Solution to Dr. Amarsinha Nikam’s Case - Acute Respiratory Distress Syndrome with Septicemia (Pneumonitis with UTI & ARF)

Here is the original case from Oct 2012 :

https://hpathy.com/case-quizes/acute-respiratory-distress-syndrome-with-septicemia-pneumonitis-with-uti-arf/

Solution:

Totality :

Jolly jesting.
Discontented.
Forsaken feeling – relatives.
Pessimist.
Religious.
Loss of presentation – ugly.
Abusive.
Extravagance.
Irritable.
Greedy.
Irritable.
Desire: Sweet.
Perspiration: Profuse.
Quarrelsome.
Sadness.
H/o suppression of skin ailments.
Pneumonitis –inflammation of lungs.
Thermal: Hot.
Miasm : Syphilitic.

Remedy Selected : SULPHUR 30

Response :

The patient responded remarkably just after 10 days. The most amazing & important thing is that the continuous ventilator that he needed was totally removed as he was able to breathe normally. This was the first time that the patient spoke, “Now I’m feeling good and I can breathe easily.”

Patient was able to sit up in his bed with minimal support and was also able to stand for a few seconds. In a few days, his face became normal and gave a healthy look to the patient.

Further, he progressed well and recovered fully.

He said in the follow up that he didn’t know what had happened to him and he thinks that he had just got up from a deep sleep.

D/D :

Antimonium Tartaricum : It is a well known remedy for such respiratory manifestations. It shows symptoms of marked respiratory insufficiency.

This case was a perfect match for pathological aspect. But as per our principles, the drug should be a match on physical, mental and particular, along with pathological level, to get a complete result which is not the case with this patient’s presentation.

Lycopodium : Lycopodium seems to be close to this case, but it does not cover the extravagance and untidy character of patient. Also the pace of disease development in this patient is very fast, in contrast to the pace of Lycopodium, which covers mostly slow developing pathology.

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Readers’ Responses

Sulfur 30ch, once – A. Oberoi [email protected]

The rubrics are:

Recurrent inflammation of wounds (suppressed with ointments)

Ailments from suppressed eruptions

Dwells on religion

Septic fever

Thirst

Quarrelsome

Making many plans

Neglects his appearance

Feelings of rage

Insomnia at night, with sleepiness during daytime

Aggravated by heat

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Sulphur – Dr. Gagan Nakra [email protected]

Untidy dress up; He desires for a lavish, hi-fi living. He plans a lot for different things, but never executes. skin eruption suppression several times.

1	1234	1	FEVER – RELAPSING	18
2	1234	1	FEVER – REMITTENT	46
3	1234	1	COUGH – FEVER – during	86
4	1234	1	MIND – QUARRELSOME	189
5	1234	1	MIND – SYMPATHY from others – desire for	6
6	1234	1	MIND – ANGER – violent	93
7	1234	1	MIND – SUPERSTITIOUS etc…	26
8	1234	1	PERSPIRATION – PROFUSE	224
9	1234	1	PERSPIRATION – STAINING the linen – yellow	29
10	1234	0	MIND – INDIFFERENCE, apathy – appearance; to his personal	11
11	1234	1	MIND – TASTELESSNESS in dressing etc…	20
12	1234	1	MIND – PLANS – making many plans	23
13	1234	1	GENERALS – FOOD and DRINKS – fruit – aversion	24
14	1234	1	GENERALS – FOOD and DRINKS – milk – desire	72
15	1234	1	GENERALS – FOOD and DRINKS – spices – desire	74
16	1234	1	GENERALS – FOOD and DRINKS – pungent things – desire	41
17	1234	1	SKIN – ERUPTIONS	210
18	1234	1	HEAD – CEREBRAL HEMORRHAGE	72
19	1234	1	CHEST – INFLAMMATION – Lungs etc…	139
20	1234	1	MIND – MOOD – changeable etc…	215
21	1234	1	MIND – GAMBLING – passion for gambling	10
22	1234	1	GENERALS – SEPTICEMIA, blood poisoning	101
23	1234	1	GENERALS – HYPERTENSION	122

See also

A Case of Natrum Bromatum

	sulph.	ars.	verat.	chin.	phos.	bell.	lach.	nux-v.	bry.	calc.
	20	18	17	16	16	15	15	15	14	14

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Sulphur – Elaine Lewis [email protected]

I’m hoping it’s Sulphur. He has plans but doesn’t complete them, he’s got skin eruptions, he’s hot, he’s messy…what can I say?

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Antimonium Tart – Julija P. Lande -Homeopath

STOMACH – VOMITING – heat – during
CHEST – INFLAMMATION – Bronchial tubes – accompanied by – weakness
PERSPIRATION – PROFUSE – Affected parts, on
SLEEP – SLEEPLESSNESS – night – sleeps by day
MIND – CONTRARY
GENERALS – DISTENSION; sensation of
MIND – PLANS – making many plans – realize them; but don’t
CHEST – INFLAMMATION – Lungs
GENERALS – WEAKNESS – acute diseases – during
COUGH – REMITTENT fever, during

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CHINA ARSENICOSUM – Dr. Christiane Lhuillier

I have tried to consider the case in its totality and I have repertorized these symptoms:
Pneumonia / septicemia/ fever alternating shivering/ perspiration staining the linen yellow
vomiting on coughing / aversion to fruit/ vegetarian diet

MIND violence vehemence dead of rage /abusive, insulting//husband insults wife/ pessimist/ ambition but indolent

OLD TROUBLES hemorrhage tendency/ stomach ulcers/ swallowing difficult

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Pyrogen – (after recovery follow with Phos) Veronique Jack

Due to the severity of symptoms and the urgency of treatment necessary I would immediately treat the patient with Pyrogen. The most important aspect is to get the patient out of danger straight away and deal with the septic condition.

I chose 3 confirmatory rubrics:

Chills, Septic conditions, chills from (Murphy) p358: pyrogen

Fever, septic p849: PYROGEN

Clinical, Septicaemia, blood infection p466: PYROGEN

I would probably give it in the 200 potency repeated as necessary until fever abated and then twice a day until definite signs of recovery.

As the patient recovered, I would consider treating him with Phosphorus which covers most of the symptoms down to his gambling habit according to Philip Bailey.

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Phosphorus – Patel Rahul

LIST OF RUBRICS

1 1234 1 Food – SWEETS, general – desires 67

2 1234 1 Food – FRUIT, agg. – aversion to 19

3 1234 1 Mind – FEAR, general, phobias – noise, from 41

4 1234 1 Mind – CONFIDENCE, lacking, no self esteem 86

5 1234 1 Breathing – DIFFICULT, breathing 287

6 1234 1 Throat – SWALLOWING, general – difficult 151

7 1234 1 Skin – ERUPTIONS – suppressed, eruptions, ailments from 81

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OPIUM – Kaushik Banerjee

Please find the rubrics.

[Allen ] [W]Weakness:Vomiting, after:
[Kent ] [Fever]Intense heat:
[Complete ] [Generalities]Food and drinks:Fruit:Aversion:
[Complete ] [Generalities]Food and drinks:Sweets:Desires:
[Complete ] [Stomach]Thirst:
[Complete ] [Rectum]Constipation:
[Therap ] [Aggravation]Eruptions, after suppression of:
[Complete ] [Rectum]Constipation:Insufficient, incomplete, unsatisfactory stools:

I chose for OPIUM after this small repertorisation & then reading materia medica and inactivity of the organs. OPIUM is thermally HOT & so is SULPHUR too. I took very less symptoms and saw myself closing towards OPIUM, SULPHUR, BRYONIA, ARSENIC etc. In the case the patient is OLD where his vital force is lacking in this acute condition.OPIUM acts well in children and old persons in acute cases like that of Ant-tart in respiratory disorders( but is Ambithermal). I do not know that whether i am correct or wrong because i do not have any experience till now with OPIUM & i am a lay person not a qualified homeopath who’s just hobby is reading homeopathy after my profession. SULPHUR has too come very close but it may be his CHRONIC remedy. Eg., plays with antics covers opium and sulphur both.Since the patient is suffering from acute distress i go for opium first not his chronic(sulphur).