PMC9035962_01
Facial features of characteristic for myotonic dystrophy of the case reported here. The face is long and the palate is high arched. The cheeks are hollowed and the jaw sags. The patient gave a permission for the publication of the photograph.
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F1
Her facial appearance showed (Fig. 1) characteristic myopathic features with bilateral ptosis, open mouth, and wasting of temporalis and masseter muscles.
Course of CRP level during the entire duration of admission. On top of the figure, various events (e.g., CT, drain placements, etc.) were placed in chronical order.
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F2
The course of admission is illustrated in Figure 2. The CRP markedly decreased (see Fig. 2), clinical symptoms improved (slight abdominal pain, no fever), and antibiotic treatment was ceased.
ECG abnormalities that were found during admission. The ECG shows sinus rhythm, left-sided axis, PR 201 ms, QRS 125 ms on left bundle branch block and anticus block, moderate r-peak progression on anterior wall, and negative diffuse t-peak. ECG, electrocardiogram.
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F3
After endoscopy, the patient became increasingly dyspneic, and her electrocardiogram showed abnormalities (Fig. 3).
CT scans of the fluid collections in the pelvis, which are taken on various moments during admission. The CT scans were made on days 6, 17, and 24 of admission. The fluid collections were fully drained on day 24.
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F4
The patient suffered from abdominal pain, the CRP markedly increased (166.9 to 464.7 mg/L), and CT abdomen showed diffuse fluid collections in the pelvis (see Fig. 4).