Italian Journal of Medicine 2019-03-25T18:38:07+01:00 Paola Granata Open Journal Systems <p>The <strong>Italian Journal of Medicine (ITJM)</strong> is the official journal of FADOI, the Federation of Associations of Hospital Doctors on Internal Medicine and focus to describe the complex and variable situations confronted by Internists in daily practice. ITJM aims to promote excellence in the practice of internal medicine in hospitals and to disseminate the results of clinical research in internal medicine departments. The journal also contributes to the updating of hospital internists on general topics concerning public health, including ethical, legal, economical and health policy issues. The <strong>Italian Journal of Medicine (ITJM)</strong> is a quarterly peer-reviewed journal aiming to publish highest-quality material covering original basic and clinical research on all aspects of internal medicine. The Journal includes original clinical research papers, reviews, case reports and specific sections dedicated to clinical pharmacology, chronic diseases, health management. The Italian Journal of Medicine is currently indexed in <a title="Scopus" href="" target="_blank" rel="noopener">Scopus</a> and <a title="DOAJ" href="" target="_blank" rel="noopener">DOAJ</a> since September 2009.</p> <p>This journal does not apply the article processing charge&nbsp;to Authors as it is supported by institutional funds.</p> A practical approach for a comprehensive evaluation and management of diabetes mellitus 2019-03-25T18:38:05+01:00 Filippo Pieralli Andrea Crociani Cristina Bazzini <p>Diabetes mellitus (DM) is a very common disease, encountered in nearly one third of patients admitted to Internal Medicine Units. The discharge from the hospital is a crucial moment for patients with chronic and complex diseases such as DM and also for the caregiver. After hospital admission, therapeutic modifications with respect to usual therapy might have occurred, and shift to insulin therapy during admission occurs in the majority of patients. Therefore, treatment with insulin needs education of the patient and/or the caregiver for the correct drug administration and treatment of related side effects, mainly hypoglycemia. We believe that a very practical and mnemonic approach can help the clinician in the management of the delicate phase of hospital discharge of the diabetic patient.</p> 2019-03-06T14:41:37+01:00 ##submission.copyrightStatement## Challenging diagnoses of toxocariasis: a report of two cases 2019-03-25T18:38:06+01:00 Maria Luisa Gastaldello Marcello Bigliocca Mauro Campanini <p>The present study illustrates two cases of <em>Toxocara canis</em> infection: a 77-year-old man presenting with bilateral uveitis, sepsis, and non-convulsive status epilepticus (patient A); and a 63-year-old woman with a history of treated breast cancer, presenting with sight loss and paralysis of the right eye, neurological symptoms, pulmonary embolism, pneumonia, and a post traumatic vertebral fracture (patient B). Both diagnoses were challenging because the acute comorbidities withdrew the attention from the actual cause of the disease, and in one case the steroid treatment possibly affected the laboratory indexes. The lack of response to antibiotics and the involvement of specific organs and districts suggested parasitic infection. Indeed, immunoblot assay revealed the presence of specific <em>T. canis </em>immunoglobulin G antibodies. Both patients improved with albendazole 800 mg/die (400 mg ×2) for 28 days; the neurological state normalized, while sight and eye motility remained impaired. Overall, the findings from these two toxocariasis cases indicate that the occurrence of severe neurological symptoms associated with ocular involvement should generate suspicion of parasitic infection rather than leading to differential diagnosis of common presentations such as bacterial and viral infections or autoimmune diseases.</p> 2019-03-06T13:55:23+01:00 ##submission.copyrightStatement## Acute dyspnea in Emergency Department: point of care ultrasound in the diagnosis of atrial sarcoma 2019-03-25T18:38:07+01:00 Maria Immacolata Arnone Giampiero Foccillo Federica De Pisapia Giuliano De Stefano Giovanni Albano Maria Viviana Carlino Alfonso Sforza Enrico Giuseppe Ruggiero Costantino Mancusi <p>We describe a rare case of a 65-year-old patient presented to Emergency Department for acute dyspnea. Traditional diagnostic work-up was done and the emergency physician promptly performed a bedside point-of-care ultrasound. A giant mass in the left atrium was detected with impairing of mitral valve function. The patient was then sent to cardiac surgery department with a final diagnosis of high-grade cardiac sarcoma.</p> 2019-03-06T11:20:59+01:00 ##submission.copyrightStatement##