Pub Date : 2024-03-08DOI: 10.32677/ijcr.v10i3.4401
Anmol Sharma, Naveen Reddy, Jitender Sharma
Cases of dengue fever have been increasing globally and so are the encounters with its rare presentations. Although known to involve central nervous system, dengue-related Guillian Barre syndrome (GBS) is a rare manifestation that has been seldom documented. A clinical challenge with early diagnosis, specific and supportive management, and active prognostication as key pillars toward effective management. We present the case of a 54-year-old man with post-dengue GBS with treatment fluctuations successfully managed at our center.
{"title":"Case of post-dengue AIDP with treatment-related fluctuations","authors":"Anmol Sharma, Naveen Reddy, Jitender Sharma","doi":"10.32677/ijcr.v10i3.4401","DOIUrl":"https://doi.org/10.32677/ijcr.v10i3.4401","url":null,"abstract":"Cases of dengue fever have been increasing globally and so are the encounters with its rare presentations. Although known to involve central nervous system, dengue-related Guillian Barre syndrome (GBS) is a rare manifestation that has been seldom documented. A clinical challenge with early diagnosis, specific and supportive management, and active prognostication as key pillars toward effective management. We present the case of a 54-year-old man with post-dengue GBS with treatment fluctuations successfully managed at our center.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140257946","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 : 2024-03-08DOI: 10.32677/ijcr.v10i3.4374
Meenal Gehlawat
This case report explores the rare presentation of insomnia as a symptom of hypertension in a 37-year-old male labor worker named Dinesh. Presenting with a 3-week history of insomnia, the patient’s diagnosis of hypertension highlights the importance of considering systemic conditions in patients with nonspecific symptoms like insomnia. The report delves into the interplay between hypertension and sleep disturbances, emphasizing the influence of lifestyle factors, particularly alcohol consumption, on blood pressure and sleep quality. The case underscores the necessity for clinicians to be aware of atypical presentations of common conditions like hypertension, which is often asymptomatic in its early stages but can manifest in varied and unexpected ways. Through this case, the report demonstrates the effectiveness of a comprehensive management approach, combining pharmacological treatment with lifestyle modifications, in improving both hypertension and related insomnia, thereby emphasizing the need for holistic patient care.
{"title":"Insomnia as a presentation of hypertension in a 37-year-old male: A case report","authors":"Meenal Gehlawat","doi":"10.32677/ijcr.v10i3.4374","DOIUrl":"https://doi.org/10.32677/ijcr.v10i3.4374","url":null,"abstract":"This case report explores the rare presentation of insomnia as a symptom of hypertension in a 37-year-old male labor worker named Dinesh. Presenting with a 3-week history of insomnia, the patient’s diagnosis of hypertension highlights the importance of considering systemic conditions in patients with nonspecific symptoms like insomnia. The report delves into the interplay between hypertension and sleep disturbances, emphasizing the influence of lifestyle factors, particularly alcohol consumption, on blood pressure and sleep quality. The case underscores the necessity for clinicians to be aware of atypical presentations of common conditions like hypertension, which is often asymptomatic in its early stages but can manifest in varied and unexpected ways. Through this case, the report demonstrates the effectiveness of a comprehensive management approach, combining pharmacological treatment with lifestyle modifications, in improving both hypertension and related insomnia, thereby emphasizing the need for holistic patient care.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140258156","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 : 2024-03-08DOI: 10.32677/ijcr.v10i3.4380
Deepinder Maini Kaur, Nishant Tomar, Varun Rehani, Rajiv Anand
A 15-year-old boy presented with episodic abnormal movements of the right upper limb, neck, and jaw for 10 days associated with pain and spasms, following a penetrating injury to his right hand 2 months ago. He was successfully managed for tetanus with antitoxin, antibiotics, wound debridement, and supportive care. He was found to have protective tetanus antibody levels (1.1 IU/mL). To encounter tetanus in a vaccinated individual with an atypical focal presentation is a cause for concern and requires awareness to avoid delay in diagnosis and management.
{"title":"A case of dystonic spasms in an adolescent: A neurologist’s enigma!","authors":"Deepinder Maini Kaur, Nishant Tomar, Varun Rehani, Rajiv Anand","doi":"10.32677/ijcr.v10i3.4380","DOIUrl":"https://doi.org/10.32677/ijcr.v10i3.4380","url":null,"abstract":"A 15-year-old boy presented with episodic abnormal movements of the right upper limb, neck, and jaw for 10 days associated with pain and spasms, following a penetrating injury to his right hand 2 months ago. He was successfully managed for tetanus with antitoxin, antibiotics, wound debridement, and supportive care. He was found to have protective tetanus antibody levels (1.1 IU/mL). To encounter tetanus in a vaccinated individual with an atypical focal presentation is a cause for concern and requires awareness to avoid delay in diagnosis and management.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140396733","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 : 2024-03-08DOI: 10.32677/ijcr.v10i3.4389
Abhishek S Krishna, Ahalya U, Harikrishnan V Nair, Shaiju S. Dharan, Amal A
Subarachnoid hemorrhage (SAH) is a critical neurological emergency characterized by bleeding into the subarachnoid space, typically resulting from the rupture of intracranial aneurysms. SAH is associated with high morbidity and mortality rates, making it a subject of significant clinical interest and concern. This case series aims to explore a series of patients with SAH, shedding light on the diverse clinical presentations, management strategies, and outcomes, with the ultimate goal of improving our understanding of this complex condition and enhancing patient care.
{"title":"Insights into subarachnoid hemorrhage: A comprehensive case series analysis","authors":"Abhishek S Krishna, Ahalya U, Harikrishnan V Nair, Shaiju S. Dharan, Amal A","doi":"10.32677/ijcr.v10i3.4389","DOIUrl":"https://doi.org/10.32677/ijcr.v10i3.4389","url":null,"abstract":"Subarachnoid hemorrhage (SAH) is a critical neurological emergency characterized by bleeding into the subarachnoid space, typically resulting from the rupture of intracranial aneurysms. SAH is associated with high morbidity and mortality rates, making it a subject of significant clinical interest and concern. This case series aims to explore a series of patients with SAH, shedding light on the diverse clinical presentations, management strategies, and outcomes, with the ultimate goal of improving our understanding of this complex condition and enhancing patient care.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140257467","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 : 2024-03-08DOI: 10.32677/ijcr.v10i3.4379
N. Jain, Babita Gupta, Kathiravan T, Sharmishtha Pathak
Airway management in maxillofacial trauma is a challenging task. Distorted anatomy leading to difficult face mask ventilation and intubation requires clinical expertise in emergency scenarios. Planning and managing such challenging airways in a timely manner requires the utmost cooperation from the patient. Here, we present a case of self-inflicted facial gunshot injury that was posted for surgical tracheostomy followed by facial wound exploration and repair. Uncooperative behavior and irritability of the patient were toppings to the difficult airway, however, timely clinical judgment and replanning according to the case requirement contributed to the successful airway management during emergency hours.
{"title":"Emergency airway management in a patient with facial trauma: Combining clinical judgment and skill with fortuity","authors":"N. Jain, Babita Gupta, Kathiravan T, Sharmishtha Pathak","doi":"10.32677/ijcr.v10i3.4379","DOIUrl":"https://doi.org/10.32677/ijcr.v10i3.4379","url":null,"abstract":"Airway management in maxillofacial trauma is a challenging task. Distorted anatomy leading to difficult face mask ventilation and intubation requires clinical expertise in emergency scenarios. Planning and managing such challenging airways in a timely manner requires the utmost cooperation from the patient. Here, we present a case of self-inflicted facial gunshot injury that was posted for surgical tracheostomy followed by facial wound exploration and repair. Uncooperative behavior and irritability of the patient were toppings to the difficult airway, however, timely clinical judgment and replanning according to the case requirement contributed to the successful airway management during emergency hours.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140257628","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 : 2024-03-08DOI: 10.32677/ijcr.v10i3.4384
G. Vinayaka, K. M. Vijaya Surya Kiran, V. Amulya, Darshan R
This report is a rare case of a 6-year-old child presenting with multiple skin abscesses resulting from a methicillin-resistant Staphylococcus aureus (MRSA) infection post blunt trauma to the pelvic region. Staphylococcus aureus poses challenges due to its antibiotic resistance. The child’s condition, marked by sepsis and extensive abscesses, prompted a multidisciplinary approach involving antibiotic therapy and surgical interventions. The MRSA strain exhibited resistance to various antibiotics, emphasizing the importance of individualized treatment as per the case. The case underlines the complexities of managing multi-site MRSA infections and emphasizes the significance of accurate diagnosis, appropriate antibiotic selection, and surgical intervention for successful outcomes.
{"title":"An unusual case of multiple skin abscesses caused by methicillin-resistant Staphylococcus aureus in a 6-year-old boy","authors":"G. Vinayaka, K. M. Vijaya Surya Kiran, V. Amulya, Darshan R","doi":"10.32677/ijcr.v10i3.4384","DOIUrl":"https://doi.org/10.32677/ijcr.v10i3.4384","url":null,"abstract":"This report is a rare case of a 6-year-old child presenting with multiple skin abscesses resulting from a methicillin-resistant Staphylococcus aureus (MRSA) infection post blunt trauma to the pelvic region. Staphylococcus aureus poses challenges due to its antibiotic resistance. The child’s condition, marked by sepsis and extensive abscesses, prompted a multidisciplinary approach involving antibiotic therapy and surgical interventions. The MRSA strain exhibited resistance to various antibiotics, emphasizing the importance of individualized treatment as per the case. The case underlines the complexities of managing multi-site MRSA infections and emphasizes the significance of accurate diagnosis, appropriate antibiotic selection, and surgical intervention for successful outcomes.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140257172","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}
Duplication of the ureter is one of the most common anomalies of the urinary tract. Ureterocele is a developmental anomaly with cystic dilation of the distal aspect of the ureter and is often associated with some urological anomaly, such as a duplicated system or stenotic ureteric orifice. Early detection of these anomalies during the antenatal period has dramatically increased due to advances in imaging technology. However, a few undiagnosed adults also exist. It may remain asymptomatic but may cause repeated urinary tract infections or calculi. This is a case report of a 47-year-old female who had bilateral duplex collecting systems with right ureterocele. The patient had a recurrent urinary tract infection. She underwent cystoscopic deroofing and a laparoscopic right total nephrectomy. Congenital anomalies of the urogenital system should be considered in patients with chronic or recurrent infections. Multimodal imaging techniques such as ultrasonography, computed tomography, or magnetic resonance imaging should be used to confirm the diagnosis, especially before surgical management. The rationale for reporting this case is to highlight this rare condition and the feasibility of its minimally invasive therapy.
{"title":"Laparoscopic management of double moiety: A case report with review of literature","authors":"Nikhil Sanjiv Kumar Agarwal, Prakash Chandra Shetty, Abhijit Joshi","doi":"10.32677/ijcr.v10i3.4386","DOIUrl":"https://doi.org/10.32677/ijcr.v10i3.4386","url":null,"abstract":"Duplication of the ureter is one of the most common anomalies of the urinary tract. Ureterocele is a developmental anomaly with cystic dilation of the distal aspect of the ureter and is often associated with some urological anomaly, such as a duplicated system or stenotic ureteric orifice. Early detection of these anomalies during the antenatal period has dramatically increased due to advances in imaging technology. However, a few undiagnosed adults also exist. It may remain asymptomatic but may cause repeated urinary tract infections or calculi. This is a case report of a 47-year-old female who had bilateral duplex collecting systems with right ureterocele. The patient had a recurrent urinary tract infection. She underwent cystoscopic deroofing and a laparoscopic right total nephrectomy. Congenital anomalies of the urogenital system should be considered in patients with chronic or recurrent infections. Multimodal imaging techniques such as ultrasonography, computed tomography, or magnetic resonance imaging should be used to confirm the diagnosis, especially before surgical management. The rationale for reporting this case is to highlight this rare condition and the feasibility of its minimally invasive therapy.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140257130","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 : 2024-03-08DOI: 10.32677/ijcr.v10i3.4405
B. Shah, Susanna Jose Puthenpurayil, D. Singh
Mycetoma is an uncommon chronic granulomatous infection of cutaneous and subcutaneous tissues. The causal agents are soil saprophytes with around 33 species identified, namely bacteria or fungi. The World Health Organization categorized mycetoma as a neglected tropical disease. In India, the southern states have a high prevalence. Our case report presents the case of a 37-year-old male patient who presented to the hospital for diagnosis and treatment of foot swelling in his right foot region. Initially, the cause of the lesion was unknown. After radiology and laboratory investigations, the case was diagnosed with Mycotic Mycetoma or Eumycetoma. Although this study reports a single case, the findings might expand our understanding of mycetoma and its prevalence, even in the uncommon suburban regions of Maharashtra. Reporting neglected tropical diseases can alert healthcare about their spread and global burden, even in uncommon areas.
{"title":"A case report on eumycetoma: An uncommon disease in the suburban areas of Maharashtra","authors":"B. Shah, Susanna Jose Puthenpurayil, D. Singh","doi":"10.32677/ijcr.v10i3.4405","DOIUrl":"https://doi.org/10.32677/ijcr.v10i3.4405","url":null,"abstract":"Mycetoma is an uncommon chronic granulomatous infection of cutaneous and subcutaneous tissues. The causal agents are soil saprophytes with around 33 species identified, namely bacteria or fungi. The World Health Organization categorized mycetoma as a neglected tropical disease. In India, the southern states have a high prevalence. Our case report presents the case of a 37-year-old male patient who presented to the hospital for diagnosis and treatment of foot swelling in his right foot region. Initially, the cause of the lesion was unknown. After radiology and laboratory investigations, the case was diagnosed with Mycotic Mycetoma or Eumycetoma. Although this study reports a single case, the findings might expand our understanding of mycetoma and its prevalence, even in the uncommon suburban regions of Maharashtra. Reporting neglected tropical diseases can alert healthcare about their spread and global burden, even in uncommon areas.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140257483","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 : 2024-03-08DOI: 10.32677/ijcr.v10i3.4388
Mounish Raj, Abhijit Joshi
Mirizzi syndrome (MS) is a rare entity and is due to extrinsic biliary compression. It is a rare complication of cholecystitis and chronic cholelithiasis. The impacted calculi at the infundibulum of the gall bladder or cystic duct lead to compression of the adjacent biliary structures, resulting in total or subtotal obstruction of the common hepatic duct (CHD). This leads to liver dysfunction. We, herein, present one such case of a 50-year-old female patient who was diagnosed to have MS. During surgery, at laparoscopy, she was unexpectedly also found to have a cholecysto-duodenal fistula. Both conditions were successfully treated laparoscopically.
{"title":"Laparoscopic therapy for Mirizzi syndrome: A case report with review of literature","authors":"Mounish Raj, Abhijit Joshi","doi":"10.32677/ijcr.v10i3.4388","DOIUrl":"https://doi.org/10.32677/ijcr.v10i3.4388","url":null,"abstract":"Mirizzi syndrome (MS) is a rare entity and is due to extrinsic biliary compression. It is a rare complication of cholecystitis and chronic cholelithiasis. The impacted calculi at the infundibulum of the gall bladder or cystic duct lead to compression of the adjacent biliary structures, resulting in total or subtotal obstruction of the common hepatic duct (CHD). This leads to liver dysfunction. We, herein, present one such case of a 50-year-old female patient who was diagnosed to have MS. During surgery, at laparoscopy, she was unexpectedly also found to have a cholecysto-duodenal fistula. Both conditions were successfully treated laparoscopically.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140258110","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 : 2024-02-22DOI: 10.32677/ijcr.v10i2.4363
Divya J. Banerjee, Himesh Chauhan
Jejunal diverticula are acquired pseudodiverticula that occur due to the herniation of the mucosa and submucosa through the weakest site of the muscularis propria of the bowel wall. Perforation of inflamed diverticula is a rare phenomenon that needs immediate operative intervention, an exploratory laparotomy along resection and anastomosis. Here, we report the case of a 50-year-old female with jejunal diverticular perforation. The patient presented with complaints of generalized abdominal pain associated with abdominal distension, constipation, and vomiting. Generalized abdominal tenderness, guarding, and rigidity were present. Ultrasound was suggestive of sealed bowel/diverticular perforation with localized peritoneal collection. The patient was taken for exploratory laparotomy which showed a jejunal diverticulum along with perforation. It was decided to do resection and anastomosis of the affected segment. The follow-up was uneventful. Since perforation of the jejunal diverticula is a rare phenomenon, the diagnosis needs to be considered in patients presenting with an acute abdomen.
{"title":"Jejunal diverticular perforation in an acute abdomen: A case report","authors":"Divya J. Banerjee, Himesh Chauhan","doi":"10.32677/ijcr.v10i2.4363","DOIUrl":"https://doi.org/10.32677/ijcr.v10i2.4363","url":null,"abstract":"Jejunal diverticula are acquired pseudodiverticula that occur due to the herniation of the mucosa and submucosa through the weakest site of the muscularis propria of the bowel wall. Perforation of inflamed diverticula is a rare phenomenon that needs immediate operative intervention, an exploratory laparotomy along resection and anastomosis. Here, we report the case of a 50-year-old female with jejunal diverticular perforation. The patient presented with complaints of generalized abdominal pain associated with abdominal distension, constipation, and vomiting. Generalized abdominal tenderness, guarding, and rigidity were present. Ultrasound was suggestive of sealed bowel/diverticular perforation with localized peritoneal collection. The patient was taken for exploratory laparotomy which showed a jejunal diverticulum along with perforation. It was decided to do resection and anastomosis of the affected segment. The follow-up was uneventful. Since perforation of the jejunal diverticula is a rare phenomenon, the diagnosis needs to be considered in patients presenting with an acute abdomen.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140439633","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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