Indian Journal of Public Health Research & Development

N. K. Sundaray ¹, Srikant Kumar Dhar ¹, Chandan Das ¹, P. K. Tudu ¹, S. C. Das ¹, Aujjwalya Kumar Jena ¹, Gourab Arun ¹

Affiliations
1 PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, IN

Abstract

Dengue virus infection is being recognised to manifest with various systemic impairments. WHO has coined ‘EXPANDED DENGUE’ to denote such complications and atypical presentations. Here we present a case of Dengue who presented with PUO, bleeding, pain abdomen, vomiting and itching. She was noted to have fever, tachycardia, anaemia, thrombocytopenia, deranged liver function, acute pancreatitis, urinary abnormalities, rhinorrhea and pruritus. Her hospitalisation period was a stormy one posing both diagnostic and therapeutic problem. While recovering she exhibited neutropenia suggesting concomitant Evans syndrome. The different haematological and biochemical parameters also mimic that of HELLP syndrome.

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N. K. Sundaray ¹, Srikant Kumar Dhar ¹, P. K. Tudu ¹, S. C. Das ¹, Bijendra Mohanty ¹, Gourab Arun ¹

Affiliations
1 PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, IN

Abstract

Multiple Osteochondromas desribed first in 1786 is an autosomal dominant inherited disorder with 100% penetrance manifesting more in males (M:F =1. 5:1) with a prevalence rate of 1:50000. The defect involves the tumour suppressor gene EXT 1 and EXT2. They appear in first decade of life with two or more bony outgrowths from the end of growing long bones and grow till puberty. They can arise from any bone except facial bones. They present with pain and symptoms due to pressure effects on the nerves, muscles, tendons, ligaments, brain and spinal cord and cause many type of deformities. Brachydacty l and relative shortening of metatarsals as well as possibility of seizure consequent to exostoses of skull bones have been described but has rarely been reported. Here we are presenting a case of MO with distinct shortening of metatarsals and seizure.

Keywords

Osteochondromas, Brachydactyl, Seizure, Exostoses.

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