To our knowledge, this is the first description of a cytomegalovirus end-organ infection complicating severe COVID-19 disease in an immunocompetent host. Suspicion threshold for opportunistic coinfections should be lowered in severe COVID-19. Serum CMV polymerase chain reaction and colonoscopy should be discussed in presence of persistent digestive disturbances.

Through this case, we present the thought process, team-based strategy and sequel of managing a complex, critically ill pregnant with ARDS and COVID-19 pneumonia. This case also confirms the feasibility of using convalescent plasma and ECMO during early postnatal period in acutely ill parturient with respiratory failure.

COVID-19 has been linked to a number of cutaneous symptoms in COVID-19 patients. Although herpes zoster (HZ) was the first sign of COVID-19 infection in several patients, cases of HZ after COVID-19 vaccination are rare. We report case of 51 years old male with Herpes Zoster after Sinopharm (Vero Cell).

Polyserositis Caused by Tuberculosis in a Young Female Patient with Hypothyroidism: A Diagnostic ChallengeGashaw Solela1 Ferhan Kedir1 Merga Daba21Department of Internal Medicine, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.2Department of Internal Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.Correspondence: Gashaw Solela, Department of Internal Medicine, Yekatit 12 Hospital Medical College, [email protected], +251-921562995, ORCiD ID - 0000-0002-2233-9270

A patient with Birt-Hogg-Dubé Syndrome (BHDS) developed metastatic follicular thyroid cancer, which until now has never been described in someone with BHDS. Thyroid cancer is not currently recommended for screening with BHDS. This case presents implications for future guidelines and planning for renal transplant in patients with this condition.

COVID-19, TB and HIV are infectious diseases of global public health concern. Triple Co-infection with these diseases can create a diagnostic and therapeutic dilemma. We present a case of a young Cameroonian woman with SARS-CoV-2 -- HIV-TB triple co-infection. Early diagnosis and appropriate management yielded an excellent outcome.

Spondylotic myelopathy involves chronic spinal cord compression from degenerative spine changes presenting a myriad of neurological and pain symptoms. We report a case of cervical myelopathy with transverse pancake-like gadolinium enhancement seen on MRI in a 42-year-old gentleman with progressive bilateral upper extremity numbness, tingling, and impaired gait.

The most common variant of cutaneous T-cell lymphomas (CTCL) is mycosis fungoides (MF).The spontaneous regression (SR) of MF is rare. Here, we are reporting an interesting case of refractory MF after COVID-19. The SARS-CoV-2 could be an essential component in the improvement of clinical features related to MF.

As the clinical course of COVID-19 infection in SCD patients is not clear, close monitoring is essential. We emphasize that RBC exchange should be offered early to avoid possible deterioration. We present a case of COVID-19 infection in a SCD patient causing severe hemolysis, that improved after RBC exchange.

This case report describes the clinical history of a COVID-19 patient with a non-immediate diagnosis of severe dysphagia that required a gastrostomy positioning. A vocal folds paresis was observed for the first time in the course of a Sars-CoV-2 infection. Thanks to intensive rehabilitation treatment, the outcome was favourable.

Congenital Lobar Emphysema: A diagnostic dilemma with co-existent Congenital Heart Defects

We recommend carrying out a detailed history and evaluation for recent or past COVID-19 infection in patients presenting with Sudden Sensorineural Hearing Loss (SSNHL) since SSNHL could be a sequelae of COVID-19 as in our case and timely diagnosis and intervention could significantly improve hearing and quality of life.

Pulmonary Tuberculosis (PTB) and Novel Coronavirus disease 2019 (COVID 19) primarily affect the lungs. Both diseases present with fever, cough, and shortness of breath and possess thrombotic potential as well. Therefore in COVID 19 pandemic, PTB must be taken into consideration for suspected cases in order to avoid fatal consequences.

An association has been reported between BP and DPP-4 inhibitors. We report three cases of DPP-4 inhibitor-associated BP, with an unfavorable course in 2 patients despite discontinuation of these drugs. Therefore, clinicians should pay close attention to the clinical course of DPP-4 inhibitor-associated BP, even after withdrawal of these drugs.

A 55-year-old man with left temporo-insulo-parietal glioblastoma was admitted because of abrupt excruciating pain in right arm and ipsilateral face. EEG showed a left central frontal rhythmic activity and complains were controlled with anti-epileptic drugs. Paroxysmal pain is an unusual manifestation of focal seizures and can be the only symptom.

A 48-year -old male patient with Type 2 diabetes mellitus(T2D) on insulin replacement therapy, glipizide and Dapagliflozin admitted for generalized weakness found him in euglycemic diabetic ketoacidosis which means normal or near normal glucose levels with high anion gap metabolic acidosis recovered on insulin drip per DKA protocol.

Scabies may present with unusual features like vesicles, pustules, and bullae. In the setting of an already burdened health sector, careful history taking is of utmost importance in order to avoid unnecessary and expensive investigations to reach a diagnosis.

We report a 64-years old man with B-cell CLL infected by SARS-CoV-2 during his hospitalization for a spondylodiscitis. Because of his health conditions the duration of the antiviral therapy was restricted to one week where we observed a transient disappearance of CD19+/CD5+ B-lymphocytes in peripheral blood.