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View article: Fever as the Sole Presentation of Giant Cell Arteritis: A Near Miss
Fever as the Sole Presentation of Giant Cell Arteritis: A Near Miss Open
Giant cell arteritis (GCA) presenting solely as fever is very rare. Usually, it manifests with typical features such as visual problems, headache, jaw claudication, or it can be associated with polymyalgia rheumatica. We present a case of …
View article: A Rare Case of Macrophage Activation Syndrome Presenting as the First Manifestation of Systemic Lupus Erythematosus
A Rare Case of Macrophage Activation Syndrome Presenting as the First Manifestation of Systemic Lupus Erythematosus Open
Macrophage activation syndrome (MAS) itself is a rare, potentially life-threatening complication of a rheumatic disease, mostly seen in juvenile idiopathic arthritis. It infrequently occurs in systemic lupus erythematosus (SLE), and it is …
View article: Concurrent babesiosis and serological evidence of Lyme disease in a young patient
Concurrent babesiosis and serological evidence of Lyme disease in a young patient Open
Human babesiosis co-infected with Lyme disease in a young patient is an important condition. Here, we describe a case of a 39-year-old male patient with concurrent babesiosis and Lyme disease. Co-infections of tick borne diseases are often…
View article: A Rare Presentation of Peritoneal Tuberculosis Mimicking Malignancy
A Rare Presentation of Peritoneal Tuberculosis Mimicking Malignancy Open
Our search of literature revealed combined elevations of serum cancer antigen 125 levels and rheumatoid factor levels in a patient with peritoneal tuberculosis has rarely been reported. Thus, we describe the case of a 63-year-old female wi…
View article: Drug fever induced by piperacillin/tazobactam in an elderly patient with underlying human immunodeficiency virus (HIV) infection
Drug fever induced by piperacillin/tazobactam in an elderly patient with underlying human immunodeficiency virus (HIV) infection Open
Our search of the literature revealed no detailed case reports about drug fever induced by piperacillin/tazobactam in a patient with HIV infection although there were a few case reports about drug fever due to piperacillin/tazobactam with …
View article: Methicillin-Resistant <i>Staphylococcus schleiferi</i> Subspecies <i>coagulans</i> Infection in a Patient With Hepatocellular Carcinoma
Methicillin-Resistant <i>Staphylococcus schleiferi</i> Subspecies <i>coagulans</i> Infection in a Patient With Hepatocellular Carcinoma Open
To our knowledge and literature search, Staphylococcus schleiferi subspecies coagulans infection in human beings has rarely been described in the medical literature. Furthermore, we believe that this is a first detailed case report of meth…
View article: Type 1 Brugada pattern ECG due to supra-therapeutic phenytoin level
Type 1 Brugada pattern ECG due to supra-therapeutic phenytoin level Open
Brugada syndrome is an inherited arrhythmogenic disease, characterised by a coved-type ST segment elevation in right precordial leads and an increased risk of sudden cardiac death due to ventricular arrhythmia. To unmask or exacerbate a Br…
View article: Cocaine-induced vasculitis with cutaneous manifestation: A recurrent episode after 2 years
Cocaine-induced vasculitis with cutaneous manifestation: A recurrent episode after 2 years Open
Cocaine is a popular recreational drug in the United States, and up to 70% of the seized cocaine contains levamisole which is an antihelminthic that can cause cutaneous vasculitis with necrosis and positive antineutrophil cytoplasmic antib…
View article: Non-necrotizing colonic granuloma induced by schistosomiasis
Non-necrotizing colonic granuloma induced by schistosomiasis Open
Schistosomiasis is an important parasitic disease with various clinical presentations caused by trematode blood flukes. It can present with asymptomatic, chronic colonic ulcerations, strictures, or inflammatory mass causing bowel obstructi…
View article: Spontaneous pneumomediastinum, pneumoretroperitoneum, and cervicofacial subcutaneous emphysema after repeatedly and forcefully blowing into a bottle
Spontaneous pneumomediastinum, pneumoretroperitoneum, and cervicofacial subcutaneous emphysema after repeatedly and forcefully blowing into a bottle Open
Spontaneous pneumomediastinum (SPM) is an uncommon, self-limiting condition associated with increased intra-thoracic pressure resulting in alveolar rupture. Search of the literature revealed no detailed case report about a 26-year-old psyc…
View article: Type 1 Brugada pattern electrocardiogram induced by hypokalemia
Type 1 Brugada pattern electrocardiogram induced by hypokalemia Open
Coved-type ST-segment elevation in the right precordial leads are the characteristics of Brugada syndrome, an inherited arrhythmogenic ion channel disease, which could lead to ventricular arrhythmia and sudden death. Hypokalemia alone may …
View article: Severe Anemia with Hemoperitoneum as a First Presentation for Multinodular Hepatocellular Carcinoma: A Rare Event in Western Countries
Severe Anemia with Hemoperitoneum as a First Presentation for Multinodular Hepatocellular Carcinoma: A Rare Event in Western Countries Open
Hemoperitoneum due to spontaneous rupture of hepatocellular carcinoma is a life-threatening and rare condition in western countries with an incidence of less than 3% because of early detection of cirrhosis and neoplasm. Here, we describe a…
View article: Concurrent central nervous system infective pathology in a severely immunocompromised patient
Concurrent central nervous system infective pathology in a severely immunocompromised patient Open
To our knowledge and literature search, concurrent cryptococcal meningitis and neurosyphilis in a patient have rarely been reported. Here, we report a 37-year-old male with HIV infection presented with headache and dizziness for 5 days alo…