Transthoracic echocardiography (TTE) revealed a normal sized left ventricle (LVEDD: 44 mm) and left atrium. Right-sided chambers were normal and systolic functions of both sides of the heart were preserved (LVEF:60%). There was a thickened chordae tendineae
Glucose 6 phosphate dehydrogenase (G6PD) is a housekeeping enzyme critical in the redox metabolism. In red blood cells, it is the only source of nicotinamide adenine dinucleotide phosphate hydrogen(NADPH) that acts directly and, via glutathione, defends these cells against oxidative stress. Dengue infection,like other infections, can trigger intravascular haemolysis in G6PD deficiency patients. We have reported a 17 year old boy with G6PD deficiency who presented with dengue fever which was complicated by acute haemolysis, methaemoglobinemia, hepatitis and rhabdomyolysis.
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Introduction: Pheochromocytoma is a rare neuroendocrine tumour that produces catecholamines and other neuropeptides, originating in the adrenal gland medulla. The majority of cases are sporadic, but could be associated with genetic syndromes.Case Presentation: Here we report a 37-year-old female with a history of recent onset diabetes mellitus and hypertension who presented to an ophthalmologist with blurred vision and headache. On slit lamp examination she was found to have bilateral optic disc oedema and macular star. On further evaluation by medical team she was diagnosed to have phaeochromocytoma based on hormonal and radiological assessment. She underwent surgical resection of the tumor after the medical intervention.Discussion: Pheochromocytoma usually presents as a classical triad of symptoms which includes headache, sweating and tachycardia. However, there are other presentations of pheochromocytoma namely hypertension, hyperthermia and cardiomyopathy.
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