Category: Infection
CNS TB: Tuberculomas
Clinical: A 32 years old man No known medical illness Presented with fever, cough and shortness of breath CXR shows military pattern, sputum +ve for AFB Had seizure while on…
Disseminated tuberculosis
Clinical: A 13 years old boy foreigner Complains of back pain for 2/12. Associated chronic cough with greenish sputum, LOA, LOW. He also had left elbow pain. Clinically there is…
Peritoneo-cutaneous fistula and emphysematous pyelonephritis
Clinical: A 53 years old man Underlying DM and HPT Non-functioning left kidney with ESRF on regular hemodialysis History of right lower ureteric calculus, open ureteric vesicolithotomy done 2 years…
Cervical vertebrae osteomyelitis
Clinical: A 69 years old man with underlying DM, COAD Also had right nasal polyposis with sinusitis. Recently treated for right otitis externa with acute mastoiditis. After 2 weeks completed…
Splenic abscess
Clinical: A 48 years old lady Underlying DM and HPT Presented with left flank pain for 2 weeks Associated with fever Radiographic findings: Prominent soft tissue shadow at left lumbar…
TB ventriculitis
Clinical: An 18 years old girl Underlying beta thalassemia major on frequent blood transfusion Presented with headache, fever and meningism. CT brain shows ventriculitis EVD inserted-pus drained. MRI findings: There…
Pulmonary tuberculosis
Clinical: A 26 years old man Non-smoker with no previous medical illness Presented with chronic cough and constitutional symptoms Completed TB vaccination Radiographic findings: A large cavitating lesion with surrounding…
Tuberculous encephalopathy
Clinical: An 18 years old boy, no previous medical problem Presented with altered behaviour Mainly being lethargy, sleep almost all day Previously described as hard working Came from poor family,…
Tuberculous spondylitis
Clinical: A 12 years old girl Presents with neck pain, loss of appetite and loss of weight for two week. Worsening of the symptoms three days prior to presentation. There…
Septic embolic encephalitis
Case contribution: Assoc. Prof. Dr Hilwati Hashim Clinical: A 29-year-old male Presented with a 1 day history of lethargy and reduced responsiveness associated with slurred speech. It was preceded with…