scholarly journals Acute cerebellar ataxia: a rare presentation of scrub typhus in pediatric age group

2021 ◽  
Vol 7 (4) ◽  
pp. 215-217
Author(s):  
Bhupesh Jain ◽  
Rameshwar Ninama ◽  
Mukesh Kumar Gurjar ◽  
Lalit Pal Katara
Keyword(s):  
Cerebellar Ataxia ◽  
Scrub Typhus ◽  
The Body ◽  
Age Group ◽  
Rare Presentation ◽  
Pediatric Age Group ◽  
Igm Elisa ◽  
Acute Cerebellar Ataxia ◽  
Atypical Presentations ◽  
Almost All

Scrub typhus is known to cause local and systemic vasculitic response in almost all the systems of the body. Scrub typhus very rarely presents itself with CNS manifestations. In central nervous system it most commonly causes meningitis and encephalitis although several other atypical presentations have been documented. Cerebellar ataxia, which is the lack of coordination, has a number of causes none of which are as uncommon or unheard of as Scrub Typhus. We report a case of a 15 years old child presenting with fever and isolated acute cerebellitis. Scrub Typhus was diagnosed by serum IgM ELISA. Patient showed rapid response to doxycycline therapy.

scholarly journals Acute cerebellar ataxia in a 3-year-old Bengali girl: a novel presentation of scrub typhus in pediatric age group

2017 ◽  
Vol 4 (2) ◽  
pp. 652 ◽  
Author(s):  
Aniruddha Ghosh ◽  
Saurav Sharma ◽  
Jaydeep Choudhury
Keyword(s):  
Scrub Typhus ◽  
Clinical Findings ◽  
The Body ◽  
Age Group ◽  
Pediatric Age ◽  
Mri Scan ◽  
Pediatric Age Group ◽  
Acute Cerebellar Ataxia ◽  
Atypical Presentations ◽  
Almost All

Scrub typhus is known to cause local and systemic vasculitic response in almost all the systems of the body. In central nervous system it most commonly causes meningitis and encephalitis although several other atypical presentations have been documented. We present a case of a 3 years old child presenting with fever and isolated acute cerebellitis. Serum showed IgM antibodies to scrub typhus by ELISA. MRI scan of brain also corroborated with clinical findings. Patient showed rapid response to doxycycline therapy.

Scrub Typhus-Associated Hemophagocytic Lymphohistiocytosis: Not a Rare Entity in Pediatric Age Group

2021 ◽  
Author(s):  
Ankika Basu ◽  
Satyabrata Roy Chowdhoury ◽  
Mihir Sarkar ◽  
Arpita Khemka ◽  
Rakesh Mondal ◽  
...  
Keyword(s):  
Hemophagocytic Lymphohistiocytosis ◽  
Scrub Typhus ◽  
Tertiary Care ◽  
Age Group ◽  
Pediatric Age ◽  
Clinical Predictors ◽  
Pediatric Age Group ◽  
Igm Elisa ◽  
Younger Age ◽  
Laboratory Profile

Abstract Background Our goal was to study the demographic, clinical and laboratory profile and outcome of scrub typhus-associated hemophagocytic lymphohistiocytosis (HLH) in the pediatric age group. Methods We conducted a prospective observational study in a tertiary care teaching hospital over a period of 1 year. Children in the age group of 1 month to 12 years with IgM ELISA positive for scrub typhus were included in the study. HLH was diagnosed using HLH-2004 criteria. Demographic, clinical and laboratory profile, treatment and outcome of HLH patients were noted and also compared with non-HLH scrub typhus patients. Results Among 58 children with scrub typhus infection, 18 had HLH. The mean age of patients with HLH was 35.3 ± 44.8 months and 61% were male. Anemia, thrombocytopenia and hyperferritinemia were seen in all the patients. Hypertriglyceridemia, hypofibrinogenemia and coagulopathy were noted in 78%, 56% and 44%, respectively. All the patients were treated with intravenous doxycycline for an average duration of 9.5 days. Intravenous immunoglobulin and methylprednisolone were given in 33% and 22% cases, respectively. Complications like acute respiratory distress syndrome (ARDS) (p = 0.001) and MODS (p = 0.004) were significantly high in the HLH group. Younger age (<3 years), fever > 7 days, presence of convulsion, ARDS and MODS were the clinical predictors of scrub typhus-associated HLH. Conclusion HLH in scrub typhus infected children is being increasingly recognized. Younger age, prolonged fever, presence of convulsion, ARDS and MODS should alert clinicians of the risk of HLH. Treating the primary cause usually cures the disease and immunomodulator therapy need not be routinely administered.

scholarly journals Congenital Lumbar Hernia in an 8-Month-Old Boy

2021 ◽  
Vol 15 (1) ◽  
pp. 431-435
Author(s):  
Mohamed Mansy ◽  
Mostafa Kotb ◽  
Mohamed Abouheba
Keyword(s):  
Congenital Anomalies ◽  
Lumbar Hernia ◽  
The Body ◽  
Age Group ◽  
Pediatric Age ◽  
Operative Repair ◽  
Pediatric Age Group ◽  
Organ Systems

Congenital lumbar hernias are uncommonly seen in the pediatric age group, with only about 60 cases reported in the literature. It is usually accompanied by a multitude of congenital anomalies involving different organ systems of the body. For instance, it may involve the ribs, spine, muscles, and the kidneys. Herein, we report a case of congenital lumbar hernia in an 8-month-old boy who underwent an operative repair using a mesh with an uneventful outcome.

scholarly journals Primary Umbilical Endometriosis: Report of a Rare Case

2014 ◽  
Vol 13 (1) ◽  
pp. 67-69
Author(s):  
Dilip K. Bhowmik ◽  
Rezwana Mirza ◽  
Amzad Hossain
Keyword(s):  
Rare Case ◽  
The Body ◽  
Reproductive Age ◽  
Age Group ◽  
Pelvic Organs ◽  
Almost All ◽  
Reproductive Age Group ◽  
Umbilical Endometriosis

Endometriosis is the commonest gynaecological problem; it affects 7 to 10% women in reproductive age group. Commonest site being the pelvic organs, extrapelvic presentation in almost all parts of the body have been reported. However umbilical endometriosis has been reported in more than one hundred cases. It was first described by Villar in 1886. Umbilical endometriosis accounts for only 0.5% to 1% of all endometriosis cases. Most of the reported cases occurred in the scar following gynaecological and obstetrical surgery. A few cases of primary umbilical endometriosis have been reported. We report such a rare case of primary umbilical endometriosis and the diagnosis was done by FNAC & the patient underwent wide local excision.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i1.19426

Acute cerebellar ataxia and peripheral neuropathy due to an atypical infection

2021 ◽  
Vol 14 (3) ◽  
pp. e242229
Author(s):  
Manjunath Hoskote Venkatesh ◽  
Stalin Viswanathan ◽  
Jayachandran Selvaraj ◽  
Vivekanandan Pillai
Keyword(s):  
Peripheral Neuropathy ◽  
Cerebellar Ataxia ◽  
Scrub Typhus ◽  
Febrile Illness ◽  
Empirical Treatment ◽  
Acute Febrile Illness ◽  
Cerebellar Dysfunction ◽  
Acute Cerebellar Ataxia ◽  
Organ Dysfunctions

This 18-year-old boy presented to the hospital with symptoms of cerebellar dysfunction preceded by an acute febrile illness with rash. Examination showed evidence of left-sided cerebellar dysfunction and polyneuropathy. Empirical treatment for leptospirosis and scrub typhus was initiated. MRI was normal. Other organ dysfunctions in the form of thrombocytopenia and transaminitis were also observed. He recovered without sequelae. A diagnosis of acute cerebellar ataxia and polyneuropathy due to scrub typhus was made.

scholarly journals BENDA ASING TELINGA HIDUNG TENGGOROK DI BAGIAN/SMF THT-KL BLU RSU PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI 2008 – DESEMBER 2011

2013 ◽  
Vol 4 (3) ◽  
Author(s):  
Marthalisa S. Sosir ◽  
O. I. Palandeng ◽  
R. E.C. Tumbel
Keyword(s):  
External Auditory Canal ◽  
Age Groups ◽  
The Body ◽  
Age Group ◽  
Human Organs ◽  
Foreign Objects ◽  
Anatomic Locations ◽  
Almost All ◽  
Department Faculty ◽  
Nose And Throat

Abstract: Sudden death, especially among children, can occur due to aspiration or the swallowing of foreign objects. Foreign objects in human organs are any kind of matter that comes from outside or inside the body, which normally is not present in these organs. This was a retrospective and descriptive  study and was aimed to determine the incidence of cases of foreign objects in the ear, nose, or throat found in the Ear, Nose, and Throat - Head and Neck Department, Faculty of Medicine, University of Sam Ratulangi, Manado, from January 2008 through December 2011 in which there were 482 cases. The results showed that the highest number of cases was in 2010 (163 cases, 33.81%), followed by 2009, 2011, and 2008. Male and female cases were 61.82% and 38.18% respectively. Cases in the age group 0-10 years were 218 (45.22%), followed by the age groups: >51 years, 41-50 years, 21-30 years, 31-40 years, and 11-20 years. The most usual anatomic locations of the foreign objects were the external auditory canal (58.29%), followed by the nose, pharynx, esophagus, larynx and bronchus. Successful extractions of the foreign objects occured in 99.17% cases. Conclusion: The highest number of cases was in 2010, being more frequent in males. The most vulnerable age group was 0-10 years, and the most usual anatomic location of the foreign objects was the external auditory canal. Successful extractions of foreign objects occured in almost all cases. Keywords: foreign objects, respiratory tract.     Abstrak: Kematian mendadak terutama pada anak-anak dapat terjadi akibat aspirasi atau tertelan benda asing. Benda asing dalam suatu organ tubuh ialah benda yang berasal dari luar atau dalam tubuh, yang dalam keadaan normal tidak terdapat dalam organ tersebut. Penelitian ini bersifat retrospektif – deskriptif dan bertujuan untuk  mengetahui insiden kasus benda asing telinga, hidung, dan tenggorok di Poliklinik THT-KL RSU Prof. Dr.R D Kandou Manado selang bulan Januari 2008- Desember 2011. Data kasus sebanyak 482 dikumpulkan secara retrospektif dari catatan medik. Jumlah  kasus tertinggi pada tahun 2010 (163 kasus, 33,81%), diikuti oleh 2009, 2011, dan 2008. Kasus laki-laki sebanyak 61,82% dan perempuan 38,18%. Kelompok usia 0-10 tahun sebanyak 218 kasus (45,22%), diikuti kelompok usia >51 tahun, 41-50 tahun, 21-30 tahun, 31-40 tahun, dan 11-20 tahun. Lokasi anatomi benda asing tersering pada meatus akustikus eksterna (58,29%), kemudian hidung, faring, esofagus, dan laring serta bronkus. Keberhasilan penatalaksanaan benda asing (ekstraksi) 99,17%. Simpulan: Kasus benda asing pada telinga, hidung dan tenggorok tertinggi pada tahun 2010 dengan kelompok usia 0-10 tahun, jenis kelamin laki-laki, dan lokasi benda asing tersering pada meatus akustikus eksterna dengan tingkat keberhasilan ekstraksi yang tinggi. Kata kunci: benda asing, saluran napas.

scholarly journals A Critical Analysis of Rajonivriti Lakshanas and Their Pathogenesis

AYUSHDHARA ◽  
2021 ◽  
pp. 3466-3472
Author(s):  
Varinder Kaur ◽  
Janu Manohar ◽  
Sakshi
Keyword(s):  
Health Problem ◽  
Critical Analysis ◽  
Fertility Rate ◽  
The Body ◽  
Menstrual Blood ◽  
Age Group ◽  
Mental Performance ◽  
Stage Of Disease ◽  
Reproductive Life ◽  
Almost All

Today in the era of information and technology the whole scenario has been changed. Women have a multidimensional attitude and enjoy special place in the society by reaching all kinds of heights by their spectacular physical and mental performance in almost all possible fields. Problems of different age group of women are still present and the most suffering age group is forty plus due to change in reproductive life by cessation of menstruation causing untoward physical and mental agonies called menopause. Every woman faces various physiological and psychological changes during this change as part of hormonal de arrangement. The presence of regular menstruation indicates the starting of reproductive life of women and menopause indicates the declining fertility rate of female. Rajonivritti word is made up of two different words viz., ‘Rajah and Nivritti Rajah denoted as Aartava (menstrual blood) Nivritti as Uprama (cessation). In Ayurveda this phenomenon taken in different way not as a serious health problem. As Sushruta mentioned that menopause deals with Jarapakvya avastha of the body. Sometimes such disturbances attain the stage of disease or syndrome called Menopausal Syndromes accompanied by various vasomotor, psychological, genital, locomoter and G.I.T related symptoms.

Splenic infarct with scrub typhus: a rare presentation

2019 ◽  
Vol 50 (3) ◽  
pp. 234-236 ◽  
Author(s):  
Manjeet K Goyal ◽  
Yogesh C Porwal ◽  
Arun Gogna ◽  
Sameer Gulati
Keyword(s):  
Scrub Typhus ◽  
Febrile Illness ◽  
Splenic Infarction ◽  
North India ◽  
Computed Tomography Scan ◽  
Rare Presentation ◽  
Splenic Infarct ◽  
Igm Elisa ◽  
Clinical Presentations ◽  
Tomography Scan

Scrub typhus has a variety of clinical presentations ranging from asymptomatic to fever with chills, myalgias, hepatitis, gastric ulcerations and pancreatitis, all being attributed to disseminated vasculitis, with splenic infarction being a rare presentation. A 26-year man, a resident of north India, presented with an acute febrile illness and abdominal pain, computed tomography scan of the abdomen was suggestive of a splenic infarct. After ruling out other aetiology, a positive IgM (ELISA) for scrub typhus led to treatment with oral doxycycline, following which the patient was discharged symptom-free. Rarely can splenic infarction be attributable to scrub typhus; so far, five such cases have been reported in the published literature.

scholarly journals Tuberculous scleritis in a young Asian Indian girl—a case presentation and literature review

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Lagan Paul ◽  
Manisha Agarwal ◽  
Shalini Singh ◽  
Prashant Katre ◽  
Aman Sumeet Arora
Keyword(s):  
Female Child ◽  
Age Group ◽  
Pediatric Age ◽  
Posterior Scleritis ◽  
Rare Presentation ◽  
Case Presentation ◽  
Pediatric Age Group ◽  
Common Causes ◽  
Anterior Scleritis ◽  
Infectious Scleritis

AbstractScleritis is the severe painful inflammation of the sclera, which can be infectious or non-infectious. Tuberculosis (TB) is one of the common causes of infectious scleritis. TB, though endemic in countries like India, is rare in pediatric age group. We report a case of a 9-year-old female child who presented with bilateral non-necrotizing anterior scleritis with unilateral posterior scleritis secondary to TB. To our knowledge, this is a rare presentation in pediatric age group, and she is the youngest of few cases of tuberculous posterior scleritis reported in literature.

scholarly journals Rare presentation of subcutaneous panniculitis-like T cell lymphoma in pediatric age group

2021 ◽  
Vol 8 (11) ◽  
pp. 1902
Author(s):  
Chandra Lekha T. ◽  
Fathima Thahmi ◽  
Nijaguna N. ◽  
Sahana N. Srinivas
Keyword(s):  
T Cell ◽  
Cell Lymphoma ◽  
Unknown Origin ◽  
T Cell Lymphoma ◽  
Unusual Presentation ◽  
Age Group ◽  
Pediatric Age ◽  
Rare Presentation ◽  
Pyrexia Of Unknown Origin ◽  
Pediatric Age Group

Leukaemia and lymphoma are the commonly seen malignancies in children, subcutaneous panniculitis-like T-cell lymphoma (SPTL) is not only a rare cause of malignancy but also rare cause of panniculitis in children. We report an unusual presentation of this malignancy in the form of pyrexia of unknown origin (PUO), where rash was seen as very late symptom. Histopathology is seen as key in diagnosis of the disorder.

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