pneumonia is considered as the main cause of abdominal pain in children whereas it presents mostly by respiratory symptoms in adults. here we present a 71-year-old iranian female who complained specifically of abdominal pain on admission to our emergency department. we had found nothing as an etiology in our first evaluations. after several hours chest pain was added to the symptoms and the fol...

Background: Pulmonary nodular excavation should firstly evoke tuberculosis or necrosis broncho-pulmonary tumor, particularly: epidermoid carcinoma. The case discussed here illustrated these difficulties in patients with rheumatoid arthritis (RA). Case Presentation: A 63-year-old woman was presented with a-three-year history of RA and a recent discovery of an excavated pulmonary nodule. Initi...

introduction pulmonary hypertension is common among patients with hyperthyroidism, and graves’ disease constitutes the most common cause of thyrotoxicosis. case presentation we report the case of a female patient admitted to the cardiology department with shortness of breath and pretibial myxedema. the diagnostic work-up revealed combined pre- and post-capillary pulmonary hypertension due to gr...

Background: Lower lung field tuberculosis is atypical presentation of pulmonary tuberculosis which often causes confusion in diagnosis. HIV/AIDS epidemic has considerably increased its incidence. This study was designed to identify the prevalence and different clinical conditions of lung tuberculosis in conjunction with its common clinical and radiological presentations and its treatment. Metho...

the radiologic features of intralobar pulmonary sequestration (ilps) have been describe and include the identification of a feeding systemic artery with venous drainage through pulmonary veins. primary sequestration associated with typical hamartoma signs is really rare and has been described only once. we describe a patient with ilps whose radiographic findings were unusual for two reasons. fi...

a pulmonary embolus clogs the artery that provides blood supply to a part of the lung. the embolus not only prevents the exchange of oxygen and carbon dioxide but also decreases blood supply to the lung tissue itself, potentially causing the tissue to die (infarct). a 52-year-old man presented with syncope and anxiety. he had sinus tachycardia and dilated right ventricle with trabeculations. a ...

conclusions children with chd are at risk of severe complications with the involvement of other organs. long-term febrile illness should be taken seriously in these children. they need hospitalization and careful evaluation. case presentation a 6-year-old girl with a ventricular septal defect (vsd) was presented. echocardiography revealed large vegetation in the right ventricular outflow tract ...