Publications by authors named "M Narasimha Lakshmi"
Concurrent tubercular involvement of two or more non-contiguous organs is termed disseminated tuberculosis (TB) and is rare in immunocompetent patients. We describe the case of a young immunocompetent woman with disseminated TB who presented with primary complaints of amenorrhea and dysuria. Abdominal ultrasound showed a uterine cervical mass, which on histopathological evaluation revealed epithelioid granulomata with Langhans giant cells and acid-fast bacilli (AFB).
View Article and Find Full Text PDFWe present the case of a 59-year-old man from South India who presented with shortness of breath, abdominal distention, and decreased appetite. Initial laboratory investigations and imaging, including radiolabeled somatostatin positron emission tomography-computed tomography, were suggestive of neuroendocrine tumor (NET). However, following extensive workup and multiple biopsies over several weeks, the diagnosis was revised to extrapulmonary tuberculosis (EPTB).
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- * After ruling out common causes like insulin use and sepsis, other potential causes, such as nesidioblastosis (a rare form of hypoglycemia), should be investigated.
- * A case study of a non-diabetic male with symptoms like dizziness and palpitations revealed that he had nesidioblastosis instead of insulinoma, demonstrating the importance of thorough evaluation.
Article Synopsis
- - A 36-week pregnant woman with gestational diabetes and hypothyroidism needed a cesarean section due to breech presentation and slow labor progression, during which significant heart issues were observed.
- - She experienced asymptomatic bradycardia and a type 1 Mobitz second-degree heart block during anesthesia, which progressed to a type 2 heart block but persisted without symptoms for 16 hours.
- - After treatment with ondansetron for vomiting, the heart block recurred but eventually normalized after 36 hours, and she was discharged three days later from the ICU.