A young man (in his 30s) from South Asia presented with progressively worsening headache over 4 weeks. This was associated with low-grade fever over a week, followed by diplopia (double vision) over the past 4 days. He had previously been well, with no medical co-morbidities. There was no significant contact history. He had received some […]
There is always time a first time for everything – I made my first ProMED post a couple of days ago. A fellow ID physician in private practice and I recently encountered two persons who were diagnosed with malaria and who had both returned from a camping trip in Brunei. Their infections were not caused by any of […]
A middle-aged man presented with fever and dysuria for 5 days. He worked as a gardener at a large private housing estate, and suffered from both hypertension and type 2 diabetes mellitus. A CT pelvis was performed, with a representative image shown below. Question: What is the diagnosis and what is the bacterial aetiology? The CT […]
The same young man from Myanmar mentioned in Vignette 4 was extensively worked up for his fever. Blood cultures were negative. A CT of his abdomen, however, showed the following lesion in his liver. What is the most likely diagnosis and what test(s) would help to confirm it? [Updated 1 November 2014] The CT image […]
A 36-year-old man from Yangon, Myanmar who had worked at a shipyard in Singapore for 2 years (without ever traveling out of Singapore during this time) presented with fever. A blood film was done for malaria which picked up the several incidental “worms”. Questions: What is the identity of the “worms” and what are the current treatment […]
A young man from Joydepur, Bangladesh who had worked in Singapore for a year presented with fever for 2 weeks associated with weight loss of 5 kg. The main significant finding on clinical examination was an enlarged spleen and liver. A full blood count was done, showing anemia (Hb = 11.3 g/dL) and mild thrombocytopenia […]
A traveler from Tanzania who had spent a week on a safari tour presented with a large boil over his thigh which had not resolved with oral antibiotics. A small white lump popped out of the boil during the surgical incision and drainage of the “abscess”. What is this 3 mm “lump” and what is the […]
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