Streptococcus pyogenes is a rare but aggressive cause of meningitis, which often evolves in a poor outcome with fatal consequences. Although lumbar puncture and CT scan of the brain are the gold standard of diagnosis of cerebral infections, they can have some limitations. We report and describe the clinical history and neuroimaging of a 36-year-old woman admitted to the emergency department of ...

In this report, we describe the incidental finding of an oropharyngeal mass in a patient who presented with a chief complaint of temporomandibular pain. The patient was initially evaluated by an otorhinolaryngologist for complaints of headaches, earache, and sinus congestion. Due to worsening headaches and trismus, he was further referred for the management of temporomandibular disorder. The cl...

A male patient aged 71 with a history of urothelial bladder cancer which was treated one year previously with a transurethral resection (stage pT1G3) and BCG intravesical instillations. He presented at the surgery with a week-long history of right eye closure failure and twitching of the corner of his mouth towards the left. He also stated a 3-month occurrence of earache and temporal right pain...

Bazex acrokeratosis is a set of pathological signs and symptoms that involve a predominantly acral psoriasiform dermatosis. It appears as a paraneoplastic syndrome associated with cancer of the upper aerodigestive tract or the cervicomediastinal area and can even appear before the tumour pathology. We present the case of a 67-year-old male, who smoked 60 cigarettes/day, with hyperkeratotic skin...

Sinusitis is associated with inflammation and infections of air-filled cavities of sinuses. The aim of this study was to evaluate the potential efficacy of Nigella sativa seed fixed oil in management of sinusitis. The information was extracted from accessible international databases, traditional books, electronic resources, and unpublished data. Results The results of investigations on N. sat...

When an emergency department (ED) physician at a rural hospital attends a patient with an acute myocardial infarction, that physician also plays the part of the technician who obtains an ECG tracing, the second nurse (who sets up the intravenous thrombolytics), the respiratory therapist who draws the gases (if the test is even available), and the internist who would have been the admitting phys...

There is limited data regarding the benefit of using an occlusal device to help patients resolve a variety of symptoms involving temporomandibular disorder, as well as head, neck, and shoulder pain. The purpose of this study was to evaluate the effect of a carefully adjusted occlusal device on 12 symptoms to determine if there was enough evidence to justify a randomized control trial of this me...

Biomass fuel used for cooking results in widespread exposure to indoor air pollution (IAP), affecting nearly 3 billion people throughout the world. Few studies, however, have tested for an exposure-response relationship between biomass fuel and health outcomes. The aim of this study was to explore the relationship between biomass fuel, infant mortality, and children's respiratory symptoms. Eigh...

The latex of Euphorbia tirucalli L. (Euphorbiaceae) is used as an ointment in rheumatism, asthma, earache, cough, toothache and warts in traditional medicine[7]. It is also used for skin tumors and syphilis ulcers[2]. However, Euphorbia tirucalli L has been associated with Burkitt’s lymphoma and thought to be a cofactor of the disease rather than a treatment[5,6]. A biopolymeric fraction with a...

To cite: Singh HP, Kumar S, Agarwal SP. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202786 DESCRIPTION A 56-year-old man visited the ENT (ear-nose-throat) department for his left earache, which revealed the diagnosis of acute otitis externa of fungal origin. He was given standard treatment of aural toilet, antifungal ear drops and analgesics. During routin...