This is a well written case report of a common presentation in emergency departments (altered mental state associated with alcohol intoxication and a possible head injury). It highlights the importance of a good history and maintaining a high index of suspicion for relatively uncommon diagnoses in patients with this common emergency department presentation. Can the […]
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The importance of challenging your diagnosis even in straightforward cases
A useful approach to all patients with non-healing wounds can be summarised by the following concept: “Wounds do not heal for no reason.” The development of an ulcer is a priori evidence of some pathological process (e.g. unrelieved pressure). For a wound or an ulcer to persist, there must be a disruption in the elegant […]
Microbiology: Cryptococccal meningoencephalitis after H1N1 influenza
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
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
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 […]
Patient communication skills with fMRI.
Scott Routley – a man who has appeared to be in a persistent vegetative state for 10 years – has answered questions using a functional MRI scan. Canadian researchers asked him to think of playing tennis to answer ‘yes’ and to think of walking around his house to answer ‘no’. These thoughts stimulate different parts […]
Microbiology: A 12-day-old male newborn with extensive vesicles and fever
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
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
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
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 […]