RESUMO
Leptospirosis, long thought to be a disease of sewage workers and found post-flooding is re-emerging as a potentially life threatening infectious disease in urban India during monsoon and immediately after due to poor sanitation and drainage. However, it is often ignored and under diagnosed due to a low index of suspicion. We present a fatal case of leptospirosis with acute liver failure, respiratory failure and jaundice and encephalopathy.
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Evolução Fatal , Icterícia , Microbiologia , Leptospirose , Diagnóstico , Falência Hepática Aguda , Microbiologia , Insuficiência Respiratória , MicrobiologiaRESUMO
Most common cause of thalamic bleed is hypertension; other causes are arteriovenous malformation, aneurysm, bleeding diathesis, drugs, amyloid angiopathy, tumor etc. We present a case of Plasmodium vivax (P. vivax) malaria with unusual site of bleeding i.e. left thalamus of brain. To the best of our knowledge, this is the first reported case of thalamic bleed caused by vivax malaria in absence of severe thrombocytopenia/disseminated intravascular coagulation (DIC).
Assuntos
Adolescente , Humanos , Masculino , Hemorragias Intracranianas , Diagnóstico , Parasitologia , Malária Vivax , Diagnóstico , Doenças Talâmicas , Diagnóstico , ParasitologiaRESUMO
The spectrum of dengue infection varies from dengue fever to more severe forms such as dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS). In DHF bleeding may be overt (external) or internal. At time bleeding can occur at unusual sites. We report one such case of DHF in which bleeding occurred within the tongue manifesting as an intra-lingual hematoma, causing significant upper airway obstruction.