Burkitt lymphoma (BL) is a highly aggressive B-cell neoplasm that is well known to be associated with HIV. The presentation usually reflects the underline immunodeficiency state (like opportunistic infections and chronic diarrhea, and enlarged lymph nodes). The most common causes for 3rd cranial nerve palsy are intracranial aneurysm, ischemia, trauma, and migraine. But for our case, it turned out to be associated with underline HIV and BL, which is an unusual cause. Here, we present a 43-year-old gentleman with no past medical history presented to the emergency department with 4 days history of drooping of left eyelid and headache and binocular diplopia with no other neurological features. CT abdomen showed lymph node enlargement. Lymph node biopsy showed the characteristic of Burkitt’s cell lymphoma. He was started on chemotherapy, but unfortunately, he died. We’re enlightening this case of an isolated oculomotor nerve palsy to diagnose lethal pathology like disseminated BL.

Rifampicin has been a widely used antibiotic drug to treat bacterial infections, including tuberculous and nontuberculous infections, since the 1970s. 1 In addition to common adverse drug reactions such as hepatotoxicity, it is also associated with rare adverse effects, including renal injury. Although rare, several reports have been published describing the post-rifampicin acute renal failure dating back to 1976. 2 Most commonly manifesting as acute tubular necrosis (ATN) following re-administration of rifampicin; it is postulated that an immune response likely plays a role in the development of the renal failure. 3 Although reported multiple times, there are insufficient data to determine which patients are prone to renal failure post-rifampicin use and how to manage this adverse reaction. It is noted that patients taking rifampicin also may develop hemolysis, with or without renal injury. 4 This article will review a rare case report of kidney failure associated with hemolytic anemia and hepatitis following first-time administration of rifampicin and a literature review of similar articles. | CASE REPORTA 42-year-old Moroccan lady with no chronic comorbidities presented to the hospital with a 4-day history of repeated vomiting, chills, bilateral flank pain, and epigastric discomfort. Her vomiting was non-projectile, non-bilious,

Hyperthyroidism primarily presents with the symptoms and signs of thyrotoxicosis. However, many cases might present with a precipitating factor that unmasks the hyperthyroid status of the patients. These factors are associated with a stress condition, with infections being the most common factors, diabetic ketoacidosis, acute coronary syndrome, and pulmonary embolism. We present a case of hyperthyroidism masqueraded as acalculous cholecystitis.