A 24-year-old man presents to a primary care clinic with seven days of respiratory symptoms. He initially developed cough, fever, sore throat, and fatigue. His symptoms improved on days 4 and 5, but then worsened in the past 48 hours with recurrent fever and productive green sputum.
POCUS Findings Lung ultrasound of the right posterior-axillary chest (Clip 1) reveals focal pathological B-lines arising from the pleural line, while the remainder of the right lung and the entire left lung demonstrate normal lung patterns. There is no visible consolidation or pleural effusion. Focal B-lines are abnormal vertical,…
Guillain-Barré syndrome (GBS) encompasses the variants of acute immune-mediated polyneuropathies usually preceded by an infection. A few case reports have associated GBS to neoplastic diseases. It remains unclear whether these are merely coincidental or represent paraneoplastic phenomena. The clinical features of GBS associated with oncological cases do not appear to…
We present a very rare case of quadruple cancers in a 65-year-old male patient. It is a case of both synchronous and metachronous primary malignant neoplasms occurring in four different organs. Immunohistochemical stains showed tumor cell nuclei to be negative for p53 over-expression. To our knowledge, this is the first…
Inflammatory pseudotumor (IPT) is a rare disease that usually occurs in the lung. Patients with IPT are usually asymptomatic, with a solitary pulmonary nodule or mass detected on routine chest roentgenogram. IPT can behave as a malignant tumor both clinically and radiologically. Cough, fever, dyspnea, and hemoptysis are the usual…
Topotecan HCl is an antitumor drug exhibiting topoisomerase I-inhibitory activity. Topotecan is used in the treatment of metastatic carcinoma of the ovary and as second-line treatment of small-cell lung cancer. Reported dose-limiting adverse reactions to topotecan are primarily hematologic in nature. To date, only one other case of lung toxicity…
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