Neurocysticercosis, an infection of the central nervous system with the larval stage of the cestode Taenia solium, is common in developing countries but its occurrence and management in allogeneic hematopoietic stem cell transplantation (HSCT) has not been reported previously, to our knowledge. We report the case of an immigrant female patient who underwent a matched-related allogeneic HSCT for acute lymphoblastic leukemia and was incidentally found to have a solitary viable neurocysticercosis lesion. However, despite severe immunosuppression, the size of the cyst did not increase. More importantly, restoration of the immune system did not induce significant inflammation or seizures. Subsequent follow-up demonstrated complete resolution of the neurocysticercosis lesion. Thus, in the setting of HSCT, an asymptomatic patient with a single neurocysticercosis lesion was successfully managed without the use of anthelmintics, steroids, or anti-epileptics.
Introduction: Compound dorsal ganglion of tubercular etiology involving the dorsum aspect of wrist is a rare entity. It is very rarely seen lately, due to early diagnosis and effective treatment regimen and this case is probably the first to be reported involving the dorsum aspect of wrist. Case Report: This case report presents a 54-year-old male patient presented to us complaints of swelling and pain in dorsum of hand and wrist for 6 months. On examination, we found multiple swellings on Rt. dorsum of hand and dorsal aspect of wrist restriction of movements at wrist. After thorough clinical and radiological evaluation, patient has been posted for excision biopsy and confirmed as compound dorsal ganglion. Conclusion: Compound dorsal ganglion is a disease with great diagnostic challenge due to its masquerade clinical presentation and confirmed by histopathological examination. Early diagnosis, complete debulking, and antitubercular therapy prevent further spread of disease and improves the patient functionally.
Dislocation after total knee arthroplasty is uncommon and more challenging if it occurs in morbid obese patients with multiple comorbid factors.
Case Report: This is a case of a 70- year-old male patient with a BMI of 40 with known HTN, Ischemic Heart Disease presenting with posterior
dislocation of his right knee post TKR in a posterior stabilized knee after 3 years without a history of trauma.
Results: The patient underwent closed reduction under spinal anaesthesia and reduced under uoroscopic guidance. Range of movements were
found to be satisfactory. The patient has been kept under a long knee brace and was encouraged to walk on POD-2. His Post-op 3 months follow up
is uneventful.
Conclusion: Identifyng the cause and closed reduction under uoroscopic guidance, stability, alignment, range of motion was found satisfactory.
The patient can undergo closed reduction without any other procedure of choice.
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