Placement of a ventriculoperitoneal shunt is an established procedure for treatment of hydrocephalus, however, complications can occur.
The patient was a 15-year-old girl with an established diagnosis of Alagille syndrome (AS) since early life.
Klebsiella pneumoniae (Kp) respiratory tract infection is usually nosocomial. Its community-acquired form is rare and observed on specific plots. We report the case of a child, carrying two genetic defects, hospitalized for community-acquired pneumonia following severe sepsis to Kp. The evolution is favorable after ten days of hospitalization through active antibiotics on Kp. This observation demonstrates the existence, even though rare, of Kp community-acquired pneumonia and the interest of being able to think about it in the presence of a suggestive clinical picture.
An elderly male presents to orthopedic clinic with severe back pain for fifteen days. He is unable to sit or stand. The pain remains persistent even while lying supine. He also complains of nausea, anorexia and cough with blood tinged sputum since ten days.
A 79-year-old man presented to our emergency department with sudden back pain. Laboratory results showed CK 2836 U/L (normal range 30-160), CK-MB 393 U/L (<25), D-dimer 1.4 μg/mL (<1), BNP 37.9 pg/mL (<19.5), cTnl 0.133ng/mL (<0.028) and electrocardiogram showed ST elevation in V1~6. Acute myocardial infarction (AMI) was suspected.
The inadvertent swallowing of foreign bodies is common, but results in perforation of the gastrointestinal tract in less than 1% of cases [1]. Because any site of the gastrointestinal tract may be perforated by a foreign body, the clinical presentation may vary and mimic diverse medical conditions.
Eight year-old child presented with two year history of dyspnoea on exertion. Clinical examination revealed a continuous murmur peaking in diastole.
