Acute Buried Bumper Syndrome: A Case Report.

Buried bumper syndrome (BBS) is a rare but severe complication of percutaneous endoscopic gastrostomy (PEG) tube feeding. Patients with BBS lose PEG tube patency and may experience peristomal pain, content leaks, or peritonitis. An early diagnosis can avert further complications.

A Rare Case of Weil's Syndrome With Extreme Hyperbilirubinemia in an Urban Setting.

We present a unique case of Weil's disease, a severe form of leptospirosis caused by , a rare agent seen in both temperate and tropical climates but is more commonly seen in tropical climates and transmitted to humans commonly by rodent urine contamination. It is an under-reported infection, with 1.03 million cases documented annually, and is not commonly found in the United States.

Acute Descending Mediastinitis: An Unusual Presentation.

Descending necrotizing mediastinitis is believed to be a rare disease in an era where antibiotics have lowered the incidence of fulminant infections worldwide. Mediastinitis is the swelling and inflammation of the mediastinum, which is the central compartment of the thoracic cavity that contains the heart, thymus gland, parts of the esophagus, trachea, and other organs. Patients with acute descending mediastinitis can present with a wide spectrum of symptomatology including chills, high fever, tachycardia, dyspnea, nonproductive cough, retrosternal pain, hypotension, and Hamman sign.

Perirectal Extragastrointestinal Stromal Tumor: An Unusual Presentation.

Gastrointestinal stromal tumors (GISTs), even though rare, remain the most common mesenchymal tumors of the gastrointestinal (GI) tract. When GISTs occur outside of the GI tract, they are termed extragastrointestinal stromal tumors (EGISTs). Most GISTs arise from the stomach (50-70%) and small intestine (20-30%).

An Unusual Presentation of Influenza-Induced Myositis.

Post-influenza myositis is considered a distinct clinical entity and is associated with muscle pain and elevated muscle enzymes during convalescence. Although the exact mechanism of muscle injury in acute viral myositis is unknown, there are possible mechanisms proposed in the literature. The progression of viral myositis to rhabdomyolysis, although uncommon, can be life-threatening and has been reported with many viruses, most commonly influenza.