scholarly journals Lithium Battery Ingestion: An Unusual Cause of Bilateral Cord Palsy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Gautam Bir Singh ◽  
Ravinder Chauhan ◽  
Deepak Kumar ◽  
Rubeena Arora ◽  
Shruti Ranjan
Keyword(s):  
Respiratory Distress ◽  
Rare Case ◽  
Lithium Battery ◽  
Medical Literature ◽  
Clinical Presentation ◽  
Vocal Cord Palsy ◽  
Current Medical ◽  
Life Threatening ◽  
The Subject ◽  
Life Threatening Complication

Bilateral vocal cord palsy is a rare but life threatening complication of lithium battery ingestion in children. This complication is mostly missed by otorhinolaryngologists due to lack of awareness on the cited subject. We present one such rare case in an infant, where the clinical presentation was found to be unique but hitherto unreported in the medical literature. This clinical record discusses this case in light of the scant current medical literature on the subject and highlights the importance of cautious monitoring of patients presenting with signs of respiratory distress after lithium battery removal.

scholarly journals Acute respiratory distress syndrome in a case of diabetic ketoacidosis requiring ECMO support

2021 ◽  
Vol 2021 ◽  
Author(s):  
Milad Darrat ◽  
Brian Gilmartin ◽  
Carmel Kennedy ◽  
Diarmuid Smith
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Diabetic Ketoacidosis ◽  
Distress Syndrome ◽  
Early Recognition ◽  
Ecmo Support ◽  
List Type ◽  
Life Threatening ◽  
Life Threatening Complication

Summary Acute respiratory distress syndrome (ARDS) is a rare but life-threatening complication of diabetic ketoacidosis (DKA). We present the case of a young female, with no previous diagnosis of diabetes, presenting in DKA complicated by ARDS requiring extra corporeal membrane oxygenation (ECMO) ventilator support. This case report highlights the importance of early recognition of respiratory complications of severe DKA and their appropriate management. Learning points ARDS is a very rare but life-threatening complication in DKA. The incidence of ARDS remains unknown but less frequent than cerebral oedema in DKA. The mechanism of ARDS in DKA has multifactorial aetiology, including genetic predisposition. Early recognition and consideration of rare pulmonary complication of DKA can increase survival rate and provide very satisfactory outcomes. DKA patients who present with refractory ARDS can be successfully rescued by ECMO support.

scholarly journals Extremely Rare Case of Vulvar Myxoid Epithelioid Sarcoma

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Joana Lima Rego ◽  
Georgia Fontes Cintra ◽  
Ana Karina Junqueira Netto ◽  
Lucas Faria Abrahão-Machado ◽  
Audrey Tsunoda
Keyword(s):  
Early Diagnosis ◽  
Wide Local Excision ◽  
Rare Case ◽  
Medical Literature ◽  
Epithelioid Sarcoma ◽  
Current Medical ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Specific Morphology ◽  
Aggressive Tumor

Epithelioid sarcoma is a distinct sarcoma type with specific morphology and immunophenotype. An epithelioid sarcoma of the vulva is an extremely rare and aggressive tumor and most commonly occurs on the labia majora in women of reproductive age. Only few cases have been reported, especially with the presence of focal myxoid changes. Early diagnosis is difficult because of its benign appearance as a painless subcutaneous nodule. Optimal treatment is not well established due to its rarity. We report a successfully approached case of vulvar epithelioid sarcoma that occurred in a 34-year-old female patient, treated with wide local excision, and review of the current medical literature.

scholarly journals Giant mesenteric cystic lymphangioma: a rare cause of intra-abdominal catastrophe

2019 ◽  
Vol 6 (11) ◽  
pp. 4184
Author(s):  
Gopalakrishnan Gunasekaran ◽  
Debasis Naik ◽  
Sakthivel Chinnakkulam Kandhasamy ◽  
Dhirendra Nath Soren
Keyword(s):  
Head And Neck ◽  
Acute Abdomen ◽  
Rare Case ◽  
Clinical Presentation ◽  
Abdominal Mass ◽  
Cystic Lymphangioma ◽  
Life Threatening ◽  
Benign Tumours

Lymphangiomas are uncommon benign tumours and occur mainly in children with the most common sites being head and neck followed by the axilla and mediastinum. Intra-abdominal lymphangiomas are rare. Clinical presentation is diverse ranging from incidentally discovered abdominal mass to symptoms of acute abdomen. Life threatening complications are more likely to develop in children. We here present a rare case of giant mesenteric cystic lymphangioma causing intra-abdominal catastrophe in an adult.

scholarly journals A Rare Case of Sino-Orbital Invasive Aspergillosis in a Kidney Transplant Recipient

2020 ◽  
pp. 1-4
Author(s):  
Adela D. Mattiazzi ◽  
Adela D. Mattiazzi ◽  
Camilo A. Cortesi ◽  
Efrat Saraf Lavi ◽  
Giselle Guerra ◽  
...  
Keyword(s):  
Transplant Recipient ◽  
Kidney Transplant ◽  
Rare Case ◽  
Kidney Transplant Recipient ◽  
Organ Transplant ◽  
Orbital Exenteration ◽  
Transplant Recipients ◽  
Significant Morbidity ◽  
Life Threatening ◽  
Life Threatening Complication

Invasive sino-orbital aspergillosis is an uncommon but potentially life-threating complication of kidney transplantation. Here we report a case of a patient with invasive aspergillus fumigatus sinusitis extending into the orbit in a kidney transplant recipient who was successfully treated with voriconazole and surgical debridement without requiring orbital exenteration. This case illustrates a rare but life-threatening complication of immunosuppression that highlights the importance of suspecting and promptly recognizing fungal infection of the sinuses in vulnerable organ transplant recipients in order to avoid significant morbidity and mortality.

scholarly journals A rare case of intratonsillar abscess in an adult

2015 ◽  
Vol 5 (4) ◽  
Author(s):  
Gautam Bir Singh ◽  
Deepak Kumar ◽  
Rubeena Arora ◽  
Sunil Garg ◽  
Shruti Ranjan
Keyword(s):  
Adult Male ◽  
Rare Case ◽  
Medical Literature ◽  
Clinical Presentation ◽  
Healthy Adult ◽  
Clinical Record ◽  
Rare Entity ◽  
Incision And Drainage ◽  
Healthy Adult Male

A rare case of intratonsillar abscess is presented in a 25-year old healthy adult male, where the clinical presentation was found to be unique hitherto unreported in the medical literature. The clinical record also highlights the importance of incision and drainage in the management of such cases. With this case, we illustrate a rare entity that present in an extremely rare manner.

scholarly journals Nosocomial Methemoglobinemia Resulting from Self-Administration of Benzocaine Spray

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Christopher Hoffman ◽  
Hawa Abubakar ◽  
Pramood Kalikiri ◽  
Michael Green
Keyword(s):  
Methylene Blue ◽  
Respiratory Distress ◽  
Nasogastric Tube ◽  
Clinical Presentation ◽  
Postoperative Recovery ◽  
Blood Gas ◽  
Self Administration ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Life Threatening

Methemoglobinemia is life-threatening and bears pathognomonic signs difficult to diagnose in real time. Local anesthetics are widely used and are known for eliciting this condition. We report a case of methemoglobinemia secondary to self-administered use of benzocaine spray. A 27-year-old woman was found to be in respiratory distress during postoperative recovery. After desaturation persisted, arterial blood gas yielded a methemoglobin level of 47%. The patient was successfully treated with intravenous methylene blue. Review of the events revealed self-administered doses of benzocaine spray to alleviate discomfort from a nasogastric tube. We review this case in detail in addition to discussing methemoglobinemia and its relevant biochemistry, pathophysiology, clinical presentation, and medical management. Given the recognized risk of methemoglobinemia associated with benzocaine use, we recommend its removal from the market in favor of safer alternatives.

scholarly journals A Rare Case of Congenital Simple Cystic Ranula in a Neonate

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Gautam Bir Singh ◽  
Anil K. Rai ◽  
Rubeena Arora ◽  
Sunil Garg ◽  
Pooja Abbey ◽  
...  
Keyword(s):  
Rare Case ◽  
Medical Literature ◽  
Clinical Presentation ◽  
Clinical Record

Congenital ranula in a neonate is an uncommon occurrence. We present one such case of the said lesion where the clinical presentation and management were found to be interesting, hitherto unreported in the medical literature. This clinical record also reviews the scant medical literature on congenital ranula in neonates.

Acute respiratory distress syndrome in paediatric scrub typhus

2021 ◽  
pp. 004947552110291
Author(s):  
Sathish K Loganathan ◽  
Amol Jaybhaye ◽  
Nabaneeta Dash ◽  
Anu Punnen ◽  
Urmi Ghosh ◽  
...  
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Retrospective Study ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Associated Factors ◽  
Distress Syndrome ◽  
Scrub Typhus ◽  
Severe Thrombocytopenia ◽  
Life Threatening ◽  
Life Threatening Complication

Acute respiratory distress syndrome is a life-threatening complication of scrub typhus; we sought to describe its mortality and associated factors, namely eschar, hepatomegaly and severe thrombocytopenia, in a retrospective study in India of 65 children.

From skin to spontaneous lysis: A case of spontaneous tumor lysis syndrome in metastatic melanoma

2017 ◽  
Vol 24 (3) ◽  
pp. 221-225 ◽  
Author(s):  
Charis G Durham ◽  
Jon Herrington ◽  
Susan Seago ◽  
Chelsea Williams ◽  
Mark H Holguin
Keyword(s):  
Metastatic Melanoma ◽  
Rare Case ◽  
Tumor Lysis Syndrome ◽  
Cytotoxic Therapy ◽  
Acute Leukemias ◽  
Tumor Lysis ◽  
Spontaneous Tumor ◽  
Life Threatening ◽  
Spontaneous Tumor Lysis Syndrome ◽  
Life Threatening Complication

Tumor lysis syndrome is a life-threatening complication that often occurs after administration of cytotoxic therapy, but rarely occurs spontaneously without chemotherapy. This vignette describes a 59-year-old male with known extensive metastatic melanoma who presented to the hospital with spontaneous tumor lysis syndrome. Most spontaneous tumor lysis cases occur in patients with acute leukemias and aggressive lymphomas; however, this rare case depicts a patient with melanoma developing tumor lysis before the administration of chemotherapy.

scholarly journals Tension Pneumothorax, Pneumoperitoneum, and Cervical Emphysema following a Diagnostic Colonoscopy

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Ali Pourmand ◽  
Hamid Shokoohi
Keyword(s):  
Rare Case ◽  
Tension Pneumothorax ◽  
Colonic Perforation ◽  
Tube Thoracostomy ◽  
Diagnostic Colonoscopy ◽  
Rare Case Report ◽  
Initial Injury ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Anatomical Connection

Colonoscopy is currently a widespread procedure used in screening for colorectal cancer. Iatrogenic colonic perforation during colonoscopy is a serious and potentially life-threatening complication that can cause significant morbidity and mortality. “Triple pneumo” (a combination of pneumothorax, pneumomediastinum, and pneumoperitoneum) following colonoscopy is a rare but a serious condition requiring immediate diagnosis and emergent intervention. In majority of these cases a colonic perforation is the initial injury that is followed by pneumothorax and pneumomediastinum through the potential anatomical connection with retroperitoneal and mediastinal spaces. In this rare case report we are presenting a case of “triple pneumo” with no evidence of colonic perforation. This patient developed a simultaneous pneumoperitoneum, pneumomediastinum, and a tension pneumothorax requiring immediate tube thoracostomy. This case may raise the awareness on the likelihood of these serious complications after colonoscopy.

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