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"Clinical Pearls"
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‘Blue toes’ following vaccination with the BNT162b2 mRNA COVID-19 vaccine
Highlights: COVID toes can be encountered in young individuals during acute COVID-19 infection while it results from the direct action of Spike protein on vessels. We report the case of COVID toes during the French campaign of vaccination that occurred 4 days after the vaccination with the Pfizer-BioNTech mRNA vaccine against COVID-19.
Journal Article
COVID-19 with spontaneous pneumothorax, pneumomediastinum and subcutaneous emphysema
We present a case of COVID-19 pneumonia associated with spontaneous pneumothorax, pneumomediastinum and subcutaneous emphysema.
Journal Article
Protracted Katayama syndrome in an immunocompromised traveller: the challenge of assessing cure
We describe a case of prolonged Katayama syndrome in an immunocompromised traveller. We highlight the difficulty of evaluating a cure due to persistent polymerase chain reaction (PCR) positivity and fluctuating markers. We discuss limitations of current diagnostic assays and advocate for improved access to reliable markers like the circulating anodic antigen test.
Journal Article
Homonymous hemianopia following yellow fever vaccination: a case of acute disseminated encephalomyelitis
A 42-year-old Caucasian man developed left homonymous hemianopia 16 days after receipt of a live-attenuated 17D-204 yellow fever virus vaccine. MRI imaging of the brain revealed right occipital and left parieto-occipital lesions with marked hyperintensity consistent with demyelination, and a diagnosis of yellow fever vaccine-associated acute disseminated encephalomyelitis was made.
Journal Article
The periscope sign as a new dermatoscopy finding to facilitate the diagnosis of furuncular myiasis
In this text, we introduce the ‘periscope sign’ as a novel dermatoscopic finding in furuncular myiasis. This clinical sign may aid in diagnosing this rare condition, particularly in patients with a history of travel to endemic areas.
Journal Article
SARS-CoV-2 and Legionella co-infection in a person returning from a Nile cruise
We report a case of severe acute respiratory syndrome coronavirus 2 and Legionella co-infection manifesting as pneumonia with gastrointestinal symptoms. The case highlights the importance of differential diagnosis during the COVID-19 pandemic, so we do not miss the opportunity to diagnose other treatable causes of disease with similar symptoms.
Journal Article
A case of coinfection with dengue and parainfluenza virus after travel to Indonesia
We present a case of coinfection with dengue and parainfluenza viruses, a coinfection that has not been described in the literature to date. This case emphasizes that fever after travel is not always caused by a single disease. Appropriate research on fever sources and infection control measures should be implemented.
Journal Article
Beach volleyball and Cutaneous Larva Migrans
Cutaneous larva migrans can affect even athletes who travelled to play beach volleyball in Zanzibar. We describe a cluster of CLM infections in travellers who contracted the disease during their trip to Africa, rather than bringing a volleyball trophy. Despite presenting typical changes, all of them were misdiagnosed.
Journal Article