Publications by authors named "Thomas Lall"

A 50-year-old man presented to the emergency department with dark urine and altered mental status. Upon examination, the patient was found to be jaundiced with normal vitals. Laboratory investigation demonstrated macrocytic anemia and abnormal liver function tests.

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Article Synopsis
  • About two million Americans regularly use cocaine, with a significant portion (69%) being mixed with levamisole, a drug used to treat worms in animals.
  • The first serious health issues related to levamisole in cocaine users, such as agranulocytosis and vasculopathy, were documented in 2008 and have been on the rise since then.
  • A specific case is highlighted involving a 47-year-old woman from Michigan who developed purpuric skin lesions, likely due to levamisole-induced leukocytoclastic vasculitis.
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Introduction: Actinomyces are slow growing, non-spore forming, gram-positive, branching bacilli that thrive in anaerobic and microareophilic conditions. Actinomyces are more commonly associated with oral and cervicofacial infections. Hepatic involvement in infections of the abdomen (known as isolated hepatic actinomycosis) is rare, accounting for only 5% of all cases of actinomycosis.

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