Misdiagnosis and inappropriate treatment of cutaneous leishmaniasis: a case report.

Background: Leishmaniasis is a widespread disease in tropical and subtropical countries, except for Australia and Oceania. In Poland, tourists, migrants and travellers from leishmaniasis-endemic countries may carry Leishmania.

Case Presentation: We present a case of undiagnosed cutaneous leishmaniasis in a patient who received many weeks of inadequate antibiotic treatment.

Reactivation of hepatitis B virus infection in a seafarer: an omitted problem of maritime medicine.

Infection with hepatitis B virus (HBV), despite the implementation of extensive preventive measures, has remained one of the biggest health problems worldwide. There are still people not covered by the compulsory vaccination programme and carriers of an actively replicating virus among professionally active seafarers. The article is based on a case report of a seafarer with life-threatening reactivation of long-term uncontrolled HBV infection that resulted in decompensated cirrhosis and liver transplant.

Dermoscopic Features of Giant Molluscum Contagiosum in a Patient with Acquired Immunodeficiency Syndrome.

Giant molluscum contagiosum (MC) is a peculiar variant of the disease with the presence of multiple or single lesions larger than 5 mm. In contrast to typical molluscum contagiosum, dermoscopic features of giant lesions have been poorly described, and none of the reports included multiple giant lesions in an immunocompromised patient. We present a patient with acquired immunodeficiency syndrome diagnosed with multiple giant molluscum contagiosum along with the dermoscopic features of this entity.

[Occurrence of disseminated intravascular coagulation in purulent meningitis and influence on mortality in 118 patients].

Unlabelled: Disseminated intravascular coagulation (DIC) is an important, but not satisfactory explained risk factor of death in purulent meningitis (PM).

Objective: Evaluation of: 1) acute thrombocytopenia (ATP) in patients with PM, 2) dynamics in changes of peripheral blood platelet (PLT) count and serum coagulation factors, 3) correlation between acute DIC and mortality in PM.

Methods: Analysis ofATP (platelets < or = 150 K/microL and/or decrease in PLT > or = 100 K/microL/24 hours) and prothrombin ratio, fibrinogen, d-dimmer and antithrombin III in survivors and nonsurvivors in 118 adult patients with PM.