Infectious Mononucleosis Presenting As Abdominal Pain

Infectious mononucleosis (IMN) is commonly seen with Epstein-Barr virus (EBV) infection. Severe abdominal pain can occur in IMN due to splenic rupture. However, abdominal pain alone is uncommon in IMN. Here, we report the case of a 42-year old male who presented with IMN induced abdominal pain in the absence of splenic rupture; which is an uncommon scenario

Abdominal Pain Due To Cough-Induced Internal Oblique And Transverse Abdominis Hematoma In A Patient With H1n1 Influenza

Musculoskeletal complications have been observed following severe sustained coughing. Abdominal muscle hematoma can occur as a result of acute or chronic collection of blood following disruption of blood vessels or muscle tear. The condition is uncommon and can mimic other causes of acute abdomen. We report the case of a 60 year old female who presented with severe abdominal pain following 2 days of severe sustained cough. Her abdominal imaging revealed hematoma in the right abdominal wall involving internal oblique and transverse abdominis muscles. She was managed without any surgical intervention, and improved

Weil’s Disease With Cutaneous Manifestation

Leptospirosis can present with a wide range of clinical manifestations. Its severe form, called Weil’s disease, can result in multiorgan dysfunction and death. Hence, an early diagnosis is very essential. The patient being reported had a fever with maculopapular rash, which was initially treated as viral fever. He was later diagnosed to have Weil’s disease; which improved with penicillin therapy. Cutaneous manifestation in leptospirosis is uncommon, and awareness about this can help to prevent life-threatening complications.

Multiple Sclerosis Presenting As Isolated Peripheral Facial Nerve Palsy

Isolated facial nerve palsy is commonly seen with Bell’s palsy. However, it can be associated with a central lesion at the level of the ipsilateral facial nucleus or the facial nerve at the pons. Multiple sclerosis is a chronic autoimmune inflammatory disease characterized by axonal degeneration and demyelination of the central nervous system. Isolated cranial neuropathies are rarely seen with multiple sclerosis. The patient being reported is a 20-year-old female who developed isolated facial nerve palsy, which was initially treated as Bell’s palsy. However, she was found to have multiple sclerosis on MRI brain. Isolated facial nerve palsy due to multiple sclerosis is a rare scenario and can often get misdiagnosed and treated as Bell’s palsy.

Non-Cirrhotic Hyperammonemia In A Newly Diagnosed Diabetic Patient Presenting In Diabetic Ketoacidosis

Hyperammonemia, a known cause of encephalopathy, is commonly seen in patients with liver disease. Non-cirrhotic hyperammonemia is an uncommon condition. Patients with uncontrolled diabetes can have elevated levels of ammonia. Diabetic ketoacidosis is a life threatening complication in diabetes. This is a case of a middle-aged male who presented in encephalopathy. He was found to have diabetic ketoacidosis with hyperammonemia. Encephalopathy as a result of hyperammonemia in diabetes mellitus is a rare scenario.

Symptomatic Hyponatremia: A Consequence Of Acute Urinary Retention Due To Benign Prostatic Hyperplasia

Hyponatremia is a common disorder in the geriatric population. Patients can present in altered sensorium, seizures, and even coma. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) and diuretic therapy are the common causes in the elderly. However, acute urinary retention due to benign prostatic hyperplasia (BPH) resulting in hyponatremia is a rare scenario. Here, we report the case of a 60-year-old male patient who developed hyponatremia following urinary retention due to benign prostatic hyperplasia (BPH); which is a rare scenario.