A 61-year-old woman presented with malaise, intermittent fever, weight loss, and epigastric pain. Histoplasma capsulatum was eventually isolated from a liver biopsy and from the bone marrow and the patient was successfully treated with amphotericin B.

OBJECTIVE To describe a case of chronic urticaria in a female adolescent associated with Helicobacter pylori infection, confirmed in two different occasions, with improvement of urticaria after the antibacterial treatment. CASE DESCRIPTION A 13-year-old female patient sought medical care with chronic urticaria and epigastric pain unresponsive to medical treatment. Laboratorial tests for furth...

A 48-year-old male patient was presented to the emergency department with complaint of epigastric pain and melena that had started 3 days ago. The pain had started suddenly and progressed and after a while, he had passed melena stool. He also mentioned some episodes of vomiting that was not bloody. The pain score was about 8/10 (based on verbal quantitative scale) and slightly radiated to his b...

Helicobacter pylori is a Gram-negative, microaerophilic bacterium with the ability to survive in extreme acid environments, pH below 4.0. It estimated that more than half of world’s population infected this bacterium. Objective: To determine prevalence, clinical and demographic characteristics infection patients undergoing esophagogastroduodenoscopy two specialized centers Coffee Growing Axis P...

the lack of pathognomonic signs and symptoms makes the diagnosis of pulmonary embolism (pe) difficult. here, we report a case of a 42-year-old man presented to the emergency department with worsening epigastric pain, hypotension, frank bradycardia, and final diagnosis of pe. although previous studies have indicated that abdominal pain was observed in 6.7% of patients with pe, the exact reason f...

We report the case of a 25-year-old male who presented to Emergency Department (ED) with severe epigastric abdominal pain immediately after ingesting freshly squeezed beverage form Flying Dragon Hardy Orange plant (Poncirus trifoliata). Poisoncontrol was contacted and recommended symptomatic treatment only. The patient’s painresolved while in emergency department. Seed rind preparations have be...

background: the majority of dyspeptic patients do not have identifiable disease, which is also known as functional dyspepsia. the therapeutic approach to patients with functional dyspepsia is still a matter of debate; prokinetic agents are commonly used for symptom relief. this study aims to evaluate the efficacy of domperidone and pyridostigmine (an inhibitor of cholinesterase) in patients wit...

Acute gastric volvulus is a life threatening condition requiring early diagnosis and aggressive management. Diagnosis of gastric volvulus remains a challenge for clinicians due to variable, non-specific clinical presentation, which requires a high level of suspicion. It should be considered in patients presenting with chest pain and/or epigastric pain, especially in the elderly population. Endo...

Trichobezoar is a rare pathology in which swallowed hairs accumulate in the stomach. Large amounts can thus accumulate over the years forming a hair ball. The usual presentatation is with early satiety and malnutrition. The diagnosis may be suspected in young females with abdominal pain, epigastric mass and malnutrition, who have a history of trichophagia. A small trichobezoar can be treated us...