Pub Date : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.007
V. Sardana, Pallav Jain, Prashant Shringi
{"title":"A CASE OF READING EPILEPSY IN A PATIENT HAVING IDIOPATHIC GENERALIZED EPILEPSY","authors":"V. Sardana, Pallav Jain, Prashant Shringi","doi":"10.32677/IJCR.2019.V05.I02.007","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.007","url":null,"abstract":"","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"68-69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131540004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.010
R. Rasool, Qurteeba Qadri, Taha A. Qureshi, A. Gull, Tabasum Shafi, Z. Shah
Sublingual immunotherapy (SLIT) with house dust mite (HDM) preparation has been shown to reduce disease severity in patientswith atopic dermatitis (AD). A 5-year-old girl with severe Atopic Dermatitis refractive to all possible pharmacotherapy was put onSLIT for dust mite and followed up for a period of one year. SLIT to dust mite proved highly effective in reducing the disease severityscore as well as prevention of exacerbations in this patient.
{"title":"SUBLINGUAL IMMUNOTHERAPY TO HOUSE DUST MITE AS AN IMMUNOLOGICAL INTERVENTION IN REFRACTORY ATOPIC DERMATITIS","authors":"R. Rasool, Qurteeba Qadri, Taha A. Qureshi, A. Gull, Tabasum Shafi, Z. Shah","doi":"10.32677/IJCR.2019.V05.I02.010","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.010","url":null,"abstract":"Sublingual immunotherapy (SLIT) with house dust mite (HDM) preparation has been shown to reduce disease severity in patientswith atopic dermatitis (AD). A 5-year-old girl with severe Atopic Dermatitis refractive to all possible pharmacotherapy was put onSLIT for dust mite and followed up for a period of one year. SLIT to dust mite proved highly effective in reducing the disease severityscore as well as prevention of exacerbations in this patient.","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134045315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.033
P. Subramanian, Prabha Rajendiran, M. Hanifah, J. Easow
Trichosporonosis is an emerging, life-threatening opportunistic pathogen, implicated in superficial and mucosal infections. However, systemic infections are known to occur in immunocompromised conditions like cancer, burns, transplant patients as well as patients on steroids, peritoneal dialysis, prolonged mechanical ventilation and those undergoing prosthetic valve surgeries. Here, we report the case of Trichosporon asahii isolated from the urine sample of a 69-year-old male patient presented with septic shock. Early diagnosis and management of trichosporonosis which mimic disseminated candidiasis will reduce the mortality rate by selecting appropriate antimicrobial therapy.
{"title":"TRICHOSPORON ASAHII CAUSING UROSEPSIS: A CASE REPORT","authors":"P. Subramanian, Prabha Rajendiran, M. Hanifah, J. Easow","doi":"10.32677/IJCR.2019.V05.I02.033","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.033","url":null,"abstract":"Trichosporonosis is an emerging, life-threatening opportunistic pathogen, implicated in superficial and mucosal infections. However, systemic infections are known to occur in immunocompromised conditions like cancer, burns, transplant patients as well as patients on steroids, peritoneal dialysis, prolonged mechanical ventilation and those undergoing prosthetic valve surgeries. Here, we report the case of Trichosporon asahii isolated from the urine sample of a 69-year-old male patient presented with septic shock. Early diagnosis and management of trichosporonosis which mimic disseminated candidiasis will reduce the mortality rate by selecting appropriate antimicrobial therapy.","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114959578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.019
M. Kishore, Vijay Kumar, S. Marwah, A. Nigam
Among all acute leukemias, acute lymphoblastic leukemia (ALL) is five times more common than acute myeloid leukemia (AML). Lineage switch from ALL to AML is very rare. Lineage switching is a phenomenon noted in cases of leukemias where the initially diagnosed cases of leukemias of a lineage (lymphoid/myeloid) present with the opposite lineage at relapse. Here, we report the case of a 10-year-old male child who was initially diagnosed with ALL and on relapse after 4 years, presented with AML. The blast cell morphology and immunophenotype were consistent with the diagnosis of typical AML.
{"title":"CONVERSION OF ALL TO AML: A RARE PHENOMENON","authors":"M. Kishore, Vijay Kumar, S. Marwah, A. Nigam","doi":"10.32677/IJCR.2019.V05.I02.019","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.019","url":null,"abstract":"Among all acute leukemias, acute lymphoblastic leukemia (ALL) is five times more common than acute myeloid leukemia (AML). Lineage switch from ALL to AML is very rare. Lineage switching is a phenomenon noted in cases of leukemias where the initially diagnosed cases of leukemias of a lineage (lymphoid/myeloid) present with the opposite lineage at relapse. Here, we report the case of a 10-year-old male child who was initially diagnosed with ALL and on relapse after 4 years, presented with AML. The blast cell morphology and immunophenotype were consistent with the diagnosis of typical AML.","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121771341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.004
K. Sharma, Sayan Malakar, B. D. Negi, Tarun S Sharma, D. Kapoor
Lymphocytic hypophysitis (LH) is a rare inflammatory disease of the pituitary gland. This condition strikingly shows femalepreponderance and commonly affects women during pregnancy or in the post-partum period. It’s a clinical presentation and radiologicalfeatures may mimic pituitary adenoma. Though its treatment modality is uncertain steroid remains the 1st option for treatment. Here,we report an unusual case of LHin a 21-year-old female patient where initially, the patient presented with hyperadrenalism andsecondary hyperthyroidism followed by pan-hypopituitarism (Addisonian crisis) which is attributed to initial autoimmune destructionof the gland followed by subsequent fibrosis. Thus, it is a rare case report which exquisitely explains this rare presentation and suchcases should be investigated thoroughly since there are many differential and response to steroids is remarkable.
{"title":"LYMPHOCYTIC HYPOPHYSITIS MASQUERADING AS TRANSIENT SECONDARY HYPERADRENALISM FOLLOWED BY PANHYPOPITUITARISM","authors":"K. Sharma, Sayan Malakar, B. D. Negi, Tarun S Sharma, D. Kapoor","doi":"10.32677/IJCR.2019.V05.I02.004","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.004","url":null,"abstract":"Lymphocytic hypophysitis (LH) is a rare inflammatory disease of the pituitary gland. This condition strikingly shows femalepreponderance and commonly affects women during pregnancy or in the post-partum period. It’s a clinical presentation and radiologicalfeatures may mimic pituitary adenoma. Though its treatment modality is uncertain steroid remains the 1st option for treatment. Here,we report an unusual case of LHin a 21-year-old female patient where initially, the patient presented with hyperadrenalism andsecondary hyperthyroidism followed by pan-hypopituitarism (Addisonian crisis) which is attributed to initial autoimmune destructionof the gland followed by subsequent fibrosis. Thus, it is a rare case report which exquisitely explains this rare presentation and suchcases should be investigated thoroughly since there are many differential and response to steroids is remarkable.","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121730371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.023
N. Balan, M SudhaaMani, S YasmeenAhamed, Sivaraman G.S, Ezhilarasi
Neurofibromas are rare in the head and neck region, but most frequent tumor of neural origin. Oral hard and soft tissue is affected bythe tumor. In this paper, we describe an unusual case of non-syndromic solitary neurofibroma of the floor of the mouth in a 70-yearfemalepatient with a chief complaint of growth in the floor of the mouth for the past 3 months. An occlusal, intraoral periapicalradiograph and CT imaging were done. After confirming the diagnosis, the lesion was excised under local anesthesia and the specimenwas submitted for histopathological examination. On subsequent follow-up, the patient was asymptomatic. Intraoral neurofibromaalthough uncommon, deserve special attention because of their similarity with other inflammatory neoplastic condition, and theirtendency to undergo malignant transformation.
{"title":"NON-SYNDROMIC SOLITARY NEUROFIBROMA IN FLOOR OF THE MOUTH: A CASE REPORT","authors":"N. Balan, M SudhaaMani, S YasmeenAhamed, Sivaraman G.S, Ezhilarasi","doi":"10.32677/IJCR.2019.V05.I02.023","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.023","url":null,"abstract":"Neurofibromas are rare in the head and neck region, but most frequent tumor of neural origin. Oral hard and soft tissue is affected bythe tumor. In this paper, we describe an unusual case of non-syndromic solitary neurofibroma of the floor of the mouth in a 70-yearfemalepatient with a chief complaint of growth in the floor of the mouth for the past 3 months. An occlusal, intraoral periapicalradiograph and CT imaging were done. After confirming the diagnosis, the lesion was excised under local anesthesia and the specimenwas submitted for histopathological examination. On subsequent follow-up, the patient was asymptomatic. Intraoral neurofibromaalthough uncommon, deserve special attention because of their similarity with other inflammatory neoplastic condition, and theirtendency to undergo malignant transformation.","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131908255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.009
Logavengatesh Vajravel, Radhika Raman
Late presentation of congenital diaphragmatic hernia (CDH) as an emergency is uncommon. Here, we report the case series of 3 patientswith CDH presenting to the emergency with similar complaints and had radiological features suggestive of hydropneumothorax andpleural effusion. Following emergency surgical intervention, the outcome was good. We highlight the radiological feature in CDH thatcan be misleading as it can mimic acute respiratory conditions such as pleural effusion or pneumonia.
{"title":"CONGENITAL DIAPHRAGMATIC HERNIA: LATE PRESENTATION","authors":"Logavengatesh Vajravel, Radhika Raman","doi":"10.32677/IJCR.2019.V05.I02.009","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.009","url":null,"abstract":"Late presentation of congenital diaphragmatic hernia (CDH) as an emergency is uncommon. Here, we report the case series of 3 patientswith CDH presenting to the emergency with similar complaints and had radiological features suggestive of hydropneumothorax andpleural effusion. Following emergency surgical intervention, the outcome was good. We highlight the radiological feature in CDH thatcan be misleading as it can mimic acute respiratory conditions such as pleural effusion or pneumonia.","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"368 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131545214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.017
Namrita Mehmi, A. Kairo, Anup Singh, Rakesh Kumar
Rhinolith is a calcified irregular mass around an exogenous or endogenous nidus. Factors responsible for the formation of rhinolithare chronic inflammation around nidus, deposition of mineral salts and enzymatic activity of bacterial pathogens. We report the caseof a 53-year-old patient with a hard radio-opaque mass in the nasal cavity and complaints of nasal obstruction and foul-smelling nasaldischarge. On imaging, it was found out to be formed around an ectopic single cusp tooth in the nasal cavity and which is rarest.Endoscopic removal was performed and the patient was relieved and asymptomatic after the procedure. Hence, endogenous etiologyof the ectopic supernumerary tooth should be kept in mind.
{"title":"ECTOPIC SUPERNUMERARY TOOTH AS A NIDUS FOR RHINOLITH FORMATION","authors":"Namrita Mehmi, A. Kairo, Anup Singh, Rakesh Kumar","doi":"10.32677/IJCR.2019.V05.I02.017","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.017","url":null,"abstract":"Rhinolith is a calcified irregular mass around an exogenous or endogenous nidus. Factors responsible for the formation of rhinolithare chronic inflammation around nidus, deposition of mineral salts and enzymatic activity of bacterial pathogens. We report the caseof a 53-year-old patient with a hard radio-opaque mass in the nasal cavity and complaints of nasal obstruction and foul-smelling nasaldischarge. On imaging, it was found out to be formed around an ectopic single cusp tooth in the nasal cavity and which is rarest.Endoscopic removal was performed and the patient was relieved and asymptomatic after the procedure. Hence, endogenous etiologyof the ectopic supernumerary tooth should be kept in mind.","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129841209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.001
T. Majeed, M. N. Chauhan, C. Magee
Peritoneal loose bodies (PLBs) are rare findings that were reported extensively in the early nineteenth and twentieth century in theform of case series by Littre, Riedel and Macintosh. In the recent past, focus has shifted more towards symptomatic free peritonealbodies. Although a proper intrabdominal examination and histopathology can help to clear the diagnosis, there is still no consensusin the surgical circle as to how to deal with them. Here, we report a case series of 4 cases of finding loose peritoneal bodies duringintra-abdominal procedures, three of them were found during laparoscopic procedures (laparoscopic appendectomy, Robotic meshrectopexy and laparoscopic bowel resection) while one was an open surgery (open inguinal hernia repair). This paper is unique asfor the first time in the history it brings two surgical rarities together i.e. ‘hernia en pantaloon’ and free peritoneal body along withrecommendations based on the literature, review to diagnose and treat loose peritoneal bodies.
{"title":"TWO RARITIES TOGETHER: A FREE PERITONEAL BODY IN A HERNIA EN PANTALOON SAC AND CASE SERIES OF OUR EXPERIENCE OF FINDING LOOSE PERITONEAL BODIES","authors":"T. Majeed, M. N. Chauhan, C. Magee","doi":"10.32677/IJCR.2019.V05.I02.001","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.001","url":null,"abstract":"Peritoneal loose bodies (PLBs) are rare findings that were reported extensively in the early nineteenth and twentieth century in theform of case series by Littre, Riedel and Macintosh. In the recent past, focus has shifted more towards symptomatic free peritonealbodies. Although a proper intrabdominal examination and histopathology can help to clear the diagnosis, there is still no consensusin the surgical circle as to how to deal with them. Here, we report a case series of 4 cases of finding loose peritoneal bodies duringintra-abdominal procedures, three of them were found during laparoscopic procedures (laparoscopic appendectomy, Robotic meshrectopexy and laparoscopic bowel resection) while one was an open surgery (open inguinal hernia repair). This paper is unique asfor the first time in the history it brings two surgical rarities together i.e. ‘hernia en pantaloon’ and free peritoneal body along withrecommendations based on the literature, review to diagnose and treat loose peritoneal bodies.","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"269 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123410434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-30DOI: 10.32677/IJCR.2019.V05.I02.028
Deepak Pai, U. B. Shabari, K. Reddy, E. Martis
{"title":"MANAGEMENT OF A RARE CASE OF IMPACTED MANDIBULAR SECOND PREMOLAR IN AN UNUSUAL POSITION","authors":"Deepak Pai, U. B. Shabari, K. Reddy, E. Martis","doi":"10.32677/IJCR.2019.V05.I02.028","DOIUrl":"https://doi.org/10.32677/IJCR.2019.V05.I02.028","url":null,"abstract":"","PeriodicalId":130971,"journal":{"name":"Volume 5, Issue 2, Mar - Apr 2019","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123280803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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