Background Dengue–COVID-19 coinfection is one of the greatest emerging challenges in dengue-endemic areas during the continuing pandemic. With coinciding clinical and laboratory pictures, early diagnosis becomes burdensome, with management discrepancy. Methods A descriptive study was performed on dengue–COVID-19 coinfected patients during July–August 2021 for an overview of disease progression, severity and outcome. A total of 11 patients who were positive for dengue NS1 and/or antidengue IgM were included in this study. Results In total, 45.5% patients developed severe COVID-19 disease, 45.5% patients developed group B dengue fever and 9% patients developed group C dengue fever. Concurrent severity of both diseases was seen to be rare, except for in one patient. Conclusion Early diagnosis and compatible management still stand as basic principles to prevent fatality and morbidity.

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) may be succeeded by a spectrum of complications, including invasive fungal infections (IFIs). Here, we describe a case of rhino-orbital mucormycosis in a recovered coronavirus disease-19 (COVID-19) patient with underlying non-Hodgkin's lymphoma (NHL). Our patient was normotensive, non-diabetic, presenting with multiple non-healing ulcers on different parts of the body. She received high-dose glucocorticoids and antibiotics during her severe COVID-19 illness. Three weeks following COVID-19 detection, she developed progressive rhino-orbital lesion with profuse pus formation, along with pain and redness of the left eye. Histopathology from the lesion revealed mucormycosis. She was treated with Amphotericin B. Unfortunately, the patient died after the first cycle of chemotherapy for NHL. Due to the high chance of mortality, timely clinical suspicion along with microbiological diagnosis is necessary for the early detection of infection. Strong policymaking should also be implicated to revisit the cost effectiveness of available treatments to reduce case fatality.

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Cardiac myxoma is a rare cause of fever of unknown origin. Typically, it presents with one or more ofthe triad namely constitutional, obstructive or embolic phenomenon. Rapid detection and earlysurgical resection is the only effective modality of treatment to prevent debilitating complicationsand mortality. Herein, we showcased a case presenting to us with fever and weight loss. High indexof suspicion and early transthoracic echocardiography is needed to avoid delayed diagnosis andunnecessary tests. J MEDICINE 2022; 23: 101-103

Thyroid malignancies are commonest endocrine malignancy. It can be primary, can be secondary also.Though secondary thyroid malignancies are rare it happens sporadically from kidney, skin, breast andhead-neck tumor. Here we described a case of metastatic papillary thyroid carcinoma. This case wasdiagnosed as a case of papillary cell carcinoma of left kidney 18 months back, underwent radical nephrectomyand received a course of Tyrosine Kinase Inhibitor also and remain symptom free for one year. Thenpresented to us with thyroid swelling along with cervical lymphadenopathy. J MEDICINE 2022; 23: 77-81