An 8 year old boy is referred to a regional hospital for a surgical consultation for a lobectomy following a diagnosis of bronchiectasis due to a chronic history...
Clinical Case Studies
4 year old boy with recurrent bacterial infections
A four and a half year old boy presents with pyrexia, neck stiffness and a purpuric rash. History: At age three years he had his first episode of meningococcal meningitis, from which he made a full recovery. At the time of contracting ...
Immunodeficiency and failure to thrive
A 5 and half year old female, having recently moved provinces, is seen by a new paediatrician and diagnosed with pneumonia. It is also noted that she is failing to grow consistently and has experienced frequent arrests in weight gain.
Case of recurrent infections
A four year old boy presents with fever, abdominal pain with abdominal guarding and difficulty breathing. He also complains of headaches and frequent skin abscesses which take a long time to heal. History: His perinatal course was uneventful he was breastfed for 6 months and tolerated...
A high risk pregnancy
A two month old baby boy is brought into the clinic for a check up. He appears to be healthy but his HIV positive mother is concerned about his HIV status. History: A 22 year-old woman has recently given birth to her first child. She was tested during the first trimester of pregnancy and was found to be HIV positive. A second, confirmatory test was also positive but she was...
A case of persistent bloody diarrhoea
Patient is a 22 year old female who presented to the surgery department of a tertiary level hospital having been referred from a private clinic, with a two month history of severe abdominal cramps, persistent bloody and mucoid diarrhoea, weight loss and tiredness.
A case of sudden rapid neurological deterioration in an HIV positive 27 year old female
An HIV positive 27 year old female on antiretroviral therapy (ART) presented to her HIV clinic with a two week history of progressively worsening twitching and clumsiness in her right hand.
A case of scaly annular plaques
A 45 year old male is referred from outpatient clinic to a hospital dermatology department with well dermacated erythematous scaly annular plaques scattered on his...
Is this treatment failure or malnutrition
In March 2006 an 11 years and 9 months old patient presented to private GP after recurrent hospital admissions for pneumonia. n March 2006 an 11 years and 9 months old patient presented to private GP after recurrent hospital admissions for pneumonia.
TB or not TB: a confusing case
A previously well 17 month old boy presents with a three day history of fever and a skin rash. No accompanying cough or diarrhoea. The patient recently moved to South Africa from Burund. His mother reports previously he has been well. She is unaware of contact with TB.