{'fraction_non_alphanumeric': 0.019326683291770574, 'fraction_numerical': 0.0, 'mean_word_length': 5.551020408163265, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Millimeter‐sized facial papules in a patient receiving chronic hemodialysis

A woman in her twenties was admitted to the hospital because of a one-month-history of fever associated with headaches and visual alterations consisting of diplopia and loss of visual acuity. Her medical history was notable for terminal chronic renal failure due to extracapillary glomerulonephritis type I, with loss of a kidney transplant. This loss was due to rupture of the renal graft secondary to acute rejection six years before. Since then she was in a hemodialysis schedule for three days a week. The patient was not under any immunosuppressive therapy. During admission an extensive workup was performed, including a thorough history, physical examination and several microbiologic tests. A body CT revealed an alveolar infiltrate, hepatosplenomegaly, multiple mediastinal adenopathies and pericardial effusion. Magnetic resonance imaging of the central nervous system was normal. A lumbar puncture revealed an increased opening pressure, low glucose level, a slight increase in protein level and an elevated white blood cell count, with lymphocytes predominating. An ophthalmological evaluation showed discrete whitish retinal spots. In this clinical context, these choroidal lesions were suggestive of low virulence infection by fungi or slow-growing bacteria. The patient reported a one-month history of multiple small asymptomatic skin-colored lesions over her face. On physical examination, multiple millimeter-sized, Millimeter-sized facial papules in a patient receiving chronic hemodialysis Case for Diagnosis