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A Red Herring in the Green Grass: Syphilitic Membranous Glomerulonephritis

Physical discomfort attributed to a routine chore was actually an unusual presentation of an insidious infection. A 51-year-old man presented to the emergency department and reported 1 week of persistent, localized lower back pain that began after he had spent the day mowing his lawn. He denied any trauma, rash, dysuria, discoloration of urine, or […]

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Capillary Fragility in Zika Virus Infection

  A 42-year-old Hispanic woman with no known medical history presented to the hospital with subjective fevers, rash, and arthralgias 5 days after returning to the US from Honduras. She reported multiple mosquito bites while abroad and noted that many relatives had similar symptoms over the preceding weeks. On arrival to the Emergency Department, her […]

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Herpes Zoster Ophthalmicus: A Review for the Internist

Herpes zoster ophthalmicus occurs due to reactivation of the varicella zoster virus in the ophthalmic branch of the fifth cranial nerve. This disease primarily affects the elderly as well as the immunocompromised and can result in a wide range of ophthalmic morbidity. Systemic antiviral therapy is the mainstay of treatment; however, consultation with an ophthalmologist […]

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Essential Facts About Mosquito Control and Zika Virus

The threat to persons living in the southern United States from Zika virus (ZIKV) is both significant and ongoing. Although there are several modes of transmission of ZIKV to humans, mosquito transmission is the primary avenue by which persons become infected. Only 2 mosquito species are likely able to transmit ZIKV to humans in the […]

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Abdominal Tuberculosis Presenting as a Malignant Masquerader

  A previously healthy, immunocompetent, US-born, 48-year-old black woman presented with 6 months of subjective fevers, night sweats, and intermittent abdominal pain. Initial computed tomography scan (Figure 1) revealed a pancreatic versus peripancreatic mass and multiple liver lesions concerning for metastatic pancreatic cancer; percutaneous fine-needle aspiration (FNA) of the liver lesions revealed inflammatory changes and no […]

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