We report two rare examples of Epstein-Barr virus (EBV)-associated inflammatory pseudotumor of the spleen. One patient presented with night sweats, abdominal pain, and weight loss and was found to have a splenic mass on CT scan suspected of lymphoma. The splenic mass in second patient was found incidentally at the time of work up for kidney stones. The pathologic examination of these splenectom...

Tuberculosis (TB) is an ancient disease that has affected mankind for more than 4,000 years (1). It is a chronic disease caused by the bacillus Mycobacterium tuberculosis and spreads from person to person through air. TB usually affects the lungs but it can also affect other parts of the body, such as brain, intestines, kidneys, or the spine. Symptoms of TB depend on where in the body the TB ba...

Brucellosis is a zoonotic disease caused by Brucella sp. and may affect many parts of the body. Brucella epididymo-orchitis had been reported in up to 20% of patients with brucellosis. This is a case report of Brucella epididymo-orchitis in a Saudi male patient. He presented with a unilateral swelling of the left testicle. He had fever, arthralgia and night sweats. Ultrasound examination reveal...

An intrathoracic stomach is the end stage of a hiatal hernial diaphragm and has a very low incidence. Frequently the diagnosis is made incidentally by endoscopic or radiographic investigations. There could be no clinical symptoms, however an intrathoracic stomach could be life treating. In this case we report a 61-year-old woman with an atypical presentation of an intrathoracic stomach. The pat...

Introduction Diagnosing elemental mercury poisoning requires a high index of clinical suspicion with attention to thorough environmental, social, and family history. Due to its many nonspecific and slowly developing symptoms, the differential diagnosis is extensive and challenging. Diagnosis often requires costly laboratory and radiologic investigation to exclude other disease processes. Case R...

Menopause is a universal experience for women that occur, in around 50 years old. In this periods women encounter with many changes in their life. Retirement and children leaving home can cause the loneliness and depression, however this time is an opportunity for women to changing their life. The women perception of menopause depends on their social, cultural, economical status and life style ...

Does untreated cancer equal death? Does having a registered nurse versus a licensed practical nurse versus a medical assistant affect diabetes quality outcomes? Do physicians caring for stressed patients experience vicarious traumatic stress? Oregon presents an operationalized definition of a patient-centered medical home for their state. Lots of important clinical topics in family medicine--ad...

A 15-year-old white girl presented with headaches and night sweats of 2 weeks’ duration. Her platelet count was 50 10/ L (50 10/L) [reference interval, 140–440 10/ L (140–440 10/L)]. Upon referral to hematology/oncology, the patient had a leukocyte count of 21 10/ L (21 10/L) [reference interval, 3.8–9.8 10/ L (3.8–9.8 10/L)] with 46% lymphoblasts. The patient was diagnosed with pre-B acute lym...

A 66-year-old gentleman was admitted to hospital with a history of general malaise for 5 months. His symptoms worsened 2 weeks prior to presentation. He experienced swinging pyrexia, night sweats and shortness of breath on exertion. Initial evaluation did not reveal any source of infection. Subsequent investigation revealed infection with vegetation affecting the intra-cardiac leads of cardiac ...

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...