1.Vasculitis associated with COVID-19 reinfection in a fully vaccinated 66-year-old Filipino male: A case report.
Bernadette Bergonio Iglesia ; Jacqueline D. Melendres
Journal of the Philippine Medical Association 2023;101(2):49-54
COVID-19-associated vasculitis is a term used
to describe a genuine vasculitis associated with SARS-
COV-2 infection when all other possible causes of
vasculitis have been ruled-out. We report a case of a 66-
year-old-male, reinfected by COVID-19 after 5 months,
who presented with a 2-week history of multiple
petechiae on bilateral anterior legs that gradually
evolved into targetoid purpura with central blisters,
spreading to the proximal medial thighs and the trunk,
associated with pruritus and a warm sensation over the
affected areas. The patient also presented with marked
periorbital swelling, abdominal and joint pains, and
decreased kidney function. Histopathology of the skin
biopsy showed leukocytoclastic vasculitis while direct
immunofluorescence study came out positive result for
fibrinogen but negative for IgA, IgG, IgM and C3. Skin
lesions resolved and kidney function improved prior to
discharge after treatment with IV antibiotics
(azithromycin 500 mg and ceftazidime 1 g) and IV
steroids (hydrocortisone 50 mg). Recurrence of the
vasculitic skin lesions occurred 2 weeks after being
tagged as COVID-recovered but improved after 14 days
of treatment with oral prednisone. We highlight the
importance of recognizing cutaneous vasculitis as a
possible marker of a severe COVID-19 disease which
could be in the form of single-organ damage particularly
acute kidney injury.
case report
5.Fractured penis: two case reports.
The Medical journal of Malaysia 1986;41(3):278-80
seconds
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penis
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Fractures
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Case Report
Result Analysis
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