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1.
J Ayub Med Coll Abbottabad ; 35(2): 334-336, 2023.
Article in English | MEDLINE | ID: mdl-37422834

ABSTRACT

Burkholderia pseudomallei affecting the central nervous system has been extensively reported in the literature. However, combined central nervous system and peripheral nervous system involvement in melioidosis has never been reported. We report a 66-year-old man with diabetes mellitus who was diagnosed to have central nervous system melioidosis and developed acute flaccid quadriplegia. Nerve conduction studies and anti-ganglioside antibodies were consistent with Guillain-Barre syndrome. This case report highlights the importance to recognise the possibility of Guillain Barre syndrome complicating central nervous system melioidosis and stresses the urgency of early consideration of this complication, as early immunomodulatory therapy may hasten neurological recovery.


Subject(s)
Guillain-Barre Syndrome , Melioidosis , Male , Humans , Aged , Guillain-Barre Syndrome/complications , Guillain-Barre Syndrome/diagnosis , Melioidosis/complications , Melioidosis/diagnosis , Melioidosis/drug therapy , Central Nervous System
2.
SAGE Open Med Case Rep ; 6: 2050313X18812213, 2018.
Article in English | MEDLINE | ID: mdl-30479767

ABSTRACT

The differentiation between a pseudo-pneumoperitoneum and true pneumoperitoneum on an initial chest radiograph is challenging but essential to clinical practice. The former is managed conservatively whereas the latter may require surgical intervention. Chilaiditi's sign describes a rare incidental radiological finding of gas filled bowel interpositioned between the right hemi-diaphragm and the liver, which is visible on a plain abdominal or chest radiograph. It is often misdiagnosed as a pneumoperitoneum. Correct diagnosis of Chilaiditi's sign in an asymptomatic patient can prevent unnecessary procedures. We have reported one incidental chest radiograph with Chilaiditi's sign in a patient presenting and treated for pneumonia. The report aims to illustrate the diagnostic dilemma experienced by clinicians in distinguishing a true versus pseudo-pneumoperitoneum on a chest radiograph.

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