scholarly journals G. Etienne. Generalized paralysis in typhoid fever. Neurological review. February 1899

2020 ◽  
Vol VII (3) ◽  
pp. 163-165
Author(s):  
V. Obraztsov

Prof. Etienne devotes his article to the analysis of three clinical cases of general paralysis depending on typhus. In the first case, the general paralysis observed by the author came on 3-4 days after he recovered from typhoid fever. It began with the lower extremities, crossed over to the upper limbs, captured the muscles of the trunk, and the patient died with the appearance of asphyxiation for several days. Paralysis developed painlessly. On the part of the rectum and urinary bladder, incontinence is noted. Such cases are usually diagnosed as Landry's disease, that is, a motor pair of an ascending type, ending with lethal bulbar phenomena, without disturbances from the side of sensitivity and without trophic disorders.

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sahathevan Vithoosan ◽  
Balendran Thanushah ◽  
Paramarajan Piranavan ◽  
Dayal Gamlaksha ◽  
Harindra Karunatilake ◽  
...  

Abstract Background Melioidosis is an emerging infection in South Asia caused by Burkholderia pseudomallei with various clinical presentations that include pneumonia, bacteraemia, arthritis, and deep-seated abscesses. Various cutaneous manifestations have been described in association with melioidosis. However Sweet Syndrome secondary to melioidosis has not been reported in the literature. Herein we describe the first case of Sweet syndrome secondary to melioidosis. Case presentation A 53-year-old previously healthy Sri Lankan female presented with high-grade fever, painful oral ulcers, odynophagia and multiple bilateral cervical lymphadenopathies for 1 month. She also had a loss of appetite and weight. She had oral ulcers and bilateral blepharitis. Dermatological examination revealed multiple tender papules with a mamillated appearance and targetoid lesions with a yellowish centre over the face, upper trunk and upper limbs. She also had multiple tender subcutaneous nodules over the extensor aspect of upper limbs. Her inflammatory markers were significantly elevated. Aspirate from a submental lymph node abscess revealed the growth of Burkholderia pseudomallei. Melioidosis antibody titer was > 10,240. The histology of the skin lesions of the face and left forearm showed a prominent neutrophilic infiltrate in the dermis and the morphological features were in favour of Sweet syndrome with panniculitis. She was started on intravenous meropenem 2 g daily and showed rapid clinical improvement with the disappearance of skin lesions as well as a reduction in inflammatory markers. Conclusion Sweet syndrome is an uncommon inflammatory disorder known to be associated with upper respiratory tract and gastrointestinal infections, malignancies and the use of certain drugs. Melioidosis is an emerging infection with various cutaneous manifestations. This is the first case of melioidosis causing the secondary sweet syndrome. It emphasizes the importance of considering melioidosis as a potential aetiology in patients with Sweet syndrome.


2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Iftikhar Khan ◽  
Mahmoud Obeid ◽  
Nasreen Hasan ◽  
Fayyad Jaradat ◽  
Bodhisatwa Sengupta ◽  
...  

Nephrogenic adenoma is a rare lesion that consists of epithelial cells arranged in tubular form, resembling tubules in the renal medulla, and is found usually in the urinary bladder although it can occur anywhere in the transitional epithelium of the lower urinary tract. The first case of nephrogenic adenoma of the urinary bladder was reported before the first kidney transplantation, and the lesion has been reported in patients with and without renal transplantation. The origin of cells in nephrogenic adenoma is debated and has been postulated to arise from cells of embryonic origin or from metaplasia secondary to chronic irritation or from implantation of allograft cells in patients with kidney transplantation. The long-term outcome and potential to convert into malignancy are not established, and therefore, there are no recommendations on how to follow up these patients. We present a case of a patient who was found to have nephrogenic adenoma of the urinary bladder during his second kidney transplantation from a cadaveric donor. He had undergone living donor kidney transplantation previously which subsequently failed. The patient did not manifest any symptoms of nephrogenic adenoma. During a follow-up period of 5 years, he has not manifested any symptoms related to nephrogenic metaplasia. Histopathological examination 5 years after the second transplantation did not show any malignant change. It can be concluded that nephrogenic adenoma is likely to behave in benign fashion post kidney transplantation.


1888 ◽  
Vol 34 (145) ◽  
pp. 65-69 ◽  
Author(s):  
Dr. Clouston ◽  
Dr. Savage.
Keyword(s):  

Several interesting examples of the insanity of twins have been recorded in this Journal. No instance, however, has been published in any journal of insanity as occurring under this condition, in the form of general paralysis. The first case is reported by Dr. Clouston, from whom we have received the following notes; the second case was that of a patient in Bethlem Hospital, under the care of Dr. Savage.


2014 ◽  
Vol 239 (3) ◽  
pp. 264-271 ◽  
Author(s):  
Marta Pokrywczynska ◽  
Jan Adamowicz ◽  
Arun K Sharma ◽  
Tomasz Drewa

2021 ◽  
Vol 32 (1) ◽  
pp. s7-s8
Author(s):  
Gabriel Buitrón ◽  
Cesar Briceño ◽  
Christian Suárez ◽  
María José Andrade

Introduction Acute arterial ischemia in lower extremities is a vascular emergency with a high risk of limb loss and elevated morbidity and mortality associated. SARS-COV2 virus infection is usually not related to acute arterial ischemia and its incidence is unknown. World references have been documented such as superficial and deep vein thrombosis and peripheral arterial thrombosis. Case description We present the case of a 69-year-old patient, previous smoker for 15 years, who presented with acute pain in the left lower limb followed by absence of distal and popliteal pulses. Complementary imaging studies demonstrated the absence of left arterial patency from the left femoral artery, raising a diagnosis of acute arterial ischemia of the left lower limb. Threatening acute marginal ischemia (Rutherford IIA) associated with SARS-COV2 infection was considered, for which selective femoral and popliteal embolectomy was performed with further control arteriography. The patient recovers arterial patency in the left lower extremity and was discharged with anticoagulation and analgesia. Postsurgical popliteal wound developed lymphorrhea that subsides with compression measures. In follow-up, the patient has a satisfactory evolution, without signs of ischemia. Conclusion In the medical literature of our country, this is our first case of acute arterial ischemia located in the lower extremities. Diagnosis requires a high degree of clinical suspicion and correct identification. Recommended treatment are surgical and/or pharmacological.


Author(s):  
Shikha Para ◽  
Shaveta Jain ◽  
Daya Sirohiwal ◽  
Smiti Nanda

Bladder hematoma is a rare complication but also an unusual mechanical cause of obstructed labour, whose incidence in India is 1-2%. The most common reason for intraluminal urinary bladder hematoma is trauma, but it can occur with cystitis, pelvic malignancy and irradiation. A large hematoma may mimic a neoplastic mass on imaging. We reported a first case of bladder hematoma as a cause or result of obstructed labour in a multipara where the diagnosis was made intraoperatively. This bladder complication also became the indication for classical caesarean section, the technique which is almost obsolete nowadays, where the indication for classical caesarean section was obligatory.


2018 ◽  
Vol 66 (3) ◽  
pp. 263-266
Author(s):  
Paulo de Camargo MORAES ◽  
Daniela Prata TACCHELLI ◽  
Rubens Gonçalves TEIXEIRA ◽  
Luciana Butini OLIVEIRA ◽  
José Luiz Cintra JUNQUEIRA

ABSTRACT Anatomical variations of mandibular canal have rarely been reported in the literature. The aim of this paper is to present three clinical cases of bifid mandibular canal diagnosed with cone-beam computed tomography (CBCT) as well as discuss its clinical implications. The first case is very interesting due to its anatomic variation verified in a panoramic radiograph during orthodontic planning, mimicking an odontogenic tumor. The second and the third cases were identified during tomographic evaluation for third molar exodontia. The diagnosis of bifid canals is extremely relevant in order to avoid complications during surgical procedures and implant placement as well as anesthesia failures which cause pain, paresthesia and bleeding. Furthermore, the shape of these anatomical variations can be confused with bone lesions.


1896 ◽  
Vol 42 (176) ◽  
pp. 233-234

During the early weeks in November there were two cases in the Probate Court before Mr. Justice Barnes of interest to the Association. They were both questions in which the validity of wills was contested on the ground of insanity in the testators. In the first case, Brown and Baker v. Pain, the facts were briefly as follows:—A gentleman who had been employed as clerk in the Courts of Justice, and who for several months before the final breakdown in his mental health had been unfit for even simple copying work. When seen by an expert in June, 1894, he was suffering unmistakably from general paralysis of the insane in an advanced stage, so that he had no knowledge of time or place, and was quite incapable of taking care of himself or of recognising his duties and responsibilities. The real question at issue was whether within a short time (two or three weeks in fact) of that period he might have been able to dispose of his property. The trial lasted five days (see “Times,” November 7th, 8th, 9th, 12th and 13th), and there was the usual amount of conflict as to the capacity of (Mr. Toogood) deceased at or about the end of May, 1894. There was only one medical witness to support the sanity of the deceased shortly before the time at which he made his will, and this witness was not particularly strong as to his mental capacity. On the other hand, a doctor who saw him frequently and Dr. Savage considered it very unlikely that deceased could have made a valid will at the time alleged. In cross-examination the latter witness was asked what he considered to be the points proving capacity in a testator, and he said that he considered the following to be essential:—First, a knowledge of the property to be devised; second, a knowledge of the relatives who might be benefited; third, a just appreciation of the testator's relationship to his friends and relatives; fourth, power of self-control, enough to prevent undue influence; and finally, memory of recent and more distant events. This definition was accepted by the judge and counsel as good and falling in with all legal judgments. Considerable stress in cross-examination was laid upon the periods of remission, or, as they were called, lucid intervals, which may occur in general paralysis of the insane, and Dr. Savage in cross-examination admitted that in general paralysis of the insane it is common to have intervals during which responsibility may exist to the full. It will be remembered that only last year the same question was raised (re Crabtree) as to the validity of a will made by a general paralytic during a remission, and it seems to be established that during lucid intervals testamentary acts may properly be performed. In the end the jury found for the will, which was made within so short a time of the full development of symptoms of general paralysis of the insane. This case once more bears out the common experience that an English jury will very rarely upset a fairly reasonable will on any grounds whatever, and that unless a very distinct insanity can be made evident before the drawing up of the will, the plea of insanity afterwards will be of little value.


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