A case of caseous lymphadenitis (CL) was detected in a native Korean goat without manifestation of superficial nodules but with pulmonary abscesses that were characterized microscopically by granulomatous inflammation consisting of a central necrotic region, peripheral fibrous capsule, and numerous cellular infiltrates with epithelioid macrophages, giant cells, and lymphocytes. Presence of Corynebacterium pseudotuberculosis was identified by using bacterial isolation and multiplex PCR. In addition, a 43% seropositivity to C. pseudotuberculosis was observed in goats from the same farm. This case highlights the risk of exposure of farmers to the causative agent and the urgent need for national monitoring for CL, a potential zoonotic.

Cerebral infarction is one of the leading causes of death worldwide and the most common cause of death from a singledisease in South Korea. Each year, 795,000 people in the U.S. experience a new or recurrent stroke. Approximately 15-30% of cerebral infarctions are of embolic origin related to cardiac abnormalities. Because determination of the etiology of cerebral infarction is crucial to acute management and future prevention, clinicians should pay attention to finding the cardiac source of embolism in patients with cerebral infarction. We report on a case of cerebral infarction by a small papillary fibroelastoma on the mitral valve. The patient was treated with open heart surgery and closure of the patent foramen ovale to prevent further embolic events.