We present the case of a 44-year-old male patient with a family history of lymphoma and hyperthyroidism. He started the disease three months before admission to hospital with pain in the right leg, abdominal pain, weight loss and night sweats. He was diagnosed in his hospitalization with ascites in a cavity of undetermined etiology, and multiple polygastric and fossa lymph nodes right iliac. At 6 months, the symptoms persist and a nodule is added on the penis, left testicular edema and purulent discharge from the right inguinal node, being diagnosed orchiepididymitis. Initially he had negative markers for tuberculosis (TB), however, a lymph node biopsy was performed and the analysis with Xpert MTB/RIF where it resulted positive. The patient improved considerably with anti-TB treatment and antibiotics for purulent discharge.

Snakebites, particularly those from the genus Bothrops spp., represent a public health concernin Latin America due to their high incidence and significant clinical variability. We present thecase of a 44-year-old male patient, a gardener by occupation, who was bitten on the left thirdfinger by a snake in Cieneguilla. Initially, no antivenom was available at the nearest health center;therefore, he was transferred to Hospital Edgardo Rebagliati Martins on the same day. Despitereceiving immediate medical attention and antivenom treatment upon arrival at the hospital, hedeveloped common local symptoms such as pain, edema, and ecchymosis, but did not exhibit anysevere long-term complications. Although the patient did not present with serious complications,the variability in the clinical presentation of snakebites can complicate their management,highlighting the importance of individualized ev...