scholarly journals Panophthalmitis in a patient with dengue fever

2019 ◽  
Vol 12 (6) ◽  
pp. e229588
Author(s):  
Vimal Kumar ◽  
Vaibhav Deorari ◽  
Shekhar Swaroop ◽  
Ashutosh Biswas
Keyword(s):  
Dengue Fever ◽  
Staphylococcus Epidermidis ◽  
Early Stage ◽  
Supportive Therapy ◽  
Unusual Complication ◽  
Life Threatening ◽  
Brain Abscesses ◽  
Multiple Challenges ◽  
The Right ◽  
Spread Of Infection

Dengue fever is known for its life-threatening complications of bleeding and capillary leak syndrome. We report an unusual complication of dengue fever causing panophthalmitis, leading to rapidly progressive painful visual loss within days. Later on, the patient developed secondary bacterial infection of the eyeball and developed multiple brain abscesses due to spread of infection from the eyeball. Culture from pus swab of the right eye grew Staphylococcus epidermidis. The patient was promptly treated with broad spectrum antibiotics and after stabilisation, evisceration of the affected eye was done. Supportive therapy in the form of mechanical ventilation in view of poor sensorium, platelet transfusions for thrombocytopenia and guided fluid therapy was also provided. After multiple challenges in the management of the patient, fortunately, the patient survived but we failed to save his right eye. Therefore, it is necessary to carefully examine all vital organs at an early stage to prevent unfortunate outcome.

scholarly journals Devastating sight- and life-threatening laser blepharoplasty complications

2020 ◽  
Vol 2 (2) ◽  
pp. 134-139
Author(s):  
Muhammad Nazrin bin Muhammad Nordin ◽  
Sujaya Singh ◽  
Azida Juana Bt Ab Kadir ◽  
Nor Fadhilah bt Mohamad ◽  
Lott Pooi Wah
Keyword(s):  
Cosmetic Surgery ◽  
Anterior Segment ◽  
Unusual Complication ◽  
Incision And Drainage ◽  
Delayed Treatment ◽  
Life Threatening ◽  
The Right ◽  
Air Pockets ◽  
Systemic Antibiotics ◽  
Periorbital Swelling

A 53-year-old woman was referred to our centre by a private aesthetic clinic. She presented with bilateral severe periorbital swelling and reduced visual acuity in her left eye for three days prior to presentation. She had undergone CO2 laser blepharoplasty one week prior to assessment. Ophthalmic examination revealed periorbital swelling in both eyes with pouring pus discharge from the lower lid as well as underlying erythematous and ulcerative skin. There was limitation of extraocular muscle movement and conjunctival chemosis. Right-eye vision was 6/9, left-eye vision was counting fingers secondary to anterior segment inflammation. No sign of optic nerve involvement was noted. Computed tomography findings showed rim-enhancing preseptal collections with air pockets bilaterally involving the lower eyelids and measuring 2.6 x 4.3 x 2.7 cm on the left and 2.3 x 4.2 x 2.8 cm on the right with an extension of the collection into the lateral extra-conal region. She was treated as bilateral orbital cellulitis secondary to postsurgical infection. The patient underwent incision and drainage and started with systemic antibiotics promptly. She showed significant improvement after treatment. This is an unusual complication from cosmetic surgery in which delayed treatment can lead to sight- and life-threatening complications.

scholarly journals Prevotella brain abscess in a healthy patient with a patent foramen ovale: Case report

2021 ◽  
Vol 12 ◽  
pp. 548
Author(s):  
Yu Akimoto ◽  
Kiyoyuki Yanaka ◽  
Kuniyuki Onuma ◽  
Kazuhiro Nakamura ◽  
Eiichi Ishikawa
Keyword(s):  
Brain Abscess ◽  
Patent Foramen Ovale ◽  
Foramen Ovale ◽  
Brain Infection ◽  
Source Of Infection ◽  
Venous Shunt ◽  
Life Threatening ◽  
Brain Abscesses ◽  
The Right ◽  
The Brain

Background: Brain abscesses are relatively rare life-threatening infectious lesions often concomitant with a direct spillover of inflammation in the head or neck, hematogenous infections, and immunocompromised conditions. They rarely occur in adults without such predisposing factors. Prevotella is a well-known dental pathogen that very rarely causes brain abscesses. Case Description: We report such an abscess in a 51-year-old man who was innately healthy and had no oral lesions. A comprehensive computed tomography examination of the chest, abdomen, and pelvis, was inconclusive but a transesophageal echocardiogram bubble study revealed a mild patent foramen ovale (PFO) that matched Grade 1 criteria. We deduced that the right-left shunt due to the PFO could have contributed to the brain infection and treated the patient successfully via surgical abscess aspiration and antibiotics. Conclusion: In case of a brain abscess occurring in healthy adults, it is essential to investigate the source of infection and the existence of an arterio-venous shunt, such as PFO.

scholarly journals Haemophagocytic Lymphohistiocytosis Associated with Dengue Fever - A case series

2020 ◽  
Vol 21 (2) ◽  
pp. 123-126
Author(s):  
Quazi Tarikul Islam ◽  
Hirinmoy Barman Sagor ◽  
Tasmina Chowdhury Tuli
Keyword(s):  
Intravenous Immunoglobulin ◽  
Dengue Fever ◽  
Hemophagocytic Lymphohistiocytosis ◽  
Medical Condition ◽  
Case Series ◽  
Supportive Therapy ◽  
Haemophagocytic Lymphohistiocytosis ◽  
Laboratory Findings ◽  
Good Outcome ◽  
Life Threatening

Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening medical condition characterized by hyperphagocytosis secondary to an inappropriate over-activation of macrophages and lymphocytes that driven by excessive cytokines production which resulted in cellular destructions. Dengue induced hemophagocytic lymphohistiocytosis (HLH) is a serious condition and may prove fatal if not detected early and treated appropriately. Diagnosis of HLH is challenging and usually missed as clinical and laboratory findings are nonspecific. It should be suspected with prolonged fever beyond seven days associated with splenomegaly, hyperferritinemia, worsening cytopenias and development of multiorgan dysfunction. A proportion of patients recovered with supportive therapy, however most required interventions with corticosteroids, intravenous immunoglobulin or chemotherapy. We report 3 cases of dengue associated HLH . Among them 2 patients were treated with steroid with good outcome, and one died from MODS. J MEDICINE JUL 2020; 21 (2) : 123-126

CASE REPORT ON DENGUE ASSOCIATED HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS- A RARE PRESENTATION.

2021 ◽  
pp. 7-8
Author(s):  
K. Shivaraju ◽  
Manideepa Pogaku ◽  
Mandhala Saikrishna
Keyword(s):  
Dengue Fever ◽  
Hemophagocytic Lymphohistiocytosis ◽  
Supportive Therapy ◽  
Hemorrhagic Fever ◽  
Severe Form ◽  
High Grade Fever ◽  
Rare Presentation ◽  
Life Threatening ◽  
The Common

Dengue fever in its severe form has signicant morbidity and mortality worldwide. Apart from the common complication of dengue fever, infection induced HLH is a rare and life-threatening complication associated with the viral infection. Here we are presenting a case of 28 years old male with no comorbidities and complains of high-grade fever, myalgia, nausea and vomiting, black stools from 5 days. Based on all investigations patient was diagnosed with hemophagocytic lymphohistiocytosis secondary to dengue hemorrhagic fever. Then treated with appropriate medications and supportive therapy, discharged, and advised follow-up on OPD basis.

scholarly journals Incidental haemothorax after sublobar resection: did staple line scratch chest wall?

2019 ◽  
Vol 2019 (12) ◽  
Author(s):  
Hideki Negishi ◽  
Hiroyoshi Tsubochi ◽  
Mitsuru Maki ◽  
Shunsuke Endo
Keyword(s):  
Staple Line ◽  
Early Stage ◽  
Emergency Operation ◽  
Intercostal Artery ◽  
Early Stage Lung Cancer ◽  
Bleeding Point ◽  
Life Threatening ◽  
Intersegmental Plane ◽  
The Right ◽  
Stage Lung Cancer

Abstract We herein report a case of life-threatening haemothorax that occurred 40 days after pulmonary segmentectomy in a 60-year-old man. The patient uneventfully underwent resection of the apical and posterior segments of the right upper lobe by video-assisted thoracic surgery for early-stage lung cancer. An emergency operation of haemostat for active bleeding from the intercostal artery was successful via a right thoracotomy. The bleeding point was in the vicinity of the staple line dividing the intersegmental plane. This case reveals that scratch by staples can cause haemothorax through incidental injury of the intercostal artery.

scholarly journals An Unusual Complication of Pericarditis

2018 ◽  
Vol 07 (01) ◽  
pp. e50-e52
Author(s):  
Ashraf Rad ◽  
Ulrich Lange ◽  
Bartholomaeus Makowski ◽  
Thomas Held ◽  
Jürgen Schönwälder ◽  
...  
Keyword(s):  
Ascending Aorta ◽  
Successful Outcome ◽  
Unusual Complication ◽  
Acute Pericarditis ◽  
Cardiac Decompensation ◽  
Bacterial Pericarditis ◽  
Life Threatening ◽  
The Right ◽  
Current Guidelines ◽  
Operative Closure

Background According to current guidelines, acute pericarditis is an inflammatory pericardial syndrome with or without pericardial effusion. Case Description We report on a patient who was treated for purulent pericarditis and developed a fistula from the ascending aorta to the right ventricle (RV), leading to cardiac decompensation. Operative closure of the aortic and RV perforation solved the problem. Conclusion Bacterial pericarditis may lead to life-threatening complications. Early diagnosis and immediate therapy are essential for a successful outcome.

Acute upper airway obstruction caused by massive oedema of the tongue: unusual complication of sialoendoscopy

2009 ◽  
Vol 123 (12) ◽  
pp. 1402-1403 ◽  
Author(s):  
P Baptista ◽  
C V Gimeno ◽  
F Salvinelli ◽  
V Rinaldi ◽  
M Casale
Keyword(s):  
Airway Obstruction ◽  
General Anaesthesia ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Unusual Complication ◽  
Major Salivary Gland ◽  
Airway Control ◽  
Inflammatory Conditions ◽  
Life Threatening ◽  
The Right

AbstractObjective:To underline the importance of accurate clinical evaluation of major salivary gland obstructions, in order to choose the right surgical approach and to reduce the risk of complications.Case report:We report a case of an unusual, previously unreported upper airway obstruction caused by massive swelling of the tongue following a successful sialoendoscopy, performed for treatment of submandibular sialolithiasis under general anaesthesia.Conclusions:Sialoendoscopy has gained popularity and is an accepted method for diagnosis and treatment of most inflammatory conditions of the major salivary glands. It can be performed as an out-patient procedure under local anaesthesia, and is not usually associated with significant complications. However, in the presence of larger stones (>4 mm) of the submandibular gland, we suggest that interventional sialoendoscopy should be performed under general anaesthesia with optimal airway control, in order to manage the major risk of perforations and ductal lesions enabling spread of saline solution into the mouth tissues and causing life-threatening swelling of the floor of the mouth and tongue.

HEMOPHAGOCYTOSIS: AN UNUSUAL COMPLICATION OF CLASSICAL DENGUE FEVER WITH ACUTE LIVER FAILURE.

2021 ◽  
pp. 104-105
Author(s):  
Deepa Sharnagat ◽  
Vishal Sawant ◽  
Alpana Kondekar
Keyword(s):  
Liver Failure ◽  
Acute Liver Failure ◽  
Dengue Fever ◽  
Unusual Case ◽  
Clinical Symptoms ◽  
Rare Complication ◽  
Dengue Shock Syndrome ◽  
Unusual Complication ◽  
Life Threatening ◽  
Vector Borne

Dengue is a vector-borne disease caused by dengue virus. It has a diverse presentation and usually presents as an asymptomatic, self-limiting disease. Among the unusual presentations, hepatic dysfunction is well reported. Complications of dengue fever can be protean and life-threatening. Dengue may cause bone marrow suppression leading to thrombocytopenia, leukopenia and anemia in acute phase of illness; and increased hematocrit due to capillary leakage, but these changes are self-limiting and require no further investigations and specic treatment. Dengue associated Hemophagocytic lymphohistiocytosis (HLH) is a rare complication of Dengue haemorrhagic fever or Dengue shock syndrome. Diagnosis of secondary HLH (sHLH) due to dengue is usually challenging and delayed as initial clinical symptoms mimic sepsis and systemic inammatory response syndrome (SIRS). Delayed or no treatment of sHLH has a poor outcome. We present an unusual case of classical dengue fever presented as Acute liver failure (ALF) with encephalopathy, later complicated by sHLH.

May-Thurner syndrome – Are we aware enough?

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 381-388 ◽  
Author(s):  
Katalin Mako ◽  
Attila Puskas
Keyword(s):  
Contraceptive Use ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Compression Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Iliac Vein Compression ◽  
Iliac Vein Compression Syndrome ◽  
The Right

Summary. Iliac vein compression syndrome (May-Thurner syndrome – MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism (PE). In this case based review the authors present three cases of MTS. All patients had been previously confirmed with PE, but despite they were admitted to hospital, diagnosed and correctly treated for PE and investigated for thrombophilia, the iliac vein compression syndrome was not suspected or investigated. With this presentation the authors would like to emphasize that MTS is mostly underdiagnosed, and it needs to be ruled out in left iliofemoral vein thrombosis in young individuals.

Right Ventricle Mass Removal from Tricuspid Valve Apparatus: An Unusual Thromboembolic Complication of Severe Ketoacidosis

2016 ◽  
Vol 19 (2) ◽  
pp. 077
Author(s):  
Ireneusz Haponiuk ◽  
Maciej Chojnicki ◽  
Konrad Paczkowski ◽  
Wojciech Kosiak ◽  
Radosław Jaworski ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Tricuspid Valve ◽  
Mild Hypothermia ◽  
Heart Function ◽  
Thromboembolic Complication ◽  
Surgical Removal ◽  
Unusual Complication ◽  
Type I ◽  
Definitive Therapy ◽  
The Right

The presence of a pathologic mass in the right ventricle (RV) may lead to hemodynamic consequences and to a life-threatening incident of pulmonary embolism. The diagnosis of an unstable thrombus in the right heart chamber usually necessitates intensive treatment to dissolve or remove the pathology. We present a report of an unusual complication of severe ketoacidosis: thrombus in the right ventricle, removed from the tricuspid valve (TV) apparatus. A four-year-old boy was diagnosed with diabetes mellitus (DM) type I de novo. During hospitalization, a 13.9 × 8.4 mm tumor in the RV was found in a routine cardiac ultrasound. The patient was referred for surgical removal of the floating lesion from the RV. The procedure was performed via midline sternotomy with extracorporeal circulation (ECC) and mild hypothermia. Control echocardiography showed complete tumor excision with normal atrioventricular valves and heart function. Surgical removal of the thrombus from the tricuspid valve apparatus was effective, safe, and a definitive therapy for thromboembolic complication of pediatric severe ketoacidosis.<br /><br />

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