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Since December 2019, there has been an increasing number of patients infected with the severe acute respiratory
syndrome coronavirus 2 (SARS-CoV-2) around the world. As of March 2020, the World Health Organization declared a
global pandemic. To our best knowledge, this is the first report of a patient with SARS-CoV-2 infection presenting with
constrictive pericarditis, possibly from the COVID infection. She was presented after a week of fever, persistent dry cough,
and diarrhea. She received a single dose of hydroxychloroquine 400 mg, Oseltamivir 75 mg every 12 hours, lopinavir/ritonavir (Kaletra) 400/100 mg every 12 hours, and levofloxacin 750 mg daily. After 24 hours, she was immediately
transferred to the Intensive Care Unit (ICU) because of dyspnea and progressive respiratory failure with a drop of the O2
saturation to 70%. After a week of progress, her respiratory condition deteriorated again. She was re-admitted to the ICU
and she expired. She died due to isolated constrictive pericarditis, most probably caused by SARS-CoV-2.
Acute lymphoblastic leukaemia (ALL) is the most common paediatric malignancy. However, it may rarely associate with eosinophilia. Patients with ALL associated with eosinophilia (ALL/ Eo) have a grave prognosis and higher incidence of cardiac complications compared to standard lymphoblastic leukaemia. Reports of ALL/Eo disclosed a few case with cardiac involvement early in the course of leukaemia. Here, the authors report a case of 13-year-old boy who presented with peripheral eosinophilia, chest pain and a large left ventricular mass early in the course of precursor B- cell ALL associated with eosinophilia. He received multi-agent chemotherapy but succumbed to death 25 days after chemotherapy due to a refractory cardio respiratory failure.
Pseudomonas aeruginosa is an uncommon cause of community-acquired pneumonia in immune-competent hosts. It is commonly seen in patients with structural lung abnormality such as cystic fibrosis or in immune compromised hosts. Here, the authors report a case of community-acquired Pseudomonas pneumonia in a 26-year old healthy man who presented with 8-week history of malaise and cough.
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