scholarly journals Autonomic instability in severe tetanus: a case report

2021 ◽  
Vol 23 (2) ◽  
pp. 117-120
Author(s):  
Seung Won Seo ◽  
Jaewon Lee ◽  
Bong-Goo Yoo ◽  
Jehun Kim ◽  
So-Young Huh
Keyword(s):  
Infectious Disease ◽  
Nervous System ◽  
Case Report ◽  
Autonomic Dysfunction ◽  
Ankle Fracture ◽  
Clostridium Tetani ◽  
Cardiovascular Instability ◽  
Autonomic Instability ◽  
Life Threatening ◽  
Severe Tetanus

Tetanus is an infectious disease of the nervous system caused by Clostridium tetani, and is characterized by tonic muscle contractions, painful spasms, and autonomic dysfunction. Severe autonomic dysfunction associated with tetanus can be life-threatening. We present a 62-year-old female who experienced lockjaw after an ankle fracture. The patient was diagnosed with tetanus and received tetanus immunoglobulin and a vaccination. The patient subsequently experienced labile hypertension. This case highlights the challenge and importance of managing cardiovascular instability.

scholarly journals Uncommon Cause of Psychotic Behavior in a 9-Year-Old Girl: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Willemina K. Van Putten ◽  
Said Hachimi-Idrissi ◽  
Anna Jansen ◽  
Viola Van Gorp ◽  
Luc Huyghens
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Nmda Receptor ◽  
Intravenous Immunoglobulin ◽  
Adult Women ◽  
Mycoplasma Infection ◽  
Autonomic Instability ◽  
Life Threatening ◽  
Full Neurological Recovery ◽  
Psychotic Behavior

Anti-N-methyl-D-aspartate receptors encephalitis (ANMDARE) is a well-defined, life threatening, but treatable disorder that often occurs as a paraneoplastic manifestation of ovarian teratomas in adult women. We report a child with this disorder who displayed a subacute onset of delirium, seizures, and autonomic instability. Antibodies against NMDA receptor were detectable in the serum and in the cerebrospinal fluid. No teratoma or other tumour was detected. We speculate that the previous viral/mycoplasma infection may be the trigger of this encephalitis. This patient showed a reversal of the neurological symptoms after intravenous immunoglobulin. Prompt recognition of this disorder followed by immunotherapy results in full neurological recovery.

Autoimmune Encephalitis

2019 ◽  
pp. 726-733
Author(s):  
Eslam Shosha ◽  
Sean J. Pittock
Keyword(s):  
Intensive Care Unit ◽  
Nervous System ◽  
Intensive Care ◽  
Status Epilepticus ◽  
Autoimmune Encephalitis ◽  
Behavioral Changes ◽  
Diagnostic Challenge ◽  
Clinical Presentations ◽  
Autonomic Instability ◽  
Life Threatening

Autoimmune encephalitis is an increasingly recognized, life-threatening disorder that, because of its variable clinical presentations, poses a diagnostic challenge in the intensive care setting. Patients with autoimmune encephalitis often need to be in an intensive care unit for management of life-threatening complications commonly related to multifocal nervous system involvement that includes status epilepticus, cognitive decline and behavioral changes, psychosis, and autonomic instability.

scholarly journals Cephalic Tetanus without Injury – A Rare Presentation of Tetanus

2021 ◽  
Vol 10 (20) ◽  
pp. 1555-1557
Author(s):  
Ramanan B.B.V ◽  
Ajit Kumar Pegu ◽  
Anupam Dutta ◽  
Arjit Das ◽  
Sanchu T.K. Sreeraj
Keyword(s):  
Case Report ◽  
Clostridium Tetani ◽  
Rare Presentation ◽  
Puncture Wound ◽  
Rare Manifestation ◽  
Life Threatening ◽  
Cephalic Tetanus

Tetanus is a rare, severe, and potentially life-threatening disease caused by Clostridium tetani, which accounted 58,900 deaths worldwide in 2013.1 Usually tetanus is generalized, rarely it can be localized also. 20-30% of cases will not have any puncture wound. In this case report, we present a case of tetanus with rare manifestation (localized tetanus presented with trismus without any puncture wound). Multiple rare associations like tetanus presenting with trismus, tetanus occurring in the absence of puncture wound strengthens the need for reporting this case which if left unnoticed would have been detrimental to the patient.

scholarly journals COVID-19 Induced Miller Fisher Syndrome Presenting With Autonomic Dysfunction: A Unique Case Report and Review of Literature

2021 ◽  
pp. 194187442110167
Author(s):  
Subhrajyoti Biswas ◽  
Ritwik Ghosh ◽  
Arpan Mandal ◽  
Alak Pandit ◽  
Dipayan Roy ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Autonomic Dysfunction ◽  
Clinical Picture ◽  
Miller Fisher Syndrome ◽  
Neurological Manifestations ◽  
Review Of Literature ◽  
Unique Case ◽  
Fisher Syndrome ◽  
First Case

A plethora of neurological manifestations are associated with the 2019 coronavirus infectious disease (COVID-19). We hereby report the first case of a patient infected with SARS-CoV-2 who acutely presented with autonomic dysfunction preceding the onset of complete clinical picture of Miller Fisher syndrome. She was finally diagnosed to be a case of anti-ganglioside antibody positive post-COVID-19 Miller Fisher syndrome with dysautonomia and treated with intravenous immunoglobulin with an excellent response. We also discuss the plausible pathogenic mechanisms of COVID-19 induced Miller Fisher syndrome and furnish a review of the post-COVID-19 Miller Fisher syndrome cases reported.

Life Threatening Central Nervous System Manifestations and Hypothermia due to Maneb Intoxication in a Child: A Case Report

2006 ◽  
Vol 28 (6) ◽  
pp. 813-815 ◽  
Author(s):  
S M de Tollenaer ◽  
CMP Buysse ◽  
J N van den Anker ◽  
D J Touw ◽  
M de Hoog
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Life Threatening

scholarly journals Acute ischemic stroke in COVID-19: a case report

2021 ◽  
Vol 8 (9) ◽  
pp. 1430
Author(s):  
Mamatha Tittamegalapalya Ramalingaiah ◽  
Jeetendra Kumar Jogihalli Mood ◽  
Vinutha Bagalur Srinivas Murthy ◽  
Virender Singh
Keyword(s):  
Infectious Disease ◽  
Central Nervous System ◽  
Nervous System ◽  
Ischemic Stroke ◽  
Case Report ◽  
Early Detection ◽  
Neurological Disease ◽  
Virus Disease ◽  
Methodical Approach ◽  
Neurological Sequel

Corona virus disease (COVID-19) is an infectious disease caused by SARS-CoV-2 virus. It predominantly affects respiratory system causing fever, cough, and breathlessness. But it can also affect central nervous system. Clinicians must adopt methodical approach in investigating a patient with neurological manifestation. Early detection and treatment is required for neurological disease of COVID-19 to reduce post COVID neurological sequel. 

scholarly journals A Rare Case of Skull Base Osteomyelitis Caused By E.Coli and Candida Albicans in A Patient with Gapo Syndrome: A Case Report

2020 ◽  
Vol 3 (1) ◽  
pp. 01-03
Author(s):  
Abdurrahman Kaya
Keyword(s):  
Infectious Disease ◽  
Candida Albicans ◽  
Case Report ◽  
Skull Base ◽  
Rare Case ◽  
Mortality And Morbidity ◽  
Skull Base Osteomyelitis ◽  
Life Threatening ◽  
Significant Mortality

Skull base osteomyelitis is a very rare and life-threatening disease. It has significant mortality and morbidity though appropriate antibiotherapy. Here we report a case of atypical skull base osteomyelitis, which is rarely seen in infectious disease practice, caused by E.coli and Candida albicans in a patient with GAPO syndrome.

scholarly journals Cardiac stunning as first manifestation of multiple sclerosis: A case report reminding us not to overlook cardiovascular autonomic dysfunction in multiple sclerosis

2016 ◽  
Vol 22 (6) ◽  
pp. 847-848 ◽  
Author(s):  
Max J Hilz
Keyword(s):  
Multiple Sclerosis ◽  
Case Report ◽  
Autonomic Dysfunction ◽  
Cardiovascular Autonomic Dysfunction ◽  
Life Threatening ◽  
Tako Tsubo Cardiomyopathy ◽  
Cardiac Stunning

Autonomic dysfunction is common but frequently overlooked in multiple sclerosis (MS) patients. The case of a Tako-Tsubo cardiomyopathy on which this commentary is based shows that centrally triggered autonomic dysfunction may be the first life-threatening manifestation of MS.

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report

2020 ◽  
pp. 376-379
Author(s):  
Gorkem Ugurlu ◽  
Mustafa Ugurlu ◽  
Meltem Kilic ◽  
Zuhal Apaydin ◽  
Ali Caykoylu
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Psychotic Symptoms
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