A crossbred 14-year-old castrated male cat had a history of lethargy, anorexia and weight loss of one month evolution. On clinical examination, anemia, emaciation, jaundice and a large mass in the abdomen were detected. Ultrasonography revealed hepatomegaly and a single splenic mass. The cat was submitted to biopsy and euthanatized during the surgical procedure. The diagnosis of malignant histi...

Galactosemia in newborns and infants is associated with the following symptoms: jaundice, hepatomegaly, failure to thrive, feeding difficulties, hypoglycemia, convulsions, lethargy, amino-aciduria, cataracts, hepatic cirrhosis, ascites, and mental retardation. If the preliminary evaluation indicates galactosemia, there is high risk for E. coli sepsis and death. Strong consideration should there...

A 29 year old male was admitted at the emergency room suffering from gradually worsening headache followed by nausea. In the hospital patient presented with lethargy, reduction of consciousness level and bilateral hypoacusis. Ophthalmic examination and fluorescein angiography showed retinal vasculitis. This finding was crucial to the diagnosis of Susac syndrome, a rare disease characterized by ...

A 5-year-old boy had recurrent vomiting and lethargy with lacticacidemia and ketoacidemia since birth. Lipoamide dehydrogenase deficiency was found in muscle and fibroblasts. Therapy with sodium dichloroacetate, thiamine, and carnitine was associated with reduction of the severity and frequency of the decompensation episodes and near normal plasma lactate levels. At 5 years of age, the patient ...

A previously healthy 70-year-old woman presents to the emergency department with a 3-day history of fever, confusion, and lethargy. She is unable to cooperate with a full physical examination, but she has neck stiffness upon neck flexion. Her score on the Glasgow Coma Scale is 13 (eye, 4; verbal, 4; motor, 5). The findings from a chest radiograph and urinalysis are normal. You seek consent from...

Congenital diarrhea comprises a broad range of pathologies and often requires a thorough workup and immediate treatment. Although rare, microvillous inclusion disease (MVID) should be included in differential diagnosis of this presentation in the neonate. We report the case of a 36-week newborn who developed signs of severe dehydration and lethargy, requiring fluid resuscitation and total paren...

This is the report of a young man who presented with was little change in the other neurological signs and the signs and symptoms of the Wallenberg syndrome. symptoms. Six weeks from admission the patient still After pneumoencephalographic studies a defect was experienced episodes of lethargy, nausea, and vomiting. seen in the fourth ventricle and at operation an Because of the persistence of t...

A 22-year old mare from Switzerland was admitted to an equine clinic in May 2011. She presented with fever, lethargy, icteric mucous membranes, reduced alertness, an unsteady gait and ataxia. An Anaplasma phagocytophilum infection was confirmed by blood smear and PCR. The mare was treated with oxytetracylin and recovered rapidly, but she still suffered from a slight atactic gait disturbance at ...

• General fatigue, exhaustion, apathy, lethargy and sleep disturbances • Central Nervous System headache, lightheadedness, fainting, forgetfulness, • Impaired memory, difficulty concentrating, confusion, irritability • Musculoskeletal pain in joints, neck and low back and muscle tenderness • Face and Pharynx sore throat, dry mouth, difficulty swallowing, atypical pain • Dermatologic – itching, ...

monkey (Macac fascicularis) 4 years after importation into the United States. Stress and immunosuppression associated with experimentation completed 2 weeks earlier may have contributed to the development of severe clinical disease. Clinical findings included severe regenerative anemia, hepatosplenomegaly, weakness, lethargy, weight loss, and anorexia. The infection was treated and successfully...