RESUMO
A young male patient presented at a tertiary care hospital with cold and bluish left upper limb accompanied with digital gangrene arousing suspicion of peripheral vascular disease. History did not reveal any high-risk behavior. Clinical examination and subsequent investigations lead to the diagnosis of acute infective endocarditis of native aortic valve along with peripheral embolism caused by methicillin-resistant Staphylococcus aureus. Fogarty's balloon embolectomy was done following which patient developed pseudoaneurysm of the left subclavian artery. These iatrogenic sequelae were managed with the resection of the pseudoaneurysm and prolonged antibiotic therapy as per the culture and sensitivity report.
RESUMO
A middle-aged female patient from West Bengal presented with complaints of redness, foreign body sensation, and watering for 2 days in the left eye. Slit lamp examination of the left eye revealed several minute white foreign bodies moving over the bulbar conjunctiva. Removal of the foreign bodies under local anesthesia, followed by microscopic examination, suggested the presence of first instar larvae of Oestrus ovis; the sheep nasal bot fly. Diagnosis of unilateral external ophthalmomyiasis was made. Such cases though very infrequently have been reported in the past from Southern and Central Part of India. To the best of our knowledge, this is the second report from Eastern India. A high index of suspicion is necessary both on the part of the clinician and the microbiologist for correct diagnosis.
RESUMO
Prenatal exposure of mother to valproic acid causes teratogenic effects on fetus. The authors report an 18 h-old girl with typical facial and limbs features of fetal valproate syndrome (FVS) along with abnormal draining of left superior vena cava into left atrium.
Assuntos
Átrios do Coração/anormalidades , Ácido Valproico/efeitos adversos , Veia Cava Superior/anormalidades , Anormalidades Induzidas por Medicamentos , Feminino , Humanos , Recém-Nascido , GravidezAssuntos
Angiografia Coronária , Arterite de Takayasu/diagnóstico , Adulto , Aorta Torácica/diagnóstico por imagem , Dor no Peito/etiologia , Estenose Coronária/diagnóstico por imagem , Humanos , Masculino , Artéria Subclávia/diagnóstico por imagem , Síndrome do Roubo Subclávio/diagnóstico por imagemRESUMO
A 51 years male presented with acute left ventricular failure and was diagnosed to have pseudo-aneurysm of left ventricle, coronary artery disease with diffuse ectasia of coronary arteries.