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Strongyloides stercoralis larvae on bronchoalveolar lavage.

Strongyloides Hyperinfection

A 37-year-old male from Honduras with a history of brainstem glioblastoma treated with radiation, bevacizumab, temozolomide, and dexamethasone presented with sudden onset of dyspnea, pleuritic chest pain, and hoarseness. He also complained of a pruritic abdominal rash and painful swallowing. Physical examination revealed a temperature of 36.9°C; expiratory wheezing; and maculopapular rash on the chest, […]

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Magnetic resonance imaging brain scan with contrast. (A) Axial view showing (arrow) transverse and sigmoid sinus venous thrombosis. (B) Axial view showing (arrow) left ophthalmic vein thrombosis. (C) Sagittal view showing (arrow) left ophthalmic vein thrombosis. (D) Axial view showing (arrow) focal perichiasmatic enhancement of the left optic nerve.

Lesson Learned Through a Case of Pneumococcal Meningitis: Sometimes Doing Less Is More Harmful

Pneumococcal meningitis is commonly associated with intracranial complications. We present a case of pneumococcal meningitis leading to partial loss of vision in the left eye secondary to vascular complications. A 62-year-old African American female with a past medical history of breast cancer and hypothyroidism presented with complaints of altered mental status, neck pain, headache, and […]

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(A) Esophagogastroduodenoscopy demonstrated multiple ulcers in the prepyloric area of the patient's stomach. (B) This is a close-up of a prepyloric ulcer.

A Surprising Diagnosis: Syphilitic Gastritis and Hepatitis

When patients present with gastrointestinal symptoms, sexually transmitted infection is unlikely to be at the top of the differential diagnosis. A 47-year-old homosexual man underwent evaluation for persistent fatigue, abdominal pain, and anemia with a positive fecal occult stool test, all of which raised concern for an acute gastrointestinal bleed. Approximately 6 months earlier, the […]

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Oral Thrush

A 54-year-old male patient presented with a chief complaint of burning sensation of the mandibular right gingiva and alveolar ridge on eating spicy food. The intensity of the burning sensation had increased over the previous 3 months. The patient has suffered from diabetes mellitus for 3 years and was on oral hypoglycemic agent metformin (500 […]

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T2-weighted magnetic resonance imaging was carried out. (A) Hyperintensities were noted in the bilateral thalami (arrows with black outline) and globus pallidi (arrows with red outline). (B) The white arrows indicate hyperintensities in the substantia nigra.

Brought Down by a Mosquito? West Nile Virus Encephalitis

  Neurologic symptoms in a previously healthy man spurred a battery of tests to determine the cause. The 51-year-old patient lived alone and was transferred to our intensive care unit from another facility. Emergency medical services personnel first brought him to his local emergency department, where he stated that he had not been feeling well […]

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The burden of influenza in adults 65 years old and above compared with other age groups: cumulative hospitalization rates (per 100,000 population) for influenza seasons 2012-2013 to 2016-2017.

Effective Immunization of Older Adults Against Seasonal Influenza

The 2017-2018 influenza season reminds us that it is important for health care professionals to be prepared for the annual onslaught of this contagious respiratory disease associated with potentially serious complications. Vaccination is by far the best method to prevent and control influenza, reducing illness, hospitalizations, and mortality. The highest rates of influenza-associated morbidity and […]

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