Here an 87 year old lady with an abdominal mass present for 20 years presents with sepsis and vaginal discharge in Spain. With the help of some eye-catching images the authors discuss the aetiology and natural history of pyometrium. Seema Biswas Editor-in-Chief An elderly woman with Prevotella bacteraemia secondary to pyometrium […]
Category: Editors choice
Comments from Dr Dean Jenkins on the Editor’s choice case report of the week.
Global Health: PCR negative cerebral malaria in a traveller returning from Mumbai
A 21 year old man returns from India agitated, confused and nearly unconscious. He is intubated and empirically treated for bacterial meningitis and viral encephalitis. Three days later, with no improvement, intravenous quinine is started and the patient begins to recover… The medical challenges of global travel… Seema Biswas Editor-in-Chief PCR negative cerebral malaria in […]
Global Health: Spinal tuberculoma in pregnancy – a rare cause of back pain
The great mimick again…Here the authors present a stunning image of TB …this time as a cause of back pain in pregnancy. Seema Biswas Editor-in-Chief Spinal tuberculoma in pregnancy: a rare cause of back pain […]
Global Health: Mycobacterium TB – sometimes, a hidden culprit
We learn as medical students to include TB in the differential diagnosis of virtually all conditions. In the current state of global health where reducing the global incidence of TB by 50% by 2015 is a millennium development goal, this report in our images in section illustrates, in spectacular fashion, this great mimicker of disease. […]
Global Health: Tuberculous pericarditis associated with hoarseness of voice due to left recurrent laryngeal nerve paralysis
A 16 year old Egyptian girl presents with shortness of breath and fatigue and is found to be anaemic. She has lost 23kg over a year. A story of multi-system disease unfolds… Seema Biswas Editor-in-Chief Tuberculous pericarditis associated with hoarseness of voice due to left recurrent laryngeal nerve paralysis […]
Global Health: A 10-month-old with rotavirus gastroenteritis, seizures, anasarca and systemic inflammatory response syndrome and complete recovery
After pneumonia, diarrhoea is the most common cause of mortality in children under five years of age worldwide. Here the authors present a case of rotavirus gastroenteritis resulting in systemic complications. Happily, this infant makes a full recovery. Seema Biswas Editor-in-Chief Global Health: A 10-month-old with rotavirus gastroenteritis, seizures, anasarca and systemic inflammatory response syndrome […]
Global Health: Primary brain hydatosis
The differential diagnoses for headache is endless… Here is a case from Iran of an 18 year old woman with tapeworm infestation. The pictures are remarkable. Seema Biswas Editor-in-Chief Primary brain hydatosis […]
Global Health: Falciparum malaria masquerading as appendicitis
Malaria is responsible for over a million deaths worldwide every year. Here a 9 year old boy presents in India with acute abdominal pain and fever…the list of differential diagnoses for an acute abdomen has to include malaria… Seema Biswas Editor-in-Chief Falciparum malaria masquerading as appendicitis […]
Global Health: A minor wound with a fatal course
Here the authors present a case of tetanus infection in Germany with fatal consequences. The authors discuss the mechanism of autonomic dysfunction that ensues from infection of a minor wound and reiterate the need for prophylaxis worldwide. Seema Biswas Editor-in-Chief A minor wound with a fatal course […]
Pathology: Idiopathic granulomatous mastitis – a case report of breast abscess
Here a biopsy of a non-resolving infective breast lesion reveals an entirely different pathology requiring a completely different treatment strategy. The importance of biopsy of non-resolving lesions is reiterated and the pathology and management discussed in detail. Seema Biswas Editor-in-Chief Idiopathic granulomatous mastitis: a case report of breast abscess […]