case presentation this article presents a 56-year-old woman from guilan province, the north of iran and the southern coast of the caspian sea, who admitted to the hospital with acute fever, severe headache, thrombocytopenia, anemia, epigastric pain, myalgia, nausea and vomiting. conclusions we recognized that the case was co-infected by cchf and leptospirosis. introduction infectious diseases a...

background and objectives: a single reactive igg anti-dengue virus elisa test in the absence of igm antibodies or ns1 antigen may denote current infection or past exposure to the virus. to determine whether igg index value can be used to identify true current dengue infection we conducted a prospective observational study. materials and methods: suspected dengue patients (n =1745) were tested i...

occupational inhalation exposure to noxious agents is not uncommon. herein, we present a 26-year-old male student who had accidental acute inhalation exposure to a large quantity of titanium ethanolate and hydrogen chloride in chemistry lab. he was referred to the emergency department of our hospital with low-grade fever, dyspnea, headache, fatigue and myalgia. after 24 hrs of symptomatic treat...

ebola hemorrhagic fever (ehf) was first reported in 1976 with two concurrent outbreaks of acute viral hemorrhagic fever centered in yambuku (near the ebola river), democratic republic of congo, and also in nzara, sudan. the current outbreak of the ebola virus was started by reporting the first case in march 2014 in the forest regions of southeastern guinea. due to raising infection rates of ove...

kawasaki disease (kd) is an inflammatory multiorgan disease of unknown etiology. the most dramatic organ involved is the heart. there were a few studies about cardiac involvement and sterile pyuria. this study guides to determine if sterile pyuria is associated with coronary artery aneurysm (caa) in kd patients and to consider it as a predicting factor for coronary artery involvement. forty sev...

conclusions acute suppurative parotitis should be suspected in infants with fever, and irritability in pre-auricular region; and should be treated with appropriate antibiotics. case presentation a 32-day-old girl with fever and restlessness was admitted in the hospital. left facial swelling was found during physical examination. redness was observed in the face. prenatal history was normal. bir...

Background: Fever of unknown origin (FUO) is a perplexing medical problem. The causes for FUO are more than 200 diseases. The aim of the study was to present human clinical cases of Coxiella burnetii infection debuting as FUO. Methods: The following methods were conducted in the study: literature search, laboratory, imaging, and statistical methods. Criteria of Durack and Street were applied f...

Background and Objective: The diagnosis of typhoid fever in children is a challenge due to the non-specific clinical picture. The current role of the Widal test for diagnosis in developing countries has not been clear. Materials and Methods: Charts were reviewed on all children ≤ 15 years of age discharg...