RESUMO
Arial myxoma can present as stroke and should be considered as a differential diagnosis of stroke in young individuals. We present here a 42 years female who presented with sudden loss of conciousness. After extensive work up for young stroke, left atrial myxoma was detected and tumor was removed surgically and histopathological report was consistent with the atrial myxoma.
Assuntos
Isquemia Encefálica/etiologia , Neoplasias Cardíacas/complicações , Mixoma/complicações , Acidente Vascular Cerebral/etiologia , Adulto , Isquemia Encefálica/diagnóstico , Isquemia Encefálica/terapia , Feminino , Átrios do Coração , Neoplasias Cardíacas/diagnóstico , Neoplasias Cardíacas/terapia , Humanos , Mixoma/diagnóstico , Mixoma/terapia , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/terapiaRESUMO
Vitamin B12 deficiency is an uncommon cause of pyrexia. We report the case of a patient who presented with pyrexia and anaemia, which after exclusion of infective, inflammatory or endocrine causes was attributed to megaloblastic anaemia secondary to vitamin B12 deficiency. The patient's fever responded to treatment of vitamin B12 deficiency.
Assuntos
Anemia Megaloblástica/etiologia , Febre/etiologia , Deficiência de Vitamina B 12/complicações , Adolescente , Anemia Megaloblástica/diagnóstico , Anemia Megaloblástica/tratamento farmacológico , Diagnóstico Diferencial , Humanos , Masculino , Resultado do Tratamento , Vitamina B 12/uso terapêutico , Deficiência de Vitamina B 12/sangue , Deficiência de Vitamina B 12/diagnóstico , Deficiência de Vitamina B 12/tratamento farmacológicoRESUMO
Transfusion transmitted malaria in non-endemic areas is a rare and alarming diagnosis. It deserves a special mention because of its rarity, delay in diagnosis, treatment and serious complications. Shimla, though nonendemic, but being a tourist place, can get malaria transported from other parts of India. We present here a case of transfusion transmitted falciparum malaria in IGMC Shimla. We have discussed the strategies for diagnosis and prevention of transfusion transmitted malaria in endemic and non-endemic regions.
Assuntos
Malária Falciparum/transmissão , Reação Transfusional , Feminino , Humanos , Malária Falciparum/diagnóstico , Pessoa de Meia-IdadeRESUMO
We present here case of a 49-year-old female with unilateral left sided blepharospasm and blepharoptosis, bilateral vertical gaze palsy, right hemiparesis and right seventh nerve supranuclear palsy as a manifestation of left thalamic hemorrhage. To our knowledge this is the first reported case of a combination of unilateral blepharospasm and blepharoptosis with bilateral vertical gaze palsy.
Assuntos
Blefaroptose/etiologia , Blefarospasmo/etiologia , Hemorragia Cerebral/complicações , Transtornos da Motilidade Ocular/etiologia , Tálamo/patologia , Hemorragia Cerebral/diagnóstico , Feminino , Humanos , Pessoa de Meia-Idade , Paresia/etiologiaRESUMO
Drug induced acute parotitis is a very uncommon complication reported with a few drugs only. There is no case of acute bilateral parotitis reported previously with i.v. enalaprilat. We present here a female patient who developed acute bilateral parotitis within minutes of i.v. enalaprilat injection and recovered within 24 hours of stopping the drug and with symptomatic treatment.
