Duncan suffered from urgent dyspnoea and severe pain in the right shoulder, but there was nothing else to indicate a wound of the lung or liver. In a few days he was attacked with pleurisy of the right side with considerable effusion. He .recovered from this, but lost flesh afterwards, and had night sweats and a persistent high temperature. In the meantime the posterior wound healed. The anteri...

Women generally spend the last third of their lifetime in menopause, after their reproductive years have ended. During menopause, women experience a variety of predictable symptoms and conditions related to changes in sex hormone levels and aging. The menopausal transition precedes menopause by several years and is usually characterized by irregularity of the menstrual cycle and by hot flashes ...

BACKGROUND Brucellosis pericarditis is an extremely rare involvement of the cardiovascular system with Brucella species that has worldwide distribution and is endemic in many provinces of Iran. CASE PRESENTATION The present report describes an exceptional case of pericardial involvement by Brucella melitensis in a 50- year-old woman. The patient presented with night sweats, mild fever, weight...

A 43-year-old man presented for neurologic evaluation with acute bilateral hearing loss. Two weeks before presentation, he had bilateral eye pain diagnosed as scleritis. He also noted a subacute history of fevers, night sweats, and diarrhea. Neurologic examination revealed bilateral sensorineural hearing loss, confirmed with audiometry. MRI demonstrated enhancement of the cochlea bilaterally (f...

CASE REPORT A 54 year-old woman with diabetes mellitus type two and end-stage renal disease on hemodialysis presented to the emergency department with a four day history of generalized malaise, fever, and chills. Her symptoms were also associated with occasional dyspnea without a cough. She reported intermittent chronic diarrhea with hemodialysis which was currently unchanged. On the day of adm...

Chronic Myelomonocytic Leukemia (CMML) is a hematologic malignancy considered a subtype of Myelodysplastic Syndrome (MDS)/Myeloproliferative Disease (MPD). According the World Health Organization (WHO) two subtypes of CMML, CMML-1 and CMML-2 are defined depending on the percentage of blasts in Bone Marrow (BM) and Peripheral Blood (PB). The clinical presentation is variable, but the majority of...

Case presentation: We present a case of isolated sternal tuberculosis and review the demographic, clinical, diagnostic and therapeutic features of 32 published cases found in a systematic review of the literature. Patients with primary sternal osteomyelitis due to M. tuberculosis are often young and have no co-morbidity. Diagnosis is frequently delayed. Common symptoms and signs are local swell...

Results: Mean age of young adult and elderly patients was 46±3.5 years and 64.7±2.4years respectively. Weight loss (65.8%), Anorexia (73.7%), Chest pain (36.8%) and Dyspnoea (52.6%) were seen mostly in the elderly age group however symptoms like cough (88.5%), fever (90%), night sweats (59.2%) and haemoptysis (34.6%) were common in the adult age groups. Bilateral involvement (60.5% vs. 37.7%), ...

Dissecting cellulitis is an inflammatory disease of the skin. We report a case of recurrent dissecting cellulitis in a patient with Crohn's disease. A 31-year-old man with a history of purulent scalp lesions presented with night sweats, weight loss, abdominal pain, and hematochezia. Colonoscopy revealed a diffuse friable mucosa with extensive pseudopolyps. Scalp biopsy demonstrated epidermoid i...

A 61-year-old male carpenter presented with ten months’ history of dyspepsia. More recently he had developed epigastric pain and had lost four kilograms in weight because of anorexia. He was otherwise asymptomatic and in particular there was no history of nausea, vomiting, abdominal distension, melaena, haematemesis, diarrhoea, constipation, night sweats, or fevers. There was no past medical hi...