Clinics and practice
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Clinics and practice · Sep 2011
Severe gastroenteritis as presentation of a primary cytomegalovirus infection in an immunocompetent woman.
In immunocompetent hosts, symptomatic cytomegalovirus (CMV) infection occurs in around 10% and has traditionally been considered to have a benign, self-limiting course. Active CMV infection in immunocompetent subjects is very rare. However, manifestations of CMV infection in immunocompromised hosts have been extensively reported. We present a case of a 58-year-old immunocompetent woman with a primary cytomegalovirus infection which presented as a severe gastroenteritis and hepatitis.
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Clinics and practice · Sep 2011
Case ReportsTransient loss of consciousness in a patient with a Brugada like ECG.
Syncope in a patient with a Brugada syndrome channelopathy carries significant prognostic implications and warrants consideration of implantable cardioverter defibrillator (ICD) implantation. We report a case of a 62-year-old gentleman who presented with a transient loss of consciousness and an electrocardiogram (ECG) suggestive of type 1 Brugada syndrome. Further investigation revealed evidence of a silent myocardial infarction and negative ventricular tachycardia stimulation and Ajmaline testing. Careful review of the ECG's subsequently showed the type 1 pattern was present in only V1.