A 10-year-old female with Down syndrome was admitted with a 5-day history of fever, rigors, and progressive dyspnea. Admitting assessment revealed the presence of a right-sided Bacteroides fragilis pneumonia and empyema. Shortly after admission, the child’s respiratory condition deteriorated when she drained an unsuspected right lung abscess into the opposing lung. She was placed on assisted ventilation and intravenous clindamycin with gradual improvement in her clinical condition....

Primary cutaneous CD4- positive small/medium T-cell lymphoproliferative disorder (PCSM-TCLD) is a low-grade cutaneous T-cell disorder, previously classified as a provisional entity [1] of primary cutaneous CD4+ small/medium pleomorphic T-cell lymphoma until 2016, when the terminology was changed during the revision of the classification of lymphomas by the World Health Organisation and the European Organisation for Research and Treatment of Cancer due to its uncertain malignant potential [1,2]. ...

Transanal small bowel evisceration is a very rare presentation. However, it is associated with significant morbidity and mortality. Our case report describes an 84-year-old female with known rectal prolapse, who presented to the emergency room in sepsis with transanal small bowel evisceration after cancelation of her elective surgical repair. Due to her acutely ill presentation, she required a damage control operation, additional surgery, intensive care management, prolonged hospital stay, and a...