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We present a 47-year-old man with acute lymphocytic leukemia with a pericardial friction rub heralding pericardial aspergillosis. The clinical course was complicated by pneumopericardium, likely secondary to a direct connection between the lung parenchyma and the pericardial space, Bronchoalveolar lavage cultures returned positive for methiciilin-resistant Staphylococcus aureus and Aspergillus niger. Combination voriconazole and vancomycin resulted in symptomatic improvement within 2 weeks of hospitalization. [ABSTRACT FROM AUTHOR]

We present an 89-year-old woman with newly diagnosed atrial flutter associated with a flare of her rheumatoid arthritis (RA). She had a history of diet-controlled type 2 diabetes mellitus, hypertension, and RA and presented with lightheadedness and worsening hand pain. She was found to be in new atrial flutter with rapid ventricular response and to have an active RA flare. In addition to adequate atrial flutter rate control, her RA flare was managed by adding hydroxychloroquine and doubling her existing methotrexate dose. [ABSTRACT FROM AUTHOR]

The article describes the case of a 78-year old Asian American woman who has a mass on the roof of her palate during hospitalization for right lobe pneumonia and was diagnosed as Torus palatinus, or oral exostosis. It refer to genetics, local stressors and micro trauma as contributors to the pathogenesis of Torus palatinus. Factors including age, comorbidities and lack of evident symptoms caused a deferral of surgical correction of the mass.