Isolated pulmonary valve endocarditis is extremely rare, affecting less than 1.5-2% of patients suffering from infective endocarditis [1]. Review of previously published data showed fewer than 90 cases of isolated pulmonary valve endocarditis [2]. Risk factors include diseased pulmonary valve, congenital heart disease, intravenous drug abuse, sepsis, and central venous catheter or pacemaker implantation with subsequent lead infection. Most cases of reported pulmonic valve endocarditis occur in children with congenital heart disease or in intravenous drug abusers [3]. Here we describe an interesting case of isolated pulmonary valve endocarditis associated with VSD (ventricular septal defect) and RVOT (right ventricular outflow tract) obstruction in a 45-yearold male complicated with multiple septic pulmonary emboli. Case report A 45-year-old sick-looking man presented in medical emergency with complaints of fever with chills and progressive breathlessness for the previous two weeks. He did not have any
The liver keeps haematological parameters normal and preserves haemostasis by storing iron, vitamin B-12, and, folic acid, necessary for healthy haematopoiesis. Anaemia of various aetiologies affects approximately 75% of chronic liver disease (CLD) patients, specifically caused by iron deficiency, hypersplenism, chronic diseases, autoimmune haemolysis, folic acid deficiency, aplasticity, and as a side effect of antiviral drugs. This study sought to observe the derangements in haematological parameters in patients with CLD, analyse the spectrum of anaemia in patients with CLD, and predict CLD outcomes utilizing Child-Pugh Score. This cross-sectional observational research was carried out in the Department of General Medicine, Himalayan Institute of Medical Sciences (HIMS), Dehradun, India over the course of a year. The patients with CLD who were admitted to the ward participated in the study. Most patient’s blood pictures reported normocytic normochromic with thrombocytopenia (TCP) (28.7%), macrocytic hypochromic with TCP (26%), microcytic hypochromic with TCP (13.3%) and macrocytic normochromic with TCP (9.3%). The incidence of anaemia was 85.3%: mild in 12.7% patients, moderate in 55.3% patients, and severe in 17.3% patients. Interestingly, this study also builds upon others suggesting that 85.9% of CLD patients have Class C Child-Pugh Score.
We report a case of respiratory failure with unconsciousness in an adult occurring within 1 h of ingestion of a pesticide, amitraz, along with alcohol with a suicidal intent. Although commonly available and potentially fatal, this compound is not usually used as a suicidal agent.
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