RESUMEN
Lipemia retinalis is a rare and asymptomatic condition which occurs when high levels of triglycerides and chylomicrons are present in blood. We report a rare case of secondary hyperlipoproteinemia in a 27 year old type 1 diabetes patient who presented with diabetic ketoacidosis and this peculiar ocular manifestation. The fundoscopic abnormality and creamy white serum cleared as the level of chylomicrons in the plasma dropped with intensive insulin therapy.
Asunto(s)
Diabetes Mellitus Tipo 1/complicaciones , Hiperlipidemias/complicaciones , Enfermedades de la Retina/complicaciones , Adulto , Cetoacidosis Diabética , Humanos , TriglicéridosRESUMEN
Case reports of Wilson's disease occurring in combination with SLE are rarely reported in literature. Drug induced lupus have been observed in patients taking D-penicillamine for Wilson's disease. Here we report a case from Coimbatore Medical College hospital, who presented with fever and neuropsychiatric symptoms as the initial manifestation and found to have both SLE and Wilson's disease on subsequent evaluation.
Asunto(s)
Degeneración Hepatolenticular/complicaciones , Lupus Eritematoso Sistémico/complicaciones , Fiebre/etiología , HumanosRESUMEN
We present the case of a 23 year old with acute onset left hemiparesis and meningeal irritation, associated with recent history of chickenpox 15 days prior. Varicella-IgG and IgM was positive in the CSF and blood along with reduced serum/CSF ratios of VZV immunoglobulins. MRV showed thrombosis (CVT) of superior sagittal, transverse, right sigmoid sinuses with haemorrhagic infarct in right frontoparietal region. Patient responded well to intravenous heparin, Acyclovir and oral anticoagulant therapy.
Asunto(s)
Trombosis de los Senos Intracraneales/virología , Infección por el Virus de la Varicela-Zóster/complicaciones , Humanos , Masculino , Adulto JovenRESUMEN
We report a 42 year old male who was an interesting case of "idiopathic CD4 lymphocytopenia"(ICL) in a non-HIV adult with-extra pulmonary tuberculosis along with the diffuse splenic calcification and whose symptoms improved with Antitubercular treatment. He was found to have low CD4 counts on two occasions.
Asunto(s)
Ganglios Linfáticos/diagnóstico por imagen , Bazo/diagnóstico por imagen , Linfocitopenia-T Idiopática CD4-Positiva/diagnóstico , Tuberculosis Pulmonar/tratamiento farmacológico , Adulto , Recuento de Linfocito CD4 , Linfocitos T CD4-Positivos/patología , Humanos , Masculino , Infecciones Oportunistas/sangre , Infecciones Oportunistas/diagnóstico , Tomografía de Emisión de Positrones , Linfocitopenia-T Idiopática CD4-Positiva/sangre , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Tuberculosis Pulmonar/complicacionesRESUMEN
A 38 years old male patient presented to the emergency department with acute severe retrosternal chest pain and was found to have pulmonary thromboembolism. The patient developed new necrotic lung cavities each day due to the dissemination of emboli from the thrombus. The cause of thrombus was found to be protein C deficiency, which is an inherited thrombophilia. The interesting features in this case are multiple lung cavitations and high grade fever, which was attributed to pulmonary thromboembolism. The patient improved symptomatically with anticoagulants and antiplatelets.
Asunto(s)
Dolor en el Pecho/etiología , Pulmón/diagnóstico por imagen , Embolia Pulmonar/diagnóstico , Trombofilia , Trombosis/diagnóstico por imagen , Adulto , Anticoagulantes/administración & dosificación , Anticoagulantes/uso terapéutico , Dolor en el Pecho/tratamiento farmacológico , Heparina/administración & dosificación , Heparina/uso terapéutico , Humanos , Masculino , Inhibidores de Agregación Plaquetaria/uso terapéutico , Deficiencia de Proteína C/complicaciones , Embolia Pulmonar/tratamiento farmacológico , Resultado del TratamientoRESUMEN
A 50 yr old female developed transient ST segment elevation due to an acute coronary vasospasm following a Indian Red Scorpion sting and the angiogram revealed 50% occlusion in right coronary artery (RCA).The possible mechanism is that the sympathetic over-activity could have aggravated the occlusion in the RCA as the RCA is more commonly prone to spasm compared to the other coronary arteries.
Asunto(s)
Angiografía Coronaria , Enfermedad de la Arteria Coronaria/complicaciones , Vasoespasmo Coronario/complicaciones , Electrocardiografía/métodos , Picaduras de Escorpión , Vasoespasmo Coronario/diagnóstico por imagen , Femenino , Humanos , Persona de Mediana EdadRESUMEN
INTRODUCTION: I-TECH India established a warmline pilot in the year 2008 to provide mobile-based technical support on clinical management to doctors caring for HIV patients in antiretroviral therapy (ART) centers. METHODS: Warmline was piloted from May to August 2008. Standardized call records were analyzed. Statistical analyses were performed using SPSS. RESULTS: The service was used by 38 doctors. The study demonstrated the frequency of calls and the nature of questions raised by them. Of the calls, 139 were new calls (90.3%) and 15 were follow-up calls. The average number of calls per day was 2.6 (SD 1.6). Of the total number, 81% of the calls were from high-volume centers. Most of the calls were related to ARV toxicities, ART initiation, and the management of opportunistic infections (OI). CONCLUSION: The South Indian warmline pilot demonstrated a potential model of ongoing technical assistance to ART doctors in times of need. AIDS-control organizations may consider expanding this model of expert distance-mentoring clinical support as a resource in India and other countries.
