A toddler boy presented with fever, rhinitis and loose stools, followed by two episodes of generalised seizures with up-rolling of eyes and posturing. Initially the case was managed as febrile ...

This case describes the unexpected survival of an adult man who presented to the emergency department with hypovolaemic shock secondary to a splenic haemorrhage. Before surgery he had a pH 6.527, base ...

Pregnancy with complete heart block is rare, its management is not streamlined and requires a multidisciplinary team approach involving the obstetrician, cardiologist, anaesthesiologist and ...

We present our experience of managing two patients in their mid-40s at a tertiary care centre who developed ureterovaginal fistulas post-hysterectomy. Management included bilateral double-J stenting, ...

This report details a man in his late 60s who presented with a new right-sided pneumothorax against the background of advanced COPD and a known large apical bulla. Multiple chest drains were inserted ...

Rishabh Mehta, Shreya Kolte, Devendra Kumar Jain, Sanjay Dhangar, Ketan Vartak, Shashank Patil Intracerebral haemorrhage associated with collagen type IV alpha 2 gene mutation and familial small ...

Metformin-associated lactic acidosis (MALA) carries a high mortality rate. It is seen in patients with type 2 diabetes on metformin or patients who attempt suicide with metformin overdose. We present ...

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Roifman syndrome is a rare autosomal recessive inherited syndromic immunodeficiency. We wish to add to the available literature by reporting two brothers with clinical, radiological and immunological ...

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterised by symmetric inflammatory polyarthritis. However, RA limited to a single joint is extremely rare. Here, we report a middle-aged ...

This study presents a case and literature review of blurred vision as the first symptom of pancreatic cancer. A woman in her ...

Desmoid-type fibromatosis is a rare group of locally aggressive fibroblastic proliferations of connective tissue. The incidence of synchronous intra-abdominal fibromatosis and jejunal diverticulitis ...