Asunto(s)
Anticuerpos Antivirales/inmunología , Fiebre Hemorrágica con Síndrome Renal/diagnóstico , Viaje , Lesión Renal Aguda/sangre , Lesión Renal Aguda/etiología , Adulto , Creatinina/sangre , Fiebre/etiología , Finlandia , Orthohantavirus/inmunología , Fiebre Hemorrágica con Síndrome Renal/complicaciones , Fiebre Hemorrágica con Síndrome Renal/inmunología , Humanos , Inmunoglobulina G , Inmunoglobulina M/inmunología , Masculino , TailandiaRESUMEN
CONTEXT: A cervicofacial pain and foreign body sensation in pharynx associated with styloid process elongation is called Eagle syndrome. Typically, this syndrome is provoked by tonsillectomy or trauma. We report the first case of acute parotitis-induced Eagle syndrome. CASE REPORT: A 65-year-old woman presented with right facial pain. CT scan of neck revealed asymmetric enhancement of the right parotid gland compatible with acute parotitis. All inflammation was resolved with antibiotics. However, the patient complained of pain in right mandibular region out of proportion to inflammation. Review CT found to have an asymmetrically long right styloid process measures. The diagnosis of acute parotitis-induced Eagle syndrome was established. CONCLUSION: Physicians should have a high index of suspicion for Eagle syndrome in patients with atypical neck pain and elongated styloid process since another significant manifestation of Eagle syndrome is carotid artery compression leading to recurrent syncope or stroke.
Asunto(s)
Antineoplásicos/efectos adversos , Hemorragia/complicaciones , Hemorragia/etiología , Leucemia Mielógena Crónica BCR-ABL Positiva/complicaciones , Alveolos Pulmonares/patología , Pirimidinas/efectos adversos , Insuficiencia Respiratoria/etiología , Anciano , Antineoplásicos/uso terapéutico , Humanos , Leucemia Mielógena Crónica BCR-ABL Positiva/tratamiento farmacológico , Masculino , Pirimidinas/uso terapéutico , Insuficiencia Respiratoria/diagnóstico , Insuficiencia Respiratoria/terapia , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
CONTEXT: Methanol intoxication is a life-threatening condition. Hallmark of clinical presentations include severe wide anion gap metabolic acidosis with very high serum osmolar gap and visual complication. CASE REPORT: We report a case of severe methanol intoxication with bilateral putaminal hemorrhage, an uncommon serious complication. A 56-year-old man presented with altered mental status. Fundus examination showed optic disc edema. Arterial Blood Gas (ABG) revealed severe anion gap metabolic acidosis with osmolal gap. Head computed tomography (CT) showed hypodense lesions in basal ganglia bilaterally. Hemodialysis and intravenous fomepizole were initiated. Serum methanol level was significantly elevated. Unfortunately, patient was lethargic 2 weeks after discharge. Repeated CT of head demonstrated new putaminal hemorrhages. CONCLUSION: Bilateral putaminal hemorrhage is an uncommon but serious complication in methanol intoxication. Clinicians should have high index of suspicion for putaminal hemorrhage when patients with recent methanol intoxication present with altered mental status.