IJCR (2020), Volume 4

Miller Fisher syndrome associated with respiratory failure

Miller Fisher syndrome associated with respiratory failure
Case Report of International Journal of Case Reports Miller Fisher syndrome associated with respiratory failure Frentescu Alexandra1*, Feys Odile2, Mangion Jean-Paul3, Osseman Michel2, Horlait Geoffrey1 1Intensive Care Unit, Catholic University of Louvain, Belgium. 2Neurology Deparment, Catholic University of Louvain, CHU UCL Namur, Avenue du Docteur G. Therasse 1, 5530 Yvoir, Belgium. 3Emergency Department, Catholic University of Louvain, CHU UCL Namur, Avenue du Docteur G. Therasse 1, 5530 Yvoir, Belgium. Miller Fischer syndrome (MFS) is a rare clinical variant of Guillain-Barre syndrome. The diagnosis suspected primarily on clinical trial of areflexia, ophtalmoplegia and ataxia, is confirmed by the mandatory presence of antiganglioside antibodies (anti GQ1b). An acute onset is typical of MFS, beginning with neurological symptoms following a respiratory or digestive infectious illness. The therapeutic options are either the plasmapheresis or the administration of intravenous immunoglobulin (IVIG). Although rare, in certain cases the patients present with respiratory symptoms needing intensive care. We report the case report of a patient which presented with the classical triad of MFS but also with ...

Tuberculosis Mimicking a Testicular Tumor

Tuberculosis Mimicking a Testicular Tumor
Case Report of International Journal of Case Reports TUBERCULOSIS MIMICKING A TESTICULAR TUMOR Menaka Thilakarathna1*, Sasanka Wijayawardhane1, Aflah Sadikeen1, Amitha Fernando1 1National Hospital of Sri Lanka. Genitourinary tuberculosis is a challenging clinical entity which can affect the entire male genital tract. Seventy-five- year old male presented with a testicular lump masquerading a testicular malignancy. Histological and microbiological examination of testicular biopsy specimens established the diagnosis of tuberculosis. Isolated testicular tuberculosis is rarely reported. High degree of clinical suspicion and histological sampling are paramount important in the process of diagnostic evaluation. Keywords: Extra pulmonary tuberculosis; Testicular tuberculosis ...

Conditional Dysosmia: a Very Unpleasant Symptom Causing Severe Anorexia and Breathing Problems in Covid-19: a Case Report

Conditional Dysosmia: a Very Unpleasant Symptom Causing Severe Anorexia and Breathing Problems in Covid-19: a Case Report
Case Report of International Journal of Case Reports Conditional Dysosmia: a Very Unpleasant Symptom Causing Severe Anorexia and Breathing Problems in Covid-19: a Case Report Abdulmohsin Younus Saleem1 and Abdul-Wahab Al-Allaf2* 1Early detection childhood disabilities centre, Otolaryngology Department, Duhok, Iraq. 2Rheumatology Section, Department of Rheumatology, Hamad Medical Institute, Doha, Qatar. The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a new coronavirus that is highly contagious and responsible for the ongoing pandemic disease; coronavirus disease (COVID-19). The disease was first identified in December 2019, and the World Health Organization declared the pandemic on the 11th of March 2020. Although individuals infected with SARS-CoV-2 may be asymptomatic, the disease can present as an upper respiratory tract illness. In the majority of the cases, it is of a mild type, however, some patients experience severe viral pneumonia that leads to respiratory failure, and, in some cases to death. A COVID-19 diagnosis is confirmed by viral RNA detection in nasopharyngeal swab specimens; nonetheless, in some countries, COVID-19 tests are not available for ...

Fatal diffuse pleural calcification due to Tuberculosis- An unexplained entity

Fatal diffuse pleural calcification due to Tuberculosis- An unexplained entity
Case Report of International Journal of Case Reports Fatal diffuse pleural calcification due to Tuberculosis- An unexplained entity Sugeesha Wickramasinghe, Bandu Gunasena, Sumudu Palihawadene National Hospital for Respiratory Diseases, Welisara, Sri Lanka Diffuse pleural thickening has many causes and often need to be diagnosed early as delay in treatment can be lethal. Diffuse pleural thickening can be due to calcifications and may occur as a result of chronic infections including Tuberculous effusion. Primary pleural calcification due to Tuberculosis is extremely rare. A 28 year old patient was presented with exertional dyspnea, chronic cough and pleuritic type chest pain for a period of 4 months. CXR showed left sided diffuse pleural calcifications and ultrasonography showed calcified pleura with thick echogenic material suggestive of an empyema. Further evaluation with a CECT showed left sided diffusely calcified, septated pleura with empyema and contralateral early pleural and peritoneal calcification. Pleural aspiration showed a hemorrhagic exudative lymphocytic effusion with high ADA titer. Cytology did not reveal malignant cells. His serum calcium level was normal ...

Successful non-operative management of extensive pneumomedia- stinum and pneumoperitoneum

Successful non-operative management of extensive pneumomedia- stinum and pneumoperitoneum
Case Report of International Journal of Case Reports Successful non-operative management of extensive pneumomediastinum and pneumoperitoneum Dylan Johnson, MD1*; Stephan Jones, MD1; Subhasis Misra, MD, FACS1 1Brandon Regional Hospital, HCA Healthcare/USF Morsani College of Medicine Graduate Medical Education, Department of Surgery, Brandon, FL 33511 Background: A 70 year old male presented with acute left flank pain and was found to have extensive free air in both the mediastinal and peritoneal cavities. He was managed successfully without surgery. Case: A 70 year old male presented with left flank pain that began an hour prior to arrival. He had a history of obstructive sleep apnea that had been treated with continuous positive airway pressure therapy (CPAP) at home for many years. His vital signs, physical exam, and laboratory testing were all unremarkable. However, imaging findings were impressive for massive pneumoperitoneum and pneumomediastinum. Given his clinical stability, operative exploration was deferred, and he was admitted for observation and bowel rest. He was discharged less than 48 hours after admission without incident. His ...

Shewanella, not just found in the marine environment. A rare case of Shewanella algae bacteremia

Shewanella, not just found in the marine environment. A rare case of Shewanella algae bacteremia
Case Report of International Journal of Case Reports Shewanella, not just found in the marine environment. A rare case of Shewanella algae bacteremia Asha Ramsakal, DO1, Jacqueline Wesolow, DO, MBA1* 1Moffitt Cancer Center. A 63 year old Caucasian female with ampullary pancreatic cancer s/p pancreaticoduodenectomy in 2016 was admitted to our cancer center with complaints of fever (temperature 103° F) and abdominal pain. She was found to have multiple liver abscesses. Her blood culture grew out Shewanella algae. We herein report on this rare human bacterial infection. Keywords: Shewanella; Bacterial ...