Peter, a 60 year-old Caucasian policeman, complains of a painful burning sensation in his lower extremities lasting for several months. Lower limbs petechiae (small purple/red hemorrhagic spots) appeared one week ago.
Infectious Diseases
Case of giant wart
A 28 year old HIV-infected man presented to a Sexually Transmitted Infections (STIs) clinic with a large cauliflower like wart on the shaft of his penis. The wart had appeared...
Case of recurrent meningitis
A 7 year old girl was brought in by her mother with a three day history of headache, pain in the left ear, fever and vomiting. Her mother was concerned because the last time she had been sick like this she had to be admitted to hospital.
Doctor, my sister is confused
A 34 year old female patient was brought into the outpatient clinic by her family who were concerned about her progressive forgetfulness and inability to take care of herself. She also appeared to have some lower limb weakness that ...
Enlarged Testicles
A 53 year old male, originally from India, presented to the clinic for a renewal of his hypertension medication. On routine weighing it was noted that he had lost 8 kg in the last 6 months, which had been unintentional weight loss. Other then some mild lower abdominal pain, and some occasional testicular discomfort, he reported no other symptoms.
Case of repeated apnoea and infections in a premature infant
A three and a half month old boy presents to the emergency room with a 1 day history of apnoea. Earlier in the day he had received his routine immunizations. At two and a half months of age the infant was admitted with a urinary tract ...
Case of a right axillary swelling
Four weeks after starting ARVs an 11 month old baby presented with a one-week history of a right axillary swelling which was found to be 2.5cm in diameter, hard, tender and non-fluctuant. Six days later the mass had enlarged to a size of approximately 4x3cm.
A case of a 10 year old boy with a 3 week history of diarrhoea, vomiting and cough
A 10 year old boy presents with a 3 week history of weight loss, diarrhoea, vomiting and a cough. No toxin ingestion has been noted and the family denies any use of traditional medicines.
A 10 year old girl with a hard palate defect
A 10 year old girl recently diagnosed with HIV (WHO stage 4), presents with a 12 day history of diarrhoea, vomiting, difficulty swallowing and abdominal cramps. She has remained afebrile throughout her illness. Six months ago she had been admitted...
Case of sudden onset of fever, rash and neck pain
A previously healthy 6–year-old boy is brought to the emergency room with a 3-day history of fever, neck stiffness and a one day history of a generalised maculopapular rash.He has been complaining of nausea but no vomiting...