Asian Journal of Case Reports in Medicine and Health
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Events Supposedly Attributed to Vaccine or Immunization of the AstraZeneca Vaccine: a Case Study
No full textA case of Events Supposedly Attributed to Vaccination or Immunization (ESAVI) due to the application of the AstraZeneca vaccine was presented on December 14th of 2021, with 14 days from beginning to resolution. It was treated with 2 administrations of Dexamethasone of 8 mg, one every 24 hours and Fexofenadine 120 mg 1 tablet every 12 hours for 7 days, stating being discharged on Tuesday 28th with vital signs within normal parameters, although wheals were slightly visible, they gradually disappeared
A Case Report on Systemic Lupus Erythematosus in a 21 Year Old Indian Female
No full textBackground: SLE is a systemic auto-immune disease that mostly affects females and has a wide range of clinical symptoms and immunological abnormalities. Lupus may have an impact on almost any organ, but the kidney and central nervous system are the most noticeable and destructive. Each patient's level of severity can vary, resulting in anything from little organ damage to significant cutaneous involvement and a long-lasting remission to death. Additionally, the severity of the condition can vary widely, with the majority of patients experiencing flare-ups followed by protracted remissions.
Case Presentation: A 21-year-old female patient was brought to the female medicine department with the primary symptoms of face rashes, hair loss, abdominal pain dating back eight months, and joint pain spanning two to three years. The patient was diagnosed with SLE based on his medical history, physical examination, and laboratory tests. Her vital signs were continuously watched during her 14-day hospital stay, and several laboratory tests were run to rule out any organ or organ system damage. Her primary drugs were NSAIDs, antimalarials, and corticosteroids.
Conclusion: It has been determined that the patient has been afflicted with the disease for the last two years based on investigative reports and patient history. She was unable to have a timely medical examination due to her precarious financial situation, which caused a delay in her treatment. Due to the fact that this ailment can only be controlled and not fully healed, the patient needs therapy and counselling
Intracranial Hemorrhage in Pregnancy: Case Report and Review of Literature
No full textIntracranial hemorrhage during pregnancy is a rare but life-threatening event during pregnancy. There is a major risk of maternal and fetal death and morbidity. The risk of hemorrhage increases during the third trimester and is greatest during labor and postpartum.
We report a dramatic case of a 33-year-old primigravida 38 weeks by gestation complicated by eclampsia and intracranial hemorrhage with cerebral mass effect. She was managed by an emergency cesarean section and craniotomy but without desirable results, we were not able tosave the patient, she died on day 2. The publication of such cases could provide another insight into pre-eclampsia and its life-threatening complications
Determination of Multisystem Inflammatory Syndrome with COVID-19 in Children
No full textMultisystem inflammatory syndrome in children is caused by the SARS-CoV-2. MISC varies from Mild to Severe. Most of the children do not exhibit appropriate symptoms. MISC effects respiratory system, Gastrointestinal system, and cardiocirculatory system. MISC is treated with symptomatic treatment. No child till now had any mortality. In this case report a female child of 10years was diagnosed with MISC. Her CBP varied from day to day with pancytopenia. The child IgM was positive for Covid 19. The child experienced the symptoms of fever, seizures and syncope. She was treated with Antibiotics and symptomatic treatment
Clinical Case of Successful Correction of Blood Electrolytes and Acid-Base Balance in Gitelman Syndrome
No full textGitelman Syndrome (GS) is an autosomal-recessive disorder distinguished by hypokalemia, hypomagnesaemia, and hypocalciuria. Elderly people and women of childbearing age are highly affected by GC. There isn’t much evidence known about its effects on maternal and fetal outcomes. There is a high incidence of hypotension and unexpected cardiac arrest. Normal growth is generally seen in GS patients, but growth may be delayed in severe hypokalemia and hypomagnesemia. Surprisingly, some patients are asymptomatic at all, with the exception of chondrocalcinosis, which manifests in adults and causes swelling, localized heat, and joint tenderness. GS is caused by mutations in the thiazide-sensitive Na-Cl cotransporter gene. Due to its rarity and lack of knowledge, It is susceptible to misdiagnosis or being overlooked. In this case, the patient was suffering from recurrent hypokalemia, hypomagnesemia, hypochloraemia, and hypocalciuria with hypotension. After taking proper medication patients recovered slowly and during patient counseling provided diet chart by nutritionists to avoid recurrent electrolyte imbalance
Vanishing Bile Duct Syndrome Mini-review and Case Report of This Rare Disease
No full textAim: Vanishing bile duct syndrome (VBDS) is a rare condition that affects the liver and bile ducts. It is characterized by the progressive destruction or loss of bile ducts in the liver. The causes of vanishing bile duct syndrome are not fully understood, but it can occur as a result of a variety of factors, including infections, autoimmune disorders, certain medications, and genetic conditions.
Presentation: we report a case of VBDS after a treatment with Bortezumid and Linelomide. We explain the pathophysiology and the actual knowledge of the treatment.
Conclusion: Plasmapheresis not seems to replace immunosuppressive treatment if there are not improvement and support that the use of plasmapheresis in isolated VBDS is limited
Multiple Cerebral Infarcts: A Rare and Delayed Presentation of Honeybee Sting Bite
No full textIn emergencies, we encounter many local and allergic reactions associated with bee stings, but the venom of a bee sting can also cause neurovascular complications very rarely. We here discuss a case of a 53-year-old woman who was stung by a group of bees her on face and back and presented with swelling and itching of the face and 1 episode of Generalised Tonic Clonic Seizures type seizures followed by right upper limb and lower limb weakness 10 hours later. MRI brain revealed multiple acute bilateral frontal, parietal-occipital lobes, and basal ganglia infarcts
A Case Report of Bilateral Pneumothorax Associated with Marfan Syndrome
No full textMarfan syndrome is an inherited autosomal dominant multisystem connective tissue disorder that is the most common form of syndromic heritable thoracic aortic aneurysm disease which commonly involves skeletal, cardiovascular, and ocular systems with less frequent involvement of the pulmonary system.
Here we report a case of 17 years old male patient who presented with sudden onset shortness of breath over the last 12 hours. The patient was tall, thin built with long slender fingers. There were absent breath sounds over both sides of his chest with resonant notes on percussion. Chest X-Ray confirmed the presence of bilateral pneumothorax consistent with the clinical finding. Intercostal Chest Drain (ICD) insertion was done. Marfan syndrome was diagnosed. Computed tomography angiogram revealed focal ectasia at the distal arch of the aorta just proximal to the descending aorta measuring 3 cm in diameter without any aortic regurgitation on transthoracic echocardiography. This case suggests that spontaneous pneumothorax could be a pointer towards as well as an initial presentation of inherited connective tissue disorder like MARFAN syndrome
Two-Year-Old Boy with Gross Hematuria: A Case Report
No full textIntroduction: Ureteric calculus in pediatric age group is rare. Most common cause of pediatric hydronephrosis is PUJ (pelvi-ureteric junction) obstruction, but hydronephrosis due to VUJ (vesico-ureteric junction) obstruction by ureteric calculus is rare in this population. Recently we diagnosed such an unusual case of unilateral hydronephrosis due to VUJ calculi in a 2-years old boy by trans-abdominal ultrasound.
Case Presentation: Master Jakariya, 2 years of age, from Shuagaji, Cumilla came to Cumilla Medical College Hospital with the complaints of gross hematuria for 4 months, were suggested to do USG. Ultrasonogram revealed two bright echogenic shadow-casting structures (12mm & 8mm) at right vesico-ureteric junction (VUJ) with mildly dilated right ureter along with pelvi-calyceal system. On Doppler study VUJ calculi shows characteristic “twinkling” artifact.
Conclusion: During the last decades, USG has played a significant role in the field of urology. It is a blessing for a modern urologist for the early diagnosis and satisfied prognosis of urological disorders, for example, urolithiasis
Inadvertent Gallbladder Stenting During Endoscopic Management of Choledocholithiasis Detected During Laparoscopic Cholecystectomy: A Case Report
No full textEndoscopic retrograde cholangiopancreaticography (ERCP) is the standard management protocol for choledocholithiasis, which more often than not involves a placement of stent in the common bile duct. Here we present a case of inadvertent stenting of the cystic duct and gallbladder during ERCP for choledocholithiasis which was detected during laparoscopic cholecystectomy. A 38 year old lady presented with jaundice and right upper quadrant pain, diagnosed with choledocholithiasis, underwent ERCP with stenting and stone extraction. After 6 weeks, she underwent laparoscopic cholecystectomy, when it was noticed that the biliary stent was inadvertently placed into the cystic duct and gallbladder. The stent was removed laparoscopically through a rent in the gallbladder and cystic duct stump clipped. We report this case to enhance awareness amongst surgeons regarding the unintended location of a biliary stent