Subject(s)
Facial Hemiatrophy/diagnosis , Biopsy , Child , Diagnosis, Differential , Face/diagnostic imaging , Facial Hemiatrophy/surgery , Humans , Male , Rhytidoplasty , Skin/pathology , UltrasonographyABSTRACT
Hypercalcaemia of malignancy (HCM) is a grave emergency in a cancer patient. Metastatic breast cancer and multiple myeloma are two of its important causes. Moreover, breast cancer is a predisposing factor for secondary malignancy, multiple myeloma being one of them. We report an interesting case of HCM in which we labelled the first two admissions to metastatic breast cancer. However, on third admission again for HCM, we diagnosed a coexisting multiple myeloma. As early diagnosis is the crux to decrease morbidity and prolong survival in HCM, this case emphasises the fact that more than one malignant cause can exist in the same patient.
Subject(s)
Bone Neoplasms/diagnosis , Breast Neoplasms , Hypercalcemia/etiology , Multiple Myeloma/diagnosis , Neoplasms, Second Primary/diagnosis , Paraneoplastic Syndromes/etiology , Aged, 80 and over , Delayed Diagnosis , Diagnosis, Differential , Female , Humans , Neoplasm MetastasisSubject(s)
Cervical Vertebrae/pathology , Tuberculosis, Spinal/diagnosis , Adult , Female , Humans , Magnetic Resonance ImagingABSTRACT
Tuberculosis (TB) is a rare cause of liver abscess, even in country like India where it is a very common infection. Moreover, tubercular liver abscess (TLA) is the most unusual pattern of hepatic tuberculosis. We report an unusual case of liver abscess in an immune-competent patient presenting only with weight loss. On investigation, initially it appeared pyogenic, but later turn out to be a mixed infection with tuberculosis. He responded well to antibiotic and antitubercular drugs. A mixed pyogenic and TLA is very uncommon. We conclude that, tuberculosis should be suspected in liver abscess, especially in the absence of typical features and failure to respond to antibiotics.
Subject(s)
Liver Abscess/diagnosis , Tuberculosis, Hepatic/diagnosis , Enzyme-Linked Immunosorbent Assay , Humans , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
In last decade, dengue has emerged as one of the most important vector born disease. With increasing cases, uncommon presentations and complications are now commonly recognized. Here, we report two cases of rare pattern of respiratory involvement in dengue: acute respiratory distress syndrome and bronchiolitis with respiratory failure.
