scholarly journals Subperiosteal Osteoid Osteoma of the Neck of Talus

2009 ◽  
Vol 48 (173) ◽  
Author(s):  
Javed Ahmad Khan ◽  
S Vaidya ◽  
P Devkota ◽  
BM Acharya ◽  
NMS Pradhan ◽  
...  
Keyword(s):  
Osteoid Osteoma ◽  
Ankle Sprain ◽  
Definitive Diagnosis ◽  
High Index ◽  
Review Of Literature ◽  
Ankle Pain ◽  
Diagnostic Dilemma ◽  
High Index Of Suspicion

Juxta-articular, subperiosteal osteoid osteomas arising around the ankle are unusual. Tumors arising on the neck of the talus commonly produce symptoms mimicking monoarticular arthritis. Patients are usually treated for arthritis or ankle sprain, which often leads to a delay in definitive diagnosis. Here we present a case of osteoid osteoma of neck of talus which was presented as ankle pain. It puzzled us until MRI was done. Diagnostic dilemma and delay can be avoided by high index of suspicion. The patient was treated with open removal of the tumor. We also present brief review of literature about juxta-articular, subperiosteal osteoid osteoma which is uncommon from the typical osteoid osteoma occurring elsewhere in the body.Keywords: juxta-articular, subperiosteal, osteoid osteoma, talus neck

scholarly journals An unusual case of chronic anal pain – a pin in the bum?

2010 ◽  
Vol 92 (6) ◽  
pp. e27-e28 ◽  
Author(s):  
Adam Charles Critchley ◽  
Stephen John Holtham
Keyword(s):  
Anterior Resection ◽  
Unusual Case ◽  
Rectal Mucosa ◽  
Definitive Diagnosis ◽  
High Index ◽  
Pelvic Surgery ◽  
Anal Pain ◽  
High Index Of Suspicion

We report the case of a 70-year-old woman who had previously undergone anterior resection in 2001 for a diverticular stricture. Bleeding from pelvic veins intra-operatively necessitated the use of two thumbtacks to aid haemostasis. Over the next 7 years, she presented repeatedly with anal pain, bleeding and mucus discharge per rectum. Multiple lower gastrointestinal endoscopies failed to make a definitive diagnosis until a single thumbtack was found eroding through the rectal mucosa. This was removed and she has been subsequently asymptomatic. This condition was clearly difficult to diagnose and requires a high index of suspicion in those patients who have previously undergone pelvic surgery.

scholarly journals Diagnostic Dilemma in Abdominal Pregnancy - A Case Report

1970 ◽  
Vol 27 (3) ◽  
pp. 177-180
Author(s):  
Laila Afroz ◽  
Shiuly Chowdhury ◽  
Syed Iqbal Mazhar
Keyword(s):  
Fetal Death ◽  
Diagnostic Error ◽  
Fetal Outcome ◽  
High Index ◽  
Abdominal Pregnancy ◽  
Diagnostic Dilemma ◽  
Mortality And Morbidity ◽  
Advanced Abdominal Pregnancy ◽  
Maternal Mortality And Morbidity ◽  
High Index Of Suspicion

Advanced abdominal pregnancy is a very rare and complex condition demanding challenging management. High index of suspicion may reduce the diagnostic error. Maternal mortality and morbidity is high and fetal outcome is poor. The key to favorable maternal outcome is early diagnosis and management. A case of 37 weeks abdominal pregnancy with fetal death has been reported here. The patient was repeatedly admitted in the Gynae and Obstetric department in different units for unusual abdominal discomfort beginning from 20th weeks of pregnancy. But the diagnosis had been missed everytime. Finally, she reported with 37th week's pregnancy with intra-uterine fetal death. With high index of suspicion ultrasonography was done by an Obstetrician in the department which gave the diagnosis and was confirmed by laparotomy.   DOI:10.3329/jbcps.v27i3.4298 J Bangladesh Coll Phys Surg 2009; 27: 177-180

scholarly journals Ocular Dirofilariasis - A Diagnostic Dilemma

2020 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Case Report ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
High Index ◽  
Diagnosis And Treatment ◽  
Care Hospital ◽  
Diagnostic Dilemma ◽  
Main Species ◽  
Proper Diagnosis ◽  
High Index Of Suspicion

Dirofilariasis is a zoonotic filariasis primarily affecting canines. It may infect humans causing pulmonary infarcts, subcutaneous and subconjunctival nodules. Dirofilaria repens is the main species inplicated in subconjunctival lesions. Proper diagnosis and treatment can cure the patient of all his symptoms. Hence it is important to have a high index of suspicion about this emerging zoonosis. This is a case report of ocular Dirofilariasis from a tertiary care hospital in Thrissur, Kerala.

scholarly journals Mycophenolate Mofetil (Cellcept) Induced Pneumonitis: Case Report and Review of Literature

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Iboro Udoete ◽  
Ngozika Orjioke ◽  
Okelue Edwards Okobi ◽  
Chinwendu Onuegbu
Keyword(s):  
Mycophenolate Mofetil ◽  
Case Report ◽  
Side Effects ◽  
High Index ◽  
Review Of Literature ◽  
Post Transplant ◽  
High Index Of Suspicion

Mycophenolate is used to treat several disease conditions. Several side effects have been reported in several reported cases; however, a few other side effects have been underreported, for example, post-transplant pneumonitis. This case demonstrates suspected mycophenolate-associated pneumonitis, which was masked by the concurrent immune-modulatory drugs that the patients were taking. The pneumonitis became evident after the withdrawal of the immune drugs. This seldomly reported pneumonitis and mycophenolate association calls for further vigilance and a high index of suspicion by physicians when pneumonitis develops in patients taking this valuable medication.

Neurobrucellosis associated with feral swine hunting in the southern United States

2020 ◽  
Vol 13 (12) ◽  
pp. e238216
Author(s):  
Harry Ross Powers ◽  
Jared R Nelson ◽  
Salvador Alvarez ◽  
Julio C Mendez
Keyword(s):  
United States ◽  
At Risk ◽  
High Index ◽  
Southern United States ◽  
Endemic Country ◽  
Feral Swine ◽  
Neurological Sequelae ◽  
Initial Symptoms ◽  
The Usa ◽  
High Index Of Suspicion

Although uncommon, Brucella infection can occur outside the areas of high endemicity, such as the USA. In the southern USA, hunters of wild swine are at risk for brucellosis. We present a case of a patient with fever, headache and constitutional symptoms that were ongoing for 11 months. He was diagnosed with neurobrucellosis. The patient was treated successfully with intravenous ceftriaxone, oral doxycycline and oral rifampin therapy. He had persistent neurological sequelae after completing treatment. This case illustrates the high index of suspicion needed to diagnose neurobrucellosis in a non-endemic country because initial symptoms can be subtle. The disease can be treated successfully, but long-lasting neurological sequelae are common.

Mycobacterium Fortuitum Infections of the Hand

1992 ◽  
Vol 17 (6) ◽  
pp. 675-677 ◽  
Author(s):  
F. K. IP ◽  
S. P. CHOW
Keyword(s):  
Correct Diagnosis ◽  
High Index ◽  
Mycobacterium Fortuitum ◽  
High Index Of Suspicion

Five cases are reported of infection due to Mycobactenum fortuitum involving the hand following contaminated injection or traumatic wounds. Synovectomy, debridement, or amputation together with prolonged chemotherapy using kanamycin or amikacin were required. Doxycycline and sulphamethoxasole also seemed to be the effective antibiotics for this organism. A high index of suspicion is important in order to obtain the correct diagnosis.

Wegener’s granulomatosis: diagnostic dilemma

2001 ◽  
Vol 115 (1) ◽  
pp. 46-47 ◽  
Author(s):  
A. Banerjee ◽  
J. M. Armas ◽  
J. H. Dempster
Keyword(s):  
Early Diagnosis ◽  
Wegener’S Granulomatosis ◽  
Systemic Disease ◽  
Wegener's Granulomatosis ◽  
The Body ◽  
Facial Nerve Paralysis ◽  
Diagnostic Dilemma ◽  
Nerve Paralysis ◽  
Atypical Presentations ◽  
High Index Of Suspicion

Wegener’s granulomatosis is a systemic disease characterized by a granulomatous lesion that can affect any organ throughout the body.This case-report illustrates the problem posed by a patient presenting with bilateral serous otitis media with marked sensorineural hearing loss, facial nerve paralysis and an atypical serological picture. The importance of early diagnosis and the protocol for the management of a patient with an uncertain diagnosis is discussed. Due to atypical presentations, only a high index of suspicion will ensure an early diagnosis.

scholarly journals Acute permethrin neurotoxicity: Variable presentations, high index of suspicion

2014 ◽  
Vol 1 ◽  
pp. 1026-1028 ◽  
Author(s):  
Bonny Drago ◽  
Namrata S. Shah ◽  
Samir H. Shah
Keyword(s):  
High Index ◽  
High Index Of Suspicion

Benign ano-rectal disorders

2017 ◽  
Vol 10 (5) ◽  
pp. 253-261
Author(s):  
James Kynaston
Keyword(s):  
Primary Care ◽  
High Index ◽  
Diagnosis And Management ◽  
High Index Of Suspicion ◽  
Adult Presentation ◽  
Surgical Referral

Benign ano-rectal disorders are a common adult presentation to primary care; they also generate a significant number of secondary referrals. The exact prevalence of these conditions is difficult to determine, due to under-reporting of symptoms, which patients can find embarrassing and difficult to disclose. It can be challenging to distinguish between different ano-rectal disorders which present with similar symptoms. A high index of suspicion is required to detect serious malignant pathology. The aim of this article is to outline the epidemiology, pathophysiology, diagnosis and management of common benign ano-rectal disorders in primary care. The indications for surgical referral and important cancer referral guidelines are included.

Neonatal chikungunya encephalitis

2021 ◽  
pp. 004947552110632
Author(s):  
R. Sreekanth ◽  
Lakshmi Venugopal ◽  
B. Arunkrishnan ◽  
Somya chaturvedi ◽  
Shanmugha sundaram
Keyword(s):  
Skin Rash ◽  
Perinatal Transmission ◽  
Viral Disease ◽  
High Index ◽  
New Born ◽  
Laboratory Confirmation ◽  
High Index Of Suspicion

Chikungunya is a tropical viral disease and can present in the new born with perinatal transmission. Presentation usually mimics sepsis and high index of suspicion is needed for diagnosis specially at times of outbreak. Characteristic skin rash and perioral blotchy hyperpigmentation can point to diagnosis along with laboratory confirmation with RTPCR.

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