Hypophosphatemia induced encephalopathy after intravenous iron carboxymaltase administration – A rare and important complication

@#Recently, intravenous iron supplements has become increasingly popular because it allows administration of large quantity of iron dosage with simple infusion and is more effective in raising the hemoglobin levels and have less drug-related side effects as compared to oral iron supplementation. Multiple IV formulations of iron are available. However, there have been reports of transient asymptomatic hypophosphatemia with its use. We report here a patient with iron deficiency anemia secondary to menorrhagia, who presented with confusion, disorientation, muscle cramps and severe fatigue 3 weeks following intravenous ferric carboxymaltase from hypophosphatemia.

Pseudotumour of spleen

A 57 years female presented with complaints of pain in the left hypochondrium and fever for 4 weeks. A single firm preoperative diagnosis could not be made in this lady. At exploration, spleen was enlarged with a lobulated mass at the hilum. Splenectomy was done and patient made an uneventful recovery. The histopathological report of resected specimen of spleen was inflammatory pseudotumour of spleen. The clinical, radiological and pathological features of previously reported cases are reviewed in this case report