RESUMO
Valproate-induced encephalopathy is a rare syndrome that may manifest in otherwise normal epileptic individuals. It may even present in patients who have tolerated this medicine well in the past. It is usually but not necessarily associated with hyperammonemia. The EEG shows characteristic triphasic waves in most patients with this complication. A case of valproate-induced encephalopathy is presented. The problems in diagnosing this condition are subsequently discussed
Assuntos
Humanos , Feminino , Epilepsia , Hiperamonemia , Eletroencefalografia , Estado Epiléptico , Anticonvulsivantes/efeitos adversos , Carbamazepina , Encefalopatias/induzido quimicamenteRESUMO
By the time a patient is formally categorized as having 'Pyrexia of Unknown Origin', a battery of tests have been performed and many physicians have run out of differential diagnoses. Adult Still's Disease is considered a rheumatologic disorder and is, therefore, not considered if the patient does not have joint symptoms. We present the case of such a patient who presented with high spiking fever, and review how we gained confidence in establishing the diagnosis
Assuntos
Humanos , Feminino , Febre de Causa Desconhecida/sangue , Febre de Causa Desconhecida/etiologia , Doença de Still de Início Tardio/diagnóstico , Diagnóstico DiferencialRESUMO
Acute-onset polyuria, with urine volumes exceeding 3 litres per day, is a relatively uncommon clinical condition. If managed on appropriate guidelines, an excellent recovery is expected