Posts Tagged ‘Case Records of the Massachusetts General Hospital’

Painful Bullous Skin Lesions

Posted by Sara Fazio • December 20th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 57-year-old woman was admitted to the hospital because of a 19-month history of recurrent painful bullous and erosive skin lesions. Multiple skin-biopsy specimens had yielded diverse diagnoses. A diagnostic procedure was performed. Acquired autoantibodies are directed against desmoglein 1 and desmoglein 3 in pemphigus… Read More…

Fever and Lymphadenopathy

Posted by Sara Fazio • December 13th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 30-year-old man was admitted to the hospital because of fever, chills, and lymphadenopathy that developed 6 months after he returned from a trip to India. Imaging revealed diffuse lymphadenopathy in the neck and chest and splenomegaly. Diagnostic tests were performed. Localized lymphadenopathy is common,… Read More…

Malaise and Chest and Abdominal Pain

Posted by Sara Fazio • November 29th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 41-year-old woman with a history of HIV infection was admitted to the hospital because of malaise and chest and abdominal pain. Initial laboratory evaluation was notable for elevated hepatic aminotransferase levels. Diagnostic procedures were performed. Hepatic injury with significant elevations in transaminases has been… Read More…

Anemia and Thrombocytopenia

Posted by Sara Fazio • November 21st, 2013

In the latest Case Record of the Massachusetts General Hospital, a 38-year-old woman was admitted to this hospital because of fatigue, malaise, and lightheadedness, with dyspnea on exertion, bruising, dark urine, and headache. Laboratory tests revealed anemia and thrombocytopenia. Diagnostic tests were performed. Hemolytic anemia associated with normal red cells can be caused by destruction… Read More…

Dizziness and Vomiting

Posted by Sara Fazio • November 1st, 2013

In the latest Case Record of the Massachusetts General Hospital, a 69-year-old man was admitted to this hospital because of dizziness and vomiting, which had begun abruptly 9 hours earlier, on awakening. Examination revealed nystagmus and a wide-based gait. CT revealed no intracranial hemorrhage. A diagnostic procedure was performed. Stroke is the leading cause of… Read More…

Abdominal Pain, Fever, and Weight Loss

Posted by Sara Fazio • October 11th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 29-year-old man was seen in an outpatient clinic because of abdominal pain, fever, and weight loss. Testing for HIV antibodies was positive, and the CD4 T-lymphocyte count was 10 per cubic millimeter. Chest imaging revealed tiny nodules in both lungs. This case illustrates the… Read More…

Otalgia, Slurred Speech, and Ataxia

Posted by Sara Fazio • September 27th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 19-year-old man presented with otalgia, slurred speech, and ataxia 1 month after an episode of infectious mononucleosis. Otalgia improved after myringotomy and antibiotic therapy, but ataxia worsened and cognitive impairment developed. The Guillain-Barre syndrome is the most common cause of postinfectious ataxia, but this… Read More…

A 20-Year-Old Man with Ear Pain, Fever, and Headache

Posted by Sara Fazio • January 18th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 20-year-old man was transferred to the hospital because of recurrent ear pain for 8 months despite antibiotics, with new fever and headache. Imaging showed opacification of the middle ears and mastoid air cells and erosion of the right temporal bone. Intracranial bacterial infections can… Read More…

Newborn with Respiratory Distress

Posted by Sara Fazio • June 22nd, 2012

In the latest Case Record of the Massachusetts General Hospital,  premature newborn boy was admitted to the hospital because of respiratory distress. On his sixth day of life, sudden clinical deterioration and multiorgan system failure developed, and he died on his seventh day. An autopsy was performed. Neonates with very low birth weight (less than… Read More…

Brain Mass

Posted by Sara Fazio • May 31st, 2012

In this week’s Case Record of the Massachusetts General Hospital, a 54-year-old man had transient then persistent partial loss of vision. Images of the brain showed two adjacent masses in the left occipital and posterior parietal regions. A diagnostic procedure was performed. Glioblastoma is a highly malignant tumor, with a median survival of 9 to 14… Read More…