July 2015 PMID 26154791

CASE RECORDS of the MASSACHUSETTS GENERAL HOSPITAL. Case 21-2015. A 37-Year-Old American Man Living in Vietnam, with Fever and Bacteremia.

Soheyla D Gharib, David L Berger, Garry Choy, Amelia E Huck

Mentions

36
Peak: 3 in May 2025
across 5 sources since Jul 2015

Extended reach

3,190,309
potential audience

Total likes

76,495

Video views

3,124,887

Mentions per month

Jul 2015 – Oct 2025

Where it's discussed

  • Bluesky14 posts
  • Facebook14 posts
  • X / Twitter4 posts
  • YouTube2 videos
  • Blogs2 articles

AI synopsis

What people are saying

The comments reflect a strong appreciation for the case records, emphasizing their role in enhancing diagnostic skills, with remarks like 'discutir os casos' and 'resolver sem triche,' which highlight a professional and inquisitive tone. Words such as 're- aprender' and 'faire-ses-propres-recherches' suggest a focus on continuous learning, contributing to moderate but meaningful engagement and impact.

AgreementModerate agreement

Most discussions recognize the value and educational importance of the case records, showing general agreement with the publication's relevance.

InterestHigh interest

The posts demonstrate high interest by highlighting the cases' educational potential and clinicians’ enthusiasm for complex diagnostics.

EngagementModerate engagement

While some comments mention the cases and diagnosis details, the overall depth of discussion remains moderate, often just sharing appreciation.

ImpactModerate impact

The posts suggest these case studies inspire ongoing learning and professional reflection, indicating moderate impact on clinical practice or medical education.

Abstract in brief

  • A 37-year-old American man living in Vietnam developed fever and bacteremia, prompting medical investigation at Massachusetts General Hospital.
  • He was involved in a detailed case review to diagnose the cause of his symptoms, likely focusing on infectious or bacterial origins given the context.
  • The case highlights challenges in diagnosing infections in individuals living abroad, considering local bacterial exposures and healthcare factors.]

Top posts

Most liked on X and Bluesky
NEJM.org
@nejm.org · Bluesky

Case Record of the MGH: A 65-year-old woman was evaluated for back pain and pancytopenia. A peripheral-blood smear was notable for nucleated red cells, large platelets, and immature granulocytes. A diagnosis was made. Full case details: nej.md/4bfXXBf #MedSky #Oncology

Mar 1, 2025 · 12 likes · 6 shares View post →
NEJM.org
@nejm.org · Bluesky

Case Record of the Massachusetts General Hospital: A 72-year-old woman with type 2 diabetes had somnolence after a urologic procedure for bladder cancer. She had respiratory acidosis and anion-gap metabolic acidosis. Read the full case details: nej.md/41ZB5Ts #MedSky #EndoSky #Oncology

Mar 17, 2025 · 7 likes · 3 shares View post →
NEJM.org
@nejm.org · Bluesky

Case Record of the MGH: A 29-year-old woman was admitted to the hospital because of sore throat and peritonsillar swelling and bleeding. Symptoms did not abate with antimicrobial therapy. A diagnosis was made. Read the full case details: nej.md/4kcOi1s #MedSky #Oncology

May 22, 2025 · 7 likes · 1 share View post →
NEJM.org
@nejm.org · Bluesky

Case Record of the Massachusetts General Hospital: A 79-year-old woman was evaluated for cough and weight loss. Chest imaging and thoracentesis findings confirmed the presence of an exudative right pleural effusion. A diagnosis was made. Full case details: nej.md/4jjBPJy #MedSky #IDSky

Apr 21, 2025 · 6 likes · 1 share View post →
Nico Gagelmann
@NicoGagelmann · X

37-year-old man living in Vietnam with fever and bacteremia Final diagnosis: Ingestion of fish bone, penetration of duodenum, pancreas, superior mesenteric vein + S. constellatus bacteremia and thrombosis of the superior mesenteric vein and portal vein https://t.co/v7OAcIxf1z https://t.co/MsCkFN7cQE

Aug 27, 2023 · 5 likes · 49,369 followers View post →
Indiana University Infectious Diseases Fellowship
@IUIDfellowship · X

https://t.co/aIGO9iACdn

Dec 23, 2020 · 5 likes · 1 share · 14,320 followers View post →

All mentions

Impact of Consuming Suspicious Fish on Liver Health

A 37-year-old American man living in Vietnam developed fever and bacteremia, leading to medical investigation. This case emphasizes challenges in diagnosing infections abroad, especially when involving unusual dietary…

Chubbyemu · Aug 30, 2020 3,123,302 views
NEJM.org
@nejm.org · Bluesky

Case Record of the MGH: An 82-year-old woman with a history of congestive heart failure was admitted to this hospital for volume overload. Ascites, pleural effusions, and hypoalbuminemia were present. A diagnosis was made. Full case details: nej.md/3WhpAmQ #MedSky

Oct 23, 2025 · 4 likes · 2 shares View post →
NEJM.org
@nejm.org · Bluesky

Case Record of the Massachusetts General Hospital: A 93-year-old woman was evaluated by her primary care physician because of dyspnea. She had a history of aortic stenosis and atrial fibrillation and flutter. A diagnosis was made. Read the full case details: nej.md/4nnSjSb #MedSky

Sep 14, 2025 · 5 likes · 4 shares View post →
NEJM.org
@nejm.org · Bluesky

Case Record of the MGH: A 19-year-old woman with a history of depression and anxiety symptoms was admitted to the hospital because of seizure, abnormal behavior, and disorganized thoughts. MRI of the head was normal. A diagnosis was made. Full case details: nej.md/453AyQF #MedSky

Aug 1, 2025 · 5 likes View post →
NEJM.org
@nejm.org · Bluesky

Case Records of the MGH: A 63-year-old woman was evaluated for dyspnea and edema. Soft-tissue thickening was noted in the retroperitoneum and mediastinum and around the heart and vessels. A diagnosis was made. Read the full case details: nej.md/3T6bX8v #MedSky #CardioSky

Jun 27, 2025 · 2 likes · 1 share View post →
NEJM.org
@nejm.org · Bluesky

Case Record of the MGH: A 52-year-old man was evaluated in a hospital in Argentina for fever and hypoxemic respiratory failure. Imaging showed pulmonary opacities, and the hematocrit was 56.9%. A diagnosis was made. Read the full case details: nej.md/4j7HtgA #MedSky #IDSky

May 29, 2025 · 5 likes · 1 share View post →
NEJM.org
@nejm.org · Bluesky

Case Record of the MGH: A 29-year-old woman was admitted to the hospital because of sore throat and peritonsillar swelling and bleeding. Symptoms did not abate with antimicrobial therapy. A diagnosis was made. Read the full case details: nej.md/4kcOi1s #MedSky #Oncology

May 22, 2025 · 7 likes · 1 share View post →
NEJM.org
@nejm.org · Bluesky

Case Records of the MGH: A 70-year-old man was admitted to the hospital for weakness, anorexia, and weight loss. Rapidly progressive altered mental status developed shortly after admission. A diagnosis was made. Read the full case details: nej.md/4d3dJAa #MedSky #EndoSky #IDSky

May 8, 2025 · 2 likes View post →
NEJM.org
@nejm.org · Bluesky

Case Record of the Massachusetts General Hospital: A 79-year-old woman was evaluated for cough and weight loss. Chest imaging and thoracentesis findings confirmed the presence of an exudative right pleural effusion. A diagnosis was made. Full case details: nej.md/4jjBPJy #MedSky #IDSky

Apr 21, 2025 · 6 likes · 1 share View post →
NEJM.org
@nejm.org · Bluesky

Case Records of the MGH: A 32-year-old woman was admitted with flank pain, fever, and hypoxemia. Imaging showed multifocal pulmonary opacities, pulmonary embolism, and renal vein thromboses. A diagnosis was made. Read the full case details: nej.md/4lDp12a #MedSky #CriticalCare

Apr 11, 2025 · 1 like View post →
NEJM.org
@nejm.org · Bluesky

Case Record of the Massachusetts General Hospital: A 72-year-old woman with type 2 diabetes had somnolence after a urologic procedure for bladder cancer. She had respiratory acidosis and anion-gap metabolic acidosis. Read the full case details: nej.md/41ZB5Ts #MedSky #EndoSky #Oncology

Mar 17, 2025 · 7 likes · 3 shares View post →
NEJM.org
@nejm.org · Bluesky

Case Record of the MGH: A 65-year-old woman was evaluated for back pain and pancytopenia. A peripheral-blood smear was notable for nucleated red cells, large platelets, and immature granulocytes. A diagnosis was made. Full case details: nej.md/4bfXXBf #MedSky #Oncology

Mar 1, 2025 · 12 likes · 6 shares View post →
Axel Ellrodt
@axel-ellrodt.bsky.social · Bluesky

Ceci dit parfois on peut s'étonner de ce que l'on lit dans le NEJM et les Case Records of the Massachusetts General Hospital:

Nov 23, 2024 · 2 shares View post →
Axel Ellrodt
@axel-ellrodt.bsky.social · Bluesky

Minimum - Savoir qu'on ne sait pas et alors (ré-) apprendre ou demander - Continuer à lire - Discuter des cas - Résoudre sans tricher tous les Case Records of the Massachusetts General Hospital - Faire-ses-propres-recherches ... professionnellement 1/2

Nov 23, 2024 · 1 like · 1 share View post →
Nico Gagelmann
@NicoGagelmann · X

37-year-old man living in Vietnam with fever and bacteremia Final diagnosis: Ingestion of fish bone, penetration of duodenum, pancreas, superior mesenteric vein + S. constellatus bacteremia and thrombosis of the superior mesenteric vein and portal vein https://t.co/v7OAcIxf1z https://t.co/MsCkFN7cQE

Aug 27, 2023 · 5 likes · 49,369 followers View post →
Leopoldo Santos-Neto
@leosantosIII · X

Homem de 37 anos apresentou febre e dor abdominal. A imagem revelou múltiplos abscessos no fígado e a presença de um corpo estranho no intestino. A cirurgia identificou um fragmento de espinha de peixe perfurando o intestino.

Apr 11, 2023 · 587 followers View post →
Carlos Nieves
@joaquinnieves55 · X

RT @IUIDfellowship: https://t.co/aIGO9iACdn

Dec 24, 2020 · 1 share · 1,099 followers View post →
Indiana University Infectious Diseases Fellowship
@IUIDfellowship · X

https://t.co/aIGO9iACdn

Dec 23, 2020 · 5 likes · 1 share · 14,320 followers View post →
Michael Sinha
@drsinhaesq.bsky.social · Bluesky

Today @MGHMedicine: @NEJM Case Records of the Massachusetts General Hospital with @ChanaSacks, @peter_masiakos, @galbamd & others.

Jun 28, 2018 View post →