BMJ Case Reports

Severe hyponatraemia induced by rifampicin

We describe the case of a complex, frail, multimorbid patient in her 80s who developed severe hyponatraemia while being treated with oral rifampicin for prosthetic hip joint infection by our community ...
BMJ Case Reports

Diffuse pulmonary meningotheliomatosis in resected lung adenocarcinoma: a rare incidental finding

Diffuse pulmonary meningiotheliomatosis (DPM) and minute pulmonary menigiothelial-like nodules (MPMNs) are rare pulmonary pathologies often detected incidentally. These lesions are often benign.
BMJ Case Reports

Spontaneous posterior uterine rupture following vaginal delivery in an unscarred uterus

Primary uterine rupture, defined as rupture of an unscarred uterus during pregnancy or delivery, is a rare but catastrophic obstetric emergency. The estimated incidence is approximately 1 in 16 840–19 ...
BMJ Case Reports

Monoallelic PARN mutation presenting as pancytopenia, hepatic fibrosis and idiopathic pulmonary fibrosis

A woman in her late 20s presented with a 5-year history of progressive fatigue and generalised weakness. Examination revealed signs of premature ageing, anaemia, neuropathy and hepatosplenomegaly.
BMJ Case Reports

Delayed diagnosis of recurrent embolic strokes from cardiac myxoma coexisting with antiphospholipid syndrome presenting as progressive cognitive decline

A woman in her 40s presented with progressive cognitive decline, expressive language difficulty and episodic confusion. Her initial symptoms were misattributed to psychiatric illness, and later to ...
BMJ Case Reports

Myocardial infarction in a child with systemic lupus erythematosus

Myocardial infarction in children is an infrequent phenomenon. Here, we are reporting a case of paediatric systemic lupus erythematosus with autoimmune haemolytic anaemia and anti-phospholipid ...
BMJ Case Reports

Exploring haemoglobin Köln: a rare cause of pulse oximetry and arterial oxygen saturation discrepancy

Pulse oximetry guides the management of respiratory conditions through non-invasively monitoring arterial oxygen saturation. Unstable haemoglobin variants may produce inaccurate readings. We describe ...
BMJ Case Reports

Oxalate nephropathy from untreated pancreatic insufficiency in a neuroendocrine tumour patient

Pancreatic exocrine insufficiency (PEI) is an under-recognised cause of chronic diarrhoea in patients with neuroendocrine tumours (NETs). If left untreated or undertreated, PEI can lead to ...
BMJ Case Reports

Lymphatic phenotype characterisation by MR lymphangiography and near-infrared fluorescence imaging in a patient with pleural effusions and oedema

Lymphatic dysfunction can manifest through a spectrum of clinical features, including lower limb lymphoedema and pulmonary complications such as recurrent pleural effusions. Diagnosing underlying ...
BMJ Case Reports

When haematuria is more than warfarin: lambda-predominant IgA nephropathy

A woman in her 20s with a mechanical mitral valve replacement on long-term warfarin therapy presented with frank haematuria and acute kidney injury (AKI). The initial clinical impression was ...
BMJ Case Reports

Rebuttal: aortic coarctation and concomitant anomalies – left circumflex fistula, persistent left SVC and ventricular diverticulum

Coarctation of the aorta (COA) is a relatively common cardiovascular congenital anomaly. It can be seen in up to 6 per 1000 live births. Rare cardiovascular anomalies have been found to be associated ...
BMJ Case Reports

Radiotherapy for extramedullary haematopoiesis of the mandibular mucosa secondary to myelofibrosis

Extramedullary haematopoiesis (EMH) is a clinical manifestation of myelofibrosis (MF), which can lead to significant localised symptoms. A patient in her 70s with a history of MF presented with a ...