CaseMatch
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34-year-old woman from Chennai with 3 months of malar rash worsening in sunlight, symmetric small-joint pain, oral ulcers and pancytopenia; ANA 1:640 speckled, anti-dsDNA positive, low C3/C4
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6-year-old boy with 48 hours of high fever, neck rigidity, photophobia and non-blanching petechial rash over both legs; CSF shows neutrophilic pleocytosis, low glucose, Gram-negative diplococci
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68-year-old man with 15-year history of type 2 diabetes presenting with a painless plantar ulcer on the right foot, absent ankle reflexes, monofilament negative, afebrile; HbA1c 9.8%
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24-year-old male labourer from rural Bihar with 6 weeks of evening rise of fever, productive cough with streaky hemoptysis, 8 kg weight loss and drenching night sweats; chest X-ray shows right upper-lobe cavitation
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5-month-old male infant with recurrent oral thrush, chronic watery diarrhoea, failure to thrive and two prior episodes of Pneumocystis pneumonia; serum IgG markedly reduced, T-cell counts low