we present a woman referred with underlying non-hodgkin's lymphoma (nhl) masquerading clinically with guillain-barré syndrome (gbs) like syndrome. at first evaluation, chest ct-scan along with brain and whole spine mri were normal. electrodiagnostic studies were in favor of acute generalized polyradiculoneuropathy. laboratory evaluation revealed hypoglycorrhachia. she treated with plasmapheresi...

UNLABELLED INTRODUCTION AND OBJECTIVES. To study the significance of chest pain in the clinical practice of a Spanish hospital and to evaluate the impact of routine troponin determination. METHODS In our institution, routine serial measurements of troponins I and T were made in the evaluation of chest pain in 2000. We compared the results obtained in 1999 for all patients who visited the emer...

In the absence of evidence for pneumonia or pulmonary embolus, primary pulmonary infarction has been assumed to be the cause of the syndrome of chest pain, fever, and pulmonary infiltrate on chest X-ray that commonly complicates sickle cell anaemia. To find out whether the syndrome might be due to rib infarction, 99mTc-diphosphonate bone scans were done. In the eleven episodes thus investigated...

Staphylococcus toxic shock syndrome is a severe illness caused by infection with toxin producing Staphylococcus aureus and is associated with a poor outcome. We report a case of Staphylococcus TSS presenting with cough and expectoration along with multiple pneumatoceles visible on the chest radiograph that progressed to acute respiratory distress syndrome with eventual foci in brain. The patien...

INTRODUCTION We present the case of a patient with exertional fat embolism on isolated exercise of his right leg two and four months after right total hip joint replacement. His immediate post-operative period had also been complicated by an acute episode of chest pain and hypotension, treated as acute coronary syndrome. To the best of our knowledge, this is the first reported case of exertiona...

3. Ashbaugh DG, Bigelow DB, Petty TL, Levine BE. Acute respiratory distress in adults. Lancet. 1967;290:319-23. 4. ARDS definition task force. Acute Respiratory Distress Syndrome: the Berlin definition. JAMA. 2012;307:2526-33. 5. Ferguson ND, Fan E, Camporota L, Antonelli M, Anzueto A,Beale R,et al. The Berlin definition of ARDS: an expanded rationale, justification, and supplementary material....

We describe a patient with severe acute respiratory syndrome (SARS) whose clinical symptoms were masked by Escherichia coli bacteremia. SARS developed in a cluster of healthcare workers who had contact with this patient. SARS was diagnosed when a chest infiltrate developed and when the patient's brother was hospitalized with acute respiratory failure. We highlight problems in atypical cases and...

A 38-year-old woman was referred to a clinic for evaluation of newly recognized bilateral hilar lymphadenopathy. She denied any pulmonary or systemic symptoms, including recent fevers, chills, weight loss, dyspnea, cough, and chest pain. Fifteen years earlier, the patient suffered from acute interstitial keratitis and acute hearing loss. A diagnosis of Cogan syndrome was made based on the clini...