Acute peripheral polyneuropathy with multiorgan failure: a diagnostic dilemma
| Autor: | Kosar Hussain, Javeed Ahmad Dar, Raees Ahmed, Jawed Abubaker |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Abdominal pain Pathology medicine.medical_specialty Multiple Organ Failure Fulminant Article Diagnosis Differential Polyneuropathies Young Adult Fatal Outcome Cerebrospinal fluid medicine Humans Aluminium phosphide poisoning medicine.diagnostic_test business.industry General Medicine medicine.disease High anion gap metabolic acidosis Anesthesia Acute Disease Nerve conduction study Vomiting Differential diagnosis medicine.symptom business Aluminum |
| Zdroj: | Case Reports. 2014:bcr2014203989-bcr2014203989 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2014-203989 |
| Popis: | We describe the case of a young man who presented with abdominal pain, vomiting and acute symmetric peripheral polyneuropathy. He was noted to have high anion gap metabolic acidosis with high lactate levels and persistently high arterial and venous pO2 values. The cerebrospinal fluid was acellular with a high protein and the nerve conduction study was consistent with axonal sensorimotor neuropathy. His clinical condition deteriorated rapidly despite full supportive care and he subsequently died of multiorgan failure. An extensive workup for various infectious, autoimmune and other possible aetiologies was carried out to identify the underlying cause for his fulminant illness. All diagnostic workup was non-conclusive except for a significantly elevated serum aluminium level. We have discussed the possibility of aluminium phosphide poisoning in view of the clinical presentation. |
| Databáze: | OpenAIRE |
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