Kawasaki disease is the leading cause of acquired heart disease in children in the developed world, with coronary artery aneurysms occurring in up to 25% of untreated cases. The mean annual incidence of Kawasaki disease across Canada is about 13 per 100,000 children less than 5 years of age, based on hospital discharge data from 1990 to 1995. The cause remains unknown, and the diagnosis is base...

Introduction. Dengue fever is an arboviral disease, which is transmitted by mosquito vector and presents as varied clinical spectrum of dengue fever (DF), dengue hemorrhagic fever (DHF), dengue shock syndrome (DSS), and expanded dengue syndrome (EDS) with atypical presentations, thus posing a diagnostic dilemma. Unless we are aware of these presentations, diagnosis as well as early initiation o...

OBJECTIVE To determine the effect of clinical presentations of neck pain on short-term physical therapy outcomes. DESIGN Retrospective analysis of pair-matched groups from a clinical cohort. SETTING Thirteen outpatient physical therapy clinics in 1 health care system. PARTICIPANTS Patients (N=1069) grouped by common clinical presentations of neck pain: nonspecific neck pain (NSNP) with du...

Dermatofibrosarcoma protuberans (DFSP) is a very rare cutaneous neoplasm which usually affects the torso. The clinical presentation is nonspecific and can mimic many benign as well as malignant skin lesions. We present a case with clinical diagnostic dilemma which was located over an unusual site to be suspected as DFSP with deceiving feature of cookie cutter sign. Moreover, the skin colored le...

Dyspnea in patients with known chronic obstructive pulmonary disease (COPD) can be a clinical challenge due to the nonspecific nature of atypical presentations. Typical features of fever, productive cough, and wheezing on presentation support COPD exacerbation, while absence of such findings may warrant further evaluation for underlying etiologies, including pulmonary embolism (PE). It is suspe...

The dentate nucleus is a cerebellar structure involved in voluntary motor function and cognition. There are relatively few entities that affect the dentate, and the clinical features of these conditions are often complex and nonspecific. Because these entities are rarely encountered, the formulation of a differential diagnosis can be difficult. Many of the conditions are reversible or treatable...

conclusions clinicians should be aware that tbm might have unusual presentations. early diagnosis and treatment are essential to decrease mortality and morbidity such as irreversible neurological deficits. case presentation a 66-year-old diabetic man was admitted to our hospital. he complained of prolonged left otalgia and headache. antibiotic therapy was started for mastoiditis and otitis medi...

conclusions this infection was observed with a diversity of clinical manifestations. therefore, diagnostic difficulty because of the various clinical presentations and the way to find undiagnosed complications should be investigated in the differential diagnosis of other diseases. results most of the patients (73.8%) were in the acute stages of brucellosis, 22.6% had sub-acute brucellosis and 3...

Cerebral abscess caused by Candida spp. is a rare disease, with a nonspecific presentation, little data on treatment, and generally poor outcomes. We present a case of this type of Candida infection in a 57-year-old man with a history of uncontrolled diabetes mellitus and intravenous drug abuse, and review the literature on this disease. Our patient had a good treatment outcome with liposomal a...

Pediatric brain tumors occur mainly in the posterior fossa. Clinicians encounter numerous difficulties and challenges in establishing the diagnosis. Symptomatology varies according to the location of tumor, its rate of progression, and the age of the child. Most of them are usually nonspecific and misinterpreted as common benign childhood disorders. Consequently, a significant delay arises betw...