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Swaziland Medical Images

Ascaris worm ball in 10-year-old who presented with severe abdominal pain and vomitting.

This 30-year-old male presented with a fluctuant mass on the left anteriolateral chest wall that had been present for approximately one week. He had been feeling poorly for one month, but did not recall an acute illness. Prior to incision and drainage of what appeared to be an abscess, this chest radiograph was obtained which revealed a massive empyema. The fluctuant mass, as it turned out, was the empyema which was working its way out of the chest wall toward spontaneous drainage. Tuberculosis is the suspected etiology.

Depressed skull fracture in 60-year-old who presented two days after being struck in the head with an ax blade. Remarkably, after surgical exploration and repair, he suffered no ill effects.

Tib-fib fracture in patient with an unknown history

Tuberculosis presents in many ways, but with symptoms of cough, fever, night sweats, and weight loss that have been going on in a subacute to chronic fashion, this chest radiograph and AFB smears hardly seem necessary. With no direct observed therapy available, patients are hospitalized for the first two months of treatment with INH, rifampin, pyrazinamide, and streptomycin.

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