An Interesting Case of Acute Encephalitic Syndrome with Pancytopenia and Splenomegaly
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 3
Abstract
ABSTRACT Human Parvovirus infection is a rare condition causing encephalitis as well as pancytopenia. Similarly patient of Wilson disease presenting as hepatic encephalopathy as an initial manifestation is also a rare phenomenon. A previously healthy 20-year-old female patient presented as acute encephalitis syndrome with hepatitis and pancytopenia. Bone marrow examination showed the presence of inclusion bodies and PCR (Polymerase Chain Reaction) showed the presence of DNA of human parvo virus B19. Patient was suspected as a case of Wilson’s disease due to the persistence of splenomegaly and radiological findings and was confirmed by increased 24 hours urinary copper and low level of serum ceruloplasmin. Patient was treated symptomatically and gained consciousness and pancytopenia improved over course of time.
Authors and Affiliations
Satyendra Kumar Sonkar, Satish Kumar, Neeraj Kumar Singh
Ultrasound Guided Superficial Cervical Plexus and Superior Trunk Interscalene Block as Sole Anaesthetic Technique for Acromioclavicular Joint Fixation Surgery
ABSTRACT Treating pain that patient experiences from repair of distal clavicle fracture can be a challenge for the anaesthesiolgists. The primary technique employed in the management of distal clavicular surgeries is by...
Rickettsial Fever Presenting with Gangrene: A Case Series
Rickettsial diseases comprise a wide spectrum of diseases which are reported from different parts of India quiet long ago. Many cases of rickettsial diseases go undiagnos due to lack of diagnostic techniques and the repo...
Colonic Arteriovenous Malformation in a Child with Klippel Trenaunay Weber Syndrome
Letter to Editor
Pregnancy Induced Hypertension and Feto-Maternal Outcome in a Tertiary Care Hospital in Eastern India: A Prospective Study
ABSTRACT Introduction: Pregnancy Induced Hypertension (PIH) is known for its maternal and perinatal complications. Aim: To assess incidence of PIH and eclampsia in a tertiary care hospital and maternal and perinatal comp...
Comparative Study between Analgesic Effect of Breast Feeding and Oral Sucrose in Full Term Newborns
ABSTRACT Introduction: Non-pharmacological measures like oral sucrose and breast feeding are recommended modalities to treat acute procedural pain in newborns. Birth dose of hepatitis B vaccine exposes newborns to pain o...