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An Unusual Cause of Buttock Pain in a Collegiate Football Player: A Septic Sacroiliac Joint.

Early recognition of sacroiliac (SI) joint infection can be challenging in young, otherwise healthy individuals presenting with nonspecific buttock or thigh pain. We present the case of a 21-year-old collegiate football player who developed progressive buttock and thigh pain after a minor fall during practice. Initial evaluation suggested sciatic nerve compression, and early MRI revealed only subtle soft tissue edema. Despite conservative treatment and a nerve block, his pain acutely worsened, and he developed fever and chills. Repeat MRI five days later demonstrated a fluid collection consist…

Severe Babesiosis With Lyme Disease and Anaplasma Phagocytophilum Coinfection in a Dialysis-Dependent Patient Without Rash or Organomegaly.

Babesiosis is a tick-borne intraerythrocytic protozoal infection endemic to the northeastern United States. Coinfection with other Ixodes-transmitted pathogens may occur due to shared vector exposure, although confirmed triple infection remains uncommon. Severe babesiosis, defined by parasitemia ≥10% or evidence of organ dysfunction, may present atypically in immunocompromised individuals. A 73-year-old man with end-stage renal disease on hemodialysis presented with two weeks of cyclic fevers, chills, and weakness after hiking in upstate New York. Physical examination revealed asterixis withou…

Suspected myocarditis resulting from leptospirosis: A case report from Iran.

Leptospirosis is a potentially fatal disease that can lead to dysfunction across multiple organ systems. Although cardiovascular complications are relatively rare, they are frequently underestimated and may result in severe outcomes if not addressed promptly. A 46-year-old farmer presented with complaints of palpitations and chest pain. He reported a history of fever, chills, rigors, diaphoresis, myalgia, nausea, low back pain, and headaches that began 7 days prior. An electrocardiogram showed diffuse T-wave inversions and sinus tachycardia; a troponin test was positive, indicating myocardial …

Evidence-based precision in TCM: A systematic review and Meta-Analysis of data mining for syndrome-specific acupoint combinations in acute asthma exacerbations.

BACKGROUND: The quest for personalized management of acute asthma exacerbations continues. Traditional Chinese Medicine (TCM) offers a rich … redominant and clinically distinct syndrome patterns. For the pattern characterized by dyspnea with chills and clear sputum (analogous to "exterior-cold), the combination of Feishu (BL13), Dingchuan (EX-B1), and Shenshu (BL23) was most strongly associated. For the pattern with dyspnea, yellow sputum, and fever (analogous to "phlegm-heat), the combination …

Can a stingray tear a tendon? A case report of delayed Achilles rupture following envenomation.

Stingray injuries, though common in coastal regions, rarely result in severe musculoskeletal complications such as tendon rupture. This case report presents the first documented instance of a 61-year-old male who sustained a stingray injury to the Achilles tendon, initially masked by a concurrent infection, leading to a delayed diagnosis and surgical repair. The patient presented to urgent care 5 days postinjury with pain, erythema, and chills, and was treated for a soft-tissue infection. Persistent symptoms prompted a referral to the emergency department (ED), where magnetic resonance imaging…

Ogilvie Syndrome in the Setting of Myxedema Ileus: A Case Report.

INTRODUCTION: Ogilvie syndrome is described as the dilation of the colon without a clear mechanical obstruction. One predisposing factor to … othyroidism presented to the emergency department with three days of fatigue, generalized weakness, chills, diarrhea, and shortness of breath without chest pain or cough. Lab work showed high levels of ultra thyroid-stimulating hormone and decreased thyroid hormone levels. A computed tomography angiography of the chest, abdomen and pelvis showed multiple …

Secondary Hemophagocytic Lymphohistiocytosis in a Patient With Crohn's Disease Receiving Infliximab: A Diagnostic Challenge.

Hemophagocytic lymphohistiocytosis (HLH) is a rare, life-threatening hyperinflammatory syndrome caused by uncontrolled immune activation. While pediatric HLH is well-recognized, adult cases often mimic sepsis or autoimmune flares, delaying diagnosis. Inflammatory bowel disease (IBD) and its immunosuppressive treatments, including infliximab, have been increasingly linked to HLH. We report a 65-year-old man with Crohn's disease on infliximab who presented with persistent fever, chills, night sweats, headaches, and bradycardia. Laboratory testing revealed pancytopenia, hyperferritinemia (32,531 …

Timely Surgical Management of a Large Cervical Fibroid Presenting With Urinary Retention.

Cervical fibroids are rare and account for a small percentage of uterine leiomyomas. A 34-year-old woman visited the department of obstetrics and gynaecology with chief complaints of fever with chills and burning micturition for three days. She also complained of urinary retention for one month, along with post-coital and intermenstrual bleeding. On per vaginal examination, a large pelvic mass filling the vagina, approximately equivalent to a 15-16 weeks gravid uterus, was observed, and a provisional diagnosis of abnormal uterine bleeding (AUB-L) due to a cervical fibroid was made. The diagnos…

Locally Acquired Plasmodium falciparum Malaria in a Non-endemic Region of Lebanon: A Case Report.

Malaria is a parasitic disease caused by several Plasmodium species, transmitted through the bite of infected Anopheles mosquitoes, and capable of causing mild to life-threatening illness. In non-endemic areas, sporadic cases present a significant diagnostic challenge, where delay in recognition can lead to severe outcomes and death. In this case report, we present a rare case of locally acquired P. falciparum malaria in Lebanon, in a 70-year-old Lebanese female with no history of travel to endemic regions, who presented with intermittent fever, chills, headache, nausea, and abdominal pain. La…

[A dog owner in his 70s with severe abdominal pain].

BACKGROUND: Capnocytophaga canimorsus is a gram-negative bacterium found in the oral cavity of dogs and cats. It can cause severe infections, including sepsis, especially in immunocompromised individuals, though rare cases also occur in immunocompetent patients. CASE PRESENTATION: A man in his seventies with hypertension developed fever, chills and abdominal pain after being scratched by his dog. He presented with severe abdominal pain, tachycardia, fever and elevated lactate levels. Initial CT scans did not reveal abdominal pathology, but septic shock was suspected. Despite treatment with br…

Resolution of extravascular hemolysis with oral iptacopan monotherapy in a patient with treatment experienced paroxysmal nocturnal hemoglobinuria (PNH).

Paroxysmal nocturnal hemoglobinuria (PNH) is an acquired hematologic disorder characterized by a loss of glycosyl-phosphatidyl-inositol-link … oglobin levels and reticulocyte counts normalized. The patient reported mild flushes with erythema, chills, and mild muscle pain, all of which resolved during follow-up. No breakthrough hemolysis occurred, and no severe adverse events were recorded.

Empyema necessitans as a rare manifestation of Staphylococcus aureus.

Empyema necessitans (EN) is a rare complication of empyema, in which pus accumulates within the pleural space and spreads through the chest wall, leading to the formation of a subcutaneous abscess. This condition presents significant diagnostic and therapeutic challenges due to its rarity and potential for serious complications. Here, we present the case of an 8-year-old boy with a history of parapneumonic effusion that was incompletely treated due to a lack of fibrinolytic agent injection. He presented with fever, chills, a productive cough, and left-sided chest pain with yellowish purulent s…

Right-sided infective endocarditis complicated with aortic pseudoaneurysms and systemic embolism in a 27-year-old female with ventricular septal defect: a case report.

Infective endocarditis (IE) is one of the most frequent complications of ventricular septal defect (VSD) in adults, but is rarely associated with multiple systemic embolisms and aortic pseudoaneurysms. The authors report a case of a 27-year-old female known to have an asymptomatic neglected VSD. She was admitted to our unit with complaints of prolonged fever and chills. Physical examination detected hyperthermia at 38.7°C and pathognomonic holosystolic murmur detected by cardiac auscultation. Laboratory blood test showed evidence of acute staphylococcus infection and imaging investigations rev…

Citrobacter youngae nosocomial bacteremia from postoperative pyogenic spondylodiscitis after a minimally invasive spinal surgery.

Citrobacter youngae (C. youngae) was first described in 1993, and data suggesting that human diseases caused by this bacterium remain scarce … t microdiscectomy, a minimally invasive spinal surgery. On postoperative day 4, he suffered shaking chills with worsened lower back pain compared to that before the operation, and vancomycin plus ceftriaxone were empirically administered. Magnetic resonance imaging (MRI) of the lumbar spine revealed osteomyelitis at L4 and L5 with L4/L5 discitis. Two blo …

Short-term side effects of COVID-19 vaccines among healthcare workers: a multicenter study in Iran.

Since the initiation of the COVID-19 vaccination effort, there has been widespread concern regarding vaccine efficacy and potential side eff … the vaccine were injection site pain (26.8%), myalgia (15.8%), fever (10.3%), headache (9.9%), and chills (9.2%). In conclusion, according to the COVID-19 vaccine type, different side effects might occur following the first and second doses of vaccination. These findings assist in addressing the ongoing problems of vaccination hesitancy which has been d …

Watery Diarrhea Is Not Always Clostridioides difficile: A Case Report of Aeromonas hydrophila Gastroenteritis.

Aeromonas species can cause acute gastroenteritis but are much less commonly observed in the hospital setting than other bacteria. Most case … , foul-smelling diarrhea as well as decreased oral intake, cramping bilateral upper abdominal pain, chills, and malaise. Initial diagnoses considered included Clostridioides difficile in the setting of CAUTI and antibiotic use, small intestinal bacterial overgrowth, dumping syndrome related to bariatric surgery, and malabsorption. A computed tomography s …

A real-world pharmacovigilance analysis for agalsidase beta: findings from the FDA adverse event reporting database.

BACKGROUND: Fabry disease (FD), an X-linked lysosomal disorder, is marked by a lack of alpha-galactosidase A (α-Gal A). Agalsidase beta, a r … of 7,611 AE reports for agalsidase beta were analyzed. The most common AEs included pyrexia, pain, chills, malaise, and nausea. Several system organ classes including Cardiac Disorders, General Disorders and Administration Site Conditions, and Vascular Disorders, showed positive signals. Subgroup analysis by gender revealed differences in AE reporting, …

Case Report: Diagnosis of Hemolytic Anemia from Babesia and Secondary Multi-Pathogen Pneumonia Using a Metagenomic Next-Generation Sequencing Approach.

Babesiosis, as a vector-borne infectious disease, remains relatively rare and is prone to being overlooked and misdiagnosed. Therefore, understanding the epidemiological characteristics and clinical manifestations of babesiosis is crucial for the prompt detection and treatment of the disease. We reported a 63-year-old male patient presenting with spontaneous fever and chills. Laboratory investigations revealed erythrocytopenia, reduced hemoglobin levels, and increased reticulocytes and total bilirubin. Bone marrow examination indicated vigorous cell proliferation, a decreased granulocyte to re…

A 49-Year-Old Man With Fever and Dyspnea After Endobronchial Ultrasound-Guided Transbronchial Fine Needle Aspiration Biopsy.

A 49-year-old man, a farmer, had been experiencing coughing, phlegm, and difficulty breathing for 2 months. He underwent a CT scan at a loca … ed for the results. Two days later, the patient experienced a fever and palpitations accompanied by chills, yellow phlegm, and orthopnea. The patient visited our ED, underwent tracheal intubation, and was admitted to our ICU. The patient had had occasional coughing and phlegm for the past 10 years, which were not taken seriously or investigated. The pati …

Потеря слуха как первый симптом пневмонии, вызванной хламидией psittaci: доклад о деле и обзор литературы.

Типичные клинические симптомы пситтакозной пневмонии включают лихорадку, сухой кашель и охлаждение. Внезапная сенсорная потеря слуха является относительно необычным заболеванием пневмонии, вызванной хламидией пситтачи. В этом исследовании мы сообщали о редком случае, когда пневмония хламидии была представлена как потеря слуха. КИСЛОТА: 65-летний мужчина попал в нашу больницу с внезапной потерей слуха, кашля с слюной и лихорадкой последние три дня. Вычисленная томография грудной клетки выявила воспаление левого лёгкого и слабую реакцию на антибиотики широкого спектра. Метагеномическая последова

Совпадение в аннотации оригинала
BACKGROUND: The typical clinical symptoms of psittacosis pneumonia include fever, dry cough, and chills. Sudden sensorineural hearing loss is a relatively uncommon condition in pneumonia caused by Chlamydia psittaci. In this study, we reported a rare case of Chlamydia psittaci pneumonia presented as hearing loss. CASE PRESENTATION: A 65-year-old man present…