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healthy lungs in clean air

Pneumococcal Meningitis and Endocarditis: A Case Report

A 52-year-old man, with a history of active smoking and alcohol abuse, was admitted to hospital for a febrile coma. He had complained of headaches with fever and chills for a few days before admission. Behavioral disorders and seizures were observed. The clinical examination revealed bilateral miosis and a stiff neck. Status epilepticus required intubation […]

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Systemic Lupus Erythematosus in an Elderly Man

  We present the case of an 84-year-old white man with a remote history of an axillary liposarcoma and basal cell carcinoma who presented to the emergency department after 4 days of knee pain, extreme fatigue, weakness, and malaise. Although he was without chest pain, his electrocardiogram showed diffuse ST elevations. There was no troponin […]

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Popeye defromity

Case Studies Tab Added to AJM Blog

Do you like to read interesting case studies and diagnostic dilemmas? If so, check out the new tab at the top of the AJM blog. We have added a collection of case studies from over the years– including one on the Popeye Deformity, pictured here. The most recent ones are first, but you can use […]

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Coccidioidomycosis with Pericardial Involvement: Case Report and Literature Review

  Coccidioidomycosis, an infection caused by dimorphic fungi Coccidioides immitis and C. posadasii, is endemic to the southwestern US. It is estimated that there are 150,000 new infections in the US every year. Patients with primary infection are asymptomatic 60% of the time, and 40% have a wide spectrum of clinical manifestations, most commonly a community-acquired pneumonia. Overall, <1% develop […]

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A Rare Cause of Multiple Bone Lesions: Metastasis or Not?

  Magnetic resonance imaging (MRI) shows high sensitivity for detecting metastatic bone tumors, but distinguishing metastasis from benign lesions is sometimes difficult. We report a case of hyperplastic hematopoietic bone marrow mimicking metastasis. Different radioisotopes in nuclear imaging clarified multiple bone lesion pathophysiologies. A 59-year-old woman with no medical history presented with a 6-month history […]

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