Posts Tagged ‘Rash’

A Man with Sore Throat and Myalgias

Posted by • July 17th, 2015

In the latest Case Record of the Massachusetts General Hospital, a 20-year-old man presented with fever and a pericardial effusion. Five weeks earlier, sore throat, fever, malaise, and myalgias had developed. Broad-spectrum antibiotic therapy was administered, without improvement. A diagnosis was made. A number of case reports indicate an association between tamponade and adult-onset Still’s disease…. Read More…

In Sight and Out of Mind

Posted by • June 5th, 2015

In the latest Clinical Problem-Solving article, a 21-year-old man presented to the emergency department with fever and rash. His fever had started about 1 week before presentation and was associated with chills, myalgia, nausea, and vomiting. He also had a headache without photophobia. In the United States, recent declines in the rate of vaccination against measles… Read More…

A Woman with Headache and Fever

Posted by • April 9th, 2015

In the latest Case Record of the Massachusetts General Hospital, a 28-year-old woman was seen in the emergency department of this hospital because of the acute onset of headache, fever, rash, and myalgias. On examination, she had petechiae on the chest, abdomen, and thighs and a purpuric lesion on the right shoulder. Neisseria meningitidis is the… Read More…

Take the Case Challenge: A Woman with Headache, Fever, and Rash

Posted by • March 26th, 2015

A 28-year-old woman presented with headache, fever, and a rash, plus nausea and one episode of nonbloody, nonbilious emesis. The skin lesions were small, red, flat, nonpruritic, and nonpainful. What is the most likely diagnosis? What diagnostic tests are indicated? Read the case description. Then vote and comment about what the diagnosis may be and what… Read More…

Rash, Myalgia, and Weakness

Posted by • June 13th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 32-year-old man was admitted to this hospital because of a violaceous eruption that was followed by muscle pain and weakness, leading to respiratory failure. New papules with white centers developed. A diagnostic procedure was performed. Malignant atrophic papulosis can occur in association with autoimmune diseases,… Read More…

45-Year-Old Man with a Rash

Posted by • March 28th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 45-year-old man was admitted to the hospital because of diffuse, purple, blanching livedo over his arms and legs and signs of severe sepsis. Three days before presentation, the patient was bitten on his hands and forearms while bathing his dog. A diagnostic test result… Read More…

Fever, Rash, and Renal Failure

Posted by • February 14th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 59-year-old man was admitted to the hospital because of fever, confusion, rash, thrombocytopenia, and renal failure, 10 days after a hunting trip in the Nevada valley. The combination of suspected infection, vasculopathy of small or medium-size vessels, thrombocytopenia, myositis, myocarditis, encephalitis, and possible tick exposure… Read More…