Article Types
Medical education
Catheter‐related superior vena cava syndrome: an increasing problem
A 16-year-old female patient with cystic fibrosis developed recurrent pleural effusions, facial plethora and prominent chest wall veins
John J Harvey · John I Vrazas · Elhamy Bekhit · Chris Barnes · Philip J Robinson
Hidden danger: maize starch excipient allergy
A 77-year-old man with maize starch excipient allergy on peritoneal dialysis presented to the renal clinic with mild right groin pain for a week, blood pressure of 150/79 mmHg, and weight gain of 2 kg due to fluid retention
Lipin Lukose · Shrey Seth · Kamal Sud · Brian Nankivell · Mary Ann Nicdao · Ronald L Castelino
Toxigenic cutaneous diphtheria without recent travel, Sydney, Australia, 2022
A 58-year-old man attended a Sydney outpatient dermatology clinic in November 2022 for a lesion on the vertex of the scalp, enlarging over 3 years
Caitlin Swift · Anthea L Katelaris · Thea Briggen Tiqui · Julie Smith · Tracey Papa · Estella Janz‐Robinson · Trang Nguyen · Qinning Wang · Jenny Draper · Vitali Sintchenko · Debbie JE Marriott · Vicky Sheppeard
Skin fragility disorder misdiagnosed as child abuse: a cautionary tale
A two-year-old girl presented in distress after a minor fall in a sandpit at a childcare facility
Anneliese Willems · Lauren Weston · Susan Robertson
Back pain in an Australian farmer: an unusual case of cryptococcal osteomyelitis
A 53-year-old Indigenous male farmer presented with several weeks of fluctuating lumbar back pain while physically supporting an older family member
Michael D Riceman · Caitlyn Sun · John Pierides · Jennifer Catford · Renjy Nelson · Anushia Ashokan
A thorny case of spastic paralysis
A 78-year-old man presented to the emergency department with severe left thigh pain
Travis Lines · Aadith Ashok · Sadid F Khan · Michael J Loftus
Human pulmonary dirofilariasis: an unexpected differential diagnosis for a solitary lung lesion
A 56-year-old woman of European ancestry from a suburban area of Far North Queensland was referred to the local cardiothoracic unit for a right lower lobe lung lesion
Sigrid G Theodore · Hannah J Sawkins · Manish Mathew · Sumit Yadav · Robert Norton
Haemophagocytic lymphohistiocytosis secondary to disseminated tuberculosis in a young adult with Crohn's disease
A 25-year-old male patient reported four weeks of chills, night sweats, weight loss and dyspnoea following one week in Bali, Indonesia, seven weeks prior
Rattanak Visal Hean · David A Sheffield · Kirsten Herbert · David Brewster
Good's syndrome associated with multiple basal cell carcinomas: a case report
A 61-year-old man of European ancestry presented with five large fungating lesions
Michelle Wu · Nicole Seebacher · Margit Polcz
Human Clostridium chauvoei necrotising enterocolitis
A 48-year-old woman presented with three days of nausea and vomiting and two days of worsening right-sided lower abdominal pain
Myung Seo Ko · Trine Gulholm · Konstantin Yastrebov
The not‐so‐natural herb: a case of exogenous Cushing syndrome
A 44-year-old man presented to the emergency department with one month of worsening breathlessness, orthopnoea, paroxysmal nocturnal dyspnoea, and pitting oedema to the thighs
Yi‐An Pan · David Roberts · Yi‐An Pan · David Roberts
Saltwater injury: a case of chronic cutaneous Mycobacterium marinum infection
A 32-year-old woman presented with a painless but cosmetically bothersome chronic indolent lesion on her left knee
Ruby C Lee · Kennedy Wong · Yolanka Lobo · Heba Jibreal
Fallibility and flaviviruses: a diagnostic lesson in Japanese encephalitis
Accurate diagnosis requires careful interpretation of laboratory results, with repeat serology over time and using a range of different assays
Kate Proudmore · Vicki L Krause · Bart J Currie · Rob Baird
Breakthrough mpox despite two‐dose vaccination
Clinicians should be aware of the possibility of breakthrough infection in patients with epidemiological risk factors and a characteristic vesiculopustular rash, irrespective of a history of previous vaccination
Madhara N Weerasinghe · Catriona Ooi · George Kotsiou · Vincent J Cornelisse · Arran Painter · Madhara N Weerasinghe · Catriona Ooi · George Kotsiou · Vincent J Cornelisse · Arran Painter
Management of opiate dependence related to dihydrocodeine–sorbitol misuse
Regular use of dihydrocodeine, which can be purchased over the counter without a prescription, can lead to opioid use disorder
Richard CJ Bradlow · Baden Hicks · Temika Mu · Daniel Pham · Michelle Sharkey · Noel Plumley · Dan I Lubman · Shalini Arunogiri
Meningococcal B septic shock, reactive pericarditis and public health
A 19-year-old male student with a history of asthma and nut anaphylaxis was taken by ambulance to hospital when he was found unresponsive with vomitus and faecal soiling after one day of lethargy and sore throat
Gary Louie · Romeo Torres · Anthea L Katelaris · Courtney McGregor · Victor Lai · Robert Stevens · Richard Sullivan · Pamela Konecny
Second look diagnosis: dual sinus nodes rhythm in heart transplant patient
A 76-year-old woman presented to a regional hospital with COVID-19-related symptoms
Gabriela Strey
Mpox and primary syphilis co‐infection in a newly arrived traveller from South America
A 27-year-old male South American traveller developed painful genital ulcers accompanied by fever and right-sided groin pain on arrival in Sydney and consulted a GP
Rasanga Liyanage · Josephine Lusk
A unique pattern of urothelial calcifications secondary to disseminated tuberculosis
A 35-year-old woman presented with haematuria, unintentional weight loss, and night sweats for two months
Samuel Lau · Bertrand Ang · Sandra Tan
Unusual hepatitis B virus findings in blood donors
Blood donor screening laboratories use different testing algorithms to diagnostic laboratories and may yield results which do not conform to the usual patterns with which clinicians are familiar
Christopher D Swan · Clive R Seed · Claire E Styles · Iain B Gosbell
Calcinosis cutis of the thumb
A 57-year-old woman receiving intermittent haemodialysis presented with a six-week history of a traumatic, painful, firm swelling of her right thumb
Mitchell Hunter‐Dickson · Jessica Conway
Field cancerisation and radiotherapy: a case of treatment complications
A 62-year-old man with a more than 30-year history of actinic keratoses and keratinocyte carcinomas presented for ongoing management
Sarah K Morton · Selim Ozluer · James Muir
Groove sign in eosinophilic fasciitis
A 33-year-old man presented with a four-month history of polyarthralgia, cutaneous oedema and induration of extremities after swimming
Xingyu Li · Dong‐Lai Ma
Seven vessel spontaneous coronary artery dissection and concurrent transient global amnesia after an emotional trigger
A 60-year-old woman presented to the emergency department with confusion and memory loss on the day of her father’s death
Nikolaos Papadopoulos · Ashleigh Dind · Karam Alzuhairi · Peter Caspari
Locally acquired respiratory diphtheria in Australia
A 32-year-old woman from a remote Indigenous community in Far North Queensland presented to her local health clinic with a one-day history of odynophagia
Simon Smith · James Stewart · Joshua Hanson · Julian Harris · Fred JJ Chuang · Gavin Quail · Bryan Hawarden · Roshni Lad · Shannon McNee · Benjamin McCartney · Tonia Marquardt · Ian Wilson · Catherine Tacon · Bernard CS Whitfield
