scholarly journals Encephalopathy an Atypical Presentation of Intussusception: A Case Report

2020 ◽  
Vol 8 (1) ◽  
pp. 41-44
Author(s):  
Venma Mampilly ◽  
Sasikumar Manalumukkil Sankaran ◽  
Ramaraj Subbiah
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Pediatric Emergency ◽  
Acute Onset ◽  
Differential Diagnoses ◽  
Atypical Presentation ◽  
Neurological Manifestations ◽  
Abdominal Symptoms

Background: Intussusception Encephalopathy is a pediatric emergency where a stuporous child presents with or without abdominal symptoms. Neurological manifestations of intussusception are an atypical presentation of this condition. It often misleads clinicians to other differential diagnoses of encephalopathy. The Case: We present to you a case of an 11-month-old child presented with encephalopathy, acute in onset with underlying intussusception. Conclusion: Intussusception encephalopathy is a pediatric emergency. It should be kept as a differential diagnosis when a child presents with complaints of acute onset of drowsiness with or without abdominal symptoms. Early diagnosis could save grave complications and improve the prognosis.

scholarly journals Ovarian Torsion after Hysterectomy: Case Report and Concise Review of the Reported Cases

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Demetrio Larraín ◽  
Andrés Casanova ◽  
Iván Rojas
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Rare Event ◽  
Laparoscopic Hysterectomy ◽  
Acute Onset ◽  
Ovarian Torsion ◽  
Adnexal Torsion ◽  
Concise Review ◽  
History Of

Ovarian torsion after hysterectomy is a rare event. The diagnosis of ovarian torsion is challenging because symptoms are nonspecific. We present a case of ovarian torsion 2 years after laparoscopic hysterectomy (LH). Furthermore, we performed a literature review about ovarian torsion after hysterectomy. This case shows that, in cases of acute onset pelvic pain in patients with history of hysterectomy, the adnexal torsion must be kept in mind in the differential diagnosis, especially in those women who had undergone LH.

scholarly journals The Mote in thy Brother’s Eyes - Fusarium Solani in Leukemia Host

2021 ◽  
Author(s):  
Rawan AlAgha ◽  
Wee Lee Chan ◽  
Thong Edwin Wei Sheng ◽  
Joanne Lee ◽  
Jen Wei Ying ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
High Mortality ◽  
Combination Chemotherapy ◽  
Fusarium Solani ◽  
Immunocompromised Host ◽  
Skin Lesions ◽  
Acute Onset ◽  
Source Control ◽  
Anti Fungal

Abstract Fusariosis is increasingly seen among immunocompromised host. The organism is known for its virulence and spectrum of infections. Presenting here a case of relapse acute myeloblastic leukemia on chemotherapy with acute onset of red painful eye followed by widespread painful skin lesions. Microbiological and radiological investigations diagnosed her with disseminated fusariosis. Treatment was challenging in view its inherent resistance to multiple anti-fungal agents and the need for early aggressive source control. The case report reflects the importance of early diagnosis and combination chemotherapy to salvage the patient from high mortality.

scholarly journals Brugada Syndrome: Presentation and Management of the Atypical Patient in the Emergent Setting

2020 ◽  
Vol 4 (2) ◽  
pp. 251-254
Author(s):  
Alexander Nguyen ◽  
Mario Flores ◽  
Vilmogil Tano
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Sudden Cardiac Death ◽  
Brugada Syndrome ◽  
Cardiac Death ◽  
Genetic Disorder ◽  
Atypical Presentation ◽  
Electrical System ◽  
Southeast Asians ◽  
Hispanic Male

Introduction: Brugada syndrome is a genetic disorder of the heart’s electrical system that increases a patient’s risk of sudden cardiac death. It is a syndrome most prevalent in Southeast Asians and is found 36 times more commonly in Asians than in Hispanics. Case Report: We report and discuss a case of a 68-year-old Hispanic male who presented with clinical and electrocardiogram abnormalities consistent with Brugada syndrome. Discussion: The patient’s age and ethnicity represents an atypical presentation of this rare syndrome and the lack of reported studies in the literature pertaining to these demographics reflect this. Conclusion: Further studies and characterizations are necessary as manifestations continue to be unearthed. As such, Brugada Syndrome should be considered in the differential diagnosis for a myriad of patient populations.

scholarly journals Deep vein thrombosis in children

2013 ◽  
Vol 5 (2) ◽  
pp. 12 ◽  
Author(s):  
Kanakkande Aabideen ◽  
Michael Ogendele ◽  
Ijaz Ahmad ◽  
Laweh Amegavie
Keyword(s):  
Differential Diagnosis ◽  
Deep Vein Thrombosis ◽  
Early Diagnosis ◽  
Rare Disease ◽  
Rare Case ◽  
Differential Diagnoses ◽  
Leg Pain ◽  
Vein Thrombosis ◽  
Deep Vein

We describe a rare case of deep vein thrombosis (DVT) in children, highlight the importance of early diagnosis of rare disease with potential complications. In a 5 year old boy presented with persistent leg pain without any obvious cause. Detailed investigation led to diagnosis of DVT. As there are common differential diagnoses for leg pain in children, pediatricians usually have a low index of suspicious of DVT in children. This case highlight that paediatricians must consider DVT in their differential diagnosis when children present with leg pain.

scholarly journals Mesenteroaxial Gastric Volvulus: A Case Report

2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Sampanna Pandey ◽  
Madhav Paudel ◽  
Anuj Parajuli ◽  
Roshan Ghimire ◽  
Asmita Neupane
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Primary Repair ◽  
Wedge Resection ◽  
Gastric Volvulus ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Atypical Presentation ◽  
Surgical Exploration ◽  
Low Threshold

Gastric volvulus is defined as an abnormal rotation of the stomach. Classical textbook presentation may not always be present. Meticulous assessment and broadened differential diagnosis are thus crucial. Various types have been described in literature. Low threshold for detection with aggressive resuscitation and immediate surgical exploration on suspected incarceration or perforation are mandatory. We report a case of 16-years-female who had atypical presentation of mesenteroaxial gastric volvulus. Emergency exploratory laparotomy with wedge resection and primary repair of stomach with anterolateral gastropexy was performed. She had uneventful recovery with discharge on fifth postoperative day.

Atypical presentation of anti-N-methyl-D-aspartate receptor encephalitis in a 61-year-old Hispanic man

2020 ◽  
Vol 13 (12) ◽  
pp. e238347
Author(s):  
Esme Irvine ◽  
Debra Cheng ◽  
Daa Xiao
Keyword(s):  
Older Adults ◽  
Mental Status ◽  
Acute Onset ◽  
Differential Diagnoses ◽  
Psychiatric History ◽  
Atypical Presentation ◽  
Aspartate Receptor ◽  
Personality Changes

A 61-year-old Hispanic man with no psychiatric history presented with an acute onset of personality changes, including aggression and hypersexuality, which progressed to hallucinations and fluctuations in mental status, and was diagnosed with anti-N-methyl-D-aspartate receptor encephalitis. This report emphasises the importance of having anti-NDMA receptor encephalitis on the list of differential diagnoses in acute, unprovoked personality changes in older adults.

scholarly journals Acute sensorineural hearing loss as atypical presentation of typhoid fever in adult patient

2020 ◽  
Vol 8 ◽  
pp. 2050313X2095854
Author(s):  
Khaled Al Khodari ◽  
Tehniyat Baig ◽  
Mohammad Husni Alkhateeb ◽  
Muhammad Naeem
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Typhoid Fever ◽  
Bacterial Infections ◽  
Salmonella Typhi ◽  
Acute Onset ◽  
Atypical Presentation ◽  
Diagnostic Challenge ◽  
Intravenous Antibiotics ◽  
Neurological System

Salmonella Typhi is the main cause of an acute febrile, sometimes fatal, multisystemic illness called typhoid fever. The diverse presentations of this disease make it a diagnostic challenge in some patients. Involvement of the neurological system, including cochleovestibular system, is very rare with less than a handful of reported cases. This case report describes the condition of a previously healthy 23-year-old Pakistani man with acute onset of hearing loss associated with fever, headache, and disorientation. The most likely differential diagnoses were bacterial or viral meningoencephalitis, and other bacterial infections, such as Rickettsial and spirochetal diseases. Salmonella Typhi grew on blood culture; thus, treatment with intravenous antibiotics and systemic steroids was provided with excellent response. Hearing loss gradually improved and almost completely resolved within 3 to 4 weeks.

A CASE REPORT: KAZABACH-MERRITT SYNDROME (KMS)

Vestnik ◽  
2021 ◽  
pp. 73-77
Author(s):  
Г.Ж. Бодыков ◽  
Г.Н. Балмагамбетова ◽  
С.А. Лисогор ◽  
В.М. Шмонин
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Clinical Laboratory ◽  
Clinical Manifestations ◽  
Vascular Anomalies ◽  
Diagnosis And Treatment ◽  
Pediatric Practice

Синдром Казабаха - Мерритта в детской практике встречается крайне редко. Клинические проявления многообразны, что затрудняет своевременную диагностику и лечение данного заболевания. Цель: привлечь внимание неонатологов и педиатров к своевременной диагностике редких гематологических синдромов. Материалы и методы. Проведено расширенное обследование ребенка и тщательная дифференциальная диагностика с другими сосудистыми аномалиями. Результаты. На основании оценки анамнеза, клинико - лабораторных и инструментальных методов обследования установлен диагноз СКМ. Выводы. Постановка диагноза СКМ требует проведения расширенного обследования ребенка и тщательной дифференцировки с другими сосудистыми аномалиями. Kazabach-Merritt syndrome is extremely rare in pediatric practice. Clinical manifestations are diverse- and this fact complicates the early diagnosis and treatment of the disease.Purpose: to draw the attention of neonatologists and pediatricians to the early diagnosis of rare hematological syndromes.Materials and methods. An extended examination of the child and a thorough differential diagnosis with other vascular anomalies were carried out. Results. The KMS was diagnosed on the base of: the assessment of the anamnesis, clinical - laboratory and instrumental examination methods.Conclusion. The diagnosis of KMS requires an extended examination of the child and careful differentiation of other vascular anomalies.

Are we missing dementia with Lewy bodies?: a case report

2018 ◽  
Vol 26 (4) ◽  
pp. 381-383
Author(s):  
Deborah Wearne ◽  
Amanda Genetti ◽  
Sam Restifo ◽  
Alina Harriss
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Dementia With Lewy Bodies ◽  
Treatment Options ◽  
Delayed Diagnosis ◽  
Lewy Bodies ◽  
Atypical Presentation ◽  
Memory Dysfunction ◽  
Limited Availability ◽  
Diagnosis Of Dementia

Objectives: We aim to explore the importance of early diagnosis of dementia with Lewy bodies in order to facilitate effective psychiatric management. We present a case where delayed diagnosis stemming from an atypical presentation illustrates the complex issues involved in identifying and treating this type of dementia. Conclusions: We discuss the difficulty of diagnosis of this disorder in the absence of obvious memory dysfunction or parkinsonian symptoms. We use the case to draw attention to the limited availability of certain investigations and treatment options in Australia.

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