Silent Entry: The Diagnostic Challenge of Tetanus Without an Obvious Wound.

Tetanus, caused by , is a significant health problem, particularly in regions lacking proper vaccination coverage against tetanus. Although it is usually associated with an identifiable wound, diagnosing tetanus without a visible entry site can be difficult. We report a 68-year-old man who was diagnosed with tetanus without any visible wounds or recent trauma.

First Experience With Catheter-Directed Thrombolysis for Massive Pulmonary Embolism at Teaching Hospital Jaffna, Sri Lanka: A Case Report.

Catheter-directed thrombolysis (CDT) is one of the modes of treatment for massive pulmonary embolism (PE). This case report shares the new experience of CDT for massive PE at Teaching Hospital Jaffna, Sri Lanka. A 54-year-old woman developed massive PE two days after a traumatic tibial fracture.

Misleading Chest Pain: Acute Coronary Syndrome or Lung Adenocarcinoma With Malignant Pericardial Effusion.

Chest pain is the most common presentation of acute coronary syndrome (ACS), but noncardiac causes should be considered when symptoms persist despite treatment or when other clinical features suggest an alternative diagnosis. We report a case of a 60-year-old woman with dyslipidemia who presented with chest pain, exertional dyspnea, and mild dry cough. Initial evaluations, including electrocardiogram and elevated troponin I levels, suggested a diagnosis of ACS.