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Photograph of the patient's multi-dermatomal vesicular rash. Lesions are shown on the right face, neck, and chest.

Disseminated Zoster After Trauma in an Immunocompetent Patient

  An 88-year-old man presented to the emergency department with dizziness and vesicular lesions in various stages of healing on the right lateral face, right ear, arms, legs, and chest. Incidentally he reported a ground-level fall in which he struck his face 2 days prior. The facial lesions were thought to be cellulitis, and he […]

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Top left: High-power (oil immersion lens ×1000) peripheral smear showing atypical lymphocytes and no platelets. Top right: Low-power (×200) peripheral smear showing no platelets. Bottom: Computed tomography of the abdomen without contrast showing absence of splenomegaly or other abnormalities.

Platelet Count of Zero: A Curious Case of Thrombocytopenia

To read this article in its entirety please visit our website. -Patrick Twohig, MD, MPH, Jaclyn Rivington, MD This article originally appeared in the November 2017 issue of The American Journal of Medicine.

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Segmental muscle atrophy and fatty change. (A) Significant muscular atrophy in the right iliopsoas (green arrow). (B) Both biceps femoris (red arrow) are preserved, but other muscles are obviously atrophic with fatty change (yellow arrow).

Post-Polio-Like Syndrome

  Post-polio syndrome is a motor neuron disease that occurs in 15%-80% of patients with a history of polio.1 The diagnostic criteria for post-polio syndrome include a confirmed history of polio, partial or complete neurologic and functional recovery after acute polio, a period of more than 15 years with neurologic and functional stability, new symptoms that […]

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Atypical Dengue Fever Mimicking Typhoid Fever in a College Student Traveler

Dengue virus belongs to the family flaviviridae, a group of approximately 70 viruses, of which 30—6 commonly—have been associated with human disease. These are: dengue, yellow fever, West Nile encephalitis, St. Louis encephalitis, Japanese encephalitis, and tick-borne encephalitis. All are single-stranded RNA viruses that share common envelope proteins; which produces significant cross-reactivity. Dengue virus has […]

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