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Editors choice

Microbiology: Cryptococccal meningoencephalitis after H1N1 influenza

6 Dec, 12 | by Emma

Here the authors report a case of cryptococcal meningoencehalitis associated with the H1N1 pandemic.

Seema Biswas
Editor-in-Chief

Cryptococccal meningoencephalitis after H1N1 influenza

Microbiology: Sepsis, meningitis and cerebral abscesses caused by Citrobacter koseri

28 Nov, 12 | by Emma

Neonates have the highest incidence of bacterial meningitis. Here the authors report the case of a neonate with Citrobacter koseri – a rare cause of meningitis and cerebral abscess.

Seema Biswas
Editor-in-Chief

Sepsis, meningitis and cerebral abscesses caused by Citrobacter koseri

Microbiology: Clinical aspects of congenital syphilis with Hutchinson’s triad

21 Nov, 12 | by Emma

This case from Brazil describes interstitial keratitis, deafness and dental defects characterising Hutchinson’s triad resulting from congenital syphilis in a seven year old girl.

Seema Biswas
Editor-in-Chief

Clinical aspects of congenital syphilis with Hutchinson’s triad

Microbiology: A 12-day-old male newborn with extensive vesicles and fever

14 Nov, 12 | by Emma

Here a 12 day neonate presents with a fever and generalised vesicular rash. Fortunately, he recovers with intravenous acyclovir…

Seema Biswas
Editor-in-Chief

A 12-day-old male newborn with extensive vesicles and fever

Microbiology: Nosocomial meningitis caused by gas producing Klebsiella pneumoniae

7 Nov, 12 | by Emma

Here the authors describe a case of gas forming Klebsiella pneumonia causing fatal meningitis in a 40 year old woman.

Seema Biswas
Editor-in-Chief

Nosocomial meningitis caused by gas producing Klebsiella pneumoniae

Microbiology: Diphtheroids as a cause of endocarditis in a haemodialysis patient

31 Oct, 12 | by Emma

Dipheroids are usually regarded as skin or mucous membrane commensals. In this case from Jamaica the authors describe the role of the bacteria in fatal infective endocarditis.

Diphtheroids as a cause of endocarditis in a haemodialysis patient

Seema Biswas
Editor-in-Chief

TB: Systemic sarcoidosis with caseating granuloma

18 Oct, 12 | by Emma

In this case from Iran the authors tease out a diagnosis of TB from systemic sarcoidosis in a 58 year old woman.

Seema Biswas
Editor-in-Chief

Systemic sarcoidosis with caseating granuloma

TB: Crohn’s disease or TB – the perennial question and diagnostic pitfalls

11 Oct, 12 | by Emma

Here the authors describe a case of a non-healing perianal abscess in a patient from Saudi Arabia which finally responds to TB treatment…

Seema Biswas
Editor-in-Chief

Crohn’s disease or TB – the perennial question and diagnostic pitfalls

TB: Coincident intra-abdominal presentation of lymphoma and tuberculosis after long-term iatrogenic immunosuppression

3 Oct, 12 | by Emma

A patient on long term therapy for Crohn’s disease presents acutely with bowel obstruction. Laparotomy and bowel resection is performed. Histopathological examination reveals a sinister cause…

Seema Biswas
Editor-in-Chief

Coincident intra-abdominal presentation of lymphoma and tuberculosis after long-term iatrogenic immunosuppression

TB: Pseudodementia due to intracranial tuberculomas

20 Sep, 12 | by Emma

This report summarises a case history of a 25-year-old woman with a well known complication of tuberculosis, intracranial tuberculoma, manifest clinically with a depressed conscious level and cognitive slowness (“pseudodementia”) a few months after the initiation of anti-TB therapy. CT scan showed several tuberculoma with surrounding oedema. After re-institution of prednisolone the symptoms subside. The learning points, as stated by the authors, are that tuberculoma need not present with focal neurological sequelae and that reversible causes for declining cognitive function should be carefully sought and corrected.

Reviewer
Kirsten Moller

Pseudodementia due to intracranial tuberculomas: an unusual presentation

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