Fever, Dyspnea, and Pleuritic Chest Pain in a Man Started on Hemodyalisis
February 15, 2012
A 46-year-old man with history of diabetes, hypertension, and renal failure presented with high fever, dyspnea on exertion, and pleuritic chest pain. Two weeks earlier, a dialysis catheter had been placed to initiate emergency hemodialysis. Is there a connection to be made here?
Pruritic Scrotal Lesions
December 19, 2011
A 30-year-old man presented with multiple, mildly pruritic, nonpainful scrotal lesions of 3 months’ duration. He reported a history of similar lesions on 2 occasions, which were removed surgically in another country.
A Middle-Aged Man with Recurrent Pneumonia and Renal Failure
September 13, 2011
A 56-year old was seen in the ED after 4 days of hemoptysis and intermittent left chest pain. He also complained of exertional dyspnea and arthralgias. He had been treated for “pneumonia” twice during the past month. Histories were unremarkable.
Woman With Fever of Unknown Origin
August 17, 2011
A 47-year-old woman presented with fever of unknown origin. Symptoms included persistent daily fevers (temperature up to 38.8°C [102°F]), weight loss, and severe right flank pain of 3 months’ duration. Review of systems found nausea, rigors, pruritus, and urticaria. She had recently traveled internationally.
Young Woman With Subtle Discoloration of Her Lips
August 9, 2011
A 27-year old woman presented with a subtle discoloration of the lips. The lesions began 1 month earlier following sun exposure. She has no history of similar lesions but described recurrent intraoral lesions and intermittent "enlargement" of the right side of her neck.