An unusual case of breathlessness in a patient with chronic myeloid leukaemia: Case Report.

A 67-year-old Caucasian male presented in January, 2013, with difficulty in breathing and pyrexia. This was following a course of antibiotics for a previous chest infection that had begun at the beginning of January and had not responded to therapy. His past medical history included chronic myeloid leukaemia, basal cell carcinoma of the throat treated in 2011, glaucoma and bilateral inguinal hernia repair (performed in 1989 and 2008). He was an ex-smoker of 21 years. His current medication was dasatinib (tyrosine kinase inhibitor) 100 µg⋅day(-1), amoxicillin/clavulanic acid 625 mg three-times daily orally (changed to 1.2 g three-times daily intravenously) and bimatoprost 0.1 mg eye drops.

Salmonella kingabwa meningitis in a neonate.

A 23-day-old male baby was admitted with 1 day history of high temperature, irritability and poor feeding. His general examination was unremarkable. Salmonella species grew from CSF culture and subsequent identification revealed Salmonella kingabwa, a serotype which rarely causes human illness. The child lived with his parents and regularly visited his grandmother for 4 h every day. Grandmother kept five snakes and five water dragons as pets. They lived in tanks and crawled freely around the house. For decades the reptiles have been known to carry Salmonella, which can be transmitted directly or indirectly to humans through ingestion of the bacteria, which causes subsequent infection. Reptile exposure is a rare but significant risk factor for Salmonella illness in England and contact with reptiles should be avoided by children less than 5 years old, pregnant ladies, older and those with impaired immunity.

Disseminated gonococcal infection presenting as vasculitis: a case report.

A 50-year-old man with alcoholic liver disease presented with fever, tenosynovitis, polyarthritis and a vasculitic rash on the hands and feet for 4 days. He had neutrophilia and raised inflammatory markers. He had no history of sore throat, urethral discharge or travel abroad. His initial blood cultures were negative, and he was treated for vasculitis with steroids. The rash and arthritis seemed to improve initially, but he had another episode of fever. Repeat blood cultures grew Neisseria gonorrhoeae,and he received intravenous ceftriaxone followed by oral ciprofloxacin. He had marked improvement in rash, tenosynovitis and arthritis, and the fever dropped. He also had chlamydial urethritis and received azithromycin. The presentation of disseminated gonococcal infection after a presumptive episode of asymptomatic urethral gonorrhoea is highlighted.