conclusions in cd4 positive cell count below 500, the dominant radiographic pattern of tuberculosis is atypical presentation. at this level of immunity, cd 4 positive t cell dysfunction may play a deterministic role in tb radiographic manifestation. results of a total 15 patients (86.7% men and 13.3% women), 78.6% had cd4 positive counts below 350 (mean ± sd; 229.15 ± 199.45). the most common r...

a forty two years old woman with a history of bilateral breast augmentation for cosmetic reasons was presented for poor healing of the surgical site. tissue and periprosthetic fluid were removed from the wound site revealing an atypical lymphoid infiltrate. subsequently the patient developed axillary lymph adenopathy. excisional biopsy was performed. flow cytometry was non-diagnostic. she conti...

more than 90% of patients infected with cutaneous leishmaniasis live in afghanistan, the middle east, algeria, brazil, and peru. cutaneous leishmaniasis in iran is caused by leishmania tropica and leishmania major . most skin lesions evolve from papular to nodular, to ulcerative form with a central depression surrounded by a raised indurate border. some lesions persist as nodules or plaques. mu...

The introduction of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) has been a major advance in the diagnosis and staging of lung cancer, as well as in the study of other mediastinal lesions.1 Although they are safe techniques, complications have occurred, including pneumothorax, hemorrhage, infection...