Τετάρτη 18 Μαρτίου 2020


Spontaneous Bacteroides fragilis spondylodiscitis in an elderly lady
A 76-year-old woman presented following two episodes of unexplained falls at home. Blood cultures were positive for Bacteroides fragilis and following investigations she was diagnosed with L4/L5 spondylodiscitis confirmed on spine MRI. She was initially treated with intravenous metronidazole and flucloxacillin prior to switching to ceftriaxone with good results. No primary cause of B. fragilis bacteraemia was found in this case. B. fragilis is a rare cause of spondylodiscitis.
BMJ Case Reports Last 6 Issues
3h
Unusual case of antiphospholipid syndrome presenting as adrenal insufficiency
A 64-year-old man presented to the emergency department with generalised fatigue and dizzy spells. His background history includes a previous admission with right leg deep vein thrombosis, provoked by pneumonia. Laboratory results showed evidence of hyponatremia and hyperkalaemia. A synacthen test was performed that indicated hypoadrenalism. CT of his abdomen revealed enlarged adrenal glands bilaterally. Adrenal antibodies and positron emission tomography (PET) scan were performed to assess the cause...
BMJ Case Reports Last 6 Issues
3h
HHV-6: an unusual cause of cerebellar ataxia
Human herpesvirus 6 (HHV-6) infection is the cause of roseola infantum in children. The reactivation of HHV-6 is associated with multiple clinical syndromes including encephalitis and myelitis, especially in haematopoietic stem cell transplant recipients. However, the virus can cause encephalitis in other immunosuppressed as well as immunocompetent individuals. We report a case of a 70-year-old woman who was immunocompromised secondary to treatment of rheumatoid arthritis with leflunomide and methotrexate....
BMJ Case Reports Last 6 Issues
3h
Enveloping calcification of flexor digitorum profundus tendon: a diagnosis easily missed
Calcific tendonitis of the hand is a rare condition. We present a case where there was extensive calcification along the flexor digitorum profundus tendon of the little finger. The patient’s symptoms resolved with non-operative management.
BMJ Case Reports Last 6 Issues
3h
Early-onset dementia: diagnostic challenges
A 56-year-old man was brought to our hospital by his family, seeking medical treatment for the patient’s long-standing progressive word-finding difficulties, forgetfulness, agitation and social withdrawal. After multiple previous physician consultations, the patient was mistakenly diagnosed with epilepsy and prescribed multiple anticonvulsants, to which his above mentioned symptoms were unresponsive. His condition progressed over the next 10 years, resulting in severe cognitive impairments and a...
BMJ Case Reports Last 6 Issues
3h
Thumb autoamputation following tourniquet syndrome
BMJ Case Reports Last 6 Issues
3h
Hyperglycaemic chorea-ballism or unmasking of Huntingtons chorea in a patient with diabetes
Chorea-ballism is a neurological syndrome characterised by violent involuntary movements of one or both extremities. In the last decades, several patients with these involuntary movements were reported in association with hyperglycaemia. Here, we present a unique case of possible Huntington’s disease, which could have been unmasked by the hyperglycaemic insult to the basal ganglia in a 64-year-old man who presented with chorea-ballism.
BMJ Case Reports Last 6 Issues
3h

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