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1.
BMC Neurol ; 24(1): 109, 2024 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-38570806

RESUMO

Guillain Barre syndrome (GBS) following Varicella zoster is a rare presentation and has only been reported in a few cases around the world. Of the reported cases, the type of GBS is not specified in the majority, and where specified is of the acute inflammatory demyelinating polyradiculoneuropathy (AIDP) type. We report a case of acute motor axonal neuropathy (AMAN) type GBS following herpes zoster in a 27-year-old male who presented with bilateral lower limb weakness and left sided lower motor neuron type facial nerve palsy a week after herpes zoster infection.


Assuntos
Síndrome de Guillain-Barré , Herpes Zoster , Infecção pelo Vírus da Varicela-Zoster , Masculino , Humanos , Adulto , Síndrome de Guillain-Barré/complicações , Síndrome de Guillain-Barré/diagnóstico , Condução Nervosa/fisiologia , Amantadina
2.
BMC Infect Dis ; 22(1): 946, 2022 Dec 16.
Artigo em Inglês | MEDLINE | ID: mdl-36527007

RESUMO

BACKGROUND: Post-COVID-19 multisystem inflammatory syndrome (MIS) has been increasingly recognized but fever with isolated tender cervical lymphadenitis as the initial presentation has been rarely reported. We present 2 female patients one a child and the other an adolescent. CASE PRESENTATION: Case 1 was a 13-year-old girl who presented with tender cervical lymphadenopathy and fever 3-weeks post-COVID-19, and then developed features of MIS 5 days later. Case 2, also female, was 18 years old. She had no history of COVID-19 infection or immunization but had a serologic diagnosis of COVID-19. She similarly presented with fever and tender cervical lymphadenopathy, and then progressed rapidly to develop features of MIS. Both patients responded well to treatment with immunosuppressants and intravenous immunoglobulin. CONCLUSION: Tender cervical lymphadenopathy could be the herald of multi-system inflammatory syndrome following COVID-19 infection among children and adolescents, which the clinicians must have a good suspicion about.


Assuntos
COVID-19 , Linfadenite , Linfadenopatia , Adolescente , Criança , Humanos , Feminino , COVID-19/complicações , Síndrome , Linfadenopatia/diagnóstico , Linfadenopatia/etiologia , Febre/etiologia , Síndrome de Resposta Inflamatória Sistêmica/diagnóstico
3.
J Med Case Rep ; 18(1): 204, 2024 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-38600559

RESUMO

BACKGROUND: Hypocalcaemia is a rare, but reversible, cause of dilated cardiomyopathy causing heart failure. Several case reports have been reported on reversible cardiomyopathy secondary to hypocalcaemia. CASE PRESENTATION: We report a case of 54-year-old female Sri Lankan patient who presented with shortness of breath and was diagnosed with heart failure with reduced ejection fraction due to dilated cardiomyopathy. The etiology for dilated cardiomyopathy was identified as hypocalcemic cardiomyopathy, secondary to primary hypoparathyroidism, which was successfully treated with calcium and vitamin D replacement therapy. CONCLUSION: This adds to literature of this rare cause of reversible cardiomyopathy secondary to hypocalcemia reported from the South Asian region of the world. This case highlights the impact of proper treatment improving the heart failure in patients with hypocalcemic cardiomyopathy.


Assuntos
Cardiomiopatias , Cardiomiopatia Dilatada , Insuficiência Cardíaca , Hipocalcemia , Feminino , Humanos , Pessoa de Meia-Idade , Hipocalcemia/complicações , Hipocalcemia/tratamento farmacológico , Cardiomiopatia Dilatada/complicações , Cardiomiopatia Dilatada/diagnóstico , Cálcio/uso terapêutico , Cardiomiopatias/complicações , Insuficiência Cardíaca/complicações
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