A 43-year-old Cambodian man with several years of recurrent bouts of fever and abdominal pain

Article Abstract:

A 43-year-old Cambodian man was diagnosed with melioidosis of the spleen with multiple granulomas, or inflammatory lesions. Melioidosis is an infectious disease that is transmitted to humans by rodents in India and Southeast Asia. The patient was admitted to the hospital with recurrent fever and abdominal pain. He had been bedridden for a three-month period with a fever accompanied by chills, sweats, double vision and a headache 14 years before being admitted to the hospital. He had experienced similar symptoms five years and 17 months before admission to the hospital. He had immigrated to the US from Cambodia nine years before admission. A computed tomographic (CT) scan revealed that his spleen was enlarged with several areas of calcification. A laboratory culture of a needle biopsy of his spleen found that he was suffering from splenic melioidosis.

Pseudomonas infections

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A 23-year-old woman with a rapidly enlarging intraoral mass after a tooth extraction

Article Abstract:

A 23-year-old woman was diagnosed with a giant-cell reparative granuloma in her r lower jaw. A giant-cell reparative granuloma is a lesion resulting from some kind of tissue repair process, although the cause of the initial injury is often unknown. The patient was admitted to the hospital with a rapidly enlarging mass in the socket of an extracted tooth. She also had a osteolytic lesion in the lower bone of her jaw. An osteolytic lesion is characterized by the bone tissue destruction. The mass in her tooth socket had started developing after extraction of a tooth one month before admission to the hospital. She had been treated with an antibiotic with no success, and X-rays had shown resorption of the roots of several molars. A biopsy revealed giant-cell reparative granuloma. The patient had surgery to remove the granuloma.

Mouth diseases

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Repeated bouts of hematochezia in a 80-year-old hypertensive man

Article Abstract:

A 80-year-old man was diagnosed with myelodysplastic syndrome, with refractive anemia resistant to treatment and increased levels of blood platelet cells. Myelodysplastic syndrome is a bone marrow disorder. The patient was admitted to the hospital after passing bloody stools several times during the day. He had high blood pressure and diabetes, and had surgery for prostate cancer 10 years earlier. A rectal examination revealed bleeding inside the large intestine. Laboratory tests indicated that the patient was anemic, and abnormal platelets were seen in a blood sample. A bone marrow biopsy and aspiration revealed that the patient had myelodysplastic syndrome. He was treated with hydroxyurea.

Myelodysplastic syndromes, Thrombocytosis, Aplastic anemia

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