Publications by authors named "Devi Parvathy Jyothi Ramachandran Nair"

Babesiosis is a potentially life-threatening tick-borne parasitic infection. Severe disease in splenectomized individuals may require exchange transfusion. A 58-year-old male with a history of splenectomy presented with 2 weeks of subjective fever, weakness, and abdominal pain.

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Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital malformation. We present a case of an elderly patient with ALCAPA presenting with complete heart block and non-ST-elevation myocardial infarction years after diagnosis and surgical correction. An 81-year-old female with a history of ALCAPA presented to the emergency department with chest pain and progressive mental deterioration.

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Article Synopsis
  • A 94-year-old woman arrived at the ER with a fever and weakness, but doctors initially couldn't find an infection source.
  • Despite receiving broad-spectrum antibiotics, her fever persisted until she developed severe back pain, prompting an MRI.
  • The MRI showed a spinal epidural abscess, but luckily she had no neurological issues and improved with conservative treatment using IV antibiotics, showcasing the need for early diagnosis in such cases.
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Immune checkpoint inhibitors (ICIs) are a class of immunotherapy agents that are often used in cancer treatment. A rare but life-threatening complication that can be seen is ICI-induced myocarditis. We discuss a case of pembrolizumab-induced myocarditis and the nuances involved in timely diagnosis and treatment.

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Article Synopsis
  • - Blue rubber bleb nevus syndrome is a rare disorder characterized by venous malformations, with only about 200 reported cases, and is complicated by the risk of infections, as illustrated in a case study involving a 40-year-old female patient.
  • - The patient, who also had asthma and bronchiectasis, experienced worsening respiratory symptoms and was found to have cavitary lung lesions, leading to the discovery of non-tuberculous mycobacterium infections.
  • - Treatment for these infections is crucial due to their high mortality rate; in this case, it involved multiple antibiotics and ultimately a lung resection, marking the first report of such an infection in a patient with blue rubber bleb nevus syndrome. *
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Unlabelled: Anomalous bronchial artery origins may have clinical implications beyond their anatomical curiosity. In this case, identification of such an anomaly led to the diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH). A 49-year-old male with a history of recurrent deep vein thrombosis (DVT) and pulmonary embolism (PE) on anticoagulation presented with chest pain and shortness of breath.

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species, typically considered commensal organisms of the human urogenital tract, have been implicated in various urinary tract infections (UTIs), including the rare and challenging presentation of pyelonephritis. This case report describes a unique instance of pyelonephritis induced by , characterized by a negative routine urine culture and a lack of response to empirical antibiotic treatment, highlighting the complexities associated with diagnosing and managing infections caused by atypical pathogens. A 50-year-old female presented to the emergency department with symptoms suggestive of UTI, including fever, vomiting, and dysuria.

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Background: In coronavirus disease 2019 (COVID-19) patients, risk stratification based on clinical presentation, co-morbid illness, and combined laboratory parameters is essential to provide an adequate, timely intervention based on an individual's conditions to prevent mortality among cases.

Methods: A retrospective observational study was carried out from June to October 2020, including all reverse transcription-polymerase chain reaction (RT-PCR) positive COVID-19 non-survivors and control group survivors randomly selected after age and sex matching. Clinical and demographic information was collected from the medical records.

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