Civil. Surgeon, Dcimoh, C.P. Typhoid fever as seen in Dainoli does not always show the classical signs and symptoms but it differs to some extent in its mode of onset, character of temperature and intestinal signs. This fever is called in this district " Madhuva." Fever is often accompanied with chills and rigours and lasts more than three weeks. Temperature in third week may become intermittent

A 45 year old man, intravenous drug user, without history of systemic illness, presented with fever, chills and an anterior left thorax pulsatile mass. Echocardiogram showed an anterior mediastinal fluid collection with no apparent pericardial communication and without evidence of endocarditis. Chest tomography revealed a large left anterior mediastinal abscess with multiple pulmonary abscesses...

Background It might be a clinical challenge to identify patients with bacteremia. Blood cultures are often ordered based on the symptoms of fever and chills. Detailed knowledge of the clinical presentation of acute medical patients will improve the identification of bacteremic patients. The aim of this study was to evaluate the diagnostic value of temperature (°C), C-reactive-protein (CRP), and...

Tuberculosis accounts for up to 4% of acute pericarditis and 7% cases of cardiac tamponade. Prompt treatment can be life saving but requires accurate diagnosis. We report a case of 30-year-old male who presented with fever, chills, and dry nonproductive cough since one month. The case was diagnosed by radiological findings, which were suggestive of pulmonary tuberculosis, followed by acid fast ...

Copyright © 2006 Massachusetts Medical Society. A 38-year-old man reports pelvic pain, dysuria, and urinary urgency for the past 4 weeks. He has had several similar episodes over the past 2 years; urine cultures were not performed. He is sexually active and notes frequent discomfort after ejaculation. He is otherwise healthy and takes no medication. He does not have fever, chills, or flank pain...

Three subjects, all smokers, handling stainless steel tubes suffered repeated attacks of general malaise, chills, and fever lasting for several hours, mainly after gas soldering. Provocations by rubbing smoking tobacco against a tube produced similar attacks, and leucocytosis, after a few hours. The presence of fluorine on the tubes and in the febrifacient tobacco was shown. A fluorocarbon poly...

PATIENT PRESENTATION A 61-year-old female presented to the emergency department complaining of constipation and vaginal bulge with valsalva 89 days after a robotic-assisted hysterectomy. The patient had intercourse three days prior to presentation and experienced postcoital abdominal discomfort with vaginal bleeding. She denied any other trauma. She had no other complaints and denies fevers, ch...

CASE REPORT A previously healthy 28-yr-old Caucasian female presented to the emergency department with a 1-week history of generalised body swelling that was followed by pleuritic chest pain radiating to the patient’s back. She had mild shortness of breath, cough and palpitations, but no fever, chills, nausea, vomiting or diarrhoea. No medications were taken except oral contraceptives. She deni...

A46-year-old African American man presented to the emergency department with severe chest pain that awakened him from sleep. The pain was substernal, radiated to the neck and back, and was continuous, lasting approximately 1 hour. It was associated with nausea, diaphoresis, and dizziness. The patient denied dyspnea, orthopnea, paroxysmal nocturnal dyspnea, dysphagia, odynophagia, vomiting, feve...

A 15-year-old boy presented to the emergency department with acute development of fever and chills. Physical exam revealed a blood pressure of 86/61, jaundice with scleral icterus, and dark urine. Laboratory tests (increased free hemoglobin, increased lactate dehydrogenase, and decreased haptoglobin) revealed a direct antiglobulin test (DAT)negative hemolytic anemia. Sequential serum potassium ...