Mycobacterium Fortuitum Infections of the Hand

1992 ◽  
Vol 17 (6) ◽  
pp. 675-677 ◽  
Author(s):  
F. K. IP ◽  
S. P. CHOW
Keyword(s):  
Correct Diagnosis ◽  
High Index ◽  
Mycobacterium Fortuitum ◽  
High Index Of Suspicion

Five cases are reported of infection due to Mycobactenum fortuitum involving the hand following contaminated injection or traumatic wounds. Synovectomy, debridement, or amputation together with prolonged chemotherapy using kanamycin or amikacin were required. Doxycycline and sulphamethoxasole also seemed to be the effective antibiotics for this organism. A high index of suspicion is important in order to obtain the correct diagnosis.

TRANQUILIZER POISONING: AN EXAMPLE OF CHILD ABUSE

PEDIATRICS ◽  
1965 ◽  
Vol 36 (5) ◽  
pp. 782-785
Author(s):  
Mark S. Dine
Keyword(s):  
Child Abuse ◽  
Psychotropic Drugs ◽  
Correct Diagnosis ◽  
High Index ◽  
Routine Testing ◽  
Undetermined Etiology ◽  
High Index Of Suspicion

A case of deliberate perphenazine poisoning by a parent is presented as an example of child abuse. The symptoms of poisoning included prolonged sleep, convulsions, and hyperpyrexia. The correct diagnosis was delayed because the mother denied that the child had received any drug. Suggestions for making the diagnosis include a high index of suspicion on the part of the physician and routine testing for phenothiazines and other psychotropic drugs in patients with convulsions of undetermined etiology.

scholarly journals Post caesarean scar endometriosis: reporting three cases

2017 ◽  
Vol 6 (3) ◽  
pp. 1125
Author(s):  
Ruchi Thakur ◽  
Pradip W. Sambarey ◽  
Desai Katha
Keyword(s):  
Menstrual Cycle ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
High Index ◽  
Scar Endometriosis ◽  
Caesarean Scar ◽  
High Index Of Suspicion

Scar endometriosis remains under diagnosed entity. A high index of suspicion is required for correct diagnosis. Complaints of pain, increase in size or bleeding from a mass post operatively that is cyclically associated with menstrual cycle is almost pathognomonic. Surgical excision remains the treatment of choice. We report three cases treated in our institute. 

scholarly journals Successful Endoscopic Management of Fish Bone Embedded into the Bladder Wall

2010 ◽  
Vol 2010 ◽  
pp. 1-3
Author(s):  
Koichi Kodama ◽  
Mitsuo Ofude ◽  
Isamu Motoi ◽  
Yoshinobu Hinoue ◽  
Katsuhiko Saito
Keyword(s):  
Computed Tomography ◽  
Correct Diagnosis ◽  
Bladder Wall ◽  
Linear Structure ◽  
Fish Bone ◽  
High Index ◽  
Endoscopic Management ◽  
Histopathological Findings ◽  
Anterolateral Wall ◽  
High Index Of Suspicion

We report a case of a pyogenous vesical abscess resulting from an ingested fish bone embedded in the bladder wall that was treated endoscopically in an asymptomatic man. Computed tomography of the abdomen showed a linear radiopaque structure in the thickened left anterolateral wall of the bladder. Cystoscopy revealed a protruding mass, covered with normal-appearing mucosa, with outflow of pus from a shallow recess. Histopathological findings indicated that the transurethrally removed linear structure, located in the submucosa, was compatible with fish bone. A high index of suspicion should be maintained for the correct diagnosis to be made.

scholarly journals Rudimentary horn pregnancy: a rare entity

2020 ◽  
Vol 9 (4) ◽  
pp. 1761
Author(s):  
Sujamol Jacob ◽  
Lalithambica Karunakaran ◽  
Neena Devasia
Keyword(s):  
Early Diagnosis ◽  
Rare Case ◽  
Correct Diagnosis ◽  
Uterine Cavity ◽  
High Index ◽  
Rare Entity ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
High Index Of Suspicion

Unicornuate uterus is the type 2 variety of mullerian duct anomaly resulting in unilateral agenesis or hypoplasia. The hypoplastic (Rudimentary) horn can be functioning or non-functioning and communicating or noncommunicating with the main uterine cavity. Pregnancy in the rudimentary horn is an extremely rare entity. It is often missed at ultrasound in the early trimester, presenting later with massive hemoperitoneum and shock from rupture of the horn.  A “high index of suspicion” is essential to derive at the correct diagnosis. Hence reporting this rare case for emphasizing the importance in early diagnosis and prompt management.

Rubber Foreign Bodies in Puncture Wounds of the Foot in Patients Wearing Rubber-Soled Shoes

2001 ◽  
Vol 22 (5) ◽  
pp. 409-414 ◽  
Author(s):  
Chang Haw Chong ◽  
William Verhoeven ◽  
Chay Wai Mun
Keyword(s):  
Foreign Bodies ◽  
Correct Diagnosis ◽  
High Index ◽  
Puncture Wound ◽  
History Of ◽  
High Index Of Suspicion ◽  
Infective Complications

We report 8 cases of puncture wound of the foot associated with rubber foreign bodies in patients who were wearing rubber-soled shoes. The difficulty in making the correct diagnosis and the complications arising from these injuries are reviewed. The morbidity associated with these seemingly innocuous puncture wounds can be serious. Infective complications resolved only with removal of all imbedded rubber foreign bodies. A history of wearing rubber-soled shoes during the injury and a high index of suspicion may prevent complications.

Necrobacillosis—an unusual cause of cervical abscess

1992 ◽  
Vol 106 (4) ◽  
pp. 374-375 ◽  
Author(s):  
S. E. Chalstrey ◽  
H. O. L. Williams ◽  
G. Reilly
Keyword(s):  
Clinical Picture ◽  
Correct Diagnosis ◽  
High Index ◽  
High Index Of Suspicion

AbstractNecrobacillosis is a rare infection which may be fatal if inadequately treated. We present a case demonstrating the classical clinical picture upon which correct diagnosis depends. The need for a high index of suspicion is highlighted and appropriate management is discussed.

First reported case of a coronal hamate fracture associated with intrusion of the fifth metacarpal base, together with a fracture of the fourth metacarpal base

2021 ◽  
Vol 14 (9) ◽  
pp. e243368
Author(s):  
Valerio Pace ◽  
Giacomo Placella ◽  
Giuseppe Rinonapoli ◽  
Auro Caraffa
Keyword(s):  
Ct Scan ◽  
Surgical Management ◽  
Correct Diagnosis ◽  
High Index ◽  
Full Recovery ◽  
Metacarpal Fracture ◽  
The Common ◽  
Hamate Fracture ◽  
High Index Of Suspicion ◽  
Type Of Injury

We present a case reporting a rare combination of base of fourth metacarpal fracture and coronal body of hamate fracture, treated conservatively with excellent results. High index of suspicion for undetected bony injuries drove the execution of a CT scan, which allowed us to make a full correct diagnosis and plan treatment. Moreover, this case becomes the first reported case in the literature of such injury causing the intrusion of the base of the fifth metacarpal within the hamate bone, thus causing the coronal pattern of the hamate fracture. Differently from the common surgical management of this type of injury, we successfully treated this patient with close reduction and immobilisation, with full recovery after 3 months.

Neurobrucellosis associated with feral swine hunting in the southern United States

2020 ◽  
Vol 13 (12) ◽  
pp. e238216
Author(s):  
Harry Ross Powers ◽  
Jared R Nelson ◽  
Salvador Alvarez ◽  
Julio C Mendez
Keyword(s):  
United States ◽  
At Risk ◽  
High Index ◽  
Southern United States ◽  
Endemic Country ◽  
Feral Swine ◽  
Neurological Sequelae ◽  
Initial Symptoms ◽  
The Usa ◽  
High Index Of Suspicion

Although uncommon, Brucella infection can occur outside the areas of high endemicity, such as the USA. In the southern USA, hunters of wild swine are at risk for brucellosis. We present a case of a patient with fever, headache and constitutional symptoms that were ongoing for 11 months. He was diagnosed with neurobrucellosis. The patient was treated successfully with intravenous ceftriaxone, oral doxycycline and oral rifampin therapy. He had persistent neurological sequelae after completing treatment. This case illustrates the high index of suspicion needed to diagnose neurobrucellosis in a non-endemic country because initial symptoms can be subtle. The disease can be treated successfully, but long-lasting neurological sequelae are common.

scholarly journals Acute permethrin neurotoxicity: Variable presentations, high index of suspicion

2014 ◽  
Vol 1 ◽  
pp. 1026-1028 ◽  
Author(s):  
Bonny Drago ◽  
Namrata S. Shah ◽  
Samir H. Shah
Keyword(s):  
High Index ◽  
High Index Of Suspicion

Benign ano-rectal disorders

2017 ◽  
Vol 10 (5) ◽  
pp. 253-261
Author(s):  
James Kynaston
Keyword(s):  
Primary Care ◽  
High Index ◽  
Diagnosis And Management ◽  
High Index Of Suspicion ◽  
Adult Presentation ◽  
Surgical Referral

Benign ano-rectal disorders are a common adult presentation to primary care; they also generate a significant number of secondary referrals. The exact prevalence of these conditions is difficult to determine, due to under-reporting of symptoms, which patients can find embarrassing and difficult to disclose. It can be challenging to distinguish between different ano-rectal disorders which present with similar symptoms. A high index of suspicion is required to detect serious malignant pathology. The aim of this article is to outline the epidemiology, pathophysiology, diagnosis and management of common benign ano-rectal disorders in primary care. The indications for surgical referral and important cancer referral guidelines are included.

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