Asian Journal of Case Reports in Medicine and Health
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Pulmonary Mucomycosis Treated Successfully with Medical Therapy
No full textMucormycosis is a rare life-threatening fungal infection. It occurs usually in immunocompromized patients. We present a case of pulmonary mucormycosis in patient with poorly controlled diabetes. The diagnosis was suspected on radiological finding showing a right upper lobe cavitating consolidation and confirmated by isolating typical aspect of the pathogene within histological exam. Patient was treated by liposomal amphotericin B and had significant improvement
Pleural Effusion as Manifestation of IgG4 Related Disease
No full textImmunoglobulin G4-related disease is a very rare and little known sclerosing inflammatory disease. This pathology has been reported in various organs. Of these, there are only 9 reports describing pleuritis as IgG4-related disease with no other organ involevement. We report the original observation of an isolated pleural effusion as manifestation of IgG4 related disease in a 60-year-old woman. We suggest the possibility to includ IgG4 related disease in the differential diagnosis of unexplained pleuritis. Our observation is distinguished by the isolated nature of pleural involvement and the spontaneous regression of pleural effusion
Case Report of a Patient with Mauriac Syndrome
No full textWe would like to present an interesting and rare case of a 16-year boy, with the background of Type 1 diabetes since the age of 11 years who presented with Diabetic Ketoacidosis (DKA). He had multiple admissions with DKA in the preceding two years and his liver function tests were found to be deranged during the last two presentations. This was further evaluated through various investigations and a diagnosis of Mauriac syndrome was made
Unusual Case of Pulmonary Pneumocystosis Coinfected with Cryptococcal Meningitis in HIV Individual: A Case Report
No full textTo have a dual/co infection of organism in HIV positive individual is quite unusual phenomenon which indicate patient having CD 4 count <200 units.
Here,we are presenting a case history of patient who came to the hospital with altered sensorium and was having respiratory complaints from 15 days prior to the hospitalization.
Based on the microscopic picture we could diagnose the cyst of pneumocystic carinii in the broncho alveloar lavage sample and isolation of cryptococus neoformans. The lungs of individuals infected with HIV are often affected by opportunistic infections and tumours and over two-thirds of patients have at least one respiratory episode during the course of their disease. Pneumonia is the leading HIV-associated infection.
As patient came to the hospital in the late phase of infection patient could not respond to the treatment and succumbed
Severe Anemia Secondary to Valproic Acid Therapy in a Twelve Year Old Girl
No full textBackground: Sodium Valproate is one of the commonest antiepileptic drugs used in the paediatric age group. Haematological side effects of Valproate though rare are an important cause of morbidity. These can include anemia, red cell aplasia and thrombocytopenia. Early recognition of this complication is important for proper management.
Objective: To describe a case of severe anemia caused by chronic therapy with sodium Valproate in a twelve year old girl with seizure disorder.
Presentation of Case: We describe here a case of a twelve year old girl who was a known case of epilepsy on Valproate therapy presenting with severe anaemia. Haematological parameters normalized after stopping Valproate. Through this report, we wish to highlight the importance of periodic monitoring of blood counts in every patient on long term Valproate therapy
Diabetes Insipidus–Is it a Sequelae of COVID-19 Infection?
No full textIntroduction: COVID-19 has diverse clinical presentations. We are now quite familiar with the usual symptoms---fever, cough, breathlessness, anosmia, fatigue. Diabetes insipidus could also be a symptom related to covid-19 or it can be a post covid complication.
Case Report: This is a case of a 40 years old patient who presented to the emergency department with breathlessness and desaturation. He was treated with non-invasive ventilation and steroids. His clinical status improved subsequently and he was discharged after 1 week. After two days of discharge, he developed polyuria, hypernatremia, dehydration and hypotension. We performed a water deprivation test and confirmed a diagnosis of neurogenic diabetes insipidus.
Discussion: Diabetes insipidus is a disorder of water homeostasis characterized by polyuria. It is possible that SARS Cov-2 virus due to its predilection for ACE 2 receptors enters hypothalamus and affects the neuronal secretion of vasopressin.
Conclusion: Diabetes insipidus could be one of the delayed manifestations of the disease.It is possible that SARS-Cov2 virus has a possible endocrinopathic effect
Atypical Presentation of Myocardial Ischaemia as Referred Pain to Jaw in a Young Adult-A Case Report
No full textIschaemic Heart Disease (IHD) accounts for the highest mortality rate among the non-communicable diseases across the globe. In the developed countries the incidence of IHD has shown a slow decline over the past two decades. It is traditionally considered as a disease of the elderly though clinicians and pathologists experience more and more younger individuals getting affected by the condition since last few decades due to a variety of reasons. IHD has a variety of presentations some of which could lead to diagnostic difficulties unless due caution is exercised. Isolated referred pain to teeth, jaw or craniofacial region is one such rare presentation for which many theories have been put forward to explain the mechanism though none is conclusive. When a patient complains of an unusual pain in the craniofacial region or the jaw, the remote possibility of its cardiac origin should always be born in mind. Otherwise it could not only lead to unnecessary dental interventions but also it could unduly delay the diagnosis and treatment of a more serious health condition sometimes leading to severe morbidity or even death. This case illustrates a situation where a young male suffering from intermittent tooth pain/jaw pain for over a period of three months, seeking dental treatment including extractions and restorations from a qualified dental surgeon, suddenly collapsed and died at workplace after complaining of excruciating tooth-pain. The cause of death was established after meticulous post mortem examination as IHD due to coronary thrombosis
Iliac Primitive Aneurysm Revealing Behçet Disease
No full textThirty-one year old woman with a history of recurrent oral aphtosis presented a leg swelling, pain and functional impairment. A venous thrombosis of the left ilio-femoro-popliteal was diagnosed and the patient received an anticoagulation therapy. One month later, she presented an arterial aneurysm of the right primitive iliac artery confirmed by an angio-CT exam. Physical examination revealed necrotic pseudofolliculitis, a bilateral posterior uveitis with papillitis. The diagnosis of BD was made. A corticosteroid treatment was conducted (solumedrol 1g/day for 3 days then 1 mg/kg/day of prednisone equivalent for 6 weeks then progressively tapered until 10 mg/day) associated with cyclophosphamide (1g/month for 12 months). An angio CT scan 12 months later was performed and objectivated the progression in size of the aneurysm. Therefore, a surgical treatment was decided and consisted on a lay flat of the aneurysm and graft interposition with polytetrafluoroethylene prosthesis. The post-operative outcome was favorable
Post-Artesunate Late Haemolytic Anemia in a 17-Month-Old Infant Followed for Severe Malaria at the Yalosase Health Center, Isangi, DR Congo
No full textArtesunate is an artemisinin derivative with rapid and potent parasiticidal power. However, cases of delayed hemolytic anemia described in the literature can be fatal, especially in children. We report a rare case of late hemolytic anemia in an infant. This was a 17 month old infant with a history of severe malaria treated with artesunate two weeks ago, seen in consultation for hemolytic anemia with negative GE. Both HBsAg and anti-HCV serology were negative. Considering the context, the diagnosis of post-artesunate late hemolytic anemia was retained and the patient had progressed well after transfusion
A Ligamentum Flavum Cyst of Lumbar Spine in a 67-Year-old Man Presenting with Neurogenic Claudication
No full textAims: Ligamentum flavum cysts are rare and may lead to compression of the spinal cord or surrounding structures which ultimately may require surgery. We report a case of a ligamentum flavum cyst presenting with neurogenic claudication with its clinical, radiological, and histopathological features.
Presentation of Case: We present a case of a 67-year-old male with chronic back pain, progressive bilateral neurogenic claudication, and worsening radicular symptoms in the right leg. A 9-mm cystic mass was revealed by MRI in the epidural space at the L4-5 disc level. After successful resection of the cyst, complete remission was achieved.
Discussion: Ligamentum flavum cysts may be confused with other benign cystic lesions called juxtafacet cysts comprising synovial cysts and ganglion cysts. In addition to typical histopathological findings, the anatomic location confirms the diagnosis. Surgical decompression with complete excision has been shown to be the most successful treatment strategy.
Conclusion: Ligamentum flavum cysts are uncommon causes of spinal compression. Removal of these lesions provides the disappearance of patients’ complaints