ABSTRACT
Scorpion sting can present with multiple clinical presentations ranging from local swelling to cardiogenic shock. Scorpion sting affects many organ which can cause myocarditis, cardiogenic shock, acute renal dysfunction and respiratory collapse. Central nervous system involvement can cause encephalopathy, seizures, subarachnoid haemorrhage, and ischemic stroke. Cerebral bleed is a rare presentation of scorpion sting.Here we present a case of scorpion sting with unusual central nervous system (CNS) presentation of gangliocapsular bleed.
ABSTRACT
Respiratory paralysis due to hypokalemia is a rare entity in Sjogren抯syndrome. Apart from distal renal tubular acidosis (RTA) and hypokalemia the clinical symptoms like dryness of eye, mouth and parotid swelling were absent in our case. Due to this rarity in this pattern of presenting the symptoms, the differential diagnosis of autoimmune disease is often missed and it will eventually end up in a fatal condition. Hypokalemia causes muscle weakness gradually and there will be sudden onset of respiratory paralysis which could be dangerous to the individual. Although there is the presence of rare combination of symptoms clinical history, blood gas analysis, urine analysis and ANA profile will help in the appropriate diagnosis. Herewe report a rare case of male Sjogren抯 syndrome presenting with respiratory paralysis due to hypokalemia.