Case Reports

An Under-Recognised Cause of Iatrogenic, Severe Metabolic Acidosis

A. Spring, R. Owens, M. Fratita, M. O’Dwyer
Spring et al report a case of high anion gap metabolic acidosis in a patient being treated for a prostetic hip infection.  The precipitating cause was pyroglutamic acidosis. The risks of concurrent use of paracetamol and flucloxacillin in the development of the disorder has previously been reported.  The flucloxacillin and paracetamol was discontinued and the patient was treated with IV N-acetylcysteine.

Bilateral Dupuytren’s Contracture of the Foot

C. Newman, S.E. McQuaid
Newman and McQuaid describe a case of plantar fibromatosis in a patient with type 2 diabetes and alcohol excess.  There is a strong male preponderance.

A Curious Case of Cough in a Young Woman

B. Di Giovanni, W. Newmarch, M. Weiler, B. Casserly, T. Scanlon
Giovanni et al describe a 44 year old woman who presented with a cough.  The chest x-ray showed a suspicious lesion.  The ultimate diagnosis was an inflammatory myofibroblastic tumour (IMT).  It was benign and successfully removed at surgery.

Congenital Atrial Haemangioma

A. Daly, O. Franklin, L. Nölke
Daly et al describe a 3 day old infant with cyanosis.  An ECHO showed a right atrial mass.  At surgery an atrial haemangioma was excised.  The infant made a good recovery.