RESUMEN
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.
Asunto(s)
Endocarditis Bacteriana/microbiología , Infecciones Estafilocócicas , Válvula Tricúspide , Endocarditis Bacteriana/diagnóstico por imagen , Humanos , Masculino , Infecciones Estafilocócicas/diagnóstico por imagen , Válvula Tricúspide/diagnóstico por imagen , 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
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
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.