ABSTRACT
Ovarian hyperstimulation syndrome (OHSS) is a known complication of using ovulation induction drugs in assisted reproductive techniques. Its incidence and severity vary. Tuberculosis is a very common disease in the developing world, and ascites is one of its sequelae. The newer aids in diagnosing tuberculosis include measuring levels of Adenosine DeAminase (ADA) in the third-space fluids or serum. This case report is from a tertiary care center, reflecting how tubercular ascites simulated OHSS, and the right diagnosis was made and managed. This is being presented due to its rarity.
ABSTRACT
We describe a case of a 49-year-old diabetic man with a history of myocardial infarction, presenting with deafness for 2 weeks. Initial assessment by otorhinolaryngologists was suggestive of sensorineural hearing loss. Subsequently, the cardiac evaluation showed an apical clot in the left ventricle. Careful neurological reassessment and a cranial MRI yielded a diagnosis of cortical deafness with auditory agnosia secondary to bilateral temporal infarcts. Doppler and MRI ruled out carotid artery thrombosis. The temporal infarcts were therefore considered to be cardioembolic in origin. Cardioembolic stroke is an important differential diagnosis for patients presenting with neurological symptoms on a background of cardiac disease.
Subject(s)
Cerebral Infarction/diagnosis , Hearing Loss, Central/diagnosis , Hearing Loss, Sensorineural/diagnosis , Myocardial Infarction/diagnosis , Temporal Lobe , Anticoagulants/therapeutic use , Cerebral Infarction/complications , Cerebral Infarction/drug therapy , Diabetes Mellitus, Type 2/diagnosis , Diabetes Mellitus, Type 2/drug therapy , Diagnosis, Differential , Follow-Up Studies , Hearing Loss, Central/etiology , Hearing Loss, Sensorineural/etiology , Hearing Loss, Sudden/diagnosis , Hearing Loss, Sudden/etiology , Humans , Magnetic Resonance Imaging/methods , Male , Middle Aged , Myocardial Infarction/complications , Neurologic Examination/methods , Risk Assessment , Treatment Outcome , Ultrasonography, Doppler/methodsABSTRACT
We report the case of a 58-year-old lady who presented with abdominal pain and backache. Although initial evaluation was strongly suggestive of abdominal aortic dissection, she was ultimately found to have multiple arterial aneurysms. Work-up for underlying vasculitis was negative. Surgical repair was planned and the patient was referred to a cardiovascular surgeon. This case highlights the importance of careful radiological assessment in patients with suspected aortic dissection.
Subject(s)
Aneurysm/diagnosis , Aortic Aneurysm, Abdominal/diagnosis , Aortic Dissection/diagnosis , Celiac Artery , Mesenteric Artery, Superior , Aneurysm/surgery , Celiac Artery/surgery , Diagnosis, Differential , Female , Humans , Mesenteric Artery, Superior/surgery , Middle AgedABSTRACT
A young farmer presented with cardiogenic shock 5 days after a scorpion sting. He was managed with norepinephrine, atropine and supportive measures and made a complete recovery. The role of atropine in treating scorpion sting has to be defined better.
Subject(s)
Developing Countries , Foot Injuries/complications , Foot Injuries/diagnosis , Scorpion Stings/complications , Scorpion Stings/diagnosis , Shock, Cardiogenic/diagnosis , Shock, Cardiogenic/etiology , Atropine/therapeutic use , Combined Modality Therapy , Diagnosis, Differential , Echocardiography , Electrocardiography , Foot Injuries/drug therapy , Humans , India , Male , Norepinephrine/therapeutic use , Scorpion Stings/drug therapy , Shock, Cardiogenic/drug therapy , Young AdultABSTRACT
Renal cell carcinoma commonly metastasises to the lungs, lymphatics and bone; it uncommonly metastasises to the skin. Several studies and reports have noted skin metastasis to be an indicator of high death rates. The best treatment for a single skin metastasis is surgical excision. However, local radiotherapy has been found to be equally effective. We present a case report where cautery was used at the site of skin metastasis, with good results.
Subject(s)
Carcinoma, Renal Cell/pathology , Kidney Neoplasms/pathology , Skin Neoplasms/secondary , Aged , Cautery/methods , Dermatologic Surgical Procedures/methods , Humans , Male , Skin/pathology , Skin Neoplasms/pathology , Skin Neoplasms/surgeryABSTRACT
A 22-year-old man, diagnosed 7 weeks before with pulmonary tuberculosis and started on antitubercular therapy, presented with non-exertional retrosternal chest pain since the past week. He was diagnosed on the strength of thoracic radiograms and CT imaging to have a mediastinal abscess, which was percutaneously drained. He was continued on the same regimen of drugs. Analysis of the fluid obtained was suggestive of tuberculous aetiology. Steroids were not required.
