Pulmonary Embolism As Presenting Feature Of Membranous Nephropathy Induced Nephrotic Syndrome

Severe pulmonary embolism as first-time presentation of Nephrotic syndrome is rare but Nephrotic syndrome secondary to membranous nephropathy (MN) may impose a greater thrombotic risk for unclear reasons. Here, we report the case of a 36-year-old female patient presented with complaints of sudden onset of shortness of breath since 4-5 days and features of right-sided heart failure. There was no preceding history of any chronic disease or renal disease. She was diagnosed as having a bilateral severe pulmonary embolism. Extensive workup and renal biopsy were done which was suggestive of primary membranous nephropathy.

Snakebite Presenting As Acute Coronary Syndrome: An Interesting Diagnosis And Management

Snakebite is a common presentation in India, especially in the Sub-Himalayan region. The most common presentation of snakebite is neurotoxic and hematologic complications. Acute coronary syndrome after a snakebite is rare. This case report explicitly explains a patient presenting as acute coronary syndrome after a snakebite with dynamic electrocardiogram changes. Later on, the anti-snake venom therapy was given to the patient and her condition improved. It should be kept in mind that, since the pathology of snakebite-induced myocardial infarction is different, its management will also be different.