Congenital malaria with atypical presentation: A series of three case reports

Severe dengue infections in a postoperative patient may lead to significant derangement in the body’s homeostasis resulting in morbidity and sometimes even mortality. Reports on presentation and clinical manifestations of dengue in patients following major surgical procedures are scarce and restricted to few case reports. We describe a 26-year-old male with atypical presentation and late detection of dengue haemorrhagic fever following a major abdominal surgery. On postoperative day 6, he developed spontaneous bleeding from the drain site and moderate-to-massive bilateral pleural effusion with respiratory distress. His dengue IgM and IgG were positive. Therefore, a diagnosis of dengue haemorrhagic fever with bilateral lower zone pneumonia was made. A right-sided intercostal tube was inserted. Intensive care was given and was managed with intravenous antibiotics, targeted fluid therapy, and supportive care. He recovered from the infection and was discharged uneventfully. This case is unique because during the postoperative period, he went into critical phase with significant fluid leakage and developed bleeding manifestations without a clear febrile phase and deterioration in the haemodynamic parameters. High degree of suspicion and early detection are necessary to guide the fluid therapy and provide organ support in such patients.

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Congenital malaria with atypical presentation: A case report from low transmission area in India

Malaria Journal ◽

10.1186/1475-2875-6-43 ◽

2007 ◽

Vol 6 (1) ◽

Cited By ~ 13

Author(s):

Neena Valecha ◽

Sunita Bhatia ◽

Sadhna Mehta ◽

Sukla Biswas ◽

Aditya P Dash

Keyword(s):

Case Report ◽

Atypical Presentation ◽

Low Transmission ◽

Transmission Area ◽

Congenital Malaria

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Mania and Down's Syndrome

The British Journal of Psychiatry ◽

10.1192/bjp.162.6.739 ◽

1993 ◽

Vol 162 (6) ◽

pp. 739-743 ◽

Cited By ~ 11

Author(s):

Sally-Ann Cooper ◽

Richard A. Collacott

Keyword(s):

Learning Disabilities ◽

Family History ◽

Affective Disorder ◽

Clinical Features ◽

Case Reports ◽

Down's Syndrome ◽

Down’S Syndrome ◽

Atypical Presentation ◽

Rapid Cycling ◽

History Of

Until recently, it was considered that Down's syndrome precluded a diagnosis of mania, or gave rise to an atypical presentation. There have been seven case reports of mania in people with Down's syndrome and all these cases are reviewed. The clinical features of mania are noted to be similar to those previously described in individuals with learning disabilities due to other causes. However, all reported cases are male and none has a family history of affective disorder. In two of the seven men reported, the illness followed a rapid cycling pattern. Hypothyroidism and monoamine biochemistry in people with Down's syndrome are discussed in the context of these atypical features.

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Congenital malaria with atypical presentation in a preterm neonate

Journal of Clinical Neonatology ◽

10.4103/2249-4847.120002 ◽

2013 ◽

Vol 2 (3) ◽

pp. 138

Author(s):

Rakesh Kumar ◽

Kundan Kumar

Keyword(s):

Preterm Neonate ◽

Atypical Presentation ◽

Congenital Malaria

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A Conservative Management Approach for Unusual Presentation of Oral Actinomycosis

Case Reports in Dentistry ◽

10.1155/2021/5570758 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Qamar Hashem

Keyword(s):

Oral Cavity ◽

Case Reports ◽

Management Approach ◽

Atypical Presentation ◽

Granulomatous Lesion ◽

Soft Tissue Lesion ◽

Root Canals ◽

Persistent Infections ◽

Infected Root ◽

Mandibular Canine

Actinomycosis is gram-positive saprophytic infection that is characterized by chronic suppurative and granulomatous lesion. It could be found in the oral cavity, lungs, colon, and genital area. In the oral cavity, it is commonly associated with infected root canals presented as persistent infections. This case reports demonstrate an atypical presentation of actinomycosis in the lower left mandibular canine/premolar area showing painless soft tissue lesion associated with bone sequestration. Nonsurgical curettage of the lesion followed by nonsurgical root canal treatment and retreatment to the offended teeth was determined as the treatment modality for this case.

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Atypical Presentation and Delayed Diagnosis of Gyrate Atrophy: Case Reports of Two Siblings

10.21203/rs.3.rs-1075468/v1 ◽

2021 ◽

Author(s):

Tugce Horozoglu Ceran ◽

Berrak Sekeryapan Gediz ◽

Kenan Sonmez

Keyword(s):

Case Reports ◽

Pigment Epithelium ◽

Retinal Pigment ◽

Delayed Diagnosis ◽

Atypical Presentation ◽

Gyrate Atrophy ◽

Previous Diagnosis ◽

History Of ◽

Transferase Deficiency ◽

Hereditary Condition

Abstract Gyrate atrophy is a hereditary condition characterized by ornithine amino transferase deficiency related large areas of retinal pigment epithelium and choriocapillaris lobular shaped atrophy in the peripherial retina. In this report, we present a case of atypical presentation of gyrate atrophy. The aim of this report is to present two siblings, one of which was associated with lamellar macular hole and with a history of previous diagnosis of retinitis pigmentosa. The delayed diagnosis of gyrate atrophy was made only after her brother, who was 5 years younger than her was diagnosed with gyrate atrophy. In addition, in this report, we evaluated gyrate atrophy in terms of multimodal imaging findings, differential diagnosis and treatment of macular complications.

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Bronchogenic Stress Cardiomyopathy: A Case Series

Cardiology ◽

10.1159/000369296 ◽

2015 ◽

Vol 130 (2) ◽

pp. 106-111 ◽

Cited By ~ 9

Author(s):

Adil Rajwani ◽

Zulfiquar Adam ◽

James Anthony Hall

Keyword(s):

Single Case ◽

Case Reports ◽

Case Series ◽

Stress Cardiomyopathy ◽

Chronic Obstructive ◽

High Dose ◽

Atypical Presentation ◽

Agonist Therapy ◽

Obstructive Pulmonary Disease

Despite a growing awareness of stress (takotsubo) cardiomyopathy, the diversity in precipitants beyond emotional distress remains under-appreciated. Emerging data implicate a differential influence of precipitant type on the variable presentations of stress cardiomyopathy. We outline 5 cases of stress cardiomyopathy where the precipitant was an acute exacerbation of chronic obstructive pulmonary disease treated with high-dose bronchodilator therapy. In this setting, an atypical and insidious presentation of the stress cardiomyopathy was consistently observed that was difficult to distinguish from the acute airway exacerbation itself, with an absence of chest pain in particular. Scrutiny of published single-case reports reveals a similar atypical presentation; this supports the existence of a novel bronchogenic subgroup of stress cardiomyopathy. A key role of repeat ECG evaluation in distinguishing protracted but uncomplicated bronchospasm from bronchogenic stress cardiomyopathy is highlighted. Further data are now required to examine whether high-dose β-agonist therapy is implicated in this association.

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A curable pseudo-dementia related to an atypical presentation of giant cell arteritis

Age and Ageing ◽

10.1093/ageing/afaa010 ◽

2020 ◽

Vol 49 (3) ◽

pp. 487-489

Author(s):

Clément Lahaye ◽

Manuel Sanchez ◽

Audrey Rouet ◽

Ariane Gross ◽

Nathalie Faucher ◽

...

Keyword(s):

Weight Loss ◽

Giant Cell Arteritis ◽

Giant Cell ◽

Short Term Memory ◽

Case Reports ◽

Vascular Involvement ◽

Temporal Artery Biopsy ◽

Atypical Presentation ◽

18Fdg Pet ◽

Brachiocephalic Trunk

Abstract A 70-year-old patient was admitted with rapidly progressive cognitive decline associated with limitations in activities of daily living, weight loss and cerebellar ataxia. The diagnosis of giant cell arteritis (GCA) with vascular involvement was made, based on the presence of a metabolically active vasculitis of the brachiocephalic trunk on 18FDG-PET imaging. Temporal artery biopsy also revealed pan-arteritis. A progressive regression of cognitive disorders occurred under corticosteroid treatment and immunosuppressive therapy. Previously published case reports concerning this atypical presentation of GCA are scarce. They suggest that numerous cognitive symptoms, such as impairment of short-term memory, disorientation, delirium, impaired attention or visual hallucinations might be related to GCA. Thus, this diagnosis should be considered as a curable cause of unexplained cognitive impairment associated with weight loss and systemic inflammation.

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