Browsing by Author "Ahmad, Rashidi"

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    Myalgia Cruris Epidemica: an unusual presentation of dengue fever.
    (2007-11-11) Ahmad, Rashidi; Abdul Latiff, Abdul Kursi; Abdul Razak, Salmi
    We describe a 5-year-old girl who had sudden onset difficulty in walking after 3 days of febrile illness. In the emergency department her creatine kinase level was elevated but urine myoglobin was normal. She was diagnosed as having benign acute childhood myositis. Because of poor oral intake and dehydration, she was admitted to the pediatric ward. The next day she had a petechial rash over the antecubital fossa, and dengue IgM back was positive. She was treated conservatively and recovered uneventfully. Despite dengue fever being endemic in Malaysia, this is the first case report of myositis following dengue infection in Malaysia.
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    An unusual case of urethral hiriduniasis.
    (2008-03-21) Ahmad, Rashidi; Baharuddin, Kamarul Aryffin; Zaidin, Hadif; Mohidin, Mohd Amin; Kheng, Cheah Phee; Sidek, Norrohimah
    Bleeding as the result of a leech in the male urethra is very rare. We describe a 13-year-old boy who had a leech in his urethra. In the emergency department he persistently squeezed his penis in an attempt to prevent the leech from going deeper into his urethra. Manual removal by forcep failed and cystoscopic removal was recommended. Penile block with lidocaine 1% relieved the pain and enabled him to squeeze his penis harder until the leech was pushed out making forcep removal easier. Post-removal he had hematuria and penile pain for 2 days. A description of his presentation and management, along with a review of the literature is presented.