scholarly journals Peroneal Compartment Syndrome of Non-Traumatic Origin: A Case Report

2001 ◽  
Vol 9 (2) ◽  
pp. 67-69 ◽  
Author(s):  
L Andrew Ashton ◽  
PG Jarman ◽  
E Marel
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
High Index ◽  
Aetiological Factor ◽  
Compartment Syndromes ◽  
Traumatic Origin ◽  
High Index Of Suspicion

A patient with acute peroneal compartment syndrome is presented. This case is unusual because the pathology was localised to the peroneal compartment only and because trauma was not an aetiological factor. Acute and chronic compartment syndromes are discussed and differentiated, and the importance of a high index of suspicion in all cases is emphasised.

scholarly journals Lower Leg Compartment Syndrome after Appendicectomy

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Shane C. O’Neill ◽  
Darren F. Lui ◽  
Colm Murphy ◽  
Patrick J. Kiely
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Functional Recovery ◽  
Lower Leg ◽  
Acute Compartment Syndrome ◽  
High Index ◽  
Leg Pain ◽  
Delayed Referral ◽  
High Index Of Suspicion ◽  
Lower Leg Pain

A 10-year-old boy presented with severe left lower leg pain, uncontrolled with increasing analgesia after appendicectomy. A diagnosis of acute compartment syndrome was made after a delayed referral to the orthopaedic service. The patient subsequently underwent an emergency fasciotomy and made a good functional recovery. To the best of our knowledge this is the first reported case of paediatric lower leg compartment syndrome after appendicectomy in the literature. The case report serves to highlight the importance of maintaining a high index of suspicion for compartment syndrome.

scholarly journals Bilateral Charcot hip Arthropathy Due to Tabes Dorsalis: A Case Report

2018 ◽  
Vol 25 (1) ◽  
pp. 21-23
Author(s):  
Ip Hoi Yeung ◽  
Yeung Yip Kan ◽  
Luk Kristine Shik ◽  
Lam Polly Wy ◽  
Wong Kwok Ho
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Course ◽  
High Index ◽  
Tabes Dorsalis ◽  
High Index Of Suspicion

This article illustrates the clinical course of a patient diagnosed to have bilateral Charcot hip arthropathy secondary to tabes dorsalis from delayed untreated syphilitic infection. This differential diagnosis of rapid bilateral hip destruction was a near-extinct entity, and a high index of suspicion is needed to prevent untoward sequelae.

scholarly journals Hypomelanosis of Ito: Case report of a rare neurocutaneous syndrome in a neonate and review of the literature.

1970 ◽  
Vol 42 (3) ◽  
pp. 231-233
Author(s):  
M Mukhtar-yola ◽  
LI Audu ◽  
AT Otuneye ◽  
AB Mairami ◽  
EC Otubelu ◽  
...  
Keyword(s):  
Case Report ◽  
High Index ◽  
Review Of The Literature ◽  
Cutaneous Lesions ◽  
Hypomelanosis Of Ito ◽  
The Third ◽  
Neurocutaneous Syndrome ◽  
Paediatric Practice ◽  
High Index Of Suspicion

Hypomelanosis of Ito (HI) though said to be the third most common neurocutaneus disorder, is rarely reported in paediatric practice in Africa. A high index of suspicion must be maintained in children with cutaneous lesions as a seizure may be the first symptom that may bring the child to attention. A case of HI in a neonate is hereby reported to sensitize clinicians about this relatively uncommon disorder

scholarly journals Cyclical hematuria-ureteral endometriosis: a case report

2018 ◽  
Vol 7 (4) ◽  
pp. 1648
Author(s):  
Sindura Ganga Ravula ◽  
Harish Shetty ◽  
Aparna Rajesh
Keyword(s):  
Renal Failure ◽  
Case Report ◽  
Early Diagnosis ◽  
Renal Involvement ◽  
High Index ◽  
True Incidence ◽  
Ureteral Endometriosis ◽  
High Index Of Suspicion ◽  
Specific Symptoms

Little attention has been paid for the renal involvement in endometriosis, a rare and silent disorder which ultimately lead to renal failure. Involvement most commonly may be limited to single ureter (left one) and it is usually involvement extrinsically. Although cases have been reported in the literature, true incidence of ureteral involvement is still not known. The diagnosis is difficult as the disease has non-specific symptoms. Only high index of suspicion with radiological support would be helpful in early diagnosis. Early cases may be benefited with progestin or Anti-aromatase therapy, most cases need surgery, either laparoscopically or laparotomy.

scholarly journals Anti-NMDA Encephalitis: A Rare Encephalitis in a Child- A Case Report

2020 ◽  
Vol 19 (2) ◽  
pp. 108-111
Author(s):  
Saurav Khetan ◽  
Nikhil Agrawal ◽  
Prakash Rajoli
Keyword(s):  
Case Report ◽  
Japanese Encephalitis ◽  
Viral Encephalitis ◽  
Psychiatric Symptoms ◽  
Autoimmune Encephalitis ◽  
High Index ◽  
First Case ◽  
High Index Of Suspicion

Anti-NMDA encephalitis is second commonest cause of autoimmune encephalitis among children; however, it is hardly diagnosed and often not considered as one of the differentials when a child presents with encephalitis-related symptoms. In children, it presents mostly with seizures or psychiatric symptoms without prodrome. Here we present a six years old girl who presented with seizures and inappropriate behaviour. We investigated her in the line of viral encephalitis such as Japanese Encephalitis, which is very common in our region. However, results were not suggestive of Japanese Encephalitis and further investigations subsequently lead to diagnosis of anti- NMDA encephalitis. This is probably one of the first case report of this disease in our country. We want to highlight the significance of high index of suspicion for looking out for an organic cause in any child who presents with psychiatric symptoms, along with seizures.

scholarly journals Avoidable Compartment Syndrome! High Index of Suspicion for a Newly Presenting Haemophiliac: A Case Series

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
A. Niblock ◽  
K. Donnelly ◽  
F. Sayers ◽  
P. Winter ◽  
G. Benson
Keyword(s):  
Compartment Syndrome ◽  
Spontaneous Mutation ◽  
Case Series ◽  
Acute Phase Reactant ◽  
High Index ◽  
Specific Factor ◽  
Bleeding Disorders ◽  
Phase Reactant ◽  
Prolonged Aptt ◽  
High Index Of Suspicion

Bleeding disorders can present at any age and vary in their severity. Haemophilia, which is characterised by its x-linked recessive inheritance, can present with a spontaneous mutation and therefore no family history will be evident. Three cases of trauma induced thigh haematomas as an initial presenting feature for people with haemophilia are discussed. The cases highlight the importance of a coagulation screen if the patients bleeding phenotype does not match the injury sustained. An isolated prolonged APTT with no offending anticoagulant cause should always be investigated to look for underlying haemophilia. Interestingly the cases demonstrate the limitations of a coagulation screen. Factor VIII being an acute phase reactant can result in the fact that the initial coagulation screen may be temporarily normal. Therefore, if there is a high index of suspicion for a bleeding disorder, consider repeating the coagulation screen and seeking haematology opinion. Early diagnosis and appropriate specific factor replacement for an injured haemophiliac prevent haematomas expanding thus avoiding potential complications like compartment syndrome or unnecessary surgical input.

scholarly journals Gestational Diabetes Insipidus Associated with HELLP Syndrome: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Renela Gambito ◽  
Michael Chan ◽  
Mohamed Sheta ◽  
Precious Ramirez-Arao ◽  
Harmeet Gurm ◽  
...  
Keyword(s):  
Risk Factors ◽  
Enzyme Activity ◽  
Case Report ◽  
Gestational Diabetes ◽  
Diabetes Insipidus ◽  
Clinical Setting ◽  
Hellp Syndrome ◽  
High Index ◽  
High Index Of Suspicion ◽  
Twin Pregnancies

Gestational diabetes insipidus is a rare, but well recognized, complication of pregnancy. It is related to excess vasopressinase enzyme activity which is metabolized in the liver. A high index of suspicion of gestational diabetes insipidus is required in a correct clinical setting especially in the presence of other risk factors such as preeclampsia, HELLP syndrome, and twin pregnancies. We are presenting a case of gestational diabetes insipidus in a patient with HELLP syndrome. The newborn in this case also had hypernatremia thereby raising possibilities of vasopressinase crossing the placenta.

scholarly journals Scrotal Ulcer is a Rare Presentationof TB Epididymis in Young Male

2021 ◽  
pp. 146-149
Author(s):  
Rekadi Srinivasa Rao ◽  
Senthil Kumar ◽  
R. Anantharamakrishnan ◽  
P. Varadaraju
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Clinical Presentation ◽  
Young Male ◽  
High Index ◽  
History Of ◽  
Scrotal Swelling ◽  
High Index Of Suspicion

Introduction: Scrotal tuberculosis (TB) is rare and may present as painful scrotal swelling with ulceration and discharging sinus. Case Report: A 28 years male with 2 months history of swelling and pain over left scrotum. Developed ulcer over the scrotal region with multiple sinus associated with pus discharge. Conclusion: The clinical presentation of TB scrotal ulcer can be atypical and a high index of suspicion is required for early diagnosis. Diagnosis is by using ultrasonography, microbiology, and biopsy. Treatment requires prolonged ATT for 6 months.

scholarly journals Primary actinomycosis of the big toe: a case report and literature review

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Sawsan F Almarzouq ◽  
Mohammed A Almarghoub ◽  
Obaid Almeshal
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Surgical Intervention ◽  
Large Mass ◽  
High Index ◽  
Related Literature ◽  
Soft Tissue Lesions ◽  
Advancement Flaps ◽  
High Index Of Suspicion ◽  
Suppurative Infection

Abstract Actinomyces are Gram-positive branching bacteria that are part of the human gastrointestinal microflora. These organisms can cause actinomycosis, which is a slowly progressive suppurative infection involving the cervicofacial region. Primary involvement of extremities is very rare. Here, we present primary actinomycosis of the lower extremity and a review of related literature. A 35-year-old female from Al-Kharj City (agricultural area) presented to our plastic surgery clinic with complaints of a large mass on the left big toe that caused embarrassment and difficulty in wearing footwear. The patient underwent wide local excision and coverage of the big toe defect with Kutler bilateral V-Y advancement flaps. A high index of suspicion is required to diagnose actinomycosis in subacute or chronic inflammatory soft tissue lesions. Proper surgical intervention and antimicrobial are essential to treat the disease. We conclude that a high index of suspicion is required to diagnose actinomycosis in subacute or chronic inflammatory soft tissue lesions.

scholarly journals A malignant wheeze!

2018 ◽  
Vol 88 (3) ◽  
Author(s):  
Kashyap Goyal ◽  
Subodh Kumar ◽  
Mayank Mishra ◽  
Ritisha Bhatt ◽  
Adabala Vijay Babu ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Features ◽  
Standard Therapy ◽  
Acute Asthma ◽  
High Index ◽  
Present Case Report ◽  
Tracheal Tumor ◽  
Common Disorder ◽  
High Index Of Suspicion ◽  
Tracheal Tumors

Asthma is a common disorder presenting with nonspecific features, which may mimic other conditions such as tracheal tumors. Tracheal tumors are often misdiagnosed as asthma. We report a case of a 38-year female who was being worked up for persistent wheeze that was initially attributed to acute asthma, only to be later discovered as tracheal tumor. A high index of suspicion for alternative diagnoses must be kept in mind while evaluating a patient who presents with clinical features suggestive of asthma, but fails to respond to standard therapy. The present case report emphasizes the fact that not all wheezes are asthma.

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