Obturator Neuralgia a Rare Complication of TVT Sling: Complete Resolution After Laparoscopic TVT Removal

Background: Spontaneous subcutaneous emphysema (SSE) is a clinical condition in which air escapes into the subcutaneous tissues. It is a rare complication of childhood pneumonia and often occurs with pneumothorax and/or pneumomediastinum. Although the sight of a child with SSE could be frightening, it is mostly benign requiring in most cases supportive care. We report a case of SSE complicating pneumonia in an 18-month-old toddler that was managed conservatively. Case Report: An 18-months-old toddler was admitted with a 5-day history of progressive swelling of the face, scalp, upper limbs, and trunk. He was referred from a peripheral hospital where he was admitted for 5 days with pneumonia and had received antibiotics, intravenous fluid, and oxygen therapy. Clinical evaluation revealed extensive subcutaneous emphysema and right-sided pneumothorax. Antibiotics were optimized and the patient was provided supportive care and monitored for 7 days with complete resolution of the emphysema. Conclusion: SSE could complicate childhood pneumonia but it has a benign course. Effective treatment of underlying pneumonia alongside supportive care will achieve complete resolution.

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Dialysis Disequilibrium Syndrome and Cerebellar Herniation with Successful Reversal Using Mannitol

Case Reports in Nephrology ◽

10.1155/2020/8850850 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

Anna Curtis ◽

Christian Lamb ◽

Hussain Rao ◽

Andrew Williams ◽

Amit Patel

Keyword(s):

Complete Resolution ◽

Rare Complication ◽

Clinical Signs ◽

Signs And Symptoms ◽

Imaging Findings ◽

Brain Herniation ◽

Tonsillar Herniation ◽

Dialysis Disequilibrium Syndrome ◽

Clinical Signs And Symptoms

Dialysis disequilibrium syndrome (DDS) is a morbid but rare complication of dialysis. Feared sequalae of this diagnosis are brain herniation and death. This report presents a patient who was diagnosed with DDS with subsequent tonsillar herniation shown on imaging with complete resolution of clinical signs and symptoms, as well as imaging findings of herniation after prompt initiation of intravenous mannitol. This is the first known case of reversal and survival of DDS-induced tonsillar herniation using mannitol.

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Syphilitic glomerulonephritis: case report and review of the literature

Orvosi Hetilap ◽

10.1556/oh.2015.30082 ◽

2015 ◽

Vol 156 (1) ◽

pp. 32-35

Author(s):

Norbert Wikonkál ◽

Patrícia Nagy ◽

Béla Tóth ◽

Márta Marschalkó ◽

András Tislér ◽

...

Keyword(s):

Nephrotic Syndrome ◽

Complete Resolution ◽

Urine Analysis ◽

Clinical Symptoms ◽

Rare Complication ◽

Review Of The Literature ◽

Protein Loss ◽

Penicillin Therapy ◽

History Of ◽

Penicillin Treatment

The authors report the history of a patient with syphilitic glomerulonephritis, a rare complication of syphilis. The patient was admitted to the hospital with clinical symptoms of neurosyphilis. During his hospital stay urine analysis revealed an extremely high proteinuria, that had not been known before. Intravenous penicillin treatment improved the renal protein loss, but it took a total of six months until complete resolution was achieved. The serology that confirmed the syphilis, the concomitant nephrotic syndrome and the improvement after penicillin therapy met the criteria of syphilitic glomerulonephritis. This case prompted the authors to review the literature about this rare complication of syphilis that has a great clinical significance. Orv. Hetil., 2015, 156(1), 32–35.

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Carbimazole Induced Pleural Effusion: A Case Report

Case Reports in Endocrinology ◽

10.1155/2012/941241 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Gautam Das ◽

Stephen E. R. S. Stanaway ◽

Liz Brohan

Keyword(s):

Case Report ◽

Pleural Effusion ◽

Complete Resolution ◽

Elderly Woman ◽

Rare Complication ◽

Caucasian Woman ◽

Drug Induced ◽

Alternative Treatment Strategy ◽

Drug Lead ◽

Exudative Pleural Effusion

Objective. To describe a patient with unilateral exudative pleural effusion that developed after commencement of carbimazole.Methods. We describe the presentation and clinical journey of an elderly woman who presented to the chest physicians initially with pleural effusion but was followed up by the endocrinology team.Result. The patient was a 77-year-old Caucasian woman who presented with symptoms of breathlessness and a confirmed unilateral pleural effusion while being on treatment for thyrotoxicosis. Her symptoms needed recurrent hospital admission for investigations and drainage, but no potential cause was identified after extensive investigations. A drug-induced exudative effusion consequent to carbimazole intake was diagnosed as discontinuation of the drug lead to complete resolution of the effusion with no recurrence.Conclusion. Physicians and Endocrinologist must bear in mind that this potentially rare complication of carbimazole while treating patients of thyrotoxicosis as appearance of similar features in their patients while being on carbimazole should lead to the discontinuation of the drug, and alternative treatment strategy should be considered.

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Brain Abscess Complicating a Traumatic Intracerebral Hemorrhagic Contusion

The Neurohospitalist ◽

10.1177/1941874420985992 ◽

2021 ◽

pp. 194187442098599

Author(s):

Earllondra Brooks ◽

Lauren Kett ◽

Joshua P. Klein

Keyword(s):

Subarachnoid Hemorrhage ◽

Intracerebral Hemorrhage ◽

Brain Abscess ◽

Temporal Lobe ◽

Intracranial Hemorrhage ◽

Subdural Hematoma ◽

Mr Spectroscopy ◽

Complete Resolution ◽

Rare Complication ◽

Imaging Studies

A 63-year-old right-handed man was admitted to our hospital after sustaining a traumatic right-sided subdural hematoma, subarachnoid hemorrhage, and temporal lobe hemorrhagic contusion. He was managed non-operatively and discharged without any neurologic deficits. Two weeks later he presented with worsening headaches and altered sensorium. Imaging studies showed that the patient had developed a cerebral abscess at the site of his intracerebral hemorrhage. The abscess was surgically resected, and the patient was treated with antibiotics with complete resolution of symptoms. This case illustrates the importance of timely recognition of a rare complication of intracranial hemorrhage, and the utility of MR spectroscopy.

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Oculostapedial synkinesis following idiopathic facial palsy: something to listen out for

The Journal of Laryngology & Otology ◽

10.1017/s0022215118001147 ◽

2018 ◽

Vol 132 (8) ◽

pp. 757-758

Author(s):

T Williams ◽

B Tungland ◽

N Stobbs ◽

G Watson

Keyword(s):

Facial Palsy ◽

Complete Resolution ◽

Rare Case ◽

Surgical Intervention ◽

Rare Complication ◽

Facial Movement ◽

Cross Sectional ◽

Team Members ◽

Cross Sectional Imaging ◽

Idiopathic Facial Palsy

AbstractObjectiveThis paper presents a rare case of oculostapedial synkinesis.Case reportAfter partial resolution of an idiopathic facial palsy, a male patient presented with persistent distortion of hearing when blinking and closing his eye. Audiometry findings were unremarkable, and cross-sectional imaging of the facial nerve revealed no abnormalities apart from an incidental contralateral meningioma. Initial conservative management, with referral to a specialist physiotherapist, failed to resolve the symptoms. The patient subsequently opted for surgical intervention, and underwent a transmeatal tympanotomy and transection of the stapedial tendon. Following this, he had complete resolution of symptoms.ConclusionOculostapedial synkinesis is a rare complication of facial palsy, but is recognised in the literature. Given its unusual presentation, it can be overlooked, especially by more junior team members. This case highlights the need to pay careful attention to patients' symptoms and listen out for the description of hearing distortion on facial movement.

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Periodic Paralysis: An Unusual Presentation of Thyrotoxicosis

Acute Medicine Journal ◽

10.52964/amja.0511 ◽

2011 ◽

Vol 10 (4) ◽

pp. 200-202

Author(s):

Laura Chapman ◽

◽

Steven Miller ◽

Keyword(s):

Muscle Weakness ◽

Beta Blocker ◽

Complete Resolution ◽

Acute Treatment ◽

Rare Complication ◽

Periodic Paralysis ◽

Heavy Exercise ◽

Thyrotoxic Periodic Paralysis ◽

Electrolyte Disorder ◽

Rare Diagnosis

Thyrotoxic Periodic Paralysis (TPP) is a rare complication of thyrotoxicosis and is up to 20 times more common in males. Cases usually present with painless muscle weakness precipitated by heavy exercise, fasting, an alcohol binge or large carbohydrate meal. Serum potassium is low in the majority, but normokalaemic (or even hyperkalaemic) TPP is recognised. Acute treatment of any electrolyte disorder, administration of a beta-blocker and treatment of the thyrotoxicosis leads to complete resolution. This rare diagnosis should be considered by the Acute Physician when confronted with any case of muscle weakness.

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Rare atypical presentation of phacolytic glaucoma as non-resolving microbial keratitis with endophthalmitis

BMJ Case Reports ◽

10.1136/bcr-2019-231616 ◽

2019 ◽

Vol 12 (9) ◽

pp. e231616

Author(s):

Rinky Agarwal ◽

Manasi Tripathi ◽

Anuja Patil ◽

Namrata Sharma

Keyword(s):

Complete Resolution ◽

Rare Complication ◽

Crystalline Lens ◽

Ultrasound Biomicroscopy ◽

Delayed Presentation ◽

Microbial Keratitis ◽

Diagnosis And Management ◽

Phacolytic Glaucoma ◽

High Index Of Suspicion

Phacolytic glaucoma (PLG) is a rare complication of hypermature senile cataract. Delayed presentation of PLG may make its diagnosis and management difficult and worsen its prognosis. A woman aged 75 years complaining of sleep disturbing pain and inaccurate projection of rays oculus dextrus (OD) was referred to our centre for management of non-resolving microbial keratitis with endophthalmitis. Ultrasound biomicroscopy revealed 360° peripheral anterior synechiae, swollen crystalline lens and hyperechoic granules filling anterior chamber. A diagnosis of PLG and lens-induced uveitis was made and cataract was extracted after control of intraocular pressure (IOP). The patient was left aphakic. There was complete resolution of pain after surgery and at 3 months follow-up the IOP was controlled without any antiglaucoma medications. Rarely, secondary corneal opacification from long-standing pathological changes in PLG may mimic non-resolving microbial keratitis with endophthalmitis and requires a high index of suspicion for appropriate diagnosis and management.

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