The Journal of the Association of Physicians of India
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A 28 year old male presented with fever, tachycardia, generalized lymphadenopathy and diffuse rash over the body. He failed to respond to intravenous antibiotics and developed cardiogenic shock, multiple organ failure and died within six hours after hospitalization. Staphylococcus aureus colonies were revealed on blood culture.
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J Assoc Physicians India · Jan 2008
Case ReportsElectroconvulsive therapy in drug resistant neuroleptic malignant syndrome.
We report a case of a 20 years female referred to us with a history of a brief psychotic episode for which she was given inj. Haloperidol. The patient presented in an unconscious state with high grade fever. ⋯ The patient did not respond to Bromocriptine and Dantrolene. With the recent evidence of electroconvulsive therapy being useful in these patients, we went ahead with the same. We present this case to share our experience of the excellent response of neuroleptic malignant syndrome to electroconvulsive therapy.
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J Assoc Physicians India · Oct 2007
Case ReportsScleredema of Buschke: a rare post-streptococcal complication.
A 19-year male presented with acute onset, gradually progressive symmetric indurations involving the skin over the face, neck, shoulders and upper part of chest following an upper respiratory tract infection. Detailed history and examination did not reveal evidence of Raynauds' phenomenon, nail changes, digital ulcers, pigmentation or any systemic involvement. Autoantibodies for systemic sclerosis were absent. ⋯ Antistreptolysin O (ASO) titer was elevated. We diagnosed a case of Scleredema adultorum of Buschke following a streptococcal throat infection. We report this case to highlight the importance of clinically differentiating this relatively benign, self-limiting disorder from systemic sclerosis.
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J Assoc Physicians India · Sep 2007
Role of simple needle aspiration in the management of spontaneous pneumothorax.
To determine the efficacy of simple needle aspiration in the management of primary spontaneous pneumothorax. Not all patients with pneumothorax require intercostal tube drainage (ICTD). Some patients can be managed conservatively by simple needle aspiration of air from pleural space. It is a cheap and easy alternative to ICTD which can be done on out patient basis. ⋯ Spontaneous pneumothorax may be managed by simple needle air aspiration primarily, unless contraindicated (tension pneumothorax), or in patients requiring mechanical ventilation. For symptomatic patient it is the recommended procedure.