1.Pulmonary actinomycosis masquerading as aspergilloma
Rosdina Zamrud ; Nurul Yaqeen Mohd Esa ; Mohammad Hanafiah ; Nor Salmah Bakar
The Medical Journal of Malaysia 2017;72(2):147-149
We report a case of a 34-year-old man who was initially
treated as community acquired pneumonia following a
three-month-history of productive cough, loss of weight and
loss of appetite. However, three months after discharged
from the hospital, he presented again with worsening
respiratory symptoms and radiological evidence of a lung
cavitation with intracavitary lesion resembling an
aspergilloma associated with surrounding consolidation.
Unfortunately, he remained symptomatic despite on
antifungal therapy. The repeat computed-tomography
demonstrated persistent cavitating lesion with development
of necrotising pneumonia. He underwent lobectomy and the
histopathological analysis of the resected specimen
however revealed the diagnosis of actinomycosis.
KEY WORDS:
Actinomycosis, Aspergillosis
Actinomycosis
2.Autoimmune thyroiditis as initial presentation of Systemic Lupus Erythematosus complicated by massive ascites: A case report
Noor Rafhati Adyani Abdullah ; Rosdina Zamrud Ahmad Akbar
Journal of the ASEAN Federation of Endocrine Societies 2017;32(1):50-53
Autoimmune thyroiditis in the course of other autoimmune diseases such as systemic lupus erythematosus (SLE) is common because these disorders are attributed to the production of autoantibodies against various autoantigens. Beyond this association, autoimmune thyroiditis can occur before, during or after the development of SLE. In this report, we describe a female who presented with facial puffiness, lethargy and progressive abdominal distension. She was diagnosed with autoimmune thyroiditis followed by the diagnosis of SLE complicated by a massive ascites, a rare form of lupus peritonitis, which is sterile ascites that results from severe serositis. Her presentation was complex and posed a diagnostic challenge and dilemma to the physicians involved in her care.
Thyroiditis, Autoimmune
;
Lupus Erythematosus, Systemic
;
Serositis
3.Autoimmune thyroiditis as initial presentation of Systemic Lupus Erythematosus complicated by massive ascites: A case report
Noor Rafhati Adyani Abdullah ; Rosdina Zamrud Ahmad Akbar
Journal of the ASEAN Federation of Endocrine Societies 2016;31(11):50-53
Autoimmune thyroiditis in the course of other autoimmune diseases such as systemic lupus erythematosus (SLE) is common because these disorders are attributed to the production of autoantibodies against various autoantigens. Beyond this association, autoimmune thyroiditis can occur before, during or after the development of SLE. In this report, we describe a female who presented with facial puffiness, lethargy and progressive abdominal distension. She was diagnosed with autoimmune thyroiditis followed by the diagnosis of SLE complicated by a massive ascites, a rare form of lupus peritonitis, which is sterile ascites that results from severe serositis. Her presentation was complex and posed a diagnostic challenge and dilemma to the physicians involved in her care.
Thyroiditis, Autoimmune
;
Lupus Erythematosus, Systemic
;
Serositis