Category Archives: Case Studies

Quick Case: Malignant Germ Cell Tumor Presents as Discharging Scrotal Mass

By: Dr. Swapan Samanta
A 69-year-old male presented with urinary obstruction for 6 months and bilateral testicular pain for 9 months. Gradually the severity increased so that he needed permanent supra-pubic catheterization, due to severe…

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Quick Case: Rhinoscleroma Leads to Loss of Both Eyes in a 48-Year-Old Male

By: Dr. Swapan Samanta
A 48-year-old male presented with proptosis and ethmoid sinus mass, epistaxis and bilateral nasal block for 4 years, in 2009. Lateral rhinostomy was performed, and the biopsy report came as granulomatous inflammation, possibly fungal infection. Within one year, the patient developed loss of…

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Case Study: BCG Vaccine-Induced Tuberculosis Takes Life of a 4-Month-Old Boy with Wiskott-Aldrich Syndrome

By Dr. Swapan Samanta
BCG vaccination is believed to give some protection against tuberculosis, and for this reason, the Universal Immunization Program includes this vaccine. However, recently I had a very sad experience while dealing with a case of disseminated tuberculosis; better to say that the little baby’s body was just converted into packets full of AFB! In the course of investigation, we found that…

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Quick Case: Kikuchi-Fujimoto Disease (KFD) Mistaken and Treated as a Case of Tuberculosis

By: Dr. Swapan Samanta
A 21-year-old female presented with fever, bilateral cervical tender lymphadenopathy, skin rashes and headache for 7 days. High ESR and neutrophilic leucocytosis were noted. Mantoux test was negative. Chest X-ray was normal. FNAC from one of the lymph nodes yielded thick pus-like material. The smears were full of…

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Quick Case: Black Cirrhosis in a Khaini Abuser

By: Dr. Swapan Samanta
A 64-year-old female presented with ascites, loss of weight, loss of appetite and severe weakness for the last 3 years. Upper and lower GI endoscopic findings were within normal limits. Macrocytic hypochromic anemia, elevated ESR, massive hepatomegaly and moderate spenomegaly were found, but no…

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Quick Case: Left Retrosternal Goiter

By: Dr. Pragnesh Vachharajani
A 44-year-old male arrived for a routine office visit as part of an annual health check-up. His BMI was 26, and he had nothing particular in his history. But, on detailed questioning, he complained of chest pain on the left side of the upper chest and occasional difficulty in swallowing.

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Case Study: Solitary Pulmonary Hamartoma with Complications in a 14-year-old Girl

By Dr. Swapan Samanta
Pulmonary hamartomas are rare, benign lesions of the lung and may be multiple in number. Recently, a 14-year-old girl presented with clinical symptoms of tuberculosis, and after transthoracic biopsy, the diagnosis was confirmed as…

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