scholarly journals Thinking beyond Tuberculosis: A Case Report

2020 ◽  
pp. 132-138
Author(s):  
Tauheed Ahmed ◽  
Sanjay Khator ◽  
Sangita D Kamath ◽  
Rudra Prasad Samanta
Keyword(s):  
Developing Countries ◽  
Case Report ◽  
Male Patient ◽  
Chest Radiograph ◽  
Lung Tissue ◽  
Past History ◽  
High Prevalence ◽  
History Of

Aspergilloma describes the saprophytic colonization of an area of devitalized lung tissue. It usually develops in pre-existing pulmonary cavities caused by tuberculosis, sarcoidosis and other such conditions. It is found in almost 15% to 25% of patients with cavitatory lesions resulting from tuberculosis. In developing countries with high prevalence of tuberculosis, like India, aspergilloma is often misdiagnosed as tuberculosis. Hemoptysis is often equated with TB, and most patients are diagnosed clinically. Here we report one such case of a 56 year old male patient with past history of tuberculosis, who was initially diagnosed and being treated as a relapse of tuberculosis on the basis of hemoptysis and chest radiograph findings, till further detailed investigations revealed an aspergilloma in a post tubercular cavity as the cause of his symptoms.

scholarly journals P35.06: Intramural Pregnancy with a past history of artificial abortion - A case report

2008 ◽  
Vol 32 (3) ◽  
pp. 434-434
Author(s):  
H. Abe ◽  
D. Doi ◽  
M. Kakisu ◽  
T. Fukami ◽  
H. Asakura ◽  
...  
Keyword(s):  
Case Report ◽  
Past History ◽  
History Of ◽  
Artificial Abortion

scholarly journals Case Report: A rare association between SLE and Acute Lymphatic Leukemia

2018 ◽  
Vol 1 (3) ◽  
pp. 01-02
Author(s):  
P.K. Sasidharan
Keyword(s):  
Case Report ◽  
Acute Lymphoblastic Leukemia ◽  
Past History ◽  
Lymphoblastic Leukemia ◽  
Acute Lymphatic Leukemia ◽  
Rare Association ◽  
Lymphatic Leukemia ◽  
History Of

A 30-year-old housewife with past history of acute lymphoblastic leukemia 12 years back, still in remission, was admitted with polyarthritis of 2 months duration. She was evaluated and found to have SLE with positive ANA and Anti ds DNA which were strongly positive.

scholarly journals Occult insulinoma after oesophagectomy for oesophageal cancer-diagnostic challenges

2021 ◽  
Vol 9 (1) ◽  
pp. 185
Author(s):  
Marta Alexandre Silva ◽  
Maria João Amaral ◽  
Pedro Pinto ◽  
Mónica Martins ◽  
Marco Serôdio ◽  
...  
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Clinical Case ◽  
Gastrointestinal Surgery ◽  
Gastric Surgery ◽  
Diagnostic Investigation ◽  
Post Operative Period ◽  
History Of ◽  
Oesophageal Surgery ◽  
Hyperinsulinemic Hypoglycaemia

Hypoglycaemia in the post-operative period is mainly iatrogenic (related to anti-hyperglycaemic drugs), but can be explained by an endogenous hyperinsulinemic state. In the context of previous gastrointestinal surgery, a form of dumping syndrome can mask hypoglycaemia from an underlying cause, such as an insulinoma. The authors present a clinical case of a male patient who underwent oesophageal surgery for an oesophago-gastric junction adenocarcinoma and developed hypoglycaemic symptoms in the post-operative period, caused by an undiagnosed insulinoma. This case report portraits the diagnostic investigation of a hypoglycaemia state in the post-operative period, narrowing to the workup of an endogenous hyperinsulinemic hypoglycaemia and provides a summary of insulinoma’s treatment. An insulinoma should always be considered in a patient with endogenous hyperinsulinemic hypoglycaemia, even with a history of oesophago-gastric surgery.

scholarly journals Hydatid disease with Aspergilloma: A unique case report

2021 ◽  
Vol 91 (1) ◽  
Author(s):  
Sandeep Sharma ◽  
Parikshit Thakare ◽  
Ketaki Utpat ◽  
Unnati Desai
Keyword(s):  
Case Report ◽  
Hydatid Disease ◽  
Past History ◽  
Case Reports ◽  
Unique Case ◽  
Rare Finding ◽  
History Of ◽  
One Year

The coexisting presence of hydatid disease with aspergillus colonization is a rare finding. The 20-year-old presented with symptoms of hemoptysis with past history of tuberculosis. On further evaluation, the patient was diagnosed as a case of aspergilloma and managed conservatively. After one year of presenting with similar complaints, the patient was turned out to be hydatid disease with aspergillus colonization on the basis of clinic-radiological and bronchoscopic evaluation. Till now only a few case reports have been reported. We report a unique case report of a similar presentation.

scholarly journals Mycobacterium Other Than Tuberculosis (MOTT) – A Case Report: الجرثومة الفطرية غير الدرنية - تقرير حالة

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Hosam Abdullah Alsulami, Sonia Mezghani Ben Salah
Keyword(s):  
Case Report ◽  
Lung Disease ◽  
Past History ◽  
Thick Wall ◽  
Heavy Smoker ◽  
Chronic Obstructive ◽  
Left Thoracotomy ◽  
Breath Sounds ◽  
Two Samples ◽  
History Of

Patients with chronic obstructive pulmonary disease (COPD) and bronchiectasis are considered at risk of non-tuberculous mycobacterial lung disease especially those on inhaled corticosteroids. We described a case of a 69-year-old male, Ex. a heavy smoker with past history of pulmonary tuberculosis, COPD with diffuse centro lobular emphysema; status post left thoracotomy for hydropneumothorax, left-sided bullectomy done 8 months back. Patient admitted in our hospital " King Fahad General Hospital, Jeddah " with a history of chronic productive cough with an increased SOB, on/ off fever, night sweats and loss of weight in the last 3 months. No hemoptysis. On examination, he was conscious, oriented, afebrile, positive clubbing. Vitally stable. Chest examination showed a scare of left thoracotomy clean with small chest wall bulge; decreased breath sounds with bilateral ronchi and dullness in the left lower chest. Laboratory investigations showed hyperleukocytosis of 14.6 and serology for HIV was negative. CT scan chest showed left lobulated pleural effusion with empyema necessities, a diffuse emphysematous lung disease with bilateral thick wall cavities and pulmonary nodules as well as left bronchiectasis changes with underlying consolidation collapse. US-guided left pleural aspiration done showed exudative polymorph inflammation. Pleural fluid AFB and PCR was negative and two samples of AFB sputum were positive (2+), PCR was negative, 2 Bactec cultures were positives with the rapid growth of MOTT. Mycobacterial Avium Complex has been identified (Mayoclinic lab. in USA) which is sensitive to Rifampicin*, Clarithromycin* and Ethambutol* but resistant to Moxifloxacin and to Linozelid*. Patient treated with a combination of Rifampicin + Ethambutol* +Clarithromycin* for 18 months with clinical and radiologic improvement and good tolerance. This Study is a "case report study" aimed to report a very rare case, to report a new case of MOTT in Saudi Arabia for the purpose of statistics and for scientific benefit.

scholarly journals Gossypiboma and Total Hip Arthroplasty – A Rare Accidental Finding Following a Periprosthetic Infection

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Gabriel Pina ◽  
David Pereira ◽  
Nuno Borralho ◽  
Manuel Sousa
Keyword(s):  
Case Report ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Past History ◽  
Surgical Complication ◽  
Soft Tissue Tumors ◽  
The Body ◽  
Total Hip ◽  
Reactive Protein ◽  
History Of

Introduction: Gossypiboma or textiloma is the technical term used to describe a surgical complication related to accidental retention of surgical material within the body, most often surgical swabs. Since it is rare in orthopedic surgery, its diagnostis is less common and often initially mistaken with soft-tissue tumors. The aim of this study is to point out the importance of this differential diagnosis in the event of clinical swelling or accidental intraoperative finding associated with previous surgery. Case Report: Female patient presenting with 3 weeks hip pain and inflammatory signs, with a past history of a total hip arthroplasty 15 years before. Analytically presented C-reactive protein CRP of 13.67 mg/dl. Ultrasound and computed tomography CT scan revealed a solid lesion in the anterior thigh root and a liquid lesion in the lateral region of the hip. Discussion: Gossypibomas can be classified into two types: The aseptic fibrous type, which produces adhesions and a fibrotic capsule, and the exudative type, which is characterized by abscess formation. This case report refers to an aseptic fibrous type, given an asymptomatic evolution over 15 years and histopathological findings. However, this diagnosis occurred following a periprosthetic hip infection. Keywords: Gossypiboma, muslinoma, textiloma, total hip arthroplasty. Gossypiboma, Textiloma, Muslinoma, Total hip arthroplasty

scholarly journals MANAGEMENT OF RECURRENT PILONIDAL SINUS WITH KSHARALEPA: A CASE REPORT

2020 ◽  
Vol 11 (6) ◽  
pp. 4-6
Author(s):  
Poornima Jalawadi ◽  
Aiyanna PP
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Male Patient ◽  
Pilonidal Sinus ◽  
Prevalence Rate ◽  
Surgical Practice ◽  
High Prevalence Rate ◽  
High Prevalence

Pilonidal Sinus (PNS) is a commonest presentation in surgical practice with a high prevalence rate at more than 1 million cases per year in India, where as incidence is about 26 per 1,00,000 population. A 30-year-old male patient presented with PNS after an unsuccessful excision followed by antibiotic therapy. The challenge in this case was not only to excise the tract but also preventing its recurrence. Adopting the principles of Vranopakramas using Ksharakarma, Utsadana karma described in Ayurveda helped to manage the PNS effectively without any recurrence after 32 months of follow-up.

scholarly journals A Vallecular Cyst as a Cause of Hemoptysis in an Adult

2011 ◽  
Vol 2 (3) ◽  
pp. 158-160
Author(s):  
Prabodh Karnik ◽  
Anuja Santosh Kulkarni
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Clinical Entity ◽  
Voice Change ◽  
History Of ◽  
Spontaneous Onset

ABSTRACT A vallecular cyst although rare but well-documented clinical entity. This case report presents a case of vallecular cyst in a 26-year-old male patient who presented to us with history of spontaneous onset hemoptysis for 9 days along with voice change and dysphagia for 15 days.

scholarly journals Giant Left Atrium in a case of Mitral stenosis with LA thrombus: A Case Report

2016 ◽  
Vol 9 (1) ◽  
pp. 73-74
Author(s):  
Jubayer Ahmad ◽  
Md Mokhlesur Rahman ◽  
Heemel Saha ◽  
Md Aftabuddin ◽  
Asit Baran Adhikary
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Left Atrium ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Male Patient ◽  
Mitral Valve Disease ◽  
Mitral Stenosis ◽  
History Of ◽  
Giant Left Atrium

A 52 year-old male patient of severe MS with mild MR with AF with a giant left atrium (LA size 70 mm) and history of CMC presented with symptoms. Giant left atrium is a condition characterized by huge enlargement of the left atrium with a diameter exceeding 65mm. It is most commonly associated with long standing rheumatic mitral valve disease. The patient underwent successful mitral valve replacement and removal of LA thrombus and discharged from hospital with adviceCardiovasc. j. 2016; 9(1): 73-74

Bilateral, spontaneous cerebrospinal fluid rhinorrhoea: endoscopic, uninasal, trans-septal approach for simultaneous closure

2011 ◽  
Vol 125 (11) ◽  
pp. 1185-1188
Author(s):  
M Kurien ◽  
G A Mathew ◽  
S L Abraham ◽  
A Irodi
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
English Language ◽  
Past History ◽  
Cerebrospinal Fluid Leakage ◽  
Endoscopic Repair ◽  
Recent Onset ◽  
Cerebrospinal Fluid Rhinorrhoea ◽  
Fluid Leakage ◽  
History Of

AbstractBackground:Bilateral, spontaneous cerebrospinal fluid rhinorrhoea is extremely rare, with only one previous case report (this patient developed contralateral cerebrospinal fluid leakage four years after successful endoscopic repair). We present the first English-language report of simultaneous, bilateral, spontaneous cerebrospinal fluid rhinorrhoea.Objective:To recommend a simple alternative endoscopic technique for simultaneous closure of bilateral, spontaneous cerebrospinal fluid rhinorrhoea.Case report:A 47-year-old woman presented with recent onset of bilateral, spontaneous cerebrospinal fluid rhinorrhoea, a recent history suggestive of meningitis, and a past history of pneumococcal meningitis. Bony defects on both sides of the cribriform plate were closed endoscopically in the same anaesthetic session, via a uninasal, trans-septal approach, enabling both leakage sites to be sealed simultaneously.Conclusion:In cases of bilateral, spontaneous cerebrospinal fluid rhinorrhoea, uninasal, trans-septal endoscopic repair is a simple and effective technique for simultaneous closure of cerebrospinal fluid leakage.

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