Case Reports

Hypercalcaemia due to Hypervitaminosis D in a Self-Supplementing Multiple Sclerosis Patient: A Case Report

E. Duffy, M.J. Brassill

Duffy and Brassill describe a patient with MS who presented with hypercalcaemia following vitamin D self-medication.  The initial serum Ca 3.69 umol/L was extremely high and the vitamin D was 1617 nmol/L.  He was treated with IV fluids, prednisolone and calcitonin.

Metastatic Solitary Fibrous Tumour of the Kidney Presenting more than a Decade Later with Pulmonary Disease

A. Daly, A.M. Dorman, J. Hinchion

Daly et al describe a case of a renal fibrous solitary tumour (SFT) that was removed. 11 years later the patient re-presented with an SFT in the right upper lobe of the lung.  The tumour was successfully removed.

Bilateral Neonatal Suppurative Sialadenitis Progressing to Abscess Formation in a Preterm Neonate

N. Shaughnessy, T. McGrath, M. Moore, B.H. Walsh

Shaughnessy et al report a 27 weeks gestation infant who developed bilateral submandibular masses at age 18 days.  Bilateral sialadenitis was diagnosed on ultrasound.  She was treated with antibiotics and needle drainage of the abscess.

Commotio Cordis Caused During Hurling Game

C. Connellan, S. Kelleher (co-authors)
Islam, D. Kenny, A. James, T. Prendiville, K. Walsh

Connellan, Kelleher et al report the case of a 14 year old boy who had a cardiac arrest following a blow to the chest by a hurling ball.  His mother, a nurse, commenced CPR on the pitch.  An AED was applied and one shock achieved return of spontaneous circulation.  The down time was less than 4 mins and there were no neurological sequelae.  After admission to hospital he had further shorter runs of ventricular tachycardia that responded to medication.