A Case of Mollarets Meningitis In Apollo Hospitals Dhaka

Pulse ◽  
2018 ◽  
Vol 10 (1) ◽  
pp. 42-46
Author(s):  
AA Bhuiyan ◽  
KM Rahman ◽  
MJ Alam
Keyword(s):  
Early Diagnosis ◽  
Aseptic Meningitis ◽  
Neurological Deficit ◽  
Hospital Admissions ◽  
Spontaneous Recovery ◽  
Rare Form ◽  
Meningeal Irritation ◽  
Atypical Features ◽  
Prolonged Hospital ◽  
Recurrent Aseptic Meningitis

Mollarets Meningitis is defined as a benign recurrent aseptic meningitis characterized by more than three episodes of fever, headache, meningeal irritation lasting typically 3-5 days. It has spontaneous recovery without any residual neurological deficit. Mollaret in 1944 described this extremely rare form of self-limiting aseptic recurrent benign meningitis. Here we present the report of a patient with Mollarets Meningitis with some atypical features. Early diagnosis may prevent prolonged hospital admissions, unnecessary investigations, and exposure to unnecessary medications, with their associated considerable costs.Pulse Vol.10 January-December 2017 p.42-46

scholarly journals Mollaret's Meningitis: A Case Report and Review of the Literature

1970 ◽  
Vol 17 (1) ◽  
pp. 41-46
Author(s):  
M Azizul Hoque ◽  
N Chowdhury ◽  
Z Hoque ◽  
NA Siddiqui ◽  
R Islam ◽  
...  
Keyword(s):  
United States ◽  
Spontaneous Recovery ◽  
Rare Condition ◽  
The United States ◽  
Review Of The Literature ◽  
Recurrent Meningitis ◽  
Rare Form ◽  
Meningeal Irritation ◽  
Mollaret's Meningitis ◽  
Recurrent Aseptic Meningitis

Mollaret's meningitis is defined as a benign recurrent aseptic meningitis characterized by three to ten episodes of fever and signs of meningeal irritation lasting between 2 to 5 days, associated with spontaneous recovery. Mollaret in 1944 described this rare form of self limiting aseptic recurrent benign meningitis. It is an extremely rare condition. Till 2002 approximately 50 cases of recurrent HSV meningitis have been described in the United States and in Europe. Here a report of a patient with recurrent meningitis, which resembles the criteria of Mollaret's Meningitis, is presented.   doi: 10.3329/taj.v17i1.3489 TAJ 2004; 17(1) : 41-46

Sonographic Diagnosis of Bilateral Tubal Pregnancies

2021 ◽  
pp. 875647932199235
Author(s):  
Amber R. Matuzak
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Tubal Ligation ◽  
Tubal Pregnancy ◽  
Rare Form ◽  
Sonographic Diagnosis ◽  
Ectopic Pregnancies ◽  
The Right ◽  
Preoperative Sonography ◽  
Bilateral Tubal Pregnancy

Bilateral tubal pregnancy (BTP) is a very rare form of ectopic twin gestation. Many times, they occur after the use of assisted reproductive therapy. Most cases of BTP are diagnosed during laparoscopy. This case report demonstrates a rare preoperative, sonography diagnosis of a spontaneous BTP which occurred after a tubal ligation. The sonogram revealed two corpus luteal cysts, both located on the right ovary, which suggests that the left tubal pregnancy most likely occurred as a result of ovum transmigration. This case demonstrates the important role that sonography plays in the early diagnosis of ectopic pregnancies as well as the importance of thoroughly examining the entire pelvis during a pelvic sonogram.

Naproxen-Induced Recurrent Aseptic Meningitis

DICP ◽  
1991 ◽  
Vol 25 (11) ◽  
pp. 1183-1184 ◽  
Author(s):  
Babette B. Weksler ◽  
Anne Marie Lehany
Keyword(s):  
Aseptic Meningitis ◽  
Recurrent Aseptic Meningitis

OUR SURGICAL EXPERIENCE IN ACUTE MESENTERIC ISCHEMIA- VARIOUS PATHOPHYSIOLGICAL TYPES – A CASE SERIES

2021 ◽  
pp. 25-29
Author(s):  
B. Santhi ◽  
A. Ramprasath ◽  
R. Saradha
Keyword(s):  
Abdominal Pain ◽  
Early Diagnosis ◽  
Elderly Patients ◽  
Mesenteric Ischemia ◽  
Hospital Admissions ◽  
Case Series ◽  
Arterial Occlusion ◽  
Acute Mesenteric Ischemia ◽  
Delayed Presentation ◽  
Surgical Critical Care

BACKGROUND: Mesenteric ischemia is a frequently lethal condition resulting from critically reduced perfusion to the gastrointestinal tract. It accounts for 1-2% of hospital admissions for abdominal pain. Mortality due to mesenteric ischemia ranges from 24% to 96% with an average of 69%. AIM: The aim of this case series is to outline the clinical presentation and challenges in diagnosis of acute mesenteric ischemia and emphasize the importance of early diagnosis and intervention in reducing the mortality and morbidity. This article presents a series of 4 cases of the 3 major types of acute mesenteric ischemia – 2 cases of Acute Mesenteric Arterial Thrombosis(AMAT), one case of Acute Mesenteric Arterial Embolism(AMAE) and one case of Mesenteric Venous Thrombosis(MVT). MATERIALS AND METHODS: A total number of 4 patients who had undergone emergency laparotomy for acute mesenteric ischemia during the month of December 2020 in the Department of General Surgery, Government Kilpauk Medical College were studied. All 4 cases have been analysed during this study period of one month and followed up until discharge from the hospital. RESULTS: This case series consisted of 4 cases. Out of 4 cases, 3 were cases of Superior Mesenteric Arterial Occlusion due to thrombus and emboli and 1 was a case of Superior Mesenteric Vein Occlusion by thrombus. All 4 were male patients. All 4 patients presented with sudden onset of abdominal pain with or without vomiting. Abdominal distension, constipation and clinical features suggestive of bowel gangrene was not seen in all cases. Out of 4 cases, 2 cases were diagnosed early and taken up for immediate surgery and had a better outcome postoperatively with shorter hospital stay. Denitive diagnosis could not be made at time of admission for one case and was taken up for surgery late after the general condition of the patient deteriorated and extensive gangrene of the small bowel was seen during surgery. One case succumbed to septic shock after surgery following delayed presentation. This case series attempts to highlight that the key to successful management in acute mesenteric ischemia is a high index of suspicion leading to early diagnosis, aggressive resuscitation and early mesenteric revascularization. CONCLUSION: Despite the remarkable advances in in vascular surgical technique, vascular imaging, percutaneous intervention and surgical critical care, mesenteric ischemia remains a complex and often disheartening disease. Acute mesenteric ischemia is a life threatening vascular emergency that requires a high degree of clinical suspicion and early intervention to avoid a poor outcome. As Acute Mesenteric Ischemia often affects elderly patients, we have to consider the possibility of acute mesenteric ischemia in all elderly patients presenting with abdominal pain that is out of proportion to the ndings on physical examination

scholarly journals Giant posterior fossa meningioma: the importance of early diagnosis and challenges concerning treatment

2019 ◽  
Vol 12 (3) ◽  
pp. e228454
Author(s):  
Cristiano Antunes ◽  
Rui Ramos ◽  
Maria João Machado ◽  
Miguel Afonso Filipe
Keyword(s):  
Early Diagnosis ◽  
Posterior Fossa ◽  
Surgical Approach ◽  
Neurological Deficit ◽  
Psychiatric Diseases ◽  
Total Removal ◽  
Brain Image ◽  
Behavioural Changes ◽  
Progressive Neurological Deficit ◽  
Posterior Fossa Meningioma

Posterior fossa lesions may present with behavioural changes and/or progressive neurological deficit. Patients may have symptoms for long periods which may be attributed to other causes such as psychiatric diseases. We report a case of a 44-year-old woman with behavioural changes lasting for 5 years who lost her job, marriage and the guard of her sons. Latterly, she developed neurological deficit, hydrocephalus and intracranial hypertension. A giant left pontocerebellar angle mass was diagnosed. A retrosigmoid craniotomy was performed with total removal and cranial nerve function’s preservation. Histology revealed a grade I meningioma. The surgical approach for such huge lesions on pontocerebellar angle is controversial concerning patient’s positioning and surgical route. A brief revision is made. Since nowadays medical imaging is more easily accessible, it is mandatory to have a brain image in patients with behavioural changes and/or neurological deficit to exclude potential structural and curable causes such as in this case.

scholarly journals Radiographic development during three decades in a patient with psoriatic arthritis mutilans

2015 ◽  
Vol 4 (7) ◽  
pp. 205846011558809 ◽  
Author(s):  
Leena Laasonen ◽  
Björn Guðbjörnsson ◽  
Leif Ejstrup ◽  
Lars Iversen ◽  
Thomas Ternowitz ◽  
...  
Keyword(s):  
Psoriatic Arthritis ◽  
Early Diagnosis ◽  
Effective Treatment ◽  
Typical Case ◽  
Rare Form ◽  
Pip Joint ◽  
Hands And Feet ◽  
Arthritis Mutilans ◽  
Ratingen Score

Psoriatic arthritis mutilans (PAM) is the most severe and rare form of psoriatic arthritis (PsA). We describe radiological development in a typical case of PAM covering three decades in order to elucidate the need for early diagnosis of PAM. Radiographs of hands and feet, taken from 1981 to 2010, were evaluated using the Psoriatic Arthritis Ratingen Score (PARS). When PsA was diagnosed, in 1981, gross deformity was observed in the second PIP joint of the left foot. Several pencil-in-cup deformities and gross osteolysis were present in the feet in the first decade of the disease. Over 10 years, many joints had reached maximum scores. During the follow-up, other joints became involved and the disease developed clinically. Reporting early signs suggestive of PAM, e.g. pencil-in cup deformities and gross osteolysis in any joint, should be mandatory and crucial. This would heighten our awareness of PAM, accelerate the diagnosis, and lead to improved effective treatment in order to minimize joint damages resulting in PAM.

scholarly journals CN-13 * RECURRENT ASEPTIC MENINGITIS IN PATIENTS WITH METASTATIC BRAIN TUMORS; A NOVEL PERSPECTIVE

2014 ◽  
Vol 16 (suppl 5) ◽  
pp. v48-v49
Author(s):  
N. Majd ◽  
E. Neil ◽  
R. Warnick ◽  
J. Tew ◽  
R. Curry
Keyword(s):  
Brain Tumors ◽  
Aseptic Meningitis ◽  
Metastatic Brain Tumors ◽  
Recurrent Aseptic Meningitis

scholarly journals Dysphagia Onset in Older Adults during Unrelated Hospital Admission: Quantitative Videofluoroscopic Measures

Geriatrics ◽  
2018 ◽  
Vol 3 (4) ◽  
pp. 66 ◽  
Author(s):  
Marie Jardine ◽  
Anna Miles ◽  
Jacqui Allen
Keyword(s):  
Older Adults ◽  
Hospital Admissions ◽  
Disuse Atrophy ◽  
Age Related ◽  
Swallowing Difficulties ◽  
Hospitalized Older Adults ◽  
Pharyngeal Constriction ◽  
Pharyngeal Area ◽  
Prolonged Hospital ◽  
Swallowing Assessment

New-onset swallowing difficulties in older patients during unrelated hospital admissions are well recognized and may result in prolonged hospital stay and increased morbidity. Presbyphagia denotes age-related swallowing changes which do not necessarily result in pathological effects. The trajectory from presbyphagia to dysphagia is not well understood. This retrospective observational study compared quantitative videofluoroscopic measures in hospitalized older adults aged 70–100 years, reporting new dysphagia symptoms during admission (n = 52), to healthy asymptomatic older (n = 56) and younger adults (n = 43). Significant physiological differences seen in hospitalized older adults but not healthy adults, were elevated pharyngeal area (p < 0.001) and pharyngeal constriction ratio (p < 0.001). Significantly increased penetration (p < 0.001), aspiration (p < 0.001) and pharyngeal residue (p < 0.001) were also observed in the hospitalized older cohort. Reasons for onset of new swallow problems during hospitalization are likely multifactorial and complex. Alongside multimorbidity and polypharmacy, a combination of factors during hospitalization, such as fatigue, low levels of alertness, delirium, reduced respiratory support and disuse atrophy, may tip the balance of age-related swallowing adaptations and compensation toward dysfunctional swallowing. To optimize swallowing assessment and management for our aging population, care must be taken not to oversimplify dysphagia complaints as a characteristic of aging.

Sign in / Sign up

Export Citation Format

Share Document