ABSTRACT
A 42-year-old woman presented with myalgia, which ameliorated a week after treatment. She was diagnosed with Graves' disease. The presence of concomitant autoimmune diseases is important considerations for patients with Graves' disease presenting with myalgia. Thyrotoxicosis should be included as a rare differential diagnosis for myalgia.
ABSTRACT
A 76-year-old woman, who had never been seriously ill, was admitted to our hospital with fever and shaking chills. She progressively developed septic shock. We detected Streptococcus pneumoniae in a routine examination of a Giemsa-stained peripheral blood smear. Despite intensive care with antibiotic therapy, she died within several hours after admission. A peripheral blood smear occasionally shows bacteria in cases of overwhelming septicemia, thus indicating a severe impairment of splenic function. We suggest that, in cases of severe septicemia, an examination of a peripheral blood smear is therefore useful for the rapid detection of organisms in comparison to a traditional blood culture.
