Purpose: To report on a case of a patient with primary retinal vasculitis.

Methods: Retrospective single case report.

Patient: A 27-year-old female presented with decreased vision in her left eye for the past year. On exam, her visual acuity for the left eye was 20/50. She has had trouble accessing medical care but denies any illness, infections or trauma.

Results: Upon ophthalmic examination, retinal abnormalities were seen such as the presence of peripheral vessel sheathing, peripheral non-perfusion and extensive neovascularization. Fluorescein angiography revealed significant late leakage of the retina vessels with greater severity in the left eye. Laboratory findings were unremarkable. After diagnosis of primary retinal vasculitis, the patient was treated with photocoagulation in both eyes. She also received two treatments of intravitreal bevacizumab for the neovascularization

Conclusion: Primary retinal vasculitis is often hard to diagnose due to disease course variation. The cause of retinal vasculitis must first be established as either an isolated condition or due to an inflammatory systemic condition. A thorough review of the patient’s medical history, review of systems, ophthalmic and physical examination, along with proper laboratory tests must be performed in order to ensure accurate diagnosis and treatment.

Now-a-days Organophosphate (OP) poisoning is a most common socio-medical issue in the evolving world. In 2012 suicide accounted for 1.4% of all deaths worldwide, making it the 15th leading cause of death. The Deliberate Self-Harm (DSH) tendency is the major reason for organophosphate poisoning. Organophosphate poisoning results from exposure to organophosphates (OPs) which extensively used as pesticides for agriculture in India. A case of OP poisoning was admitted in hospital and was treated with Atropine infusion for 10 days and Pralidoxime 9 days, after therapy for 12 days patient was survived. Based on patient illness, appropriate medication was given, patient signs and symptoms were reduced, and vital signs were controlled and discharged with good health.

Background: Patients with intrathecal baclofen pumps have a known increased risk of meningitis. Optimal antibiotic treatment targets the bacteria found in the Cerebro Spinal Fluid (CSF). However a lumbar puncture in patients with an intrathecal pump may result in damage to the spinal catheter by the needle and treatment failure.

Aims of the study: We report at case of a 32-year-old man with possible meningitis. He had spastic hemiplegia and epilepsy after a head trauma and was treated with baclofen via an intrathecal pump.

Methods: A CSF sample was needed for a specific diagnosis but the location of the spinal catheter hindered a safe lumbar puncture. A search of the current literature did not reveal that special equipment for drawing CSF directly from the pump was available. Therefore the patient was treated with antibiotics according to best practice.

Results: The lack of available literature on the subject and special equipment resulted in a suboptimal diagnosis. As a CSF sample was never obtained targeted antibiotic treatment was not possible.

Conclusion: Preferably the patient should be referred to a specialized hospital where a CSF sample can be drawn directly from the pump. Local hospitals should have the necessary equipment available or a standard procedure for referral to a specialist department for complicated cases. If this is not possible the authors suggest that patients with intrathecal pumps have an x-ray which may visualize the location of the spinal catheter during a lumbar puncture and use a small gauge needle. A post discharge pump checkup is also advised.

Retroperitoneal liposarcoma is a primary malignant retroperitoneal tumor of mesenchymal cell origin mostly occurring after 40 yr of age. It is one of the most common primary retroperitoneal neoplasms. However retroperitoneal sarcomas are almost always solid, with rare case reports of cystic nature and extensive calcification in a cystic liposarcoma is still very rare. Here by presenting a rare case of Cystic and Calcified retroperitoneal liposarcoma patient who underwent exploratory laparotomy with excision of the lesion and on regular follow-up and disease-free since last 3 years.