Cerebral aspergillosis and pulmonary tuberculosis in a child with chronic granulomatous disease

Background: Chronic granulomatous disease (CGD) is an immune disorder that affects phagocytes. It is characterized by recurrent or persistent bacterial and fungal infections. Reports of tuberculosis (TB) in patients with CGD are rare. In developing countries, where TB is endemic, possibility of other chronic infections is often overlooked by physicians.Case description: We report the case of a 4-year-old boy who had recurrent respiratory infections and episodes of headache. He was put on antituberculosis (ATT) drugs without microbiological or pathological evidence 2 months prior to presentation. The child did not improve and was brought to our hospital where a computed tomography scan revealed multiple cerebral abscesses. These abscesses were excised. The microbiological specimen was determined to be positive for Aspergillus fumigatus. His tracheal aspirate was positive for Mycobacterium tuberculosis polymerase chain reaction assay. Further work-up confirmed the diagnosis of CGD in the child.Conclusion: This report describes the course of the patient\u27s illness in order to highlight the challenges associated with the management of these infections. We also aim to stress on the importance of pathological diagnosis before starting a therapy

Harlequin ichthyosis: A case report and literature review

Abstract Harlequin ichthyosis is a rare autosomal recessive disorder occurring in 1: 3,000,000 birth characterized by thick keratin skin with a scaly appearance. Preterm deliveries, early, and consanguinity of marriage are some risk factors. Antenatal checkup of DNA for ABCA12 mutation helps in diagnosis but ultrasonography in places was not available

Brown tumor of the knee as the first presentation of primary hyperparathyroidism caused by parathyroid adenoma: A case report

Brown tumor of the knee is a focal benign cystic lesion of bone. The etiopathogenesis of brown tumor is believed to be abnormal bone metabolism in patients with hyperparathyroidism. We present a case of a 32-year-old male with recurrent knee pain, weakness of the lower limb and a nodular mass on left inferior lobe of thyroid. Timely identification of the underlying cause and localization of lesion(s) is important because the management and prognosis vary based on the etiology. The diagnosis of a brown tumor is the result of the sum of the medical history of patients with clinical, radiographic imaging, histopathological, hematological, and biochemical laboratory investigations