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1.
Cureus ; 16(5): e60612, 2024 May.
Article in English | MEDLINE | ID: mdl-38903369

ABSTRACT

We discuss a perplexing case of a 51-year-old female with a history of asthma and morbid obesity, presenting with acute bilateral vision loss of unknown etiology. The patient's clinical course was marked by a constellation of symptoms, including blurry vision, eyeball pain, photophobia, headache, nausea, and dizziness, prompting a multidisciplinary approach for diagnostic evaluation. Despite a comprehensive workup and a temporal artery biopsy ruling out large vessel arteritis, the etiology of vision loss remained elusive until myelin oligodendrocyte glycoprotein (MOG) antibody testing returned positive, implicating myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD). High-dose corticosteroid therapy was initiated. However, the patient had worsening visual symptoms and was started on plasmapheresis and subsequent administration of Rituximab to prevent relapses, along with a long-term steroid taper regimen. This case underscores the diagnostic challenge of optic neuritis, particularly in MOGAD. It emphasizes the importance of a thorough evaluation and multidisciplinary collaboration.

2.
J Nepal Health Res Counc ; 20(3): 804-807, 2023 Mar 10.
Article in English | MEDLINE | ID: mdl-36974879

ABSTRACT

Primary Renal hydatid cyst is a rare entity. We report a case of isolated right renal hydatid cyst in a 13-year-old female who presented with pain in the right lumbar region for 4-5 months and a palpable mass in the right upper quadrant. The radiological features were suggestive of a hydatid cyst in the right kidney with no cyst in the liver, lungs, or left kidney. She was managed medically with oral Albendazole tablets (400 mg twice daily). A total of 6 cycles of Albendazole were given with each cycle lasting for 4 weeks and a drug-free period of 2 weeks in between two consecutive cycles and kept on follow-up for a year. Her condition improved with no recurrence on follow-up after one year. Keywords: Albendazole; echinococcus granulosus; renal hydatid cyst.


Subject(s)
Cysts , Echinococcosis , Kidney Neoplasms , Humans , Child , Female , Adolescent , Albendazole/therapeutic use , Nepal , Echinococcosis/drug therapy , Kidney
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