Carcinoid tumor of the ovary is a rare neoplasm that may present as a solid mass or combined with mucinous tumors or teratomas. Primary ovarian carcinoid represents <0.1% of ovarian malignancies. These tumors are often unilateral presenting as a solid mass and vary from microscopic to very large tumors. Metastatic ovarian carcinoid tumors are seen to be bilateral in most cases. Involvement of the ovary from gastrointestinal carcinoid is rare with no hepatic or peritoneal seedlings. Ovarian carcinoid tumors commonly occur in perimenopausal and postmenopausal women. Surgical removal of the tumor is the standard treatment modality. Tumor size and the presence of metastasis are necessary to plan the treatment modality. We herein report a case of carcinoid tumor of the ovary in a 55-year-old female, which we thought was a dermoid cyst of the ovary and turned out to be carcinoid after detailed immunohistochemical analysis.
{"title":"Carcinoid tumor of the ovary: A mysterious puzzle","authors":"Thilagarani, Sowmya Devi Ajith Prasad","doi":"10.32677/ijcr.v9i9.4157","DOIUrl":"https://doi.org/10.32677/ijcr.v9i9.4157","url":null,"abstract":"Carcinoid tumor of the ovary is a rare neoplasm that may present as a solid mass or combined with mucinous tumors or teratomas. Primary ovarian carcinoid represents <0.1% of ovarian malignancies. These tumors are often unilateral presenting as a solid mass and vary from microscopic to very large tumors. Metastatic ovarian carcinoid tumors are seen to be bilateral in most cases. Involvement of the ovary from gastrointestinal carcinoid is rare with no hepatic or peritoneal seedlings. Ovarian carcinoid tumors commonly occur in perimenopausal and postmenopausal women. Surgical removal of the tumor is the standard treatment modality. Tumor size and the presence of metastasis are necessary to plan the treatment modality. We herein report a case of carcinoid tumor of the ovary in a 55-year-old female, which we thought was a dermoid cyst of the ovary and turned out to be carcinoid after detailed immunohistochemical analysis.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"29 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139822234","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}
Small-cell lymphocytic lymphoma is a rare type of B-cell non-Hodgkin lymphoma. It is known as one of the indolent lymphomas. Moreover, sigmoid volvulus as an initial presentation is extremely uncommon. We encountered a unique case of mesenteric small cell lymphocytic lymphoma that presented with sigmoid volvulus as the initial clinical presentation. A 55-year-old male presented with 7-day history of abdominal pain, abdominal distension for 6 days, and non-passage of stool and flatus with recurrent vomiting for 3 days. Abdominopelvic computed tomography revealed a distended small bowel with volvulus of sigmoid colon with twisting of its mesentery with inter-ileal as well as free peritoneal collections of fluid. A manual untwisting counterclockwise of the volvulus followed by resection and anastomosis at a point where the bowel has apparent normal thickness and color along with excisional biopsy of the enlarged lymph node. Histopathology confirmed the diagnosis of small-cell lymphocytic lymphoma. Mesenteric lymphomas are less likely to present with sigmoid volvulus as the initial clinical presentation due to their extraluminal location and also they are indolent in course. Early diagnosis and its management reduce morbidity and mortality.
{"title":"Mesenteric small cell lymphocytic lymphoma presenting as acute intestinal obstruction: A rare case scenario","authors":"Anurag Singh, Puneet Sharma, Ayushya Gupta, Nancy Thakur","doi":"10.32677/ijcr.v9i10.4178","DOIUrl":"https://doi.org/10.32677/ijcr.v9i10.4178","url":null,"abstract":"Small-cell lymphocytic lymphoma is a rare type of B-cell non-Hodgkin lymphoma. It is known as one of the indolent lymphomas. Moreover, sigmoid volvulus as an initial presentation is extremely uncommon. We encountered a unique case of mesenteric small cell lymphocytic lymphoma that presented with sigmoid volvulus as the initial clinical presentation. A 55-year-old male presented with 7-day history of abdominal pain, abdominal distension for 6 days, and non-passage of stool and flatus with recurrent vomiting for 3 days. Abdominopelvic computed tomography revealed a distended small bowel with volvulus of sigmoid colon with twisting of its mesentery with inter-ileal as well as free peritoneal collections of fluid. A manual untwisting counterclockwise of the volvulus followed by resection and anastomosis at a point where the bowel has apparent normal thickness and color along with excisional biopsy of the enlarged lymph node. Histopathology confirmed the diagnosis of small-cell lymphocytic lymphoma. Mesenteric lymphomas are less likely to present with sigmoid volvulus as the initial clinical presentation due to their extraluminal location and also they are indolent in course. Early diagnosis and its management reduce morbidity and mortality.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"20 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139822932","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}
Hemolacria (HL) is a rare condition characterized by the presence of blood in the tears. Bleeding associated with tears can occur in the context of infection, inflammation, trauma to the eye or surrounding structures, vascular tumors of the eye or surrounding structures, or retrograde epistaxis. We herein present a pediatric case with HL in the setting of epistaxis due to post-traumatic vessel injury without fracture, along with a literature review. Bleeding from the inferior lacrimal punctum was controlled by successful cauterization of damaged vessels and follow-up has remained uneventful for over a year. Bleeding from the eye is an alarming symptom, especially if it developed after facial trauma. However, physicians should be more aware that, in the absence of a fracture, HL due to retrograde epistaxis resulting from facial trauma can be a self-limited condition that is easily treated by controlling nasal hemorrhage.
{"title":"Epistaxis-related hemolacria in a 6-year-old female after midfacial trauma: Epistaxis-related hemolacria","authors":"Merve Demirer Çelik, Deniz Aslan","doi":"10.32677/ijcr.v9i9.3952","DOIUrl":"https://doi.org/10.32677/ijcr.v9i9.3952","url":null,"abstract":"Hemolacria (HL) is a rare condition characterized by the presence of blood in the tears. Bleeding associated with tears can occur in the context of infection, inflammation, trauma to the eye or surrounding structures, vascular tumors of the eye or surrounding structures, or retrograde epistaxis. We herein present a pediatric case with HL in the setting of epistaxis due to post-traumatic vessel injury without fracture, along with a literature review. Bleeding from the inferior lacrimal punctum was controlled by successful cauterization of damaged vessels and follow-up has remained uneventful for over a year. Bleeding from the eye is an alarming symptom, especially if it developed after facial trauma. However, physicians should be more aware that, in the absence of a fracture, HL due to retrograde epistaxis resulting from facial trauma can be a self-limited condition that is easily treated by controlling nasal hemorrhage.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139886897","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}
Melioidosis, caused by Burkholderia pseudomallei, has been described as “the great mimicker” due to its varied clinical presentation. Musculoskeletal melioidosis is a rare presentation of this disease, and here we report a 33-year-old male, farmer from Madhya Pradesh, who presented with fever for 2 months and right leg swelling for 25 days. He was treated elsewhere as cellulitis and managed with intravenous antibiotics and fasciotomy. Magnetic resonance imaging knee and leg showed diffuse osteomyelitis of the upper tibia with similar tiny foci and sinus tract present. A diagnosis of the right knee septic arthritis with multifocal osteomyelitis was made. Focal pus culture grew pansensitive B. pseudomallei. He was started on Inj. Meropenem and oral cotrimoxazole tablet. He also underwent right tibial debridement, sequestrectomy, and saucerisation. He was discharged after initial therapy and has improved significantly on follow-up. This case highlights a very common clinical condition caused by a rather uncommon etiological agent and therefore renumerates the importance of insightful clinical suspicion with appropriate use of investigations and treatment options to prevent further morbidity and mortality.
{"title":"Musculoskeletal melioidosis in a 33-year-old farmer presenting with the right leg cellulitis: A case report from North India","authors":"Anmol Jindal, Kunal Chawla, Shipra Gulati, Rishikesh Dessai","doi":"10.32677/ijcr.v9i10.4200","DOIUrl":"https://doi.org/10.32677/ijcr.v9i10.4200","url":null,"abstract":"Melioidosis, caused by Burkholderia pseudomallei, has been described as “the great mimicker” due to its varied clinical presentation. Musculoskeletal melioidosis is a rare presentation of this disease, and here we report a 33-year-old male, farmer from Madhya Pradesh, who presented with fever for 2 months and right leg swelling for 25 days. He was treated elsewhere as cellulitis and managed with intravenous antibiotics and fasciotomy. Magnetic resonance imaging knee and leg showed diffuse osteomyelitis of the upper tibia with similar tiny foci and sinus tract present. A diagnosis of the right knee septic arthritis with multifocal osteomyelitis was made. Focal pus culture grew pansensitive B. pseudomallei. He was started on Inj. Meropenem and oral cotrimoxazole tablet. He also underwent right tibial debridement, sequestrectomy, and saucerisation. He was discharged after initial therapy and has improved significantly on follow-up. This case highlights a very common clinical condition caused by a rather uncommon etiological agent and therefore renumerates the importance of insightful clinical suspicion with appropriate use of investigations and treatment options to prevent further morbidity and mortality.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"198 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139877413","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}
Pregnancy-related acute kidney injury (PRAKI) commonly occurs due to septic abortion and accounts for 15–25% of acute kidney injury (AKI). Glomerulonephritis is a rare cause of PRAKI. The index case was a 20-year-old primigravida who presented in the last trimester of pregnancy with infective endocarditis-associated glomerulonephritis, also complicated by splenic infarct, AKI, and intrauterine fetal death. Renal biopsy revealed crescentic glomerulonephritis and she improved on antibiotic and steroid therapy.
{"title":"A rare cause of pregnancy-related acute kidney injury-infective endocarditis-associated infection-related glomerulonephritis","authors":"Nikhil Chaudhary, Shivendra Singh","doi":"10.32677/ijcr.v9i9.4167","DOIUrl":"https://doi.org/10.32677/ijcr.v9i9.4167","url":null,"abstract":"Pregnancy-related acute kidney injury (PRAKI) commonly occurs due to septic abortion and accounts for 15–25% of acute kidney injury (AKI). Glomerulonephritis is a rare cause of PRAKI. The index case was a 20-year-old primigravida who presented in the last trimester of pregnancy with infective endocarditis-associated glomerulonephritis, also complicated by splenic infarct, AKI, and intrauterine fetal death. Renal biopsy revealed crescentic glomerulonephritis and she improved on antibiotic and steroid therapy.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139882319","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}
Children are prone to foreign body aspiration. Impaction of foreign bodies in the hard palate is a rare phenomenon. We present a case report where the infant’s palatal swelling was mistaken for a tumor or cyst and was planned for excision and later turned out to be an impacted pistachio shell. We emphasize considering the foreign body as a differential diagnosis in children who present with unusual hard palate mass.
{"title":"Unusual hard palate swelling in an infant: A case of impacted pistachio shell","authors":"Muppidi Shruthi, Santhosh Reddy Kantala, Satish Mandali, Pradeep Burli","doi":"10.32677/ijcr.v9i10.4218","DOIUrl":"https://doi.org/10.32677/ijcr.v9i10.4218","url":null,"abstract":"Children are prone to foreign body aspiration. Impaction of foreign bodies in the hard palate is a rare phenomenon. We present a case report where the infant’s palatal swelling was mistaken for a tumor or cyst and was planned for excision and later turned out to be an impacted pistachio shell. We emphasize considering the foreign body as a differential diagnosis in children who present with unusual hard palate mass.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"16 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139881745","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}
Umbilical arteries normally originate from a pair of allantoic arteries. Obliteration or non-formation of any of the two umbilical arteries gives rise to a single umbilical artery (SUA). 0.5–1% of fetuses show the presence of a SUA. A rarer abnormality is when a SUA is found originating from the abdominal aorta, representing the persistent vitelline artery. Such an anomaly is termed Type II SUA. Here, we present a case of Type II SUA in a 30-year-old first trimester gravid female. Obstetric ultrasound done in the first trimester showed non-visualization of the umbilical arteries adjacent to the urinary bladder. Instead, an aberrant, large vessel was seen tracking anteriorly from the aorta towards the umbilical cord. The aorta distal to the origin of this aberrant vessel appeared hypoplastic.
脐动脉通常起源于一对尿囊动脉。两条脐动脉中任何一条闭塞或未形成都会导致单脐动脉（SUA）。0.5-1% 的胎儿会出现单脐动脉。更罕见的异常情况是，SUA 起源于腹主动脉，代表持续存在的卵黄动脉。这种异常被称为 II 型 SUA。在此，我们介绍了一例 II 型 SUA 病例，患者是一名 30 岁的头胎妊娠女性。在妊娠头三个月进行的产科超声检查显示，膀胱附近的脐动脉未见异常。取而代之的是一条从主动脉向脐带前方延伸的异常大血管。这根异常血管起源远端的主动脉看起来发育不良。
{"title":"Case report of a type II single umbilical artery seen in the first trimester anomaly scan","authors":"Smit Hiren Vakil, Mona Mehta","doi":"10.32677/ijcr.v9i9.4149","DOIUrl":"https://doi.org/10.32677/ijcr.v9i9.4149","url":null,"abstract":"Umbilical arteries normally originate from a pair of allantoic arteries. Obliteration or non-formation of any of the two umbilical arteries gives rise to a single umbilical artery (SUA). 0.5–1% of fetuses show the presence of a SUA. A rarer abnormality is when a SUA is found originating from the abdominal aorta, representing the persistent vitelline artery. Such an anomaly is termed Type II SUA. Here, we present a case of Type II SUA in a 30-year-old first trimester gravid female. Obstetric ultrasound done in the first trimester showed non-visualization of the umbilical arteries adjacent to the urinary bladder. Instead, an aberrant, large vessel was seen tracking anteriorly from the aorta towards the umbilical cord. The aorta distal to the origin of this aberrant vessel appeared hypoplastic.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"24 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139822449","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 : 2024-02-01DOI: 10.32677/ijcr.v9i10.4188
Kumari Pritti, Vineet Mishra, R. Aggarwal, S. Choudhary
We report a case of circumvallate placenta which led to preterm premature rupture of membranes (PPROM) and leakage in a mother at 17 weeks of gestation. The mother underwent amniocentesis after the triple marker test showed an increased risk for trisomy 21. We encountered difficulty in aspirating amniotic fluid due to the abnormal placental structure, which was not known at the time of the invasive procedure. The mother experienced leaking 7 days post-procedure, followed by miscarriage. Autopsy examination revealed that the placenta was circumvallate, which not only caused difficulty in aspirating the amniotic fluid but also could be the cause of PPROM, a well-known complication of the circumvallate placenta. We emphasize that examining the placenta is very important to identify the cause of events in certain situations; circumvallate placenta or abnormal placenta can be suspected in cases where hindrance is encountered (not able to aspirate amniotic fluid even if the needle is visible in the amniotic sac) during amniocentesis.
{"title":"A case of circumvallate placenta causing preterm premature rupture of membranes post-amniocentesis","authors":"Kumari Pritti, Vineet Mishra, R. Aggarwal, S. Choudhary","doi":"10.32677/ijcr.v9i10.4188","DOIUrl":"https://doi.org/10.32677/ijcr.v9i10.4188","url":null,"abstract":"We report a case of circumvallate placenta which led to preterm premature rupture of membranes (PPROM) and leakage in a mother at 17 weeks of gestation. The mother underwent amniocentesis after the triple marker test showed an increased risk for trisomy 21. We encountered difficulty in aspirating amniotic fluid due to the abnormal placental structure, which was not known at the time of the invasive procedure. The mother experienced leaking 7 days post-procedure, followed by miscarriage. Autopsy examination revealed that the placenta was circumvallate, which not only caused difficulty in aspirating the amniotic fluid but also could be the cause of PPROM, a well-known complication of the circumvallate placenta. We emphasize that examining the placenta is very important to identify the cause of events in certain situations; circumvallate placenta or abnormal placenta can be suspected in cases where hindrance is encountered (not able to aspirate amniotic fluid even if the needle is visible in the amniotic sac) during amniocentesis.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"147 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139827623","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}
Hyperinflammatory responses due to cytokine storms involve multiple systems in hemophagocytic lymphohistiocytosis (HLH) leading to morbidities. Multiple bacterial etiologies have been suggested as a cause of secondary HLH but streptococcal infection has only been reported in pediatric cases. Streptococcus has been considered a notorious pathogen due to its ability to interfere with host immunity through the phenomenon of molecular mimicry. This case report shows the sequence of events post-streptococcal pharyngitis in a 28-year-old male, which lead to HLH and fatality to life, and how a timely intervention of steroids salvaged the patient.
{"title":"A rare case of streptococcal pharyngitis in an adult male causing hemophagocytic lymphohistiocytosis","authors":"Shubhank Narula, Pankaj Kumar Agarwal, Ambuj Garg","doi":"10.32677/ijcr.v9i9.4169","DOIUrl":"https://doi.org/10.32677/ijcr.v9i9.4169","url":null,"abstract":"Hyperinflammatory responses due to cytokine storms involve multiple systems in hemophagocytic lymphohistiocytosis (HLH) leading to morbidities. Multiple bacterial etiologies have been suggested as a cause of secondary HLH but streptococcal infection has only been reported in pediatric cases. Streptococcus has been considered a notorious pathogen due to its ability to interfere with host immunity through the phenomenon of molecular mimicry. This case report shows the sequence of events post-streptococcal pharyngitis in a 28-year-old male, which lead to HLH and fatality to life, and how a timely intervention of steroids salvaged the patient.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"46 7-8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139890860","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}
Melioidosis, caused by Burkholderia pseudomallei, has been described as “the great mimicker” due to its varied clinical presentation. Musculoskeletal melioidosis is a rare presentation of this disease, and here we report a 33-year-old male, farmer from Madhya Pradesh, who presented with fever for 2 months and right leg swelling for 25 days. He was treated elsewhere as cellulitis and managed with intravenous antibiotics and fasciotomy. Magnetic resonance imaging knee and leg showed diffuse osteomyelitis of the upper tibia with similar tiny foci and sinus tract present. A diagnosis of the right knee septic arthritis with multifocal osteomyelitis was made. Focal pus culture grew pansensitive B. pseudomallei. He was started on Inj. Meropenem and oral cotrimoxazole tablet. He also underwent right tibial debridement, sequestrectomy, and saucerisation. He was discharged after initial therapy and has improved significantly on follow-up. This case highlights a very common clinical condition caused by a rather uncommon etiological agent and therefore renumerates the importance of insightful clinical suspicion with appropriate use of investigations and treatment options to prevent further morbidity and mortality.
{"title":"Musculoskeletal melioidosis in a 33-year-old farmer presenting with the right leg cellulitis: A case report from North India","authors":"Anmol Jindal, Kunal Chawla, Shipra Gulati, Rishikesh Dessai","doi":"10.32677/ijcr.v9i10.4200","DOIUrl":"https://doi.org/10.32677/ijcr.v9i10.4200","url":null,"abstract":"Melioidosis, caused by Burkholderia pseudomallei, has been described as “the great mimicker” due to its varied clinical presentation. Musculoskeletal melioidosis is a rare presentation of this disease, and here we report a 33-year-old male, farmer from Madhya Pradesh, who presented with fever for 2 months and right leg swelling for 25 days. He was treated elsewhere as cellulitis and managed with intravenous antibiotics and fasciotomy. Magnetic resonance imaging knee and leg showed diffuse osteomyelitis of the upper tibia with similar tiny foci and sinus tract present. A diagnosis of the right knee septic arthritis with multifocal osteomyelitis was made. Focal pus culture grew pansensitive B. pseudomallei. He was started on Inj. Meropenem and oral cotrimoxazole tablet. He also underwent right tibial debridement, sequestrectomy, and saucerisation. He was discharged after initial therapy and has improved significantly on follow-up. This case highlights a very common clinical condition caused by a rather uncommon etiological agent and therefore renumerates the importance of insightful clinical suspicion with appropriate use of investigations and treatment options to prevent further morbidity and mortality.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"50 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139817872","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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