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 […]

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 […]

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 […]

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. […]

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 […]

A 26-year-old previously healthy man presented to the emergency department with a 3-day history of fever, dry cough, and nonpruritic rash. A physical examination was notable for crackles on the left side of the chest and a macular, targetoid rash on his hands and feet, including the palms and soles. A radiograph of the chest […]

A 51-year-old right-handed man presented to the clinic with a 3-year history of worsening swelling of the left wrist associated with pain and numbness in the fingers. His medical history included type 2 diabetes and human immunodeficiency virus infection; he was adherent to an antiretroviral therapy regimen and his CD4 cell count was 357 per […]