Rare Events
Langerhans Cell Histiocytosis with Multiple Osteolytic Lesions
● Case Summary
➣ Gender and Age: 3-year-old boy
➣ The main complaint is that the upper and lower jaws have had painful gingival swellings for a month.
➣ Background of Current Illness:
• No history of trauma, systemic illness, or comparable family history;
• Pain: abrupt onset, intermittent, non-radiating;
• Aggravated by mastication, alleviated on its own;
• Previous d
COVID-19 Presenting as Acute Pancreatitis (Necrotizing) Leading to Multi-Organ Failure
● Case Overview:
➣ Patient Profile: 78-year-old female patient taking several cardiovascular drugs, such as statins and antiplatelets, for ischaemic heart disease and hypertension.
➣ Duration/Complaints presented: nausea, vomiting, chills without a temperature, and excruciating epigastric pain that radiates to the back (worst while supine).
● Clinical Examination Results:
➣ At ad
COVID-19 Presenting as Acute Acalculous Cholecystitis
● Case Summary:
➣ Patient Profile: A 65-year-old man who had CABG 15 years ago and had ischaemic heart disease and hypertension.
➣ Duration/Complaints presented: Intermittent chills without temperature, two episodes of non-bilious vomiting, and abrupt onset of severe epigastric pain extending to the right upper quadrant.
● Clinical Examination:
➣ Haemodynamically stable (HR 90 bp
Isolated Tubercular Arthritis of the Hip Joint in an Immunocompetent Woman
● Overview of the Case:
➣ Patient Profile: 60-year-old female teacher without diabetes.
➣ The main complaints were:
• Five weeks of intermittent fever.
• Five weeks of increasing pain in the right thigh and buttocks.
• Weight reduction during the same time frame.
➣ Features of the pain:
• Mild at first, sporadic, non-traumatic, non-inflammatory;
• progressively
Disseminated Cutaneous Tuberculosis mimicking Chronic Granulomatous Inflammatory Disease
● Overview of the Case:
➣ Patient Profile: 47-year-old man with a history of hypertension-related chronic kidney disease (CKD).
➣ The main complaints were:
• Three months of fever.
• Numerous nodular skin lesions on the thighs, back, and belly.
• Inadvertently losing six kilogrammes of weight over three months.
➣ Previous History:
• Self-medicated with oral corticost
Multifocal Skeletal Tuberculosis Mimicking Multiple Myeloma and Bone Metastasis
● Overview of the Case:
The patient is a 35-year-old man who was previously in good health.
➣ The main complaints are:
• A gradual body soreness and non-inflammatory, non-traumatic back discomfort that doesn't go away even while you're at rest;
• A low-grade evening temperature increase that has persisted for nine months.
➣ Pain features include:
• Involved dorsal, lumba
Disseminated Tuberculosis Presenting as Esophageal Tuberculosis
● Overview of the Case:
➣ Patient Profile: 63-year-old woman with stage 5 chronic kidney disease (CKD), type 2 diabetes mellitus, and hypertension.
➣ Haematemesis, or blood vomiting, is the main complaint.
➣ Related symptoms include:
• Dysphagia, which is the inability to swallow, especially solid food.
• For a month, there will be occasional melena (black, tarry stools).
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Disseminated Tuberculosis Guillain-Barré Syndrome (GBS)
●Summary of the Case:
➣Patient Profile: 82-year-old man with a confirmed diagnosis of type 2 diabetes.
➣The main complaint was abrupt, progressive ascending quadriparesis that lasted for five days.
➣ Related symptoms include:
• 14 days of high-grade fever and right loin discomfort;
• No involvement of the face, bulbar region, respiratory system, colon, or bladder.
• N