CDC Releases New Guidelines for Doxycycline Use to Prevent STIs

The Centers for Disease Control and Prevention (CDC) has issued new guidelines on using doxycycline as postexposure prophylaxis (doxy PEP) to prevent bacterial sexually transmitted infections (STIs). These recommendations, released in 2024, specifically target gay, bisexual, and other men who have sex with men (MSM) as well as transgender women (TGW) who are at heightened […]

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A Case of Ceftriaxone-Induced Acute Generalized Exanthematous Pustulosis/Generalized Pustular Psoriasis Overlap

Jianfeng Zheng, Yunlu Gao, Xuemei Yi, and Yangfeng Ding* Case Report A 40-year-old man presented with pustular lesions all over the body for approximately 4 days’ duration. The onset of pustular lesions was accompanied by fever of a moderate degree and malaise. The patient admitted to unprotected extramarital contacts about a month and a half before the appearance […]

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Ocular Thelaziasis

A 34-year-old man presented to the ophthalmology clinic and reported having the sensation of a foreign body and itching in his right eye. He had no known medical history, and he lived on a farm with his dog. Examination with slit-lamp microscopy showed two live worms beneath the upper eyelid. A topical anesthetic was administered, […]

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Orbital myiasis

Yan-Ling Huang, MD,a Lu Liu, MD,c Hao Liang, MD,a Jian He, MD,a Jun Chen, MD,a Qiao-Wen Liang, MD,a Zhi-Yuan Jiang, MD,b Jian-Feng He, MD,a,∗ Min-Li Huang, MD,a,∗ and Yi Du, MDa,∗Article notes  Copyright and License information  Disclaimer 1. Introduction Maggots are larvae of Diptera flies, most of which are mainly found in human and animal feces, garbage, decaying plants and animal carcasses and feed on feces […]

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Tungiasis: Case Report of a Traveller to Kenya

Massimiliano Scalvenzi,a,* Maria Grazia Francia,a Claudia Costa,a Renato De Blasio,a Mariella Siano,b and Luigi Auricchioa Massimiliano Scalvenzi aDepartment of Dermatology, Federico II University, Naples, Italy Find articles by Massimiliano Scalvenzi Maria Grazia Francia aDepartment of Dermatology, Federico II University, Naples, Italy Find articles by Maria Grazia Francia Claudia Costa aDepartment of Dermatology, Federico II University, […]

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Giant solitary hydatid cyst of spleen—A case report

M.M. Pukar⁎ and Shabari M. Pukar 1. Introduction Hydatid disease (Echinococcosis) is a zoonotic infection caused by the larval form of parasites of tapeworm, Echinococcus granulosus. Humans are the accidental intermediate host in the development cycle of hydatid disease. It is an endemic disease in the sheep and cattle raising countries Middle East, North Africa, New Zealand, Australia, […]

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Tuberculous Cutaneous Ulcers Associated with Miliary Tuberculosis in an Elderly Woman

Laurence Toutous-Trellu,c,* Isabelle Charlet,a Bernard Hirschel,b C. Prins,c I. Masouyé,c Ulrich M. Vischer,a and Jean-Paul Janssensd Laurence Toutous-Trellu cDepartment of Dermatology and Venerology, University Hospitals of Geneva, Geneva, Switzerland Find articles by Laurence Toutous-Trellu Isabelle Charlet aDepartment of Geriatric, University Hospitals of Geneva, Geneva, Switzerland Find articles by Isabelle Charlet Bernard Hirschel bDepartment of Infectious […]

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Orf infection

A 45-year-old man presented to the emergency department with an enlarging lesion on the left thumb. The lesion had first manifested as a targetoid papule 2 weeks earlier (Panel A) and had progressively enlarged (Panel B) without associated pain or sensory deficits. He reported that 3 weeks earlier he had had direct contact with sheep […]

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Neutrophilic Dermatosis

A 7-year-old girl presented to the emergency department with a 2-week history of fever and with several days of painful blisters on her arms, legs, and face. Two weeks earlier, she had completed a course of penicillin for tonsillitis. On examination, there were multiple bullae with erythematous bases on the legs (Panel A) and well-demarcated, […]

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“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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