1.Rising From The Dead!
DW Low ; I Looi ; AB Manocha ; HA Ang ; M Nagalingam ; NA Ayop ; CW Yeoh ; SY Mohd Yusoff
The Medical Journal of Malaysia 2012;67(5):538-539
A report of a patient with Lazarus phenomenon (the return of spontaneous circulation after cardiopulmonary
resuscitation) following cardiac arrest (myocardium
ischemia) is presented. A 65 year patient was found
unconscious at home. He taken to the emergency
department On arrival he was unconscious, his pupils fixed
and dilated bilaterally. Resuscitation proceeded for 55
minutes. He was then pronounced dead. Forty minutes later
spontaneous breathing was noted and his blood pressure
was 110/48 and heart rate 90bpm. He survived a further 13
days in the coronary care unit. The implications for
management of cardiac arrest in the emergency and medical
department are discussed.
2.Conjunctiva Granuloma, a Rare Presentation of Ocular Leptospirosis Presenting as Conjunctiva Granuloma: Case Series
Yeoh SY ; Anhar HS ; Chua SM ; Nor FAJ ; Raja NRO ; Azida JWAK
Medicine and Health 2018;13(1):272-278
Diagnosis of ocular leptospirosis is challenging and requires a high index of suspicion of previous leptospiral infection and good laboratory support. This case series focuses on two young females with unilateral conjunctiva granuloma. To the best of our knowledge, these are the first two cases of ocular leptospirosis with conjunctiva granuloma. The definitive diagnosis of ocular leptospirosis was based on laboratory studies in which conjunctival biopsies in these two cases showed positive leptospira DNA. Retrospectively, the history was suggestive as both patients had exposure to leptospira organism. In conclusion, a diagnosis of ocular leptospirosis requires a high clinical suspicion index supported by mandatory laboratory investigations.