introduction wound myiasis is one of the common types of myiasis that demonstrates obligatory parasitic behavior. case presentation a 62-year-old homeless man presented with an abnormally growing and ruptured neck mass containing worms. he had wound myiasis caused by the larva of lucilia sericata in his previously punctured neck. discussion lucilia sericata can cause both facultative and obliga...

tracheomegaly or tracheobronchomegaly is a rare syndrome which is characterized by dramatic dilatation of the trachea and the major bronchi. this syndorme is usually associated with chronic respiratory infection and airway obstruction. in this paper, a case with tracheomegaly and bronchiectasis was scrutinized.

a 33-year-old man presented to the emergency department ed) with complaint of 2-day history of abdominal pain. his pain developed with gradual onset prominently in epigastric area after eating dried mushrooms. the pain was diffuse, persistent, radiating to the back and aggravated by meal. he had been tolerating only liquids and had complaints of nausea and vomiting. he had no history of diabete...

operative anaesthetic care, we can obtain a better definition of the tumour mass preoperatively and accept the challenge of demanding surgical procedures. Retroperitoneal lipomata are uncommon and have an indolent presentation. Lipomas occurring in this site are a different proposition than those in other sites and require meticulous pre-operative evaluation and an exacting surgical approach if...

A 53-year-old black man presented with recurrent episodes of hemoptysis, with 1.5 cups of bright red blood expectorated over a 2-day period. He denied having fever, chest pain, vomiting, night sweats, shortness of breath, or dizziness. He had had a dry cough for several months before admission to the hospital. He also had lost 40 lb from dieting in the past several years. He was being treated f...

A 68-year-old man is referred to the colorectal clinic by his GP. He has lost 10 kg in weight over the last two months. He also noticed that his bowel motions have been loose and sometimes contain blood. You review the full blood count and faecal occult blood test the GP requested. What should you do next?

To gain a better understanding of the potential role of altered gene expression in the diminished muscle function in old age, we performed a broad search for transcripts expressed at quantitatively different levels in younger (21-24 yr) and older (66-77 yr) human vastus lateralis muscle by serial analysis of gene expression (SAGE). Because SAGE was based on RNA pooled from muscle of several dif...

Meeting Prof. Oldeman is a memorable experience. I remember well his entries in the lecture hall. A towering figure appears, clad in a green cape, his posture a striking blend of Sandeman and Zorro. So I had met with Prof. Oldeman: a lucid, multilingual, well-spoken gentleman, who travels all continents and boasts a wide range of interests that includes his students. These were the beginnings o...

A 39-year-old man presented to the emergency department with a 2-week history of mild abdominal pain, abdominal distention, and dyspnea. He had a nonproductive cough with sharp chest pain, chills, night sweats, anorexia, and early satiety. A 20-lb weight gain with bilateral lower extremity swelling was also reported. An outpatient course of doxycycline had failed to improve his symptoms. His me...