Culture-negative endocarditis with multifocal spread and flail mitral valve leaflet: a case report.

Introduction: Blood culture-negative infective endocarditis is the condition in which a causative organism cannot be identified after inoculation of at least three samples using standard blood-culture systems for 7 days. It has a low reported incidence of about 2.5-31%.

A Case of Disseminated Coccidioidomycosis: When the Treasure Chest Wall Opened.

Coccidioidomycosis is an infection caused by soil-dwelling fungi, , that are endemic to the southwestern United States, northern Mexico, and scattered areas of Latin America. It typically presents with pulmonary manifestations that resemble symptoms of bronchitis, pneumonia, and the flu. Extrapulmonary manifestations that involve the skin, lymph nodes, bones, and joints have also been well described, but disseminated coccidioidomycosis initially presenting as chest wall infection without pulmonary symptoms is not.

Wound Botulism in Black Tar Heroin Injecting Users: A Case Series.

The incidence of wound botulism in injection drug users has increased since the introduction of black tar heroin. Many species of the genus, most commonly , and , have been associated with wound botulism. Patients often present with progressive bulbar weakness, including dysphagia, cranial nerve palsies, and loss of speech, in addition to symmetrical descending weakness of the upper extremities that may progress to the chest and lower extremities.