N pyogenic spinal osteomyelitis compromise only 2-4% of all cases of osteomyelitis. The incidence is estimated at 1:250,000 per year in the general population. Cervical involvement is observed in less than 10% of the cases of spinal osteomyelitis. Pyogenic spinal osteomyelitis is usually caused by gram positive pyogens like Staphylococci and Streptococci species. They are usually seen in immuno...

A 68-year-old man developed progressive weakness over 4 weeks. He had difficulty rising from a low position, climbing stairs, and raising his arms overhead, particularly toward evenings. no pain, sensory, or bowel bladder symptoms, denied ptosis, diplopia, dysphagia, dyspnea. mild unintentional weight loss but fevers. His medical history revealed eczema active smoking (50 pack-years). There was...

A n 82-year-old white man presented with a chief complaint of productive cough without hemoptysis. He denied chest pain, dyspnea, wheezing, fevers, rigors, night sweats, weight loss, or recent travel. His medical history was notable only for bilateral venous stripping of the lower extremities 40 years ago. He was not taking any prescription medications, over-the-counter medications, herbs, or s...

Accepted 21 January 1998 A 36-year-old man developed moderate-grade fever, headache, and malaise. On the third day, he noticed purpuric skin lesions and sought medical opinion. Investigations revealed a platelet count of 57 x 109/l and haematocrit of 64%. Several people in his locality and the city had similar illness with reported deaths. A diagnosis was made and he was treated with antipyreti...

CASE PRESENTATION A non-smoking 45-year-old white man presented with a globus sensation worsened by lying down, with no complaints of hoarseness or dysphonia. He denied fever, fatigue, cough, chest pain, sweats, weight loss, reflux, arthralgias, myalgias and rash. He also denied exposure to asbestosis, beryllium, silica, HIV or tuberculosis, but he reported a recent cat bite. Physical examinati...

Accepted 27 June 1996 A 41-year-old man was evaluated in February 1994 for weight loss, tremor, tachycardia and goiter. Thyroid function tests and a thyroid scan were consistent with the diagnosis of Graves' disease and he was treated with propylthiouracil (300 mg/day). Two months later, the patient presented to the emergency room with a flaccid paralysis of all extremeties. At night he had exp...

CONTEXT Hemangiopericytoma is a relatively rare tumor, first described in 1942, with approximately 300 cases described in the literature to date. In most cases, it affects the trunk and lower extremities. The head and neck incidence is less than 20%, mostly in adults. We describe a case of malignant head and neck hemangiopericytoma in a child. TYPE OF STUDY Case report. CASE REPORT A twelve...

533 residual bleeding. All events end with his wife grabbing him by the hands, at which time he is calm, confused with poor recollection of his actions, but with feelings of remorse. Although the patient denied hypersomnia, he did report inability to concentrate on days following the events. Four years prior the patient had surgical correction of a left frontal lobe cavernous angioma. Postsurgi...