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A 28-year-old man from Peru who had been living in Spain for two weeks. He had no history of interest, no contact with animals, no toxic habits, and no usual treatment.
He came to the emergency department for scapular pain, intense dyspnoea and fever of up to 39oC of five days' evolution. He had no oral problems or ph... | [
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49-year-old Afro-Caribbean man, security guard, non-smoker, with a history of type 2 diabetes mellitus and hypertension. On 29 March he was admitted with cough, fever and dyspnoea of 5 days' evolution. His chest X-ray showed left patchy consolidations, so treatment was started with IV antibiotics and unfractionated he... | [
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We present the case of a 45-year-old woman, a butcher by profession with no personal history of interest, who came to the emergency department for general malaise of a week's duration, associated with arthromyalgia, fever, headache, dry cough and odynophagia. After an initial assessment with no alarming data, the patie... | [
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A 55-year-old man with a history of ischaemic heart disease attended the emergency department for fever of 6 months of intermittent evolution, accompanied by chills, sweating, asthenia and anorexia. On examination he presented a temperature of 39oC, septic mouth and rhythmic cardiac auscultation at 90 bpm with a multif... | [
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A 61-year-old man, with no medical or surgical history of interest and who had been complaining of fever for a week. He was admitted to his referral hospital, where he observed bacteraemia due to S. viridans group and a possible wart on the mitral valve, and was transferred to our centre to assess surgery for suspected... | [
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A 50-year-old woman with a personal history of herniated discs, one at cervical level, doubly operated on with good evolution, and others at lumbar level L4-L5 and L5-S1 involving the left foraminal recess, under symptomatic treatment.
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We present the case of a 44-year-old patient with a history of psoriatic arthritis, on treatment with prednisone 5mg per day, oral methotrexate 25mg per week and colchicine, who came to the emergency department for clinical symptoms of 2 weeks' evolution, consisting of postprandial epigastralgia, non-thermometric dysth... | [
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46-year-old woman, with no toxic habits, with a history of type 2 diabetes mellitus treated with metformin and nasal infiltrating basal cell carcinoma treated surgically on multiple occasions. He consulted the emergency department due to the appearance of generalised, very pruritic skin lesions of one week's ... | [
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Mr G, a 43-year-old man with no relevant history of drug addiction or personal or family psychiatric history, presented to the emergency department with headache and fever. On examination, his temperature was 37.8°C, oxygen saturation was 99% on room air and all other vital signs were within normal limits. It was note... | [
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89-year-old male, AHT. AF, round atelectasis in the right lower lobe and subpleural micronodules, loculated right hydropneumothorax under follow-up by Pneumology. Left renal cyst Bosniak II. Mesenteric panniculitis, diverticulosis.
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Anamnesis
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We present the case of a 57-year-old male, active smoker, with a history of mild chronic obstructive pulmonary disease (COPD) treated with glycopyrronium bromide. He attended the emergency department for paraesthesia and inability to walk for 48 hours. In the previous days she had presented with vomiting, greenish diar... | [
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A 42-year-old man, recently diagnosed with metastatic clear cell sarcomatoid renal sarcomatoid carcinoma, was hospitalised with fever, pain management for symptomatic bone metastases and for first-line systemic treatment decisions. The patient had no other history. He initially presented with a fever of 39.0°C on 12 Ma... | [
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Patient from Morocco, who had started 2 months previously with left costal pain radiating towards the back, pleuritic, fever of 38oC in the evening and cough with scarce mucous expectoration. He had been to the emergency department on 2 occasions, where only anaemia was found and a chest X-ray showed mediastinal enlarg... | [
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Male, 42 years old.
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MC/AEA: Cough, expectoration and fever (4 days of evolution).
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The patient was 72 years old, smoker of 2 packs a day for 30 years, with a doubtful allergy to diclofenac, with a history of gastric ulcer, ischaemic heart disease with an episode of paroxysmal atrial fibrillation, hypertension and CPAP treatment for sleep apnoea-hypopnoea syndrome. He also had Spiriva, Formodual, allo... | [
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This is a 58-year-old man with a personal history of hypertension and hyperuricaemia with gout crisis. Known chronic renal failure since July 2012. L5-S1 disc herniation. Admitted from CCEE Infectious with a diagnosis of fever of unknown origin of prolonged duration. For fiv... | [
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A patient in his fifties with no personal history went to his GP in the Marseille area on 6 March 2020, reporting fever, headache and cough with an evolution since 29 February. His company (company X) had sent him to the Central African Republic from 13 to 25 February, where he gave several management lectures over 6 d... | [
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Family history: maternal uncle died of prostate cancer at over 70 years of age and another of pharyngeal neoplasia. Paternal uncle died of lung cancer.
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A 16-year-old male, with a history of anaphylaxis due to peanut, presented with anaphylaxis after ingestion of fenugreek. Prick: Peanut 10x20 mm, Natural fenugreek 6x8 mm, Lentil 2 mm, Soya bean 2 mm, Bean negative, Histamine 5 mm. Serum specific IgE values: Peanut 84 kU/L (Ara h1 34.5 kU/L, Ara h2 60.9 kU/L, Ara h3 2.... | [
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A 41-year-old man from Venezuela, immigrant in Spain since 2009 with frequent trips to his native country throughout the year. He consulted for subacute diarrhoea.
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A 60-year-old man diagnosed in another hospital in 2000 with extracapillary glomerulonephritis type III associated with C-ANCA. He was treated with 5 intravenous boluses of 6-methylprednisolone followed by oral corticosteroids in a descending pattern associated with oral cyclophosphamide (we have not been able to obtai... | [
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33-year-old woman. No known medical history.
She consulted for pruritus of the foot associated with erythematous-edematous lesions. No fever, odynophagia or respiratory symptoms. After 72 hours the patient developed an erythematous-violaceous plaque similar to perniosis.
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An 82-year-old woman was admitted to the emergency department with fever and general malaise of 5 days' duration. The patient took oral azithromycin and amoxicillin/clavulanate with no improvement. She was an ex-smoker, with a history of hypertension and chronic obstructive pulmonary disease. On admission she showed s... | [
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A 42-year-old man presented with pain in the right hypochondrium. Smoker, drinker, history of myocarditis with normal coronary angiography and echocardiogram. Positive for markers of chronic hepatitis B virus (precore mutant).
He presented with 24-hour symptoms of pain in the right hypochondrium, febrile fever and incr... | [
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Male patient, 17 years old, referred to the Maxillofacial Surgery Department of the University of Talca, for presenting a lesion at the level of the right mandibular angle, revealed in a control cervical lateral teleradiography, following a car accident.
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13-year-old girl with ulcer on the upper lip of 3 months evolution; no response to multiple treatments (antibiotics and topical corticosteroids, acyclovir, oral antibiotics). She denies sexual relations.
Personal and family history
Not relevant
Physical examination
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Personal history
Male patient aged 81 years. Moderate chronic obstructive pulmonary disease (COPD), ex-smoker since 1998, hypertension, dyslipidaemia and insulin-dependent diabetes mellitus (DM) type II. In 2010, severe aortic stenosis treated by bioprosthesis, whose postoperative period was complicated by respiratory ... | [
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A twenty-seven year old male, smoker of a pack a day since he was ten years old, with no pathological or family history of interest, came to the emergency department with two well-defined, non-painful, haematic lesions on the tongue and buccal mucosa of two days' evolution. She also presented headache in the frontal an... | [
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