BACKGROUND & OBJECTIVE: Ocular toxocariasis is an uncommon worldwide infection caused by the nematode larvae of T. canis. This infection usually seen in children following consumption of eggs of parasites from stool of infected animals. In this study we present a case of acular toxocariasis in a 40 year old man.CASE: A 40-years-old man admitted to our hospital due to with impairment of visual acuity, with duration of 20 years. Visual acuity in involved eye was 1/10 and in intact eye was 12/10. On fundoscopy, a white round shaped mass was seen in his retina near macula. Serologic test confirmed the diagnosis of toxocariasis.CONCLUSION: Toxocariasis should be considered in the differential diagnosis of patients with cornea, strabismus and blurred vision both in children and adults.

A 62-year-old man was referred to our hospital with dyspnea. Preliminary studies revealed multiple masses in the right ventricle, epicardium, and pericardium; no lymphadenopathy or organomegaly was, however, detected. The patient underwent a surgical operation with the diagnosis of a cardiac mass. Multiple, firm, whitish-yellow nodules with extension to the epicardial fat were excised, and the defect was repaired with an extensive pericardial patch. The myocardium was infiltrated by discohesive sheets of malignant round cells that had a high nucleocytoplasmic (N/C) ratio, scanty cytoplasm, and a coarse chromatin pattern.The diagnosis was further confirmed by a panel of immunohistochemistry markers; the neoplastic cells were positive for CD 45 and CD 20.Primary lymphomas originating from the heart and pericardium are extremely rare and constitute only 1.6 percent of cardiac neoplasms. They arise mainly from the right chambers and may be of low, intermediate, or high grade. The majority are of B-cell nature. No association with viruses has been established. Cytology is diagnostic in the effusions of the pericardium. Unfortunately, prognosis is grim due to delayed diagnosis.

The electrocardiogram (ECG) discussed in this article is related to a 26-year-old man with chief complaint of headache accompanied with nausea and diplopia. The ECG discussed in the present article is shown in figure 1. What is the correct interpretation of this ECG...

A 54-year-old male, farmer with a history of dyspnea from 10 years ago, developed increased sputum production, coughing and blood- streaked sputum and hospitalized for further investigations.He was a current smoker (17pack/year) and oral opium addict. Spirometry revealed severe airflow obstruction with FVC: 45%, FEV1: 31%, and FEV1/FVC: 51%. Considering cheat x-ray findings, the patient underwent chest HRCT (Figures 1 A and B). Serum immunoglobulins and IgG subclasses assessment and sweat test were performed and all were normal. Biochemistry tests were also performed, and liver and renal function tests, electrolytes, peripheral blood leukocyte counts, hemoglobin, and platelet count were all normal. ESR was 57mm/hr, and serum as well as sputum galactomannan were negative for aspergillosis. Bronchoscopy was performed; bronchoalveolar lavage fluid smear and culture were negative for pathogenic bacteria, fungi, and mycobacterium.Histopathological examination of the bronchial biopsy specimen showed chronic non- specific inflammation.

Dental foreign body aspiration is a known complication in patients with maxillofacial trauma. Although diagnosis may be delayed, especially in elderly people with radiolucent dental appliances, clinician must be aware of dental tracheobronchial aspiration to minimize potentially serious consequences. We present a 50-year-old man with three months history of progressive dyspnea due to foreign body aspiration occluding distal trachea. The patient had a history of car accident with facial trauma and denture fracture two years before presentation. Fiberoptic bronchoscopy revealed almost totally obstructing mass-like lesion with nodular infiltration in distal trachea. The patient underwent rigid bronchoscopy and a piece of denture with three teeth was extracted.

The patient is a 50-year-old man who has been diagnosed with abdominal pain, fever, shivering and constipation with nausea and vomiting with a possible diagnosis of typhoid. Computed tomography (CT) of the abdomen and pelvis was performed by injection of contrast agent for the patient. What is your diagnosis?

A 55-year old male patient underwent open cholecystectomy and choledocholithotomy with Ttube drainage for cholelithiasis and choledocholithiasis with obstructive jaundice.Postoperative period was uneventful and serum bilirubin level was falling gradually. T-tube drainage was reduced to 50-100 ml bile per day.On 10th postoperative day, T-tube cholangiography was done, showing a linear filling defect in common bile duct (figure 1). Magnetic resonance cholangiography was performed, which confirmed the shadow in common bile duct (figure 2).

CASE PRESENTATION: A 27-year-old man came to our emergency department with chief complaints of abdominal pain, nausea and vomiting, colicky pain in all area of abdomen without any radiation and generalized myalgia. In his background, he had no previous medical problem. In his social history he had worked in an automobile battery-reclaiming factory for 5 years. During his physical examination, his appearance was pale with perioral...

In this article, we discuss clinical manifestations, laboratory results, and radiological findings in an old man with suppurative tender mass in the neck, accompanied by, fever, weight loss, malaise, fatigue, night sweat, cough, vomiting, and dysphagia. Pharyngeal exam revealed a huge retropharyngeal abscess.

A 51-year-old cigarette-smoker man was admitted because of progressive generalized weakness and early fatigability since 3 months earlier. He denoted that his symptoms developed after 2 days of fasting. He also complained of headache, lower extremities bone pain, and a recent episode of respiratory tract infection. The patient was not on any specific medications, and physical examination was unremarkable. Laboratory results are shown in the Table.Results of hepatitis B and C viruses serology, serum complements 3 and 4, total hemolytic complement, antinuclear antibody, antineutrophilic cytoplasmic antibody, and anti-double-stranded DNA were all negative or in normal range. Urinalysis revealed proteinuria (2+) with 5 to 10 erythrocytes and 5 to10 leukocytes per high-power field. Serum protein electrophoresis demonstrated hypoalbuminemia, hypogmmaglobulinemia, and a monoclonal peak in the beta 2 region (Figure 1). With immunotyping, a high level of immunoglobulin A (IgA) was demonstrated (IgG, 196 mg/dL; IgA, 5965 mg/dL [reference range, 60 mg/dL to 490 mg/dL]; IgM, 6 mg/dL; and IgE, 14.2 mg/ dL). Result of urine protein electrophoresis also revealed beta, 97.0%; alpha 2, 1.0%; and albumin, 2.0%. There was no evidence of lytic bone lesions in skull radiography. Chest radiography was negative for cardiomegaly, pulmonary infiltrates, effusions, or bony abnormalities in the ribs...