scholarly journals A malignant wheeze!

2018 ◽  
Vol 88 (3) ◽  
Author(s):  
Kashyap Goyal ◽  
Subodh Kumar ◽  
Mayank Mishra ◽  
Ritisha Bhatt ◽  
Adabala Vijay Babu ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Features ◽  
Standard Therapy ◽  
Acute Asthma ◽  
High Index ◽  
Present Case Report ◽  
Tracheal Tumor ◽  
Common Disorder ◽  
High Index Of Suspicion ◽  
Tracheal Tumors

Asthma is a common disorder presenting with nonspecific features, which may mimic other conditions such as tracheal tumors. Tracheal tumors are often misdiagnosed as asthma. We report a case of a 38-year female who was being worked up for persistent wheeze that was initially attributed to acute asthma, only to be later discovered as tracheal tumor. A high index of suspicion for alternative diagnoses must be kept in mind while evaluating a patient who presents with clinical features suggestive of asthma, but fails to respond to standard therapy. The present case report emphasizes the fact that not all wheezes are asthma.

scholarly journals COVID-19 and Gastrointestinal Symptoms—A Case Report

Geriatrics ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 31
Author(s):  
Alistair J. Mackett ◽  
Victoria L. Keevil
Keyword(s):  
Case Report ◽  
Older People ◽  
Clinical Features ◽  
Gastrointestinal Symptoms ◽  
Case Series ◽  
High Index ◽  
Uncommon Presentation ◽  
Novel Coronavirus ◽  
High Index Of Suspicion

COVID-19, a new illness secondary to a novel Coronavirus emerged in December 2019 in China. Our early understanding of the clinical features of COVID-19 has been based on case series emerging from the first outbreak in Wuhan. These features included fever, a dry cough, myalgia and dyspnea. Gastrointestinal symptoms were rarely reported as a key feature. We present a case report of a 74-year-old male who presented with symptoms of gastroenteritis and subsequently tested positive for COVID-19. This article aims to highlight an uncommon presentation of COVID-19 and that a high index of suspicion is required for COVID-19 in older people given their greater likelihood of presenting atypically.

scholarly journals Bilateral Charcot hip Arthropathy Due to Tabes Dorsalis: A Case Report

2018 ◽  
Vol 25 (1) ◽  
pp. 21-23
Author(s):  
Ip Hoi Yeung ◽  
Yeung Yip Kan ◽  
Luk Kristine Shik ◽  
Lam Polly Wy ◽  
Wong Kwok Ho
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Course ◽  
High Index ◽  
Tabes Dorsalis ◽  
High Index Of Suspicion

This article illustrates the clinical course of a patient diagnosed to have bilateral Charcot hip arthropathy secondary to tabes dorsalis from delayed untreated syphilitic infection. This differential diagnosis of rapid bilateral hip destruction was a near-extinct entity, and a high index of suspicion is needed to prevent untoward sequelae.

scholarly journals Hypomelanosis of Ito: Case report of a rare neurocutaneous syndrome in a neonate and review of the literature.

1970 ◽  
Vol 42 (3) ◽  
pp. 231-233
Author(s):  
M Mukhtar-yola ◽  
LI Audu ◽  
AT Otuneye ◽  
AB Mairami ◽  
EC Otubelu ◽  
...  
Keyword(s):  
Case Report ◽  
High Index ◽  
Review Of The Literature ◽  
Cutaneous Lesions ◽  
Hypomelanosis Of Ito ◽  
The Third ◽  
Neurocutaneous Syndrome ◽  
Paediatric Practice ◽  
High Index Of Suspicion

Hypomelanosis of Ito (HI) though said to be the third most common neurocutaneus disorder, is rarely reported in paediatric practice in Africa. A high index of suspicion must be maintained in children with cutaneous lesions as a seizure may be the first symptom that may bring the child to attention. A case of HI in a neonate is hereby reported to sensitize clinicians about this relatively uncommon disorder

scholarly journals Cyclical hematuria-ureteral endometriosis: a case report

2018 ◽  
Vol 7 (4) ◽  
pp. 1648
Author(s):  
Sindura Ganga Ravula ◽  
Harish Shetty ◽  
Aparna Rajesh
Keyword(s):  
Renal Failure ◽  
Case Report ◽  
Early Diagnosis ◽  
Renal Involvement ◽  
High Index ◽  
True Incidence ◽  
Ureteral Endometriosis ◽  
High Index Of Suspicion ◽  
Specific Symptoms

Little attention has been paid for the renal involvement in endometriosis, a rare and silent disorder which ultimately lead to renal failure. Involvement most commonly may be limited to single ureter (left one) and it is usually involvement extrinsically. Although cases have been reported in the literature, true incidence of ureteral involvement is still not known. The diagnosis is difficult as the disease has non-specific symptoms. Only high index of suspicion with radiological support would be helpful in early diagnosis. Early cases may be benefited with progestin or Anti-aromatase therapy, most cases need surgery, either laparoscopically or laparotomy.

Pneumomediastinum due to tracheal foreign body granuloma

2005 ◽  
Vol 119 (12) ◽  
pp. 998-1000
Author(s):  
H Kishore Chandra Prasad ◽  
Suja S Sreedharan ◽  
Sydney D’Souza ◽  
Naveen Kumar ◽  
Sampath Chandra Prasad
Keyword(s):  
Foreign Body ◽  
Clinical Features ◽  
Rare Case ◽  
High Index ◽  
Foreign Body Granuloma ◽  
Differential Diagnoses ◽  
Granulomatous Reaction ◽  
Intubation Granuloma ◽  
Malignant Lesions ◽  
High Index Of Suspicion

Primary tracheal masses are rare. Secondary masses of the trachea are commonly foreign body granuloma, intubation granuloma or viral granuloma. The differential diagnoses given in such cases include both benign and malignant lesions. The otolaryngologist is often asked to perform a biopsy of the lesion to arrive at a diagnosis. However, even malignant processes can cause a granulomatous reaction. The timely diagnosis of tracheal masses depends upon maintaining a high index of suspicion. A rare case of tracheal granuloma leading to pneumomediastinum in a 53-year-old female is presented. The clinical features, investigations and treatment are detailed. The tracheal granuloma was managed by excision through bronchoscopy and the pneumomediastinum was managed conservatively.

scholarly journals Anti-NMDA Encephalitis: A Rare Encephalitis in a Child- A Case Report

2020 ◽  
Vol 19 (2) ◽  
pp. 108-111
Author(s):  
Saurav Khetan ◽  
Nikhil Agrawal ◽  
Prakash Rajoli
Keyword(s):  
Case Report ◽  
Japanese Encephalitis ◽  
Viral Encephalitis ◽  
Psychiatric Symptoms ◽  
Autoimmune Encephalitis ◽  
High Index ◽  
First Case ◽  
High Index Of Suspicion

Anti-NMDA encephalitis is second commonest cause of autoimmune encephalitis among children; however, it is hardly diagnosed and often not considered as one of the differentials when a child presents with encephalitis-related symptoms. In children, it presents mostly with seizures or psychiatric symptoms without prodrome. Here we present a six years old girl who presented with seizures and inappropriate behaviour. We investigated her in the line of viral encephalitis such as Japanese Encephalitis, which is very common in our region. However, results were not suggestive of Japanese Encephalitis and further investigations subsequently lead to diagnosis of anti- NMDA encephalitis. This is probably one of the first case report of this disease in our country. We want to highlight the significance of high index of suspicion for looking out for an organic cause in any child who presents with psychiatric symptoms, along with seizures.

scholarly journals Gestational Diabetes Insipidus Associated with HELLP Syndrome: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Renela Gambito ◽  
Michael Chan ◽  
Mohamed Sheta ◽  
Precious Ramirez-Arao ◽  
Harmeet Gurm ◽  
...  
Keyword(s):  
Risk Factors ◽  
Enzyme Activity ◽  
Case Report ◽  
Gestational Diabetes ◽  
Diabetes Insipidus ◽  
Clinical Setting ◽  
Hellp Syndrome ◽  
High Index ◽  
High Index Of Suspicion ◽  
Twin Pregnancies

Gestational diabetes insipidus is a rare, but well recognized, complication of pregnancy. It is related to excess vasopressinase enzyme activity which is metabolized in the liver. A high index of suspicion of gestational diabetes insipidus is required in a correct clinical setting especially in the presence of other risk factors such as preeclampsia, HELLP syndrome, and twin pregnancies. We are presenting a case of gestational diabetes insipidus in a patient with HELLP syndrome. The newborn in this case also had hypernatremia thereby raising possibilities of vasopressinase crossing the placenta.

scholarly journals Scrotal Ulcer is a Rare Presentationof TB Epididymis in Young Male

2021 ◽  
pp. 146-149
Author(s):  
Rekadi Srinivasa Rao ◽  
Senthil Kumar ◽  
R. Anantharamakrishnan ◽  
P. Varadaraju
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Clinical Presentation ◽  
Young Male ◽  
High Index ◽  
History Of ◽  
Scrotal Swelling ◽  
High Index Of Suspicion

Introduction: Scrotal tuberculosis (TB) is rare and may present as painful scrotal swelling with ulceration and discharging sinus. Case Report: A 28 years male with 2 months history of swelling and pain over left scrotum. Developed ulcer over the scrotal region with multiple sinus associated with pus discharge. Conclusion: The clinical presentation of TB scrotal ulcer can be atypical and a high index of suspicion is required for early diagnosis. Diagnosis is by using ultrasonography, microbiology, and biopsy. Treatment requires prolonged ATT for 6 months.

scholarly journals Primary actinomycosis of the big toe: a case report and literature review

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Sawsan F Almarzouq ◽  
Mohammed A Almarghoub ◽  
Obaid Almeshal
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Surgical Intervention ◽  
Large Mass ◽  
High Index ◽  
Related Literature ◽  
Soft Tissue Lesions ◽  
Advancement Flaps ◽  
High Index Of Suspicion ◽  
Suppurative Infection

Abstract Actinomyces are Gram-positive branching bacteria that are part of the human gastrointestinal microflora. These organisms can cause actinomycosis, which is a slowly progressive suppurative infection involving the cervicofacial region. Primary involvement of extremities is very rare. Here, we present primary actinomycosis of the lower extremity and a review of related literature. A 35-year-old female from Al-Kharj City (agricultural area) presented to our plastic surgery clinic with complaints of a large mass on the left big toe that caused embarrassment and difficulty in wearing footwear. The patient underwent wide local excision and coverage of the big toe defect with Kutler bilateral V-Y advancement flaps. A high index of suspicion is required to diagnose actinomycosis in subacute or chronic inflammatory soft tissue lesions. Proper surgical intervention and antimicrobial are essential to treat the disease. We conclude that a high index of suspicion is required to diagnose actinomycosis in subacute or chronic inflammatory soft tissue lesions.

Uretero-Arterial Fistula: A Case Report and Review of the Literature

2020 ◽  
pp. 153857442097673
Author(s):  
Amr I. Al Abbas ◽  
Marc Salhanick ◽  
Melissa L. Kirkwood
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Laser Lithotripsy ◽  
High Index ◽  
Endovascular Intervention ◽  
Review Of The Literature ◽  
Aortobifemoral Bypass ◽  
Left Ureter ◽  
High Index Of Suspicion

Uretero-arterial fistula (UAF) is a rare complication of either aneurysmal disease primarily or pelvic inflammation secondary to urologic, oncologic, or vascular interventions. Diagnosis can be difficult to confirm and treatment may need to proceed on high index of suspicion alone. We present the case of a 56-year-old woman suffering from intermittent hematuria after laser lithotripsy leading to UAF between her left ureter and left Dacron aortobifemoral bypass limb. The fistula was successfully treated with endovascular intervention.

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