Publications by authors named "Paula Grech"

2 Publications

  • Page 1 of 1

Post- infection polyserositis.

BMJ Case Rep 2021 Jan 20;14(1). Epub 2021 Jan 20.

Medicine, Mater Dei Hospital, Msida, Malta.

We report a case of a 42-year-old man who presented with acute epigastric and retrosternal chest pain and exertional dyspnoea, and was subsequently diagnosed with polyserositis secondary to post- infection. A CT scan showed a large pericardial effusion requiring pericardiocentesis, small bilateral pleural effusions and small amount of ascites. Several serological tests were done, which were all found to be normal. Pericardial and pleural fluid aspirates revealed an exudate. Culture of the pleural fluid yielded growth of and this was deemed the cause of the polyserositis, which is rare. The patient made a spontaneous recovery. He was started on colchicine by the cardiologists to help prevent pericardial fluid recurrence and this was continued for 3 months. A dental review confirmed the presence of dental caries, the possible source of infection. On follow-up, the patient remained well with no further relapses.
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http://dx.doi.org/10.1136/bcr-2020-236704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7818794PMC
January 2021

mucosal leishmaniasis in Malta.

BMJ Case Rep 2020 Nov 2;13(11). Epub 2020 Nov 2.

Department of Infectious Disease, Mater Dei Hospital, Tal Qroqq, Malta.

We report a case of a 76-year-old British man living in Malta who presented with a 7-month history of recurrent epistaxis and an enlarging right nasal vestibular lesion. Of note, his medical history included rheumatoid arthritis for which he was on long-term methotrexate. Blood results were unremarkable other than a mild lymphopaenia. Despite the use of various antibiotics and intranasal steroids, the lesion failed to resolve. This was eventually biopsied, and the histological picture was that of mucosal leishmaniasis. complex was detected by PCR. The patient was treated with liposomal amphotericin B on alternate days for a total of 20 doses. The lesion was found to have healed well at follow-up and the patient denied any further episodes of epistaxis.
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http://dx.doi.org/10.1136/bcr-2020-237687DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607585PMC
November 2020