Plasmapheresis in a patient with rhabdomyolysis: a case report.

INTRODUCTION: Cardiovascular benefits and improved survival have resulted in statins becoming the most prescribed drugs in USA. There is a small but significant risk of developing statin induced rhabdomyolysis especially in combination with other lipid lowering medications for example fibrates like Gemfibrozil. CASE PRESENTATION: We describe a case of an 82 year old male patient who developed rhabdomyolysis while taking a combination of Simvastatin and Gemfibrozil and was successfully managed with plasmapheresis. CONCLUSION: There are only a few cases of rhabdomyolysis treated with plasmapheresis reported in literature. Most of the case reports of using this technique in rhabdomyolysis have been from Asia, Australia and Europe. We suggest that plasmapheresis may be considered as an option in severe life threatening rhabdomyolysis.

Pregnancy in end-stage renal disease patients on hemodialysis: two case reports.

INTRODUCTION: Pregnancy in patients with end-stage renal disease is rare due to numerous factors that impair fertility. Even if pregnancy does occur pregnancy outcome with a live birth has a low success rate. CASE PRESENTATION: We report two cases of successful pregnancy in patients with end-stage renal disease on hemodialysis. CONCLUSION: The purpose of hemodialysis is not only to maintain life but also to make quality of life as normal as possible for the end-stage renal disease patient. Propagation of life is basic to all life forms and the ability to do so can be considered as a success in a patient with end-stage renal disease.

Conjunctival geographic ulcer and blepharitis in primary ocular herpes: a case report.

INTRODUCTION: Conjunctival geographic ulcer is a rare manifestation of ocular herpes simplex. Geographic ulcers are formed when sloughing of the epithelium occurs in the areas between the dendrite and a broad area of epithelial involvement with irregular angulated borders is formed. CASE PRESENTATION: We report a case of primary ocular herpes with blepharitis and geographic ulceration of the conjunctiva in an 8-year-old male with no corneal lesion. To the best of our knowledge only 4 cases of conjunctival herpetic dendritic ulcerations and a single case of herpetic geographical ulcer have been reported in literature till date. CONCLUSION: This is a rare clinical presentation of primary ocular herpes and ophthalmologists need to be aware and vigilant of this, as one of the myriad manifestations of primary ocular herpes, thereby providing appropriate therapy/treatment.