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Clinical Cases.............

We welcome submission of cases to be presented on the website for interactive learning. Submitting author and the institution will be acknowledged. Kindly ensure that there are no copyright issues. These are to be used ONLY for education and not for any other purpose. Photographs and supporting data strongly encouraged. Please submit your case to priscillarupali@yahoo.com. Cases accepted will be formatted and uploaded on the website.

34 year old lady who was known to be HIV infected for 10 years was started on generic antiretroviral therapy (ART) with zidovudine, lamivudine and nevirapine in June 2013 after a CD4 count was found to be 214 cells/µl on a routine evaluation.

 

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Case submitted by Dr. Priscilla Rupali and Dr. Kirti Sabnis                               New Case.....

 

Master A 11 year old male child resident of Tamilnadu, presented with history of swelling on the right forearm for the past three months. He also had throbbing pain around the swelling causing difficulty in performing school activities efficiently especially writing.

 

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Case submitted by Dr. Kirti Sabnis                                                               

A 25 year old, G3 P2 L1 IUD 1, pregnant lady at 34+ 6 weeks from rural Tamil Nadu presented with 1 day history of multiple episodes of watery, large volume diarrhoea, resembling rice water with associated vomiting.

 

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Case submitted by Dr. Shalom Pattole                                                                

Mrs Mariya Magdalena, a diabetic for 9 years developed multiple nodular lesions at the left lateral aspect of the trunk 3 year ago. Lesions ulcerated and discharged pus. There was no associated fever, joint pains or oral ulcers. She was started on antibiotics but swelling did not resolve

 

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Case submitted by Dr. Priscilla Rupali                                                                       

A 51 year old retired policeman from Bhutan with skin lesions on face with swelling face X 9 yrs. Initial lesion - a pustule right side of upper lip. Progressed to involve entire lip, nose, forehead and chin.

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Case submitted by Dr. Priscilla Rupali                                                                        

57 year old Mr. M from Jharkhand ,a hypertensive for 3 years, presented with the complaints of nodular lesions and discharging sinuses on the chest wall and abdomen for 3 years.

 

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Case submitted by Dr. Priscilla Rupali and Dr. Sanket Mankad                                  

50 year old Mrs.CG from Shillong presented with a history of a lump in her right breast for 3 months, gradually increasing in size and was not associated with pain or nipple discharge or skin changes.

 

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Case submitted by Dr. Priscilla Rupali and Dr. Joy Sarojini                                 

Mr. B is a 60 year old retired teacher from Nadia West Bengal. He presented to us with complaints of hyperpigmented areas all over the body for the past 20 years. Some of these lesions over the hands had increased in size and become ulcers over the past 6 years

 

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Case submitted by Dr. Ramya I - Toxicology special interest group, CMC Vellore

A 44 year old farmer presented to the Emergency department with alleged history of snakebite over the right hand at night when he was under the influence of alcohol. He noted drooping of the eyelids but no diplopia or breathlessness was observed. Redness, swelling and pain over the right arm at the site of the bite was noted.

 

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Case submitted by Dr.  KPP Abhilash and Dr. Priscilla Rupali                        

42 year old male was diagnosed to have an anaplastic large cell lymphoma in January 2011 and was started on CHOP ( Cyclophosphamide 1400 mg, Adriamycin 85 mg, Vincristine 2 mg, Prednisolone 100 mg).

 

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Case submitted by Dr. Priscilla Rupali and Dr. Sanket Mankad

A 25 yr old married lady presented to the Emergency department at 8:30 am with a history of asymmetrical multiple joint pains for 10 days, high grade fever with chills, headache with vomiting and generalized abdominal pain for the last 2 days.

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Case submitted by Dr. Abi Manesh

65 year old Mr B presented with complaints of fever of 6 months associated with distension of abdomen and breathing difficulty. Fever was low grade with no chills or rigors and no other localizing features.

 

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Case submitted by Dr. Sam Mannam

25 years old Mr. T from a neighboring town in Andhra Pradesh, India presented with high grade fever with chills and rigors generally 2 spikes per day for the past 1 month. Jaundice appeared 6 days ago and progressed to the present state.

 

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Case submitted by Dr. Priscilla Rupali

A 17  year old boy from West Bengal presented with recurrent skin lesions in the upper and lower limbs for last 8 years which disappeared on treatment with itraconazole but recurred shortly after discontinuation of therapy.

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Case submitted by Dr. Susanne Pulimood and Dr. Abi Manesh

A 50 year old  farmer from Tamil Nadu, India presented to casualty with pain and swelling of the right arm for 3 days and severe holocranial headache for 1 day.

 

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Case submitted by Dr. Anugrah Chrispal

A 38 year old man from Chittoor, Andhra Pradesh presented with a history of holocranial headache  and  high grade, intermittent fever of 2 months duration, urinary retention for 10 days and gradually worsening weakness of both lower limbs for 7 days prior to admission

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Case submitted by Dr. Divya Deodhar

Mr. N, a 20 year old student from Tripura presented with a history of multiple recurrent painless swellings, mainly located over the limbs and the chest, each swelling progressively enlarging to a size of 3-4 cm and spontaneously rupturing, resulting in a shallow slow healing ulcer or a persistently discharging sinus, over a two year period.

 

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Case submitted by Dr. Ravikaralph

Mr. X, a 40 year old daily wages labourer from Tamil Nadu in Southern India, presented in October 2010, with a history of intermittent low grade fever for one month associated with a right upper quadrant abdominal pain

 

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Case submitted by Dr. Amal Paul and Dr. Rini Bandhopadhyay

Mr. T, a 32 year old vegetable vendor from Assam presented to us in October 2010 with progressively worsening breathlessness for 2 months with cough and white sputum for 1 month.

 

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Case submitted by Dr. Anjana Joel

17 years old Miss. S a 12th grade Student from Katpadi in Vellore presented with a history of fever of 5 days and altered sensorium of 2 days duration. Two weeks ago she had an itchy papular rash over both her forearms and arms.

 

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Case submitted by Dr. Vijay Turaka

50 year old lady a known diabetic on treatment presented with a 3 day history of fever, cough and breathing difficulty. Click on the image to view the details

 

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Case submitted by Dr. Priscilla Rupali

A 48 year old lady from Tamilnadu a known case carcinoma cervix stage IIIb who had her last chemotherapy 15 days back was referred to the Infectious Diseases department for a consultation.

 

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Case submitted by Dr. Priscilla Rupali

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