Résumé
We report a case of a 20 years female referred to us with a history of a brief psychotic episode for which she was given inj. Haloperidol. The patient presented in an unconscious state with high grade fever. The diagnosis was kept as neuroleptic malignant syndrome after ruling out other possibilities. The patient did not respond to Bromocriptine and Dantrolene. With the recent evidence of electroconvulsive therapy being useful in these patients, we went ahead with the same. We present this case to share our experience of the excellent response of neuroleptic malignant syndrome to electroconvulsive therapy.
Sujets)
Adulte , Bromocriptine/usage thérapeutique , Dantrolène/usage thérapeutique , Agonistes de la dopamine/usage thérapeutique , Électroconvulsivothérapie , Femelle , Humains , Myorelaxants à action centrale/usage thérapeutique , Syndrome malin des neuroleptiques/diagnostic , Résultat thérapeutiqueRésumé
Klippel-Trénaunay syndrome (KTS) is an uncommon entity. This congenital malformation is characterized by the triad of soft tissue or bony hypertrophy, cutaneous vascular malformations, and atypical venous abnormalities. We report here a case of KTS and discuss the clinical features, investigations, and management of this enigmatic condition.
Sujets)
Adolescent , Antibactériens/usage thérapeutique , Transfusion sanguine , Diagnostic différentiel , Énoxaparine/usage thérapeutique , Humains , Syndrome de Klippel-Trénaunay/diagnosticRésumé
We report here the unusual case of a 64 year old male, who was incidentally found to have a patent ductus arteriosus (PDA). The patient was asymptomatic. Echocardiography revealed a moderate sized PDA with normal left ventricular function and mild pulmonary hypertension. As the patient was asymptomatic and was not willing for any form of intervention, he was discharged and is currently under close follow-up. To the best of our knowledge this is the oldest reported case of a PDA in Indian literature.
Sujets)
Persistance du canal artériel/imagerie diagnostique , Échocardiographie , Humains , Mode de vie , Mâle , Adulte d'âge moyenRésumé
We report here a case of a 35-year-old male who presented with multi-system disease, which on evaluation was found to be due to primary systemic amyloidosis. We present the myriad manifestations of this uncommon disease entity.
Sujets)
Adulte , Amyloïdose/diagnostic , Diagnostic différentiel , Humains , Mâle , Melphalan/usage thérapeutique , Prednisolone/usage thérapeutique , PronosticRésumé
We report here unusual clinical manifestations in a case of kerosene poisoning. The patient presented with encephalopathy and in the course of stay in the hospital developed renal tubular acidosis, delayed first-degree burns and myocarditis. With supportivetherapy the patient recovered completely and was discharged without any sequelae.