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ACUTE PYOGENIC MENIGITIS: AN AUTOPSY CASE REPORT

Kinako Sam Ewun IzeinNarugayam Claudius

Abstract:-

Acute pyogenic meningitis can be complicated with tonsillar herniationand this makes theclinical management of the patient very arduous and in some case lead to death. The case of a 13-year-old female admitted to the children emergency unit due to meningitis secondary to lobar pneumonia. The autopsy showed central cyanosis, lobar pneumonia, cerebraloedema, exudate around the brain, cerebral oedema and tonsillar herniation. Brain smear revealed numerous gram positive cocci in chains and tonsillar herniation secondary to acute pyogenic meningitis was the cause of death.

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ACUTE GASTRIC ULCER WITH MASSIVE UPPER GASTROINTESTINAL HEMORRHAGE: AN AUTOPSY CASE REPORT

Kinako Sam Ewun Izein Narugayam Claudius

Abstract:-

The case fatality rate of acute gastric ulcer with massive upper gastrointestinal hemorrhage is high. This is a case of a 50-year-old male who presented in the Emergency unit with bleeding per urethra after he pulled out his catheter. He was been managed for acute retention of urine secondary to benign prostatic enlargement. He was self-administering ibuprofen without the knowledge of his physicians and he started passing massive dark blood per rectum few minutes before he was certified dead. The autopsy examination showed massive gastrointestinal hemorrhage, acute gastric ulcer, shocked kidneys and benign prostatic enlargement

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