This is where you will find interesting and educational cases from Vancouver Island.

A sore brought from the Caribbean

During a vacation in the Turks and Caicos a woman was bitten several times by unidentified insects. She presumed that an expanding lesion on her forearm was an infection of one of the bites…

A treasured pet, a fever, and a rash

A healthy 28 year old woman became abruptly ill with nausea and vomiting, flu-like symptoms and a sore throat. The nausea and vomiting persisted for 3 days at which time a rash appeared on much of her body…

Arm Infection

An 85 year old man was diagnosed with polymyalgia rheumatica and treated with high dose prednisone. While on approximately 50 mg of prednisone these lesions started to appear…

Dyspnea in a renal transplant patient

A 45 year old renal transplant recipient was being evaluated for deteriorating renal function and underwent a renal biopsy. While recovering from the procedure he was observed to be tachypneic prompting investigations.

Look in the liver

For several months a 72 year type 2 diabetic man’s glycemic control had deteriorated and in the weeks leading to admission he got progressively more unwell in a non-specific fashion. His poor dentition lead to a presumptive diagnosis of bacterial endocarditis that was supported by the finding of Gram-positive cocci in chains in multiple blood cultures.

Case Types