Tubercular Ascites Simulating Ovarian Hyperstimulation Syndrome following In Vitro Fertilization and Embryo Transfer Pregnancy.

Ovarian hyperstimulation syndrome (OHSS) is a known complication of using ovulation induction drugs in assisted reproductive techniques. Its incidence and severity vary. Tuberculosis is a very common disease in the developing world, and ascites is one of its sequelae.

A cardiac cause for deafness.

We describe a case of a 49-year-old diabetic man with a history of myocardial infarction, presenting with deafness for 2 weeks. Initial assessment by otorhinolaryngologists was suggestive of sensorineural hearing loss. Subsequently, the cardiac evaluation showed an apical clot in the left ventricle.

Multiple idiopathic arterial aneurysms masquerading as aortic dissection.

We report the case of a 58-year-old lady who presented with abdominal pain and backache. Although initial evaluation was strongly suggestive of abdominal aortic dissection, she was ultimately found to have multiple arterial aneurysms. Work-up for underlying vasculitis was negative.

Delayed presentation of scorpion sting with cardiogenic shock.

A young farmer presented with cardiogenic shock 5 days after a scorpion sting. He was managed with norepinephrine, atropine and supportive measures and made a complete recovery. The role of atropine in treating scorpion sting has to be defined better.

Use of cautery as a therapeutic modality in skin metastasis due to renal cell carcinoma.

Renal cell carcinoma commonly metastasises to the lungs, lymphatics and bone; it uncommonly metastasises to the skin. Several studies and reports have noted skin metastasis to be an indicator of high death rates. The best treatment for a single skin metastasis is surgical excision.

Tuberculous mediastinal abscess as a paradoxical reaction in an immunocompetent individual.

A 22-year-old man, diagnosed 7 weeks before with pulmonary tuberculosis and started on antitubercular therapy, presented with non-exertional retrosternal chest pain since the past week. He was diagnosed on the strength of thoracic radiograms and CT imaging to have a mediastinal abscess, which was percutaneously drained. He was continued on the same regimen of drugs.