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Anchor’s Away: A Case of Apparent Sinusitis

Diagnostic errors, defined as failures to reach timely and accurate explanations for a patient’s presentation, affect the majority of our patients, because most will experience at least one diagnostic error in their lifetime.1 We report the case of a patient who was inappropriately diagnosed with acute bacterial rhinosinusitis and later found to have lymphoma. We use […]

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A Standing Dilemma: Autonomic Failure Preceding Hodgkin’s Lymphoma

Strange and relatively sudden symptoms in a 27-year-old man implied evidence of a rare paraneoplastic syndrome. The patient presented to the emergency department with syncope. He had been completely healthy until 6 weeks earlier when he noticed a mild sensation of lightheadedness on standing. Over the next several weeks, this was accompanied by tunnel vision, […]

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Tumor Melt

Tumor Melt: Primary Effusion Lymphoma of the Heart A 45-year-old African-American man with a history of acquired immunodeficiency syndrome presented with exertional syncope. Other pertinent symptoms included progressive dyspnea, lower-extremity edema, poor appetite, fevers, and 60-lb weight loss. The outpatient medication regimen included tenofovir/emtricitabine, ritonavir, and atazanavir with a CD4 count of 173 and a […]

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