Tag Archives: Infectious disease
The patient's posterior trunk was marked with pink urticarial papules and plaques.

Down the Rabbit Hole: Cutaneous Tuberculosis

The term “going down the rabbit hole,” based on Lewis Carroll’s Alice’s Adventures in Wonderland, is a metaphor for an entry into the unknown, the disorienting, or the mentally deranging. Although the case of a patient with a nonhealing ulcer did not set us on a path with these exact qualities, it did remind us that […]

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Computed tomography of the chest demonstrated bilateral pulmonary nodules.

Not All It’s CrAged Up to Be: Disseminated Cryptococcosis

Phenomena known as cognitive biases, when applied to the details of a patient’s medical history, evidently steered the first attempts at diagnosis in the wrong direction. A 60-year-old man presented after 6 weeks of progressively worsening fevers, weight loss, malaise, night sweats, and confusion. Originally, the fevers were intermittent and low grade at 37.7°C (99.9°F). […]

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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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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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Koplik's spots on the buccal mucosa. Measles was later confirmed by testing with anti-measles immunoglobulin-M antibodies.

Koplik’s Spots and Measles

To the Editor: Measles, one of the most transmissible diseases, is most contagious before rash manifestation. Search for the pathognomonic Koplik’s spots could be critical for the early diagnosis in this prodromal period. Case Description A 47-year-old man had high-grade fever with a peak temperature of 39.7°C, photophobia, rhinitis, and dry cough. On the fifth […]

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