A 70-year-old end-stage renal disease patient was admitted for refractory hypoglycemia secondary to drug-drug interaction between clarithromycin and glipizide. We discussed the mechanism of antimicrobial and sulfonylurea interactions as well as the importance of understanding these interactions in the primary care setting to reduce medication-related hospitalizations.
A 68-year-old woman presented with weight loss of 7 kg over two years. Colonoscopy and gastroscopy findings were normal. Clinical examination revealed no specific abnormality and the patient was otherwise asymptomatic.Chest radiography (Fig. 1) was performed and showed an abnormality. Contrast-enhanced computed tomography (CT) of the chest (Fig. 2) was performed for further evaluation. What do these images show? What is the diagnosis?
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