Measles pneumonitis, an important cause to recognize in the era of COVID-19: a case report.

Measles is an acute febrile viral illness with a characteristic rash. It is usually present in children. Due to the vaccine's development and wide use, serious complications are quite infrequent in vaccine-covered areas. Case Presentation: A 36-year-old immunocompetent woman presented with a fever and a macular rash affecting the face and upper trunk. She was found to have transaminitis and later developed bilateral pulmonary infiltrates with decreased oxygen saturation. After extensive work, the measles PCR returned positive results. The patient was treated conservatively until she recovered. Discussion: Measles pneumonitis is a rare complication that usually occurs in immunosuppressed patients. Due to the coronavirus disease pandemic, diagnosis can be difficult, especially if the presentation is not classic. Conclusion: We report this case to emphasize the importance of correct diagnosis and proper management.

Hemorrhagic ascites as a complication of heart failure: A case report and review of the literature.

INTRODUCTION: Although ascites is a common complication of congestive heart failure, the association between heart failure and hemorrhagic ascites is quite rare. PATIENT CONCERNS: A 64-year-old woman with recurrent large bloody ascites secondary to heart failure. DIAGNOSIS: Ascitic fluid assessment revealed red blood cells of 75,125/mm3 and white blood cells of 225/mm3. The total protein in the ascitic fluid was 28.7 g/L, with a high serum ascites albumin gradient. Peritoneal fluid examinations for bacterial culture, acid-fast bacilli (smear and culture), and malignant cell cytology were negative. INTERVENTIONS: The patient was managed with therapeutic paracentesis, aggressive diuresis, and optimization of her heart failure medications. OUTCOMES: The patient's symptoms improved dramatically and was discharged in a stable condition. CONCLUSION: Congestive heart failure should be considered as a potential cause of hemorrhagic ascites after ruling out other serious causes.

A case of concomitant pulmonary embolism and pulmonary tuberculosis in the era of COVID 19, a matter of cautious approach.

Tuberculosis (TB) is known to the world for many years. It is associated with various complications and rarely with pulmonary embolism. However, due to its commonalities of presenting features with COVID 19, it can easily be missed and may be life threatening.