ABSTRACT
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.
Subject(s)
Lymph Nodes/diagnostic imaging , Spleen/diagnostic imaging , T-Lymphocytopenia, Idiopathic CD4-Positive/diagnosis , Tuberculosis, Pulmonary/drug therapy , Adult , CD4 Lymphocyte Count , CD4-Positive T-Lymphocytes/pathology , Humans , Male , Opportunistic Infections/blood , Opportunistic Infections/diagnosis , Positron-Emission Tomography , T-Lymphocytopenia, Idiopathic CD4-Positive/blood , Tomography, X-Ray Computed , Treatment Outcome , Tuberculosis, Pulmonary/complicationsABSTRACT
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.
Subject(s)
Chest Pain/etiology , Lung/diagnostic imaging , Pulmonary Embolism/diagnosis , Thrombophilia , Thrombosis/diagnostic imaging , Adult , Anticoagulants/administration & dosage , Anticoagulants/therapeutic use , Chest Pain/drug therapy , Heparin/administration & dosage , Heparin/therapeutic use , Humans , Male , Platelet Aggregation Inhibitors/therapeutic use , Protein C Deficiency/complications , Pulmonary Embolism/drug therapy , Treatment OutcomeABSTRACT
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.
Subject(s)
Coronary Angiography , Coronary Artery Disease/complications , Coronary Vasospasm/complications , Electrocardiography/methods , Scorpion Stings , Coronary Vasospasm/diagnostic imaging , Female , Humans , Middle AgedABSTRACT
We report a case of isolated native tricuspid valve infective endocarditis caused by Coagulase Negative Staphylococcus in a non-IV drug abuser without structural heart disease. Early diagnosis and prompt initiation of appropriate treatment saved the patient without surgical intervention. The recent trend of Coagulase Negative Staphylococci (CoNS) causing native valve endocarditis (NVE) is reviewed with literature.
Subject(s)
Endocarditis, Bacterial/microbiology , Staphylococcal Infections , Tricuspid Valve , Endocarditis, Bacterial/diagnostic imaging , Humans , Male , Staphylococcal Infections/diagnostic imaging , Tricuspid Valve/diagnostic imaging , Young AdultABSTRACT
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.
Subject(s)
Hepatolenticular Degeneration/complications , Lupus Erythematosus, Systemic/complications , Fever/etiology , HumansABSTRACT
Fasciolopsis buski is the largest intestinal fluke infecting human beings. This trematode is endemic in certain parts of the country. Migration poses the risk of spread of the worm to other parts of the country. We report fasciolopsis buski in a migrant from Bihar working in Coimbatore, Tamil Nadu. Acute kidney injury following intestinal obstruction occurred in this case which was never described before.