Of Little Yellow Men and a Fear of the Light

Naha, Kushal and Vivek, G and Shetty, Ranjan K and Shastry, BA (2013) Of Little Yellow Men and a Fear of the Light. BMJ Case Report. pp. 1-3.

[img] PDF
BMJ Case Reports-2013-Naha-bcr-2013-200339.pdf - Published Version
Restricted to Registered users only

Download (234kB) | Request a copy

Abstract

We report the case of a 65-year-old woman presenting with recurrent vomiting for 3 days. She had been previously diagnosed with an atrial septal defect and was on treatment with diuretics and digoxin for paroxysmal supraventricular tachycardia. The clinical examination was consistent with an atrial septal defect with severe pulmonary hypertension. Electrocardiography showed complete heart block with ST-segment changes suggestive of digitalis toxicity. Transthoracic echocardiography confirmed Eisenmengerisation. Serum digoxin levels were elevated. Following hospitalisation, she was diagnosed with photophobia when she persistently asked for ambient lighting to be switched off. Most interestingly, the patient kept reporting seeing little yellow men, which was how she perceived the attending doctors. Cessation of digoxin therapy led to progressive abatement of her symptoms.

Item Type: Article
Subjects: Medicine > KMC Manipal > Cardiology
Medicine > KMC Manipal > Medicine
Depositing User: KMC Manipal
Date Deposited: 10 Jun 2014 11:37
Last Modified: 10 Jun 2014 11:37
URI: http://eprints.manipal.edu/id/eprint/139702

Actions (login required)

View Item View Item