Young Man with Swollen Knee

A rare case of isolated tuberculous epididymitis in a young man presenting with a swollen testicle

Introduction While genitourinary tuberculosis (GUTB) accounts for up to 30% of extrapulmonary TB, epididymal involve ment accounts for only about 20% of GUTB1,2. Only a paucity of cases regarding epididymo-orchitis and scrotal involvement without renal or pulmonary involvement has been reported until today3–5. Clinical manifestations of this rare situation are variable and may include fever, in...

A man with swollen calf and discoloration of the foot.

The Mystery of the Swollen Knee

We described a case of a 59-year-old male with fevers, right knee swelling, noninflammatory synovial fluid with negative gram stain and without crystals. Ultrasound examination of the periarticular structures of the knee demonstrated intra-tendinous patellar tendon tophaceous deposits and associated deep-infrapatellar gout bursitis. This case highlights the use of bedside ultrasound in the real...

Cystic Lung Disease in a Young man

A 32-year-old man was admitted in the Emergency Department with acute dyspnea secondary to spontaneous pneumothorax. He had history of spontaneous pneumothorax 2 years ago.He was active cigarette smoker (10 pack/year). The family history was unremarkable for lung diseases. Additionally, he had no systemic complaints.The lung HRCT revealed multiple bizarre-shaped cysts distributed in both lungs ...

Young man with anorexia nervosa

The patient is a 20-year-old Caucasian man, who was affected by a restricting type of anorexia nervosa for two years. He was first referred to a gastroenterology department because of weight loss and augmented liver enzymes. After discharge he was also followed by a psychiatric department without improvement; he was, therefore, referred to our Centre for Eating Disorders. On admission he appear...