scholarly journals Confusion and Hallucination: A Case Report of an Unusual Presentation of COVID-19

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Rawabi Aljumaiah ◽  
Wael Alturaiki ◽  
Bandar Alosaimi
Keyword(s):  
Case Report ◽  
Vital Signs ◽  
Unusual Presentation ◽  
Polymerase Chain Reaction Test ◽  
Medical Illness ◽  
Microbial Culture ◽  
Healthcare Facilities ◽  
Wide Range ◽  
Atypical Presentations ◽  
Chain Reaction Test

Besides respiratory symptoms, COVID-19 disease has a wide range of clinical, subclinical, and atypical presentations reported previously. Here, we report the case report of a middle-aged man, with no previous known medical illness, who presented with a 5-day-history of anxiety, fever, confusion, and hallucinations. Patient’s SARS-CoV-2 polymerase chain reaction test was positive, and he underwent daily vital signs and respiratory, cardiovascular, and abdominal examinations. Chest radiography, electrocardiogram, microbial culture, biochemistry, and toxicology tests were also investigated. In this report, a case of COVID-19 is described with an unusual presentation of confusion and hallucinations in the absence of severe upper respiratory or constitutional symptoms. The earlier recognition of atypical manifestation, the safer the practice, with optimal timely diagnosis, and less anticipated outbreaks in healthcare facilities. Further studies are needed to establish the underlying pathophysiological mechanisms involved.

scholarly journals Esophageal Variceal Bleeding as the First Manifestation of COVID-19 Infection: A Case Report

2022 ◽  
Vol 7 (01) ◽  
pp. 41-45
Author(s):  
Christos Sotiropoulos, MD, MSc ◽  
Eftichia Sakka, MD ◽  
Georgios Theocharis, MD, PhD ◽  
Konstantinos Thomopoulos, MD, PhD
Keyword(s):  
Liver Cirrhosis ◽  
Case Report ◽  
Variceal Bleeding ◽  
Clinical Manifestations ◽  
Polymerase Chain Reaction Test ◽  
Variceal Hemorrhage ◽  
Esophageal Variceal ◽  
Esophageal Variceal Bleeding ◽  
Wide Range ◽  
Upper Gastrointestinal

Liver cirrhosis is a defined liver disease with a wide range of clinical manifestations. Variceal bleeding is the main source of gastrointestinal hemorrhage among cirrhotic patients induced by several factors, such as alcohol consumption or infections. This is a report of a cirrhotic patient presenting with esophageal variceal bleeding in the context of COVID-19 infection. We report the case of a 53-year-old patient with liver cirrhosis and multifocal hepatocellular carcinoma presenting with upper gastrointestinal bleeding as the first manifestation of COVID-19 infection. Upon admission, the patient had no symptoms suggestive of a respiratory tract infection or any contact with positive SARS-CoV-2 individual and upper gastrointestinal endoscopy revealed variceal hemorrhage. After a few hours the patient manifested with fever, cough and dyspnea and a SARS-CoV-2 polymerase chain reaction test obtained was positive. The patient was initially treated with endoscopic band ligation and transferred in the COVID-19 infection clinic, where after a few days of hospitalization he passed away. The devastating pandemic of coronavirus disease 2019 had altered the pathophysiology and clinical presentation of several chronic diseases. This case report suggests that coronavirus disease as a potential triggering factor of variceal bleeding.

scholarly journals A case of urticaria multiforme with unusual presentation

2019 ◽  
Vol 6 (6) ◽  
pp. 1946
Author(s):  
Mohammad S. Alkhowailed
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Erythema Multiforme ◽  
Case History ◽  
Diagnostic Tests ◽  
Clinical Manifestations ◽  
Unusual Presentation ◽  
Effective Management ◽  
Urticarial Vasculitis ◽  
Wide Range

Urticaria multiforme is a condition which manifests as acute, polycyclic, annular oedematous pink plaques with an ecchymosis hue that is associated with acral edema. The condition is often misdiagnosed as erythema multiforme, serum-sickness-like reactions, or urticarial vasculitis. Author present a case of acute annular urticaria in a 3-year-old girl who presented with unusual clinical manifestations of the condition. Through this case report, Author aim to emphasize the wide range of morphologic manifestations that can be seen in urticaria multiforme. This can assist pediatric physicians to differentiate urticaria multiforme from other clinical dermatologic conditions and prevent misdiagnosis. A detailed case history and physical examination, along with relevant diagnostic tests can enable prompt and effective management of the condition.

scholarly journals Unusual Presentation of Multibacillary Nodular Leprosy

2017 ◽  
Vol 9 (01) ◽  
pp. 057-059
Author(s):  
Shweta Raut ◽  
Swapna Kanade ◽  
Gita Nataraj ◽  
Preeti Mehta
Keyword(s):  
Case Report ◽  
Primary Care Physicians ◽  
Public Health Problem ◽  
Clinical Suspicion ◽  
Unusual Presentation ◽  
Atypical Case ◽  
Nodular Lesions ◽  
Case Presentations ◽  
Atypical Presentations ◽  
Multibacillary Leprosy

ABSTRACTDespite India achieving the goal of elimination of leprosy as a public health problem, leprosy is still being transmitted in India. However, due to decreased clinical suspicion of leprosy and atypical case presentations, such cases may be not be diagnosed. We present a case report of an unusual presentation of multibacillary leprosy which presented as nodular lesions. This case report indicates that atypical presentations of leprosy may be missed out by primary care physicians.

scholarly journals A giant cutaneous horn of oral commissure: a case report

2021 ◽  
Vol 8 (7) ◽  
pp. 2225
Author(s):  
Ratnakar Namdeo ◽  
Raghav Garg ◽  
Sajith K. Mohan ◽  
Kashinath Singh
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Unusual Presentation ◽  
Cutaneous Horn ◽  
Wide Range ◽  
Cornu Cutaneum ◽  
Medical Entity ◽  
Actinic Radiation ◽  
Oral Commissure

Cutaneous horn is a conical, circumscribed, dense hyperkeratotic protrusion from skin with epithelial cornification. It is also known by the Latin name ‘Cornu cutaneum’. This rare medical entity resembles animal horn but histological disparity is present between both. They are more commonly present in sun exposed sites or areas that are prone for actinic radiation, burns and hence frequently seen in forearm and upper part of face. Only few cases have been reported with cutaneous horns in unusual sites. Cutaneous horns occurring in oral cavity or perioral regions are extremely rare. The significance of knowing about this dead keratinous cutaneous horn is that it may occur as a part of or in association with a wide range of underlying pathologies, either malignant, premalignant or benign. Majority are due to benign pathologies. We report an unusual presentation of cutaneous horn in left oral commissure of a 45-year-old gentleman which is an extremely rare perioral location for such an ailment.

scholarly journals Extensive Surgical Emphysema Due to Fishbone Ingestion: A Rare Case Report

2021 ◽  
Vol 2 (1) ◽  
pp. 24-26
Author(s):  
Ahmad E Al-Mulla
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Rare Case ◽  
Unusual Presentation ◽  
Neck Swelling ◽  
Wide Range ◽  
Rare Case Report ◽  
Surgical Emphysema

Aerodigestive injury due to a fishbone foreign body is a widespread emergency department case. It presents with a wide range of manifestation; however, occasionally, we come across rare complaints. Surgical emphysema and pneumomediastinum is an unusual presentation described in our case report. Keywords: Fishbone; Surgical emphysema; Neck swelling; Foreign body.

scholarly journals Complications of Coronavirus Disease-19 in a Hospitalized Patient: A Case Report

2020 ◽  
Vol 8 (T1) ◽  
pp. 613-618
Author(s):  
Iskra Meshkova ◽  
Dragan Mijakoski ◽  
Magdalena Simeonova ◽  
Zorica Markovska ◽  
Vesna Markoska
Keyword(s):  
Case Report ◽  
Positive Pressure Ventilation ◽  
Intermittent Positive Pressure Ventilation ◽  
Polymerase Chain Reaction Test ◽  
Public Health Issue ◽  
Positive Pressure ◽  
Major Public Health Issue ◽  
Reaction Test ◽  
Polymerase Chain ◽  
Chain Reaction Test

BACKGROUND: Coronavirus (CoV) disease (COVID)-19 infection is a major public health issue worldwide with no specific therapy or vaccine. CASE REPORT: COVID-19-positive patient was hospitalized due to a dry irritating cough that has persisted for 3 days. The polymerase chain reaction test to severe acute respiratory syndrome-CoV-2 was positive. Computed tomography (CT) scan of the lungs showed massive bilateral consolidation. The patient was set to oxygen support (6 L/min). Two hours after referring the patient’s condition worsened with shortness of breath, suffocation, wheezing, and decreased saturation (77%). The patient was given mechanical support with continuous positive airway pressure mask. Therapy included azithromycin 500 mg and ceftriaxone 2 g. On the 3rd day of hospitalization, there was a sharp deterioration of the condition and a decrease in saturation (40%). The patient was intubated and immediately placed on intermittent positive pressure ventilation. Azithromycin was now combined with meropenem 3 × 1 g. The next morning patient’s condition further worsened with decrease in saturation and heart rate. The resuscitation was unsuccessful. CONCLUSION: COVID-19 is primary a respiratory infection, but the virus also affects other organs with poor outcome.

Unusual presentation of a septate hymen leading to a retained vaginal tampon in the urinary bladder

2021 ◽  
Vol 14 (1) ◽  
pp. e239428
Author(s):  
Julia Rhian Parton ◽  
Fidelma O'Mahony
Keyword(s):  
Case Report ◽  
Urinary Bladder ◽  
Children And Adolescents ◽  
Unusual Presentation ◽  
Rare Presentation ◽  
Wide Range ◽  
Pelvic Examinations ◽  
The Difference

There is a wide range of hymenal variants which exist and usually become apparent to women during puberty. Our case describes a 16-year-old woman with a previously undiagnosed hymenal septum who presented with a retained tampon within the urinary bladder. This case report discusses a rare presentation of a hymenal variant and highlights the importance of understanding the difference in pelvic examinations in children and adolescents when compared with adults and awareness of the different hymenal variants.

scholarly journals Unusual Chief Complaint of Patient with History of Vaccination Leading to Unrecognized Human Rabies with Extreme Risk of Saliva Exposure for Medical Personnel-A Case Report and Literature Review

2020 ◽  
Author(s):  
Kittisak Sripong
Keyword(s):  
Case Report ◽  
Medical Personnel ◽  
Chief Complaint ◽  
Polymerase Chain Reaction Test ◽  
Human Rabies ◽  
Extreme Risk ◽  
History Of ◽  
Polymerase Chain ◽  
Chain Reaction Test ◽  
The Brain

The aim of this case report is to present an unrecognized case of human rabies with an unusual chief complaint-chest pain-at presentation. The patient had been vaccinated for rabies, presented multiple times at the emergency room, was discharged each time, and was eventually found dead at his house with an unknown cause of death. A post-mortem examination along with a trans-orbital necropsy and real-time reverse transcription polymerase chain reaction test were performed. The results showed rabies virus in the brain tissue.

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