Sunil Bowattage
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View article: A Case Report of Autoimmune Haemolytic Anaemia in Leptospirosis, a Rare Presentation
A Case Report of Autoimmune Haemolytic Anaemia in Leptospirosis, a Rare Presentation Open
Leptospirosis is a zoonotic illness caused by pathogenic spirochetes of the genus Leptospira, which causes diverse clinical manifestations and complications. Infection is biphasic, with a bacteraemic phase and an immune-mediated phase. A s…
View article: Rare manifestation of tuberculous pericarditis with normal inflammatory markers in a healthy young female
Rare manifestation of tuberculous pericarditis with normal inflammatory markers in a healthy young female Open
No abstract available
View article: Acute Autoimmune Hepatitis with Amyopathic Dermatomyositis: “A Diagnostic and a Therapeutic Dilemma” : A Case Report
Acute Autoimmune Hepatitis with Amyopathic Dermatomyositis: “A Diagnostic and a Therapeutic Dilemma” : A Case Report Open
Autoimmune hepatitis (AIH) is a rare, immune-mediated inflammatory liver disorder, while its acute form has a spectrum of clinical manifestations including acute-icteric AIH, acute severe AIH (AS-AIH) and AS-AIH with acute liver failure (A…
View article: Dengue encephalitis: A rare presentation of dengue fever
Dengue encephalitis: A rare presentation of dengue fever Open
The prevalence of dengue fever in South Asian countries has been increasing for the last few years including Sri Lanka. Dengue encephalitis is an unusual and severe manifestation of dengue fever, with only a few cases being reported worldw…
View article: Classic Hodgkin Lymphoma presenting as ANA positive chronic papular urticaria like skin lesions – A case report
Classic Hodgkin Lymphoma presenting as ANA positive chronic papular urticaria like skin lesions – A case report Open
The skin acts as a natural barrier between internal organs and the external environment. Many haematological neoplasms occur in the skin as a primary malignant transformation, as secondary involvement, or as paraneoplastic cutaneous manife…
View article: A rare occurrence of myocarditis with acute heart failure as an extraintestinal manifestation of Crohn’s disease in a young male
A rare occurrence of myocarditis with acute heart failure as an extraintestinal manifestation of Crohn’s disease in a young male Open
Crohn’s disease (CD) is an idiopathic inflammatory bowel disorder, which can be associated with various extraintestinal manifestations. Cardiac and pulmonary manifestations of CD are rare with only a few cases being reported. Myocarditis i…
View article: Unusual presentation of malignant ovarian endometrioid carcinoma with hypoglycemic seizures: a case report
Unusual presentation of malignant ovarian endometrioid carcinoma with hypoglycemic seizures: a case report Open
No abstract available
View article: Presentation of primary Sjogren's syndrome with livedo reticularis and hypokalemia: A case report     
Presentation of primary Sjogren's syndrome with livedo reticularis and hypokalemia: A case report Open
No abstract available
View article: Tuberculous pericardial effusion causing tamponade in a healthy young male:  A diagnostic and therapeutic challenge of a rare manifestation of a fairly frequent disease in Sri Lanka: A Case Report  
Tuberculous pericardial effusion causing tamponade in a healthy young male: A diagnostic and therapeutic challenge of a rare manifestation of a fairly frequent disease in Sri Lanka: A Case Report Open
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View article: Acalypha indica induced acute oxidative haemolysis and methaemoglobinaemia: two case reports
Acalypha indica induced acute oxidative haemolysis and methaemoglobinaemia: two case reports Open
View article: Takayasu arteritis masquerading as recurrent abdominal pain
Takayasu arteritis masquerading as recurrent abdominal pain Open
Takayasu arteritis (TA) is a rare granulomatous inflammation of large arteries, specifically the aorta and its branches. It is more prevalent in young Asian women with the highest incidence in Japan. There is a delay in diagnosis due to no…
View article: A case of Brugada phenocopy unmasked following giant Asian honey bee stings
A case of Brugada phenocopy unmasked following giant Asian honey bee stings Open
This case report details a rare occurrence of Brugada phenocopy (type 1 Brugada electrocardiographic pattern) precipitated following giant Asian honey bee (Apis dorsata) stings in a previously healthy Sri Lankan male. The patient had an un…
View article: Abamectin poisoning: a case report and review of literature
Abamectin poisoning: a case report and review of literature Open
Abamectin, a widely used insecticide in Sri Lankan agricultural practices is recognised to occasionally cause serious neurological and cardio-respiratory consequences, and very rarely fatalities following human intoxication. We report a yo…
View article: Disappearing diplopia - An unusual presentation of Tolosa-Hunt syndrome: A case report
Disappearing diplopia - An unusual presentation of Tolosa-Hunt syndrome: A case report Open
Tolosa-Hunt syndrome (THS) is a rare benign treatable cause of painful ophthalmoplegia with frequent VI, III, IV cranial nerve (CN) involvement. Optic and trigeminal nerve involvement is rare but described. The disease is characterized by …
View article: Acute Cytomegalovirus infection complicated with Haematophagocytic Lymphohistiocytosis in a young male with an inaugural diagnosis of Systemic Lupus Erythematosus: A case report
Acute Cytomegalovirus infection complicated with Haematophagocytic Lymphohistiocytosis in a young male with an inaugural diagnosis of Systemic Lupus Erythematosus: A case report Open
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease due to a diverging immune response resulting in immune-mediated damage to tissues with significant morbidity and mortality. Cytomegalovirus (CMV) is a constantly encountere…
View article: Acute hemorrhagic leukoencephalitis in a young female with excellent response to corticosteroids
Acute hemorrhagic leukoencephalitis in a young female with excellent response to corticosteroids Open
Background: Acute hemorrhagic leukoencephalitis (AHLE) is a rare fulminant entity of acute disseminated leukoencephalitis (ADEM) that has a rapidly progressive polysymptomatology corresponding to areas of brain affected. It’s characterized…
View article: Community-acquired bacterial meningitis due to hypervirulent Klebsiella<em> pneumoniae</em> in a patient with newly diagnosed diabetes mellitus &ndash; a case report&nbsp;
Community-acquired bacterial meningitis due to hypervirulent Klebsiella<em> pneumoniae</em> in a patient with newly diagnosed diabetes mellitus – a case report Open
No abstract available
View article: Toxoplasma causing persistent massive cervical lymphadenopathy in a healthy young male
Toxoplasma causing persistent massive cervical lymphadenopathy in a healthy young male Open
The AMJ is a peer-reviewed, triannual health journal published by Anuradhapura Clinical Society (ACS).The Journal strives to be a forum for all health professionals to publish original research and review articles in their area of expertis…
View article: A Case of Dapsone-induced DRESS syndrome and concomitant thyrotoxicosis
A Case of Dapsone-induced DRESS syndrome and concomitant thyrotoxicosis Open
No abstract available
View article: A Case of Poisoning with Abrus precatarius Complicated with Bilateral Basal Ganglia Haemorrhage
A Case of Poisoning with Abrus precatarius Complicated with Bilateral Basal Ganglia Haemorrhage Open
Abrus precatarius is a tropical climber, whose seeds contain abrin, which is known to cause toxicity in humans. We report a case of a young girl, who presented with haemorrhagic enterocolitis, bilateral septal vein thrombosis, and basal ga…
View article: Melioidosis : The Great Mimicker: A Case Report
Melioidosis : The Great Mimicker: A Case Report Open
The Journal of the Postgraduate Institute of Medicine (JPGIM) is an open access, peer-reviewed, biannual journal published by the Postgraduate Institute of Medicine (PGIM) of the University of Colombo (UOC), Sri Lanka. The JPGIM aims to pu…
View article: Lessons learned from the management of a case of acute synchronous cardio cerebral infarction in a resource-poor setting
Lessons learned from the management of a case of acute synchronous cardio cerebral infarction in a resource-poor setting Open
Introduction Cardio-cerebral infarction (CCI), the simultaneous occurrence of acute ischemic stroke (AIS) and acute myocardial infarction (AMI), is infrequent and poses a management challenge for physicians. There is a paucity of available…
View article: Two Atypical Cases of Hantavirus Infection: Experience from a Tertiary Care Unit in Sri Lanka
Two Atypical Cases of Hantavirus Infection: Experience from a Tertiary Care Unit in Sri Lanka Open
Hantaviruses are a large family of enveloped viruses with two medically important families Cricetidae and Muridae which are known to cause rodent-borne diseases worldwide. Some strains cause clinical syndromes with multiorgan involvement i…
View article: Severe local envenoming and mild coagulopathy following green pit viper (<em>Trimeresurus trigonocephalus</em>) bite in Sri Lanka
Severe local envenoming and mild coagulopathy following green pit viper (<em>Trimeresurus trigonocephalus</em>) bite in Sri Lanka Open
Green pit viper (Trimeresurus trigonocephalus) is considered a potentially highly venomous arboreal endemic pit viper which inhabits Sri Lanka. Green pit viper bites usually result in local envenoming and systemic envenoming features like …