIUrl":"10.5001/omj.2025.15","url":null,"abstract":"<p><p>Isolated tubal torsion is a rare diagnosis that can be easily missed due to nonspecific clinical and imaging features. To diagnose preoperatively, a high level of suspicion is required for this condition. We present a case where ultrasonography initially indicated salpingitis, but intraoperatively revealed tubal torsion with an interesting etiology.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e761"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12579722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70685740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Diagnosis of Encysted Hydrocele of the Cord in a Ghanaian Primary Care Facility: A Case Series.","authors":"John Kanyiri Yambah, Kindness Laar, Fenella Kafui Avoke, Nana Afia Gyima, Nana Borsa Ackah","doi":"10.5001/omj.2025.13","DOIUrl":"10.5001/omj.2025.13","url":null,"abstract":"<p><p>Encysted hydroceles are often considered rare. We report three cases of Ghanaian boys who presented with left scrotal swellings at a primary care center. This paper emphasizes the importance of primary care practitioners considering a possible clinical diagnosis of encysted spermatic cord hydroceles in new-onset scrotal swellings in children and adolescents, as such cases may not be as rare as previously thought.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e759"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70685417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2025-05-31eCollection Date: 2025-05-01DOI: 10.5001/omj.2025.79
Swati Sahai, Amit Kumar
{"title":"Climate Change and Emerging Infectious Diseases: A Growing Global Health Threat.","authors":"Swati Sahai, Amit Kumar","doi":"10.5001/omj.2025.79","DOIUrl":"10.5001/omj.2025.79","url":null,"abstract":"","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"40 3","pages":"e768"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12535681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}