The primary goal of this study was to investigate the relationship between type D personality and coronary artery disease (CAD) in the United Arab Emirates (UAE) using a case-control study design. The sample for casecontrol study consisted of 90 CAD patients recruited from a local hospital who underwent catheterization due to a heart attack and 90 non-cardiac controls matched with respect to age, gender, and ethnicity. Participants were administered DS14 and CAD assessment. Results indicated that there is no significant difference in the proportion of type D personality among the two groups (Chi²=0.28, p=0.87). However, heredity, smoking, hypertension, diabetes, body mass index, and sedentary lifestyle were found to be significantly associated with CAD (p<0.05). Possible reasons for no relation between type D and CAD are discussed and recommendations given for future studies on local and non-Western populations.

Objectives: We aimed to 1) estimate the prevalence of cryptococcal infections among clinically suspected cases of chronic meningitis in a tertiary care center, 2) evaluate the clinical, radiological, microbiological features and 3) assess outcome of these patients. Materials and Methods: Medical records of 756 patients investigated for meningitis and any case which was positive for cryptococcus by culture or antigen detection, from January 2006 to December 2012 were abstracted using a standardized abstraction form. The patients' demographic data, underlying diseases, clinical manifestations, radiological findings, laboratory data, and disease outcomes were retrospectively analyzed. Blood and cerebrospinal fluid specimens were processed by standard microbiological procedures. Results: The proportion of probable cryptococcal meningitis was only 2.4% with male preponderance who were predominantly non-HIV patients. No risk factors could be documented in 16.6% (3/18) cases. India ink was found to be positive in 76.9%, CSF culture in 86.6% (13/15), blood culture in 56.25%, and latex agglutination in 100%. Half the cases were confirmed cryptococcal meningitis while 16.6% had only cryptococcal septicemia. No case of pulmonary and cutaneous cryptococcosis were seen. Conclusion: We underline the need to rule out cryptococcal infection in non-HIV patients and patients with previous history of tuberculosis, as we have documented a higher mortality in this group.

Testicular adrenal rest tumors are commonly seen in congenital adrenal hyperplasia. The tumors are typically bilateral and arise from ACTH dependent aberrant adrenal cells in the testes. Diagnosis is clinically confirmed by ultrasound imaging. These tumors are characterized by their response to steroid replacement and biopsy is not routinely required. Differentiating the tumor from Leydig cell tumor can be difficult. Management and prognosis for these two pathologies are different, so extensive investigations may be required to confirm the diagnosis. We present a 5 year old boy who had an unusual presentation of a testicular tumor and detail the investigations undertaken to differentiate a testicular adrenal rest tumor from a Leydig cell tumor.

Background: Complications related to central venous catheters in the intensive care unit can be fatal. Case Report: An 18 years old lady with acute myeloid leukemia was admitted to An-Najah National University Hospital for a second course chemotherapy. On the day of admission, central line insertion was planned for starting the chemotherapy. The central line was inserted in right subclavian vein. One hour after the insertion, the patient complained of mild chest pain, difficulty breathing, and mild tachypnea. Anteroposterior chest radiography did not reveal neumothorax, infiltration, consolidation, or collapse. The chest computed tomography scan (CT) detected anterior and superior pneumomediastinum. Minimal pleural effusion was also detected in the right lung, especially in the dependent area. The tip of the catheter was seen lying free in the left side of the mediastinum indicative of perforation with mild air collection suggestive of pneumomediastinum. The central venous line was removed after proving its malpositioning. The patient recovered within two days with conservative treatment and a new central venous line was inserted with guidance of ultrasound. Chemotherapy was then resumed. Conclusions: This case highlights the importance of inserting the central line under the guidance of ultrasound and the superiority of CT scan over the chest x-ray accuracy in diagnosing the chest complications.

These are the abstracts of the second Qatar Internal Medicine Congress held between 30th October and 1st of November 2014 in Doha, Qatar. The program of the congress had three different types of sessions, plenary lectures and symposia sessions by invited panel of international and regional experts in addition to free communications selected from submitted abstracts presented as oral or poster communications. The objectives of congress includes a wide ranging update for internal medicine physicians in addition to stimulation of presentation of locally conducted clinical research.