171 results match your criteria abdomen chills

Mesenteric ectopic pregnancy with tubo-ovarian abscess.

Radiol Case Rep 2021 May 15;16(5):1165-1168. Epub 2021 Mar 15.

EVMS Radiology, Eastern Virginia Medical School, 825 Fairfax Ave, Norfolk, VA 23507, USA.

An ectopic pregnancy is the implantation of a fertilized ovum in a location other than the main cavity of the uterus. Ectopic pregnancies are reported in approximately 1%-2% of pregnancies, and while 95% of ectopic pregnancies are in fallopian tubes, only 3% are in ovarian, cervical, or abdominal sites. We present a case of a 38-year-old female with acute onset of severe lower abdominal pain, sepsis, chills, and diarrhea who was evaluated with a CT of the abdomen and pelvis with IV contrast only. Read More

View Article and Full-Text PDF

Giant simple hepatic cyst with multiple elevated serum tumor markers: A case report.

World J Gastrointest Surg 2020 Dec;12(12):549-554

Department of Hepatobiliary-Pancreatic Surgery, China-Japan Union Hospital of Jilin University, Changchun 130033, Jilin Province, China.

Background: Simple hepatic cysts are relatively common in adults, and mostly appear as asymptomatic incidental radiologic findings. Occasionally, a large cyst will cause symptoms. Elevations in the serum biomarkers protein induced by vitamin K absence (PIVKA)-II, cancer antigen (CA) 12-5, and CA19-9 are often associated with malignant tumors in the liver or bile ducts. Read More

View Article and Full-Text PDF
December 2020

Xanthogranulomatous Cholecystitis: A Diagnostic Challenge for Radiologists, Surgeons, and Pathologists.

Cureus 2020 Aug 25;12(8):e10007. Epub 2020 Aug 25.

Pathology, South Bend Medical Foundation, South Bend, USA.

Xanthogranulomatous cholecystitis (XGC) is a rare inflammatory disease of the gallbladder characterized by severe proliferative fibrosis and the accumulation of lipid-laden macrophages in areas of destructive inflammation. Misdiagnosis is highly usual, and its macroscopic appearance may often be confused with gallbladder carcinoma. Here we discuss the case of a 56-year-old male who presented in the emergency room with fever, chills, and nausea. Read More

View Article and Full-Text PDF

Symptomatic Imperforate Hymen in Early Infancy: A Case Report.

JNMA J Nepal Med Assoc 2020 Jun 30;58(226):433-435. Epub 2020 Jun 30.

Department of Radiology, Norvic International Hospital, Thapathali, Kathmandu, Nepal.

Imperforate hymen, though a congenital anomaly, usually presents late in puberty as lower abdominal pain, primary amenorrhea, and cyclical pain. Blood collects in vagina and uterus, proximal to imperforate hymen leading to their distention. Its presentation at infancy is a rare entity. Read More

View Article and Full-Text PDF

Perforated proximal jejunal gastrointestinal stromal tumor pT4N0M0 presenting with severe sepsis: A case report and literature review.

Ann Med Surg (Lond) 2020 Sep 20;57:76-81. Epub 2020 Jul 20.

Department of Surgery, Kendall Regional Medical Center, USA.

Introduction: Gastrointestinal stromal tumors (GISTs) are mesenchymal tumors that occur along the alimentary tract, and are most commonly found in the stomach. Rarely, these tumors can occur in the small bowel, and when located in the duodenum or proximal jejunum, they may require challenging reconstruction of the alimentary tract. Patients with GISTs often present with non-specific abdominal pain or symptoms of obstruction, hemorrhage, and less commonly perforation. Read More

View Article and Full-Text PDF
September 2020

Multiple splenic infarcts: unusual presentation of hereditary spherocytosis associated with acute Epstein-Barr virus infection.

BMJ Case Rep 2020 Jul 13;13(7). Epub 2020 Jul 13.

Hematology and Oncology Department, Woodhull Medical and Mental Health Center, Brooklyn, New York, USA.

A 19-year-old African American woman presented to the emergency department with a history of left upper quadrant pain for a week, associated with nausea, malaise, loss of appetite, subjective fevers and chills. Her family history is significant for thalassemia in her maternal aunt, and hereditary spherocytosis in her brother, sister and cousin. A contrast-enhanced CT scan of the abdomen and pelvis revealed massive splenomegaly and multiple splenic infarcts. Read More

View Article and Full-Text PDF

A Middle-Aged Woman With Hematochezia, Hypotension, and Leg Cramps.

Chest 2020 Jul 2;158(1):e21-e24. Epub 2020 Jul 2.

Division of Pulmonary & Critical Care Medicine, University of CT Health Center, Farmington, CT. Electronic address:

Case Presentation: A 57-year-old woman with a history of mantle cell lymphoma presented to the ED with complaints of vomiting, bleeding per rectum, and leg cramps, that started 6 h prior to her arrival. She had received chemotherapy a week prior. Her leg cramps were not associated with pain or swelling of the legs; she also denied any trauma to the legs. Read More

View Article and Full-Text PDF

Identification of Enterococcus faecalis in a patient with urinary-tract infection based on metagenomic next-generation sequencing: a case report.

BMC Infect Dis 2020 Jul 2;20(1):467. Epub 2020 Jul 2.

Department of Intensive Care Medicine, The Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, 200233, China.

Background: Urinary tract infection (UTI) caused by various pathogenic microorganisms is ubiquitous in the parts of the urinary system such as kidney, ureter, bladder, and urethra. Currently, clinical detection of UTI is mainly focused on urine culture; however, the diagnostic value of urine culture remains limited due to the time-consuming procedure and low detection rate, especially in patients who have used antibiotics. Generally, treatment for UTI relies on empirical medication rather than pathogen diagnosis, which leads to the inappropriate use of antimicrobial agents and a significant increase in resistant strains. Read More

View Article and Full-Text PDF

The Potential Clinical Benefit of Tocilizumab Therapy for Patients with HHV-8-infected AIDS-related Multicentric Castleman Disease: A Case Report and Literature Review.

Cureus 2020 Apr 8;12(4):e7589. Epub 2020 Apr 8.

Hematology/Oncology, Creighton University Arizona Health Education Alliance/Valleywise Health, Phoenix, USA.

Castleman disease (CD), also known as angiofollicular hyperplasia, is a rare disorder characterized by nonmalignant mediastinal lymph node enlargement provoked by excess interleukin-6 (IL-6) secretion. It could be unicentric or multicentric (MCD). Here, we describe a 27-year-old man with a prior history of AIDS, Kaposi sarcoma (KS), and latent syphilis who presented to the ED for persistent fatigue, fever, chills, night sweats, and productive cough. Read More

View Article and Full-Text PDF

A unusual case of multifocal pyogenic abscess formation following ERCP procedure.

BMC Surg 2020 May 6;20(1):92. Epub 2020 May 6.

Department of Surgery A, Galilee Medical Center, Nahariya, Israel.

Background: Endoscopic retrograde cholangiopancreatography (ERCP) is essential for managing biliary and pancreatic disorders. Infection is the most morbid complication of ERCP and among the most common causes of ERCP-related death.

Case Presentation: A 69-year-old man presented with right upper quadrant abdominal pain, obstructive jaundice and abnormal liver function tests. Read More

View Article and Full-Text PDF

Bacteremia: Is It Dangerous?

Case Rep Infect Dis 2020 3;2020:7890305. Epub 2020 Apr 3.

Monmouth Medical Center, Long Branch, NJ, USA.

. , an anaerobic Gram-negative bacillus, is a rare cause of opportunistic infections affecting premature infants to seniors. We present a 34-year-old man who was presented for the management of diabetic ketoacidosis and developed bacteremia after one week of hospitalization. Read More

View Article and Full-Text PDF

Development of Bilateral Heterotopic Ossification After Survival of Life Threatening Purpura Fulminans.

Cureus 2020 Jan 21;12(1):e6731. Epub 2020 Jan 21.

Plastic Surgery, The Johns Hopkins University School of Medicine, Baltimore, USA.

Heterotopic ossification has been reported in patients who have undergone traumatic amputations, burn injuries, and total hip arthroplasty; however, the incidence of heterotopic ossification following purpura fulminans has only been reported in one case with unilateral involvement. Here we present a bilateral lower extremity case of heterotopic ossification as sequelae of purpura fulminans.  A 34-year-old male smoker with a past medical history of stab wounds to the chest and abdomen requiring emergent exploratory laparotomy, diaphragmatic repair, and splenectomy 15 years ago presented to the emergency department with a rapid onset of high fevers, chills and myalgia. Read More

View Article and Full-Text PDF
January 2020


AACE Clin Case Rep 2019 Nov-Dec;5(6):e388-e392. Epub 2019 Aug 28.

Objective: In rare instances, cytopenias manifest as a complication of thyrotoxicosis. Here, we report a case of Graves disease (GD) thyrotoxicosis presenting as pancytopenia that resolved with antithyroid therapy.

Methods: A 35-year-old male presented with fever and chills following an outpatient colonoscopy. Read More

View Article and Full-Text PDF

Splenic infarct with scrub typhus: a rare presentation.

Trop Doct 2020 Jul 1;50(3):234-236. Epub 2019 Dec 1.

Assosciate Professor, Department of Medicine, VMMC and Safdarjung Hospital, New Delhi, India.

Scrub typhus has a variety of clinical presentations ranging from asymptomatic to fever with chills, myalgias, hepatitis, gastric ulcerations and pancreatitis, all being attributed to disseminated vasculitis, with splenic infarction being a rare presentation. A 26-year man, a resident of north India, presented with an acute febrile illness and abdominal pain, computed tomography scan of the abdomen was suggestive of a splenic infarct. After ruling out other aetiology, a positive IgM (ELISA) for scrub typhus led to treatment with oral doxycycline, following which the patient was discharged symptom-free. Read More

View Article and Full-Text PDF

Phlegmonous Gastritis in a Bariatric Patient After Sleeve Gastrectomy.

Cureus 2019 Oct 12;11(10):e5898. Epub 2019 Oct 12.

Surgery, University of Central Florida College of Medicine, Orlando, USA.

Phlegmonous gastritis is a rare and progressive fatal condition that affects the mucosa and submucosa of the gastric wall. It can be localized or diffuse, affecting the entire stomach. It usually presents with upper gastrointestinal symptoms, such as nausea, vomiting, and hematemesis, along with systemic symptoms, including fever, chills, and fatigue. Read More

View Article and Full-Text PDF
October 2019

Liver abscess caused by ingestion of fishbone: A case report.

Medicine (Baltimore) 2019 Aug;98(34):e16835

Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Guilin Medical University, Guilin, China.

Rationale: The penetration of a foreign body through the stomach wall and causing liver abscess is rare. A case of liver abscess caused by secondary bacterial infection was reported in the current study.

Patient Concerns: A 58-year-old male patient had a history of eating fish and presented with recurrent fever with chills. Read More

View Article and Full-Text PDF

Unexplained fever in a young man with Crohn's disease: a case report and review of literature.

Acta Clin Belg 2021 Feb 26;76(1):60-64. Epub 2019 Jul 26.

Department of Gastroenterology, AZ Groeninge, Kortrijk, Belgium.

A 23-year-old man with a known history of Crohn's disease (CD), who underwent an ileocaecal resection for localized disease activity three months ago, suffered from persistent fever with chills since 10 days. Despite the empirical antibiotic therapy that was started, his fever remained. A computed tomography (CT) angiography of the thorax and abdomen revealed a thrombosis of the iliacal veins bilateral and a pulmonary embolism (PE) in the right lower lobe with adjacent infiltrate. Read More

View Article and Full-Text PDF
February 2021

Successful medical drainage and surgical treatment for vertebral osteomyelitis and bilateral psoas abscess with gas formation caused by klebsiella pneumoniae in a diabetic patient.

Rev Assoc Med Bras (1992) 2019 Jun 3;65(5):678-681. Epub 2019 Jun 3.

Department of Orthopaedic Surgery, Zhejiang University, Lishui Municipal Central Hospital, Lishui, Zhejiang, 323000, P.R. China.

Objective: We describe the case of a diabetic patient who developed vertebral osteomyelitis and bilateral psoas abscess with gas formation due to klebsiella pneumoniae.

Methods: A 64-year-old woman with a 4-year history of type-2 diabetes mellitus was admitted to the Emergency Department. The subject had a 2-day history of high-grade fever associated with chills and a 5-hour history of consciousness. Read More

View Article and Full-Text PDF

Management of infected pancreatic necrosis in the setting of concomitant rectal cancer: A case report and review of literature.

World J Gastrointest Surg 2019 Apr;11(4):237-246

Department of General Surgery, the Prince Charles Hospital, Brisbane, QLD 4032, Australia.

Background: Pancreatitis with infected necrosis is a severe complication of acute pancreatitis and carries with it high rates of morbidity and mortality. The management of infected pancreatic necrosis alongside concomitant colorectal cancer has never been described in literature.

Case Summary: A 77 years old gentleman presented to the Emergency Department of our hospital complaining of ongoing abdominal pain for 8 h. Read More

View Article and Full-Text PDF

A 76-Year-Old Woman With Incidental Right Middle Lobe Atelectasis.

Chest 2019 05;155(5):e137-e140

Nassau University Medical Center, East Meadow, NY.

Case Presentation: A 76-year-old nonsmoking woman visiting from Honduras for the last 6 months with no known medical history originally presented to the ED complaining of abdominal pain. While in the ED, an incidental right middle lobe collapse was found on CT abdomen scan. Review of systems was positive for a chronic productive cough with white sputum for 3 years. Read More

View Article and Full-Text PDF

Concomitant Infection With Epstein-Barr Virus and Cytomegalovirus Infection Leading to Portal Vein Thrombosis.

J Emerg Med 2019 Aug 28;57(2):e49-e51. Epub 2019 Apr 28.

Department of Emergency Medicine, Mount Sinai Beth Israel, New York, New York.

Background: Portal vein thrombosis (PVT) is well recognized as a complication of hepatic cirrhosis and is likely to be suspected in patients with hypercoagulable syndromes, however, it is rarely recognized as a possibility in otherwise healthy patients with Epstein-Barr virus (EBV) or cytomegalovirus (CMV) infection. We report a case of a healthy 27-year-old man with fever and weight loss who was found to have PVT in the setting of acute EBV and CMV infection.

Case Report: A 27-year-old man with no known medical history presented to the emergency department (ED) for fever for 18 days. Read More

View Article and Full-Text PDF

Case 265: Lemmel Syndrome or Biliary Obstruction Due to a Periampullary Duodenal Diverticulum.

Radiology 2019 05;291(2):542-545

From the Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, Singapore 169608.

History A 70-year-old man presented to the emergency department with fever, chills, rigors, and upper abdominal discomfort. Physical examination revealed jaundice and mild right upper quadrant tenderness. Laboratory tests revealed an increased C-reactive protein level of 133 mg/L (normal range, 0. Read More

View Article and Full-Text PDF

Case 265.

Radiology 2019 01;290(1):262-263

1 From the Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, Singapore 169608.

History A 70-year-old man presented to the emergency department with fever, chills, rigors, and upper abdominal discomfort. Physical examination revealed jaundice and mild right upper quadrant tenderness. Laboratory tests revealed an increased C-reactive protein level of 133 mg/L (normal range, 0. Read More

View Article and Full-Text PDF
January 2019

Manifestation of hydatid cyst of liver with pancreatitis, cholangitis and jaundice: A case report.

J Pak Med Assoc 2018 Jul;68(7):1097-1099

Ziauddin University, Karachi.

Hydatid disease or echinococcosis, a systemic zoonosis is caused by Echinococcusgranulosus larvae. This is a common disease found all over the world, especially in the Mediterranean region. We report a 40 year old male with no known comorbids who came with complaints of fever with rigors and chills, right hypochondriac pain, and yellow discolouration of the sclera. Read More

View Article and Full-Text PDF

[Painful lymphadenopathy after an insect bite-a case report].

Hautarzt 2019 Jan;70(1):47-50

Dermatologische Klinik, UniversitätsSpital Zürich, Gloriastr. 31, 8091, Zürich, Schweiz.

Tularemia is a bacterial zoonosis which is commonly transmitted through tick or insect bites or contact with meat of infected animals. We report the case of a 36-year-old man who developed fever, chills, headaches, and a painful, unilateral, inguinal lymphadenopathy with a red-livid skin discoloration after an insect bite on his abdomen. Ulceroglandular tularemia was diagnosed through polymerase chain reaction (PCR) and serology. Read More

View Article and Full-Text PDF
January 2019

Salmonella infection of breast implant associated with traveler's diarrhea: A case report.

JPRAS Open 2018 Dec 19;18:59-64. Epub 2018 Sep 19.

Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Nebraska Medical Center, Omaha, NE 68198-3280, USA.

We present the first case of traveler's diarrhea resulting in breast implant infection. An otherwise healthy 34-year-old female underwent breast augmentation. Five months later, while vacationing in Cancun, Mexico, she developed abdominal pain and diarrhea that progressed to include fevers and chills. Read More

View Article and Full-Text PDF
December 2018

Bilateral Renal Hypoperfusion Following Motor Vehicle Accident.

J Investig Med High Impact Case Rep 2018 Jan-Dec;6:2324709618794726. Epub 2018 Aug 24.

Temple University-Conemaugh Memorial Medical Center, Johnstown, PA, USA.

Renal hypoperfusion noted on abdominal computed tomography (CT) scan without any underlying comorbid condition is a rare finding. Most reported cases of renal hypoperfusion have an association with an underlying cardioembolic problem, such as atrial fibrillation, endocarditis, cardiomyopathies, or artificial valve thrombi. We present a case of transient renal hypoperfusion evident on abdominal CT scan following blunt trauma. Read More

View Article and Full-Text PDF

Disseminated Lyme disease presenting as multiple non-target cellulitic-appearing skin lesions and oral pseudomembrane.

Umesh Sharma

BMJ Case Rep 2018 Jul 30;2018. Epub 2018 Jul 30.

Hospital Internal Medicine: Community Division, Mayo Clinic Health System, Rochester, Minnesota, USA.

A 45-year-old man was presented with 3 weeks of fever, chills, headache, myalgia and sweats after returning from a camping trip. He had multiple erythematous, blanching, non-target lesions on back and lower abdomen and oral pseudomembrane. He was empirically started on doxycycline for presumed Lyme disease and hydration for management of acute renal failure. Read More

View Article and Full-Text PDF

Prostate Abscess Caused by Community-Acquired Methicillin-Resistant .

J Investig Med High Impact Case Rep 2018 Jan-Dec;6:2324709618788899. Epub 2018 Jul 18.

Conemaugh Memorial Medical Center, Johnstown, PA, USA.

A 60-year-old male presented with complaints of fever, chills, cough, and shortness of breath. He denied abdominal pain, urgency, dysuria, or hematuria. His laboratory data revealed an elevated white blood cell count and lactic acid, and one set of blood culture stained positive for gram-positive cocci. Read More

View Article and Full-Text PDF

Nontraumatic Exertional Rhabdomyolysis Leading to Acute Kidney Injury in a Sickle Trait Positive Individual on Renal Biopsy.

Case Rep Nephrol 2018 15;2018:5841216. Epub 2018 Apr 15.

Department of Nephrology, Maimonides Medical Center, Brooklyn, NY, USA.

A 26-year-old African American male with a history of congenital cerebral palsy, sickle cell trait, and intellectual disability presented with abdominal pain that started four hours prior to the hospital visit. The patient denied fever, chills, diarrhea, or any localized trauma. The patient was at a party at his community center last evening and danced for 2 hours, physically exerting himself more than usual. Read More

View Article and Full-Text PDF