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A 41-year-old woman from Venezuela with no past history of interest came to the emergency department with a 4-day history of fever with general malaise, myalgia and central thoracic pain with pleuro-pericardial characteristics.
On arrival at the ED, he presented with fair general condition and haemodynamic instability ... | [
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... | en |
Anamnesis
A 42-year-old woman, with no personal or family history of interest, attended the dermatology emergency department for an insect bite on the right hand 5 days earlier. She reported that, while cleaning the storeroom at home, she noticed a bite on the back of her hand and then, when she shook it, she saw an in... | [
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History, current disease and physical examination
A 48-year-old male patient with a history of hypertension, dyslipidaemia, obesity and ex-smoker. After fumigating for approximately 3 continuous hours with organophosphates without any protection, he suddenly presented with intense dyspnoea, diaphoresis and intense oppr... | [
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We present the case of a 10-year-old female patient who came to the emergency department with fever of 48h, vomiting, headache and right orbital swelling with palpebral ptosis and proptosis. CT scan showed right pansinusitis and superolateral intraorbital abscess, so IV antibiotics were administered and Maxillofacial S... | [
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We present the case of a 25-year-old male from Equatorial Guinea who had been a student in Spain for 5 months. He had no drug allergies and was an occasional cocaine user and sporadic tobacco smoker. His past history included childhood episodes of malaria and typhoid fever, and sexual practices at risk for sexually tra... | [
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A 47-year-old female patient with a history of arterial hypertension and Crohn's disease being treated with mesalazine, who was followed up in the urology department for a history of left chorioriform lithiasis, for which she underwent open pyelolithotomy in 2002 and at least six sessions of ESWL in another c... | [
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A 70-year-old man with a history of pathological interest including AHT, type II DM with poor control, ischaemic-hypertensive heart disease with involvement of the anterior descending coronary artery which had been revascularised 7 years earlier with two drug-eluting stents, a traffic accident 10 months earlier with fr... | [
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Personal history
Male, 47 years old, moderate drinker with no medical history of interest, except for frequent trips (1-2 per year) to the Dominican Republic for the last twenty years.
Present illness
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65-year-old woman, allergic to colchicine derivatives and diclofenac. No cardiovascular risk factors or chronic medication. Her only history was severe kyphoscoliosis and she had undergone hysterectomy with double adnexectomy and removal of a neurofibroma.
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Clinical data: A 47-year-old man attended the Emergency Department of our hospital presenting oedema and pain in the face, MSD and right hemithorax for the last two weeks, with progressive evolution. His personal history included mixed liver cirrhosis (HCV + alcohol) and HCC undergoing chemoembolisation treatment. Desc... | [
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70-year-old woman, with a history of hypothyroidism on hormone replacement therapy with levothyroxine and latent tuberculosis infection, for which she had received chemoprophylactic treatment in 2007. Urinary incontinence and habitual constipation.
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A 76-year-old man, hypertensive, dyslipidaemic, with low alcohol consumption, mild splenomegaly of non-filial origin, and a history of acute cholangitis with secondary bacteraemia due to Klebsiella oxytoca in 2013. He underwent surgery for adenocarcinoma of the prostate in 2013, without tumour recurrence.
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A 53-year-old man, with no drug allergies and no personal history of interest. He consulted for a rapidly growing plaque on the right forearm of 2 weeks' evolution. He works as a seasonal worker harvesting olives. He reported no previous trauma to the area, nor had he ever shaved his forearms.
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An otherwise healthy 11-year-old boy presented with status epilepticus requiring anticonvulsants; cerebrospinal fluid showed evidence of encephalitis (921 erythrocytes, 16 leukocytes, 8% neutrophils [normal 0-6%], with protein 97 [normal: 40-170 mg/dL] and glucose 92 [normal: 20-100 mg/dL]). He presented with two days... | [
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Scope of the case
We present a case of herpes zoster with involvement of the two branches of the facial nerve that evolves in a torpid manner. It is diagnosed and treated by Primary Care, Neurology, Otorhinolaryngology, Physiotherapy and Rehabilitation. Images of the case are attached, with the patient's consent.
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81-year-old male, long-time resident of Yiyang. He has a history of prostate cancer and coronary heart disease. He has been living with his eldest daughter since returning from Wuhan and has not been out since. On 21 February he suffered from convulsive dry cough and anorexia. At first, no treatment was given. On 25 F... | [
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A 58 year old patient of sub-Saharan origin came to the emergency department with sweating and fever with left lumbar pain, heaviness in the flank on that side and dysuria for about 15 days.
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A 42-year-old female patient with a history of Sjögren's syndrome and autoimmune thyroiditis was referred to the Uveitis Unit from the Neuroophthalmology Section due to the finding of foci of chorioretinitis and symptoms of temporal scotoma and photopsias in the left eye of three days' duration. The patient had present... | [
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10-year-old girl diagnosed in another centre with nut allergy after mild peanut anaphylaxis. She follows a diet free of all nuts with no reactions.
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This is a Spanish patient, a doctor by profession, who consulted for fever after returning from a trip to Ethiopia. Her personal history included smoking 10 cigarettes/day, and two episodes of acute pyelonephritis several years earlier. Prior to this trip, she had been to Nepal on two occasions (2 and 3 years earlier),... | [
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A 5-year-old boy, with no relevant history, presented with fever, cough and abdominal pain of several days' evolution. His condition worsened to cardiogenic shock and he was transferred to our institution, where he tested positive for COVID-19 antibodies and had high IL-6 values. He developed pulmonary failure requiri... | [
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A 57-year-old woman with no known drug allergies or toxic habits, who, as a non-oncological history of interest, presented obesity treated surgically with gastric bypass in June 2001 as well as a left breast cyst resection in 2009. She had no family history of cancer.
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The index case was a six-year-old girl from Pozuzo, department of Pasco (central jungle), admitted to a hospital in the city of Lima in August 2006 for a febrile illness of one month's duration. She began with upper respiratory symptoms, followed by general malaise, hyporexia and irritability. He had received antibioti... | [
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Anamnesis
Female patient starting at 52 years of age, with a history of obesity and, as obstetric history, three pregnancies, one of them spontaneous abortion. No family history of interest. As usual medication, she only takes oral contraceptives. She has no known allergic reactions to medication.
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A 48-year-old diabetic woman from Bagua, Amazonas Region, Peru. She consulted for a lesion more than 10 years old that started in the middle area of the thumb. She presented with erythema, pruritus, desquamation, black spots and occasional pain in the distal region of the thumb. Chromoblastomycosis due to Fonsecaea sp:... | [
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Anamnesis
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A 74-year-old man from a rural area of Italy who was on holiday in Spain, with a history of hypertension, dyslipidaemia and revascularised acute coronary syndrome. He consulted the general emergency department for a 4-day history of myalgia predominantly in the lower extremities toget... | [
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Reason for consultation
Fever for 48 hours and cough with odynophagia.
Individual approach (anamnesis, examination, complementary tests)
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{
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This is a 58-year-old male patient, with no known allergies, with a personal history of arterial hypertension and chronic renal insufficiency known for a year and a herniated disc L5-S1.
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... | en |
We present the clinical case of a 67-year-old man, with a history of moderate-severe enolism, arterial hypertension and ischaemic heart disease, who was transferred to the Emergency Department from another centre where he had come 4 hours after ingestion of an OP (Metasystox®: oxydemeton-methyl) in an attempt at autoly... | [
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{
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Anamnesis
25-year-old woman, with no drug allergies, ex-smoker for a year, with chronic iron deficiency anaemia of unknown cause diagnosed in 2008, on treatment with oral iron, migraine since the age of 17 and admission in 2010 for infectious mononucleosis.
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A 21-year-old woman consulted for a small lesion on the right upper eyelid (PSD), with progressive growth, in the last four hours.
She reported living in a rural house and had previously been cleaning several farm animals. He had no relevant personal or family history.
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An 85-year-old woman attended the emergency department with dyspnoea, sustained fever of 39oC and purulent expectoration of two days' duration. Her medical history included arterial hypertension, polymyalgia rheumatica, osteoarthritis of the hip and bilateral phakectomy. Physical examination revealed multiple ecchymosi... | [
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A 51-year-old man reported fever, arthromyalgia, dyspnoea and atypical chest pain, but without cough or anosmia/ageusia. Troponin I values were 200 ng/mL, N-terminal prohormone of brain natriuretic peptide 900 pg/mL, C-reactive protein 270 mg/L and fibrinogen > 10 g/L. ECG showed non-specific T-wave changes. Echocardi... | [
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... | en |
Personal history
Patient from Senegal who had been living in Spain for eight years. He travelled to Senegal several months before the consultation. No other history of interest.
Present illness
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A 41 year old patient came to the emergency department for 4 days presenting pain and progressive swelling on the outside of the left thigh after exercising on an exercise bike. He was diagnosed with a haematoma in the vastus quadriceps externus and treated with compressive bandaging, application of local cold and oral... | [
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"text": "Streptococcus intermedius",
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A 51-year-old woman, with a history of unilateral adnexectomy for endometriosis, who after 24 hours of evolution presented with fever of up to 40oC and odynophagia, which partially subsided with non-steroidal anti-inflammatory drugs (NSAIDs). Subsequently, vomiting and several diarrhoeal stools appeared, with persisten... | [
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{
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