History: A seven-month-old, developmentally normal girl – born at term with birth weight of 2.5 kg to a nonconsanguineously married couple – presented with fever and rash for 11⁄2 months. The illness started with generalized erythematous, maculopapular rash involving the flexural areas, scalp and trunk, along with intermittent fever. The rash subsided over 15 days leaving behind a dry, scaly sk...

Prolonged fever in patients can be a diagnostic challenge. Clinicians generally consider infectious diseases, malignant diseases and collagen vascular diseases as possible causes of pyrexia of unknown origin (PUO). Even after extensive evaluation as many as 15 percent of patients with prolonged fever may remain undiagnosed. This case report describes subacute thyroiditis as a cause of prolonged...

primary hepatic lymphoma is a rare malignancy usually presenting with symptoms of fever, hepatomegaly, jaundice and weight loss. this picture mimics infectious and inflammatory disorders and thus delays the diagnosis. here, we present a 47-year old man with prolonged fever who underwent several investigations and, in the meantime, developed fulminant hepatic failure before the diagnosis could b...

Introduction: Kawasaki disease (KD) is an acute febrile vasculitis mainly affecting children, with two types of presentation, namely, typical and atypical. It is the most critical cause of coronary artery complications and if not treated on time and appropriately, complications may occur in up to 25% of the patients will get. Patients: This study reports five rare cases of incomplete KD Who has...

conclusions kd should be kept in mind as one of the causes of childhood acalculous cholestasis, abdominal discomfort and prolonged fever. case presentation we report a four-year-old boy with fever, abdominal pain, vomiting, jaundice and mild liver enlargement who gradually developed other signs of kd. he was treated by aspirin, intravenous immunoglobulin and finally methylprednisolone pulse the...

The Serpent Mound structure is a deeply eroded ancient impact in south central Ohio, about 8.0 km across. The age of the structure is poorly constrained by the geology. It post-dates the Lower Mississippian (ca.330 Ma) Cuyahoga Formation and predates Illinoisian glacial deposits. We analyzed the directions of magnetization of 60 rock samples taken from borehole cores drilled within and in the v...