Full Text Journal Articles by
Author Sreenath Meegada

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Severe Respiratory Alkalosis in Acute Ischemic Stroke: A Rare Presentation.

Vijayadershan Muppidi, Sashank Kolli, Vasuki Dandu, Samata Pathireddy, Sreenath Meegada,

Respiratory alkalosis is a rare but severe complication of acute ischemic stroke (AIS). In ischemic stroke, respiratory alkalosis results from hyperventilation due to the effect of stroke on the respiratory center. We report a case of a young male who presented with acute encephalopathy. Work-up revealed ischemic infarcts in the bilateral ... Read more >>

Cureus (Cureus)
[2020, 12(4):]

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Corona Virus Disease 2019 (COVID-19) Presenting as Acute ST Elevation Myocardial Infarction.

Suman Siddamreddy, Ramakrishna Thotakura, Vasuki Dandu, Sruthi Kanuru, Sreenath Meegada,

Patients with Covid-19 disease commonly present with symptoms related to respiratory illness, and less commonly they develop cardiovascular complications either on presentation or during the course of the disease. The mortality/morbidity is high in these patients with cardiovascular involvement. Acute ST-elevation myocardial infarction (STEMI) is a medical emergency which needs immediate ... Read more >>

Cureus (Cureus)
[2020, 12(4):e7782]

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Severe Respiratory Alkalosis in Acute Ischemic Stroke: A Rare Presentation.

Vijayadershan Muppidi, Sashank Kolli, Vasuki Dandu, Samata Pathireddy, Sreenath Meegada,

Respiratory alkalosis is a rare but severe complication of acute ischemic stroke (AIS). In ischemic stroke, respiratory alkalosis results from hyperventilation due to the effect of stroke on the respiratory center. We report a case of a young male who presented with acute encephalopathy. Work-up revealed ischemic infarcts in the bilateral ... Read more >>

Cureus (Cureus)
[2020, 12(4):e7747]

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Gallbladder Neuroendocrine Carcinoma: A Rare Endocrine Tumor.

Suman Siddamreddy, Sreenath Meegada, Anum Syed, Mujtaba Sarwar, Vijayadershan Muppidi,

Gallbladder neuroendocrine neoplasms (GB-NEN) are very rare neuroendocrine tumors (NETs). GB-NEN can present as carcinoid or typical/atypical carcinoid or small cell carcinoma. Most of the GB-NENs present as gall bladder polyps or stones with right upper quadrant pain, nausea and non-specific symptoms which leads to clinical misdiagnosis. Considering the rare occurrence of ... Read more >>

Cureus (Cureus)
[2020, 12(3):e7487]

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Multiple Intracranial Tuberculomas with an Intra-medullary Spinal Cord Tuberculoma in a Pediatric Patient.

Sreenath Meegada, Richmond Gyamfi, Vijayadershan Muppidi, Vasuki Dandu, Tejo Challa,

Central nervous system (CNS) tuberculosis (TB), caused by Mycobacterium tuberculosis (MT), is a severe form of TB, which presents as meningitis, cerebritis, abscesses, spinal tuberculous arachnoiditis, and rarely tuberculomas. CNS TB is prevalent in the underdeveloped or developing world and is common in malnourished, alcoholics, children, young adults, immunocompromised, and ... Read more >>

Cureus (Cureus)
[2020, 12(3):e7248]

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Euglycemic Diabetic Ketoacidosis in a Young Pregnant Woman Precipitated by Urinary Tract Infection.

Vijayadershan Muppidi, Sreenath Meegada, Tejo Challa, Suman Siddamreddy, Subhankar Samal,

Diabetic ketoacidosis (DKA) is a life-threatening diabetic complication and medical emergency. Euglycemic DKA (EKDA) is a variant of DKA with normal range glucose levels. The condition can be difficult to diagnose due to the misleading euglycemic levels. Pregnancy, infection, low-calorie intake, and use of insulin are some of the common ... Read more >>

Cureus (Cureus)
[2020, 12(3):e7331]

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Isolated Area Postrema Syndrome Presenting as Intractable Nausea and Vomiting.

Vasuki Dandu, Suman Siddamreddy, Sreenath Meegada, Vijayadershan Muppidi, Tejo Challa,

Neuromyelitis optica (NMO) is a disease of central nervous system, characterized by demyelination and axonal damage mostly involving optic nerves and spinal cord. Usually these patients present with symptoms related to optic neuritis or myelitis with a typical relapsing course. Some patients present with less common symptoms involving brain stem ... Read more >>

Cureus (Cureus)
[2020, 12(2):e7058]

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New Delhi Metallo-beta-lactamase-producing Enterobacter Cloacae - A Rare Multidrug Resistance Strain in a Caucasian Woman.

Suman Siddamreddy, Sreenath Meegada, Vasuki Dandu, Vijayadershan Muppidi, Ramya Bachu,

New Delhi metallo-beta-lactamase (NDM-1) is a novel metallo-beta-lactamase (MBL) gene carried by some Enterobacteriaceae that induces resistance to most of the antibiotics. First described in a Swedish patient hospitalized in India with an infection due to Klebsiella pneumoniae. NDM-1 makes bacteria resistant to a broad range of beta-lactam antibiotics. These include ... Read more >>

Cureus (Cureus)
[2020, 12(3):e7177]

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Dahl's Sign: An Indicator of Severe Chronic Obstructive Pulmonary Disease.

Sreenath Meegada, Madhavi Annakula, Tejo Challa, Suman Siddamreddy, Prashanth Peddi,

Dahl's sign, a clinical sign in which areas of thickened and darkened skin seen on the lower thighs and/or elbows, is seen in patients with severe chronic respiratory disorders such as chronic obstructive pulmonary disease (COPD), interstitial lung disease, congestive heart failure (CHF), and chronic moderate to severe persistent asthma. The ... Read more >>

Cureus (Cureus)
[2020, 12(2):e6865]

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Granulomatous Myositis Associated with Extremely Elevated Anti-striated Muscle Antibodies in the Absence of Myasthenia Gravis.

Sreenath Meegada, Hamza Akbar, Suman Siddamreddy, David Casement, Rajanshu Verma,

Granulomatous myositis is a rare disease that predominantly results in proximal muscle weakness in the upper and/or lower extremities. As it can resemble other inflammatory myopathies, it is important to obtain a muscle biopsy to make the underlying diagnosis. We report the first case of granulomatous myositis associated with extremely ... Read more >>

Cureus (Cureus)
[2020, 12(2):e6981]

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Sweet syndrome in a patient with Hidradenitis Suppurativa.

Lakshay Jain, Sreenath Meegada,

Neutrophilic Dermatoses should be considered in the differential diagnosis, if a patient with abrupt onset of painful erythematous plaques/nodules and elevated erythrocyte sedimentation rate is not responding to antibiotics. ... Read more >>

Clin Case Rep (Clinical case reports)
[2020, 8(4):772-773]

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Hemichorea Induced by Non-ketotic Hyperglycemia in a Caucasian Woman.

Kristina Pham, Sreenath Meegada, Tejo Challa, Prashanth Peddi, Madhavi Annakula,

Chorea is a disorder characterized by irregular, involuntary, hyperkinetic movements and has various causes. One unusual cause is hyperglycemia. This case involves a 76-year-old diabetic Caucasian female who developed gait disturbances, hemichorea of the face and limbs, and slurred speech over two to three weeks. She was found to have ... Read more >>

Cureus (Cureus)
[2020, 12(2):e6866]

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Terry's nails.

Sreenath Meegada, Rajanshu Verma,

Terry's nails can be manifested in systemic diseases like cirrhosis, congestive heart failure, diabetes mellitus, renal failure, and other conditions which emphasizes the importance of physical examination in every clinical encounter. ... Read more >>

Clin Case Rep (Clinical case reports)
[2020, 8(2):404-405]

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Metoclopramide-induced Serotonin Syndrome.

Sreenath Meegada, Rajiv Prakash Heda, Sanjaya Satapathy, Rajanshu Verma,

Serotonin syndrome is a clinical diagnosis characterized by a constellation of autonomic and neurological physical examination findings due to the use of one or more serotonergic agents. Due to high morbidity and mortality associated with this condition, high index of suspicion is required in making this diagnosis. Treatment is aimed ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6359]

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Intrahepatic Cholangiocarcinoma Associated with High Procalcitonin, Hypercalcemia, Polycythemia and Leukocytosis.

Sreenath Meegada, Richard Eisen, Gregory Coons, Rajanshu Verma,

Intrahepatic cholangiocarcinomas or bile duct cancers comprise approximately 10-20% of all cholangiocarcinomas and may present with right upper quadrant pain, weight loss, liver enzyme abnormalities or they may be completely asymptomatic and be picked incidentally on routine abdominal imaging. Typically, hepatocellular carcinomas have been associated with various paraneoplastic syndromes such ... Read more >>

Cureus (Cureus)
[2020, 12(1):e6587]

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Gastric Emphysema Induced by Severe Vomiting.

Amal Ghneim, Sreenath Meegada,

Gastric emphysema or air in the stomach wall is a rare condition resulting from the disruption of gastric mucosa and entry of air into the stomach wall which could be from severe vomiting, instrumentation or endoscopy, gastric ischemia, and dissection of air from the mediastinum. Treatment is usually conservative and ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6487]

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Calciphylaxis: A Deceiving Cellulitis.

Sreenath Meegada, Madhavi Annakula, Tejo Challa, Prashanth Peddi,

Calciphylaxis is a rare and serious disorder seen most in end-stage renal disease (ESRD) patients on dialysis. It is associated with the calcium deposits in small and medium blood vessels of the skin and subcutaneous tissues resulting in painful skin lesions, plaques, ulcerations, gangrene, and secondary infections. The aim of our ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6518]

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