| CASE REPORT |
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| Year : 2008 | Volume
: 18
| Issue : 4 | Page : 162-165 |
All that is swollen and red is not infection!
P George1, MS Jhawar1, B Pawar2, A Joseph3, U George4
1 Department of Internal Medicine, Christian Medical College and Hospital, Ludhiana, Punjab, India
2 Department of Nephrology, Christian Medical College and Hospital, Ludhiana, Punjab, India
3 Department of CTVS, Christian Medical College and Hospital, Ludhiana, Punjab, India
4 Department of Radiodiagnosis, Christian Medical College and Hospital, Ludhiana, Punjab, India
Correspondence Address:
P George
Department of Internal Medicine, Christian Medical College and Hospital, Brown Road, Ludhiana - 141 008, Punjab
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-4065.45292
Unilateral upper limb extremity swelling and pain are common presentations in clinical practice whose differential diagnoses include cellulitis, abscess, lymphoedema, and venous thrombosis. We report here the case of a renal transplant recipient with an unusual cause of upper extremity swelling and pain. His condition of native radiocephalic, arteriovenous (AV), fistula-related, venous hypertension was misdiagnosed and managed as cellulitis. This case illustrates the importance of an index of suspicion and careful clinical examination for diagnosis and thus, avoid potentially dangerous and distressing symptoms. The patient improved with a surgical AV fistula ligation.
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