Takashi Shinha

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A 54-year-old man with an underlying AIDS experienced fever and lethargy. Magnetic resonance imaging (MRI) showed multiple small ring-enhancement lesions over pons, basal ganglion, thalami, and bilateral cerebral hemisphere. Because of the concurrent pulmonary tuberculosis (TB), presumptive diagnosis of tuberculous meningitis and brain tuberculoma was made.(More)
Clostridium species are anaerobic Gram-positive rods that can cause a broad range of invasive infections in humans, including myonecrosis and bacteremia. Importantly, clostridial bacteremia is frequently associated with underlying medical conditions, such as colonic malignancy. Characterizing Clostridium spp. and understanding their associated clinical(More)
Ramsay Hunt syndrome is characterized by varicella zoster virus infection affecting the geniculate ganglion of the facial nerve. It typically presents with vesicles in the external auditory canal associated with auricular pain and peripheral facial nerve paralysis. Although vestibulocochlear nerve is frequently co-involved during the course of Ramsay Hunt(More)
A 58-year-old man with hepatitis C and AIDS developed left flank pain 5 days prior to presentation. The pain was exacerbated by movement of the left leg and it was accompanied by fever, night sweats and malaise. The patient denied urinary or gastrointestinal symptoms. The patient admitted that he was an active intravenous drug user. On physical examination,(More)
A 37-year-old man with a history of intravenous drug abuse presented with a 1-month history of a fever, chills and fatigue. The presence of a systolic ejection murmur was observed at the apex on a cardiac examination. Transesophageal echocardiography revealed a vegetation measuring 12 mm × 10 mm on the aortic valve. Multiple blood cultures turned positive;(More)
We sought to determine the relationships among intrarenal and systemic inflammation and renal disease in HIV. We compared paired serum and urinary levels (normalized to urine creatinine) of monocyte chemotactic protein-1 (MCP-1), regulated on activation normal T cell expressed and secreted (RANTES), interferon-γ-induced protein-10 (IP-10), interleukin-8(More)
A 46-year-old man presented with a 2-day history of abdominal pain, nausea and vomiting. The abdomen was diffusely tender, and the bowel sounds were sluggish. Chest/ abdominal radiographs (Picture 1, 2) and abdominal/pelvic computed tomography (CT) were performed (Picture 3). Chilaiditi syndrome is the interposition of the right colon between the liver and(More)