BMJ Elective Case Log

A 35-year-old female presented to our OPD complaining of cough for 1 month and low-grade fever for 1 year. She is on treatment for Lupus. She has a history of fibroid for 5 years and purpura for 1.5-2 years. His chest radiograph and HRCT is attached below: Right upper lobe abscess on follow up with CxR pa today. These eruptions are noted over the skin of back and abdomen in this patient who recently discharged from the hospital. This patient now appeared to have developed these pustules again on the same area where the vesicular lesions had first appeared. what are these new lesions?  (updated on 24/08/2017) Conversation around this case: Rakesh Biswas Thanks Vivek . Amit , DrDeepanjan will be looking forward to your and others inputs on this current patient Rajendra Takhar Looking at the under treatment status for lupus and two of the cardinal symptoms of tuberculosis with supportive evidence from radiology, I would definitely re

A patient with PUO admitted with us for 19 days and yet no respite in his fever. [1] Recently detected diabetes, BPH, initially grew E Coli in small amount and later cultures sterile. The CT has been reported as bilateral centrilobular nodules of infective origin by our radiology department. [2] The LFT above is suggestive of dissemination although the transaminitis appears to be receding. [3,4]  His Mantoux test was negative and this completes most of his work up here. A bone marrow is planned tomorrow for cultures,  mtb,  parasites and other infiltrates. Figure 1 Figure 2 Figure 3 Figure 4