RESUMO
Ocular myiasis is a rare disease with invasion of the lids, conjunctiva, cornea and, rarely, orbit or globe of the mammalian eye by dipteral larvae.We report a case of a 74-year-old woman with chronic, infiltrating, ulcerative lesion of the left lower eyelid, which was confirmed as basal cell carcinoma subsequently, having ophthalmomyiasis.She was a destitute, living in unhygienic environmental conditions and having poor general health. She developed permanent blindness as a result of ophthalmomyiasis of the left eye. Proper wound care, hygiene and adequate nutrition helped her recover from the illness.
Assuntos
Carcinoma Basocelular/complicações , Neoplasias Palpebrais/complicações , Miíase/complicações , Neoplasias Cutâneas/complicações , Idoso , Ampicilina/uso terapêutico , Antibacterianos/uso terapêutico , Carcinoma Basocelular/diagnóstico , Carcinoma Basocelular/patologia , Carcinoma Basocelular/cirurgia , Desbridamento , Enucleação Ocular , Neoplasias Palpebrais/diagnóstico , Neoplasias Palpebrais/patologia , Neoplasias Palpebrais/cirurgia , Feminino , Humanos , Inseticidas/uso terapêutico , Ivermectina/uso terapêutico , Miíase/terapia , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/cirurgia , Sulbactam/uso terapêutico , Irrigação Terapêutica , Tomografia Computadorizada por Raios XRESUMO
We report a 27-year-old woman, a known case of classical migraine headache, on oral contraceptive pills. She had a severe episode of migraine with visual aura attack, which continued late into the night. The next early morning, her headache persisted and she developed abrupt onset of dysarthria, right hemiparaesthesias. She attributed symptoms to her long-standing headache problem, and hence did not seek medical help for the next two weeks. The symptoms persisted despite her headache subsiding over the next 24 hours. She worsened 2 weeks later during another such episode of headache. This time, she developed right hemiparesis. The patient was admitted with provisional diagnosis of stroke. MRI of the brain showed left temporoparietal lesion and was radiologically compatible with cortical laminar necrosis.Extensive work-up was done to rule out other causes of young stroke. The patient improved with antiplatelets, antimigraine prophylaxis and stroke rehabilitation therapy.
Assuntos
Córtex Cerebral/patologia , Infarto Cerebral/complicações , Infarto Cerebral/diagnóstico , Enxaqueca com Aura/complicações , Enxaqueca com Aura/diagnóstico , Adulto , Anti-Inflamatórios não Esteroides/uso terapêutico , Anticonvulsivantes/uso terapêutico , Aspirina/uso terapêutico , Córtex Cerebral/diagnóstico por imagem , Infarto Cerebral/terapia , Diagnóstico Diferencial , Feminino , Flunarizina/uso terapêutico , Frutose/análogos & derivados , Frutose/uso terapêutico , Humanos , Imageamento por Ressonância Magnética/métodos , Enxaqueca com Aura/terapia , Naproxeno/uso terapêutico , Necrose , Reabilitação do Acidente Vascular Cerebral/métodos , TopiramatoAssuntos
Afasia/etiologia , Infarto da Artéria Cerebral Anterior/complicações , Núcleo Caudado/diagnóstico por imagem , Núcleo Caudado/patologia , Imagem de Difusão por Ressonância Magnética , Lobo Frontal/diagnóstico por imagem , Lobo Frontal/patologia , Humanos , Infarto da Artéria Cerebral Anterior/diagnóstico por imagem , Infarto da Artéria Cerebral Anterior/patologia , Angiografia por Ressonância Magnética , Masculino , Pessoa de Meia-IdadeRESUMO
We report a 54-year-old woman with scorpion bite. After 3 hours of admission, the patient developed sudden onset tachycardia with hypotension. Cardiac evaluation showed raised creatine kinase MB isoenzyme was elevated; ECG and two-dimensional echocardiography findings were suggestive of myocarditis. Subsequently, she developed transient ventricular tachycardia before developing abrupt onset, right hemiplegia, global aphasia and progressive worsening of sensorium 12 hours after the bite. MRI of brain revealed massive left middle cerebral artery (MCA) territory infarct. The magnetic resonance angiography showed non-visualisation of left internal carotid artery (ICA) and MCA. Coagulation parameters were normal. Sudden complete occlusion of left ICA was probably secondary to cardioembolic phenomenon leading to massive infarct. Despite aggressive medical and supportive measures, she clinically worsened rapidly to Glasgow Coma Scale of 3/15 over next 6 hours and succumbed to her illness the next day.
