Assuntos
Anticorpos Antivirais/imunologia , Febre Hemorrágica com Síndrome Renal/diagnóstico , Viagem , Injúria Renal Aguda/sangue , Injúria Renal Aguda/etiologia , Adulto , Creatinina/sangue , Febre/etiologia , Finlândia , Orthohantavírus/imunologia , Febre Hemorrágica com Síndrome Renal/complicações , Febre Hemorrágica com Síndrome Renal/imunologia , Humanos , Imunoglobulina G , Imunoglobulina M/imunologia , Masculino , TailândiaRESUMO
CONTEXT: A cervicofacial pain and foreign body sensation in pharynx associated with styloid process elongation is called Eagle syndrome. Typically, this syndrome is provoked by tonsillectomy or trauma. We report the first case of acute parotitis-induced Eagle syndrome. CASE REPORT: A 65-year-old woman presented with right facial pain. CT scan of neck revealed asymmetric enhancement of the right parotid gland compatible with acute parotitis. All inflammation was resolved with antibiotics. However, the patient complained of pain in right mandibular region out of proportion to inflammation. Review CT found to have an asymmetrically long right styloid process measures. The diagnosis of acute parotitis-induced Eagle syndrome was established. CONCLUSION: Physicians should have a high index of suspicion for Eagle syndrome in patients with atypical neck pain and elongated styloid process since another significant manifestation of Eagle syndrome is carotid artery compression leading to recurrent syncope or stroke.
Assuntos
Antineoplásicos/efeitos adversos , Hemorragia/complicações , Hemorragia/etiologia , Leucemia Mielogênica Crônica BCR-ABL Positiva/complicações , Alvéolos Pulmonares/patologia , Pirimidinas/efeitos adversos , Insuficiência Respiratória/etiologia , Idoso , Antineoplásicos/uso terapêutico , Humanos , Leucemia Mielogênica Crônica BCR-ABL Positiva/tratamento farmacológico , Masculino , Pirimidinas/uso terapêutico , Insuficiência Respiratória/diagnóstico , Insuficiência Respiratória/terapia , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
CONTEXT: Methanol intoxication is a life-threatening condition. Hallmark of clinical presentations include severe wide anion gap metabolic acidosis with very high serum osmolar gap and visual complication. CASE REPORT: We report a case of severe methanol intoxication with bilateral putaminal hemorrhage, an uncommon serious complication. A 56-year-old man presented with altered mental status. Fundus examination showed optic disc edema. Arterial Blood Gas (ABG) revealed severe anion gap metabolic acidosis with osmolal gap. Head computed tomography (CT) showed hypodense lesions in basal ganglia bilaterally. Hemodialysis and intravenous fomepizole were initiated. Serum methanol level was significantly elevated. Unfortunately, patient was lethargic 2 weeks after discharge. Repeated CT of head demonstrated new putaminal hemorrhages. CONCLUSION: Bilateral putaminal hemorrhage is an uncommon but serious complication in methanol intoxication. Clinicians should have high index of suspicion for putaminal hemorrhage when patients with recent methanol intoxication present with altered mental status.
