“The hand of God” – nurses try to comfort isolated patients in a Brazilian Covid isolation ward

From Brazil , a country that has recorded a very high number of infections from Covid-19, comes ““mão de deus“ “, conceived by a Brazilian nurse to break down the barrier of isolation and give comfort to the patients. For over a year engaged in the fight against Coronavirus , doctors and nurses all over the world, in addition to ensuring the necessary health care for patients forced to live in […]

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Strawberry Tongue in Streptococcal Pharyngitis

A 5-year-old girl presented to the pediatric clinic with a 3-day history of fever, sore throat, and pain with swallowing. She had no associated cough, rhinorrhea, or hoarseness. The temperature was 40°C. On examination, she appeared to be ill, with dry mucous membranes and tender anterior cervical lymphadenopathy. She had fissured lips and a red […]

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Necrotizing fasciitis and meningitis due to Streptococcus pneumoniae

A 68-year-old Caucasian female was admitted to our clinic, with suspected deep venous thrombosis, presenting with pain in her left calf that had lasted for 3 weeks starting after a very painful nocturnal leg cramp, and worsened over the last few days. At the time of admission, she had also experienced 5 days of malaise […]

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Making the equivocal unequivocal: standardization of clean margins in diabetic foot osteomyelitis

Clin Diabetes Endocrinol. 2020; 6: 8. Published online 2020 May 20. doi: 10.1186/s40842-020-00096-2 PMCID: PMC7238583 PMID: 32477590 Abstract Background The prevalence of diabetes mellitus continues to rise. Diabetic foot ulcers with osteomyelitis are a diabetes-related complication presenting a significant burden to this cohort. A cure to diabetic foot osteomyelitis remains elusive and standard of care has […]

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Ventricular Fibrillation following Varicella Zoster Myocarditis

Adam Ioannou, 1 Irene Tsappa, 2 Sofia Metaxa, 3 and Constantinos G. Missouris 2 , 3 Abstract Varicella-zoster virus (VZV) infection can rarely lead to serious cardiac complications and life-threatening arrhythmias. We present a case of a 46-year-old male patient who developed VZV myocarditis and presented with recurrent syncopal episodes followed by a cardiac arrest. He had a further collapse eight years later, and […]

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Extensive Frontoparietal Abscess: Complication of Frontal Sinusitis (Pott’s Puffy Tumor)

Raquel Andrade Lauria,* Fernando Laffitte Fernandes, Thiago Pires Brito, Pablo Soares Gomes Pereira, and Carlos Takahiro Chone Case Report A 14-year-old male adolescent, with no significant past medical history, presented at an otorhinolaryngology department of a tertiary teaching hospital with a 7-day history of a common cold that progressively evolved with frontal headache, vomiting, fever, purulent rhinorrhea, and frontal and […]

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Cyst Removal

What is a Cyst? A cyst is a closed sac, having a distinct membrane and division compared with the nearby tissue. It may contain air, fluids, or semi-solid material. A collection of pus is called an abscess, not a cyst. Once formed, sometimes a cyst may resolve on its own. When a cyst fails to resolve, it may need to be removed surgically, but that would […]

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Fournier’s Gangrene and Intravenous Drug Abuse

Abstract Fournier’s gangrene is a potentially fatal emergency condition characterized by necrotizing fasciitis and supported by an infection of the external genital, perineal and perianal region, with a rapid and progressive spread from subcutaneous fat tissue to fascial planes. Keywords: Fournier’s gangrene, Necrotizing Fasciitis, Surgery, Infection Case report A 52 year old man with a history […]

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Tetanus in an unvaccinated child

In 2017, a boy aged 6 years who had received no immunizations sustained a forehead laceration while playing outdoors on a farm; the wound was cleaned and sutured at home. Six days later, he had episodes of crying, jaw clenching, and involuntary upper extremity muscle spasms, followed by arching of the neck and back (opisthotonus) […]

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Limb salvage after gas gangrene

Case report: A 35-year-old Caucasian man with a history of chronic intravenous drug use presented to the emergency department with right upper limb pain and swelling lasting 24 hours. His initial vital signs were notable for temperature of 39°C, respiratory rate of 25 breaths per minute, heart rate of 120 beat per minute and blood […]

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Rhinosporidiosis

A 27 year old man presented to the otorhinolaryngology outpatient clinic with a 3-month history of progressive obstruction and bleeding from the right naris. Physical examination showed a red, granular, pedunculated, nonpulsatile mass that obstructed the right nasal cavity and bled on touch (Panel A). The patient reported bathing frequently in the local pond. The […]

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Faucial Diphtheria

Case Report A 12-year-old Muslim male complained of low-grade fever and gradually progressive sore throat, along with dysphagia and gradually increasing swelling in the neck, leading to “bull-neck” formation for the last 10 days. He had an incomplete vaccination status, as he did not receive a DT booster at 5 years. On clinical examination, he had […]

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Brain abscess from untreated tooth caries

A 56-year-old man was taken to a remote hospital by his co-worker because he arrived at work looking unwell and had mental changes. The patient’s medical history was significant for hypertension, cholecystectomy and obstructive sleep apnoea with lisinopril, losartan and furosemide as his daily medications. He had recently experienced a dry cough for more than […]

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Diphyllobothrium latum during Colonoscopy

A 46-year-old woman presented with a history of 3 days of pruritus in the anal area and 1 day of excretion of tapelike materials. During the year before presentation, she had reported intermittent colicky abdominal pain and loose stool, which had been attributed to irritable bowel syndrome. Laboratory evaluation was unremarkable, with no evidence of […]

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Obstructive Ileal Ascariasis

A 10 year old Kenyan girl presented with abdominal pain that had grown progressively worse over a period of 3 days. Nonprojectile, nonbloody vomiting and abdominal distention had also developed. On examination, she was cachectic, with a distended abdomen and a soft, tender mass at the right iliac fossa that was associated with guarding and […]

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Severe Herpes Simplex infection on an HIV Patient

Figure 1 A 30-year-old man with the acquired immunodeficiency syndrome (CD4 cell count, 14 per cubic millimeter) presented with a six-month history of enlarging facial lesions. The lesions had not responded to a six-week course of oral acyclovir (800 mg five times a day). The patient had no history of herpes or any other opportunistic infections. […]

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Taenia solium

A 48-year-old man presented with a 2-month history of abdominal discomfort and lethargy. Physical examination revealed pallor, and results from laboratory studies showed mild anemia (hemoglobin level, 9.2 g per deciliter [normal, 12 to 15 g per deciliter]). Colonoscopy revealed a proglottid from a tapeworm in the rectosigmoid colon, and gastroduodenoscopy identified its location in […]

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After eating raw seafood

A 71-year-old man presented to the emergency department with a 2-day history of fever and excruciating pain in his left hand that had developed 12 hours after eating raw seafood. He had a history of type 2 diabetes mellitus and hypertension and was undergoing hemodialysis for end-stage renal disease. At the time of presentation, hemorrhagic […]

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