Case Study

Author:

Shrikhande Akash1,Galvez Thierry2,Langendorfer Nicolas2,Jain Krishna3,Biswas Rakesh4

Affiliation:

1. Department of Pulmonary Medicine, Peoples Medical College and Research Centre, Bhopal, India

2. Faculty of Medicine, Montpellier University, Montpellier, France

3. Department of Medicine, Peoples Medical College and Research Centre, Bhopal, India

4. Department of Medicine, L.N. Medical College, Bhopal, India

Abstract

The authors discuss the clinical complexities surrounding an 85-year-old male complaining of left sided weakness for one month, along with cough and fever for 20 days. Findings on non-contrast CT scan of the brain showed an acute-on-chronic infarct in the right parietal region, in the territory of the right middle cerebral artery, with lacunar infarct in the left thalamus. A chest radiograph showed a heterogeneous opacity in the right lower zone, and air bronchogram with an elevated right dome of the diaphragm. The patient was diagnosed to have suffered a stroke with a subsequent right-sided pneumonia due to diaphragmatic palsy. The patient was put on ventilator and further supportive management was instituted. This article presents the clinical course of the case and the experiential learning associated with it.

Publisher

IGI Global

Subject

General Medicine

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