A bleeding colonic ulcer from invasive Aspergillus infection in an immunocompromised patient: a case report.

Introduction: Invasive Aspergillus commonly involves the lungs, but can also affect other organs such as the skin, adrenal glands, central nervous system, liver, spleen and the gastrointestinal tract. Gastrointestinal aspergillosis is rare and is most often discovered in immunocompromised patients. There is only one other case report to our knowledge that describes the diagnosis being discovered on histopathological analysis of endoscopic biopsies of necrotic ulcers.

Rapid or normal gastric emptying as new supportive criteria for diagnosing cyclic vomiting syndrome in adults.

Background: Cyclic vomiting syndrome (CVS) in adults is a disorder characterized by recurrent and stereotypic episodes of severe nausea, vomiting and abdominal pain separated by symptom-free intervals. Our goal was to investigate gastric emptying (GE) in CVS patients.

Material And Methods: This was a retrospective study of 30 adult patients who met Rome III diagnostic criteria for CVS.

Chorea, Hyperglycemia, Basal Ganglia Syndrome (C-H-BG) in an uncontrolled diabetic patient with normal glucose levels on presentation.

Patient: Female, 66 FINAL DIAGNOSIS: Chorea • hyperglycemia • Basal Ganglia Syndrome (C-H-BG) Symptoms: Hemibalism • hemichorea

Medication: - Clinical Procedure: - Specialty: Endocrinology and Metabolic.

Objective: Challenging differential diagnosis.

Background: Hemichorea-hemiballism (HCHB) is a spectrum of involuntary, continuous non-patterned movement involving 1 side of the body.

Serum amyloid A renal amyloidosis in a chronic subcutaneous ("skin popping") heroin user.

Background: Systemic AA amyloidosis is a long-term complication of several chronic inflammatory disorders. Organ damage results from the extracellular deposition of proteolytic fragments of the acute-phase reactant serum amyloid A (SAA) as amyloid fibrils. Drug users that inject drug by a subcutaneous route ("skin popping") have a higher chance of developing secondary amyloidosis.

Hepatitis C- and HIV-induced porphyria cutanea tarda.

Patient: Male, 47 FINAL DIAGNOSIS: Porphyria cutanea tarda Symptoms: Chills • cough dry • thumb swelling

Medication: - Clinical Procedure: - Specialty: Metabolic Disorders and Diabetics.

Objective: Challenging differential diagnosis.

Background: Porphyria cutanea tarda (PCT) is the most common type of the porphyria.

Pyridostigmine-induced high grade SA-block in a patient with myasthenia gravis.

Patient: Female, 70 FINAL DIAGNOSIS: SA block induced by pyridostigmine Symptoms: Asymptomatic Medication: Pyridostigmine Clinical Procedure: Pacemaker insertion Specialty: Electrophysiology.

Objective: Unusual clinical course.

Background: Myasthenia gravis requires a long-term treatment with a parasympathomimetic agent, which may result in bradycardia and asystole.