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 […]
Latest articles
Crimean-Congo Viral Haemorrhagic Fever (CCVHF)
A case of Crimean-Congo Viral Haemorrhagic Fever (CCVHF) has been diagnosed for the first time in the UK. The 38-year-old man had visited Afghanistan and fell ill a few days after he returned to Glasgow on a flight from Dubai. He has now been admitted to a specialist unit in the Royal Free Hospital in […]
TB: Coincident intra-abdominal presentation of lymphoma and tuberculosis after long-term iatrogenic immunosuppression
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 […]
A new coronavirus identified in the Middle East
There are early reports of a new coronavirus not previously seen in humans. One case of severe respiratory infection is in a 49-year-old man being treated in Intensive Care in London. He was from Qatar and was flown to the UK after being admitted to hospital in Doha. A similar case of a 60-year-old man […]
TB: Pseudodementia due to intracranial tuberculomas
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 […]
TB: Paraspinal sinuses? Do remember renal tuberculosis.
Declared a global health emergency by the World Health Organisation in 1993, over one third of population of the world is infected with TB and 7% of all deaths in the developing world are attributed to TB. We present a series of cases that illustrate the varied presentations of TB. ————————————————————————————————- A small proportion of […]
Clinical Anatomy: Incidental detection of late presenting co-arctation of the aorta on chest x-ray
How better to revisit the applied anatomy of the thorax than in this case of a 31 year old man with shortness of breath on minimal exertion. Seema Biswas Editor-in-Chief Incidental detection of late presenting co-arctation of the aorta on chest x-ray: the importance of rib notching […]
Goodbye world tweet from ‘locked-in’ patient
Tony Nicklinson who campaigned for the right to die and recently lost his High Court battle for euthanasia has died. He had asked his family to tweet “Goodbye world the time has come, I had some fun“. He had suffered a stroke in 2005 which left him with quadriplegia and loss of speech. Following the […]
Clinical Anatomy: Recurrent intramedullary epidermoid cyst of conus medullaris
Learning neuroanatomy may present a challenge at medical school. In clinical context, however, and with the aid of some remarkable images, perhaps this report of a case a spinal lesion resulting in bladder dysfunction may help. Seema Biswas Editor-in-Chief Recurrent intramedullary epidermoid cyst of conus medullaris […]
Clinical Anatomy: Isolated posterior cruciate ligament calcification
Here the authors present the case of a 61 year old man with knee pain at night. The cause becomes clear as investigations are performed. These investigations produce some excellent images to learn or revise the anatomy of the knee and understand the basis of anatomical pathology. Seema Biswas Editor-in-Chief Isolated posterior cruciate ligament calcification […]