Rare but not beyond care: a young female with altered mental status and seizures

Altered Mental Status and a Not-So-Benign Rash

Introduction. The authors are presenting a case of Thrombotic Thrombocytopenic Purpura (TTP) that presented with complaints of altered mental status and found to have petechiae. Case Presentation. An 81-year-old female patient presented to the Emergency Department (ED) of a tertiary care hospital with chief complains of dizziness, slurred speech, and weakness. She was found to have lower extrem...

Altered Mental Status

Although the majority of alterations in sensorium in cancer patients are caused by endogenous or exogenous intoxication, the clinician must be alert to the possibility of structural disease in any patient who experiences a change in mental status. Accurate diagnosis of structural disease and prompt intervention can significantly improve the outcome of cancer treatments. Mogami et al. (1983) not...

Photo quiz: A 58-year-old female with altered mental status.

Rare Absence of CD79alpha in B-ALLs is not Associated with Altered Prognosis

Background: The diagnosis of B-cell acute lymphoblastic leukemia (B-ALL) on the basis of the World Health Organization (WHO) recommendations in 2016 requires the expression of CD19 with CD79a (CD79a), cCD22 and CD10. CD79a is an integral B cell antigen expressed at all stages. Its absence in B-ALL has only been rarely reported. In this study, we described three cases of B-ALL showing complete l...

A paraplegic man with altered mental status and fever.

The Clinical Case of the Month is a regular educational feature presented by the Louisiana State University Department of Medicine. Medical students, residents, postdoctoral fellows, and faculty collaborate in the preparation of these discussions. After reading this article, physicians should be better able to identify and understand the pathophysiology, microbiology, epidemiology, clinical pre...