We report a 27-year-old male from Kuwait who died due to melioidosis,and the diagnosis was achieved after the deceased underwent postmortem examination at the Forensic Department,Kuala Lumpur Hospital.While the diseas...We report a 27-year-old male from Kuwait who died due to melioidosis,and the diagnosis was achieved after the deceased underwent postmortem examination at the Forensic Department,Kuala Lumpur Hospital.While the disease is endemic in Southeast Asia and Northern Australia,human melioidosis infection has yet been reported in Kuwait.He was initially diagnosed as acute gastroenteritis at a private clinic before being found dead at a hotel in Kuala Lumpur.The autopsy revealed positive findings of Burkholderia pseudomallei in the deceased brain,lung,liver,and spleen as well as in the blood and cerebrospinal fluid culture.The deceased^death highlights the importance of early accurate diagnosis,the common manifestations,and the need of effective antibiotic treatment of septicemic melioidosis in high prevalent areas.展开更多
Spontaneous subdural hemorrhage(SDH)is an uncommon nontraumatic bleed of the brain,involving the dura and arachnoid mater.SDH commonly occurs due to tearing of bridging veins;however,SDH from the rupture of arterioven...Spontaneous subdural hemorrhage(SDH)is an uncommon nontraumatic bleed of the brain,involving the dura and arachnoid mater.SDH commonly occurs due to tearing of bridging veins;however,SDH from the rupture of arteriovenous malformation(AVM)is an uncommon phenomenon,particularly in children.We report a case of atypical SDH in a 1-year-old child with AVM and a history of alleged abuse.Autopsy revealed SDH in the right parietal and middle cranial fossa without any external or internal injuries to the head,brain,or other parts of the body.Histopathological examination and immunohistochemical staining of the brain tissue revealed an abnormal distribution of arteries and veins of various sizes and architecture.From a detailed histopathological examination of the brain and meticulous investigation of vascular abnormalities,we conclude the cause of acute SDH to be due to a ruptured AVM.展开更多
文摘We report a 27-year-old male from Kuwait who died due to melioidosis,and the diagnosis was achieved after the deceased underwent postmortem examination at the Forensic Department,Kuala Lumpur Hospital.While the disease is endemic in Southeast Asia and Northern Australia,human melioidosis infection has yet been reported in Kuwait.He was initially diagnosed as acute gastroenteritis at a private clinic before being found dead at a hotel in Kuala Lumpur.The autopsy revealed positive findings of Burkholderia pseudomallei in the deceased brain,lung,liver,and spleen as well as in the blood and cerebrospinal fluid culture.The deceased^death highlights the importance of early accurate diagnosis,the common manifestations,and the need of effective antibiotic treatment of septicemic melioidosis in high prevalent areas.
文摘Spontaneous subdural hemorrhage(SDH)is an uncommon nontraumatic bleed of the brain,involving the dura and arachnoid mater.SDH commonly occurs due to tearing of bridging veins;however,SDH from the rupture of arteriovenous malformation(AVM)is an uncommon phenomenon,particularly in children.We report a case of atypical SDH in a 1-year-old child with AVM and a history of alleged abuse.Autopsy revealed SDH in the right parietal and middle cranial fossa without any external or internal injuries to the head,brain,or other parts of the body.Histopathological examination and immunohistochemical staining of the brain tissue revealed an abnormal distribution of arteries and veins of various sizes and architecture.From a detailed histopathological examination of the brain and meticulous investigation of vascular abnormalities,we conclude the cause of acute SDH to be due to a ruptured AVM.
