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 HISTORY A 29-yr-old male was seen in clinic for apparent mediastinal lymphadenopathy. While in the USA, 1 month previously, he became unwell, with night sweats, malaise, cough and pleuritic chest pain. He attended hospital, where the unusual appearance of his chest radiograph was noted. Subsequently, computed tomography (CT) of the thorax was undertaken and he was advised that he would nee...

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...

Here, we report a case of a 51-year-old man with acute pericardial tamponade requiring emergency pericardiocentesis after he suffered from sore throat, headache, malaise, and sweats for two weeks. Serological analyses revealed increased mumps IgM and IgG indicating an acute mumps infection whereas other bacterial and viral infections were excluded. In addition, MRI revealed atypical swelling of...

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...

Bacterial endarteritis is rare and usually affects the abdominal aorta. A case of bacterial left subclavian arteritis complicated by mycotic aneurysm is presented. An early diagnosis of infective arteritis was made based on a history of fever, sweats, rigors, and a progressive macular rash, polyarthralgia splinter haemorrhage (limited to the left arm), and a loud left subclavian bruit on admiss...

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...

Hepatic tuberculosis usually accompanies pulmonary and extrapulmonary tuberculosis. Although isolated hepatic tuberculosis is a very rare condition, it should be considered in the differential diagnosis of a hepatic mass. Here, we report a 42-year-old woman presenting with weight loss, fever, night sweats, and a hepatic mass on the abdominal ultrasonography and magnetic resonance imaging (MRI)....

pathology of this insidious disease.?About two months ago, the patient, a boy of four years old, stout, healthy, and active, appeared dull and languid, as if fatigued by some unusual exertion ; at intervals, he became lively, and fond of his former amusements. Countenance occasionally pale, and of'a sallow hue; features contracted; eyes lieavy, with a dark line under each eye-lid. Pulse natural...