Nocardia infection is a rare disorder caused by bacterium,which tends to affect the lung,brain,and skin.Pulmonary nocardiosis is a subacute or chronic pneumonia caused by a species of the family Nocardiaceae.Nocardia ...Nocardia infection is a rare disorder caused by bacterium,which tends to affect the lung,brain,and skin.Pulmonary nocardiosis is a subacute or chronic pneumonia caused by a species of the family Nocardiaceae.Nocardia particularly affects immunocompromised patients,and only a few reports have described high resolution computed tomography(HRCT)manifestations in a case series of pulmonary infection.Here we describe a case report in which 70 year old patient with history of bronchial asthma on treatment with inhaled corticosteroid presented to emergency with complaints of cough with scanty expectoration and increase in breathlessness.Initially we suspected it to be a case of pulmonary tuberculosis or acute exacerbation of bronchial asthma but later investigations proved it to be a case of opportunistic pulmonary Nocardiosis.He responded well to anti-nocardia therapy and recovered from the symptoms.We conclude that pulmonary Nocardiosis must be suspected and screened in all patients with immunocompromised state and not responding to preliminary diagnosis of chronic obstructive airway disease,asthma or pulmonary tuberculosis.展开更多
Hemoperitoneum secondary to splenic rupture is a rare complication which is associated with dengue fever.A high degree of suspicion and an early diagnosis can save lives.A 28-year old male patient was admitted with wa...Hemoperitoneum secondary to splenic rupture is a rare complication which is associated with dengue fever.A high degree of suspicion and an early diagnosis can save lives.A 28-year old male patient was admitted with warning signs on day 5 of dengue fever to our intensive care unit(ICU).His condition deteriorated rapidly with worsening abdominal distension and pain.In view of a previously noted episode of hypotension,he underwent further fluid resuscitation and Rapid Ultrasound for Shock and Hypotension(RUSH)protocol on admission to ICU which noted free fluid in abdomen prompting diagnostic aspiration.Aspirate confirmed hemoperitoneum leading to contrast enhanced computed tomography(CECT)of the abdomen revealed splenic hematoma with venous extravasation.He underwent splenic artery embolization within the next few hours in view of continued bleeding despite correction of the thrombocytopenia and coagulation parameters.His period in ICU was complicated by recurrent bleeding after 48 h which warranted abdominal CT followed by embolization of the splenic artery.There is a low threshold to undertake imaging for disproportionate ascites in severe dengue.This case shows the successful management of a rare complication of dengue with timely endovascular intervention.展开更多
文摘Nocardia infection is a rare disorder caused by bacterium,which tends to affect the lung,brain,and skin.Pulmonary nocardiosis is a subacute or chronic pneumonia caused by a species of the family Nocardiaceae.Nocardia particularly affects immunocompromised patients,and only a few reports have described high resolution computed tomography(HRCT)manifestations in a case series of pulmonary infection.Here we describe a case report in which 70 year old patient with history of bronchial asthma on treatment with inhaled corticosteroid presented to emergency with complaints of cough with scanty expectoration and increase in breathlessness.Initially we suspected it to be a case of pulmonary tuberculosis or acute exacerbation of bronchial asthma but later investigations proved it to be a case of opportunistic pulmonary Nocardiosis.He responded well to anti-nocardia therapy and recovered from the symptoms.We conclude that pulmonary Nocardiosis must be suspected and screened in all patients with immunocompromised state and not responding to preliminary diagnosis of chronic obstructive airway disease,asthma or pulmonary tuberculosis.
文摘Hemoperitoneum secondary to splenic rupture is a rare complication which is associated with dengue fever.A high degree of suspicion and an early diagnosis can save lives.A 28-year old male patient was admitted with warning signs on day 5 of dengue fever to our intensive care unit(ICU).His condition deteriorated rapidly with worsening abdominal distension and pain.In view of a previously noted episode of hypotension,he underwent further fluid resuscitation and Rapid Ultrasound for Shock and Hypotension(RUSH)protocol on admission to ICU which noted free fluid in abdomen prompting diagnostic aspiration.Aspirate confirmed hemoperitoneum leading to contrast enhanced computed tomography(CECT)of the abdomen revealed splenic hematoma with venous extravasation.He underwent splenic artery embolization within the next few hours in view of continued bleeding despite correction of the thrombocytopenia and coagulation parameters.His period in ICU was complicated by recurrent bleeding after 48 h which warranted abdominal CT followed by embolization of the splenic artery.There is a low threshold to undertake imaging for disproportionate ascites in severe dengue.This case shows the successful management of a rare complication of dengue with timely endovascular intervention.
