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643 articles
October 202624
Delayed serum sickness-like reaction mimicking septic shock after antivenom therapy: A case report.
A woman in her early 60s returned about 7 days after antivenom therapy with widespread urticarial and purpuric maculopapular rash, itching, fever, vomiting, fatigue, dizziness, hypotension, and thrombocytopenia.
Relapsed Waldenström macroglobulinemia presenting as bilateral parotid gland enlargement with multiple cystic lesions: A case report.
A 79-year-old man with Waldenström macroglobulinemia (WM), previously stable for several years after multiple courses of chemotherapy, developed bilateral parotid enlargement. Imaging showed multiple cystic lesions.
Temporal inverted internal limiting membrane flap technique for a 500 μm full-thickness macular hole: A case report.
A 70-year-old woman presented with reduced vision in her left eye. Optical coherence tomography showed an hourglass-shaped full-thickness macular hole measuring 500 μm at its minimum aperture, with retinal cystic…
A case report of pulmonary embolism following endoscopic cervical discectomy in an elderly patient with cervical disc herniation.
A 65-year-old woman with cervical disc herniation, right arm pain, and multiple comorbidities underwent posterior percutaneous endoscopic cervical discectomy after conservative treatment failed.
Bing-Neel syndrome successfully treated with venetoclax and zanubrutinib: A case report and review of the literature.
A 66-year-old woman with Waldenström macroglobulinemia presented with headache and was diagnosed with Bing-Neel syndrome after cerebrospinal fluid examination. She received zanubrutinib with venetoclax.
Successful treatment with BrECADD in a patient with Dubin-Johnson syndrome and classic Hodgkin lymphoma: a case report.
A 26-year-old man with advanced-stage classic Hodgkin lymphoma also had Dubin–Johnson syndrome (DJS) associated with a homozygous ABCC2 variant, c.2291G>A (p.Gly764Asp).
Anti-GBM/ANCA double-positive crescentic nephritis in an elderly patient presenting with heart failure-like symptoms: A case report.
A 74-year-old woman presented with progressive shortness of breath, nausea, and vomiting, initially raising concern for heart failure. Testing instead showed severe renal impairment (creatinine 1025.99 μmol/L).
Isolated necrotizing scleritis revealing silent pulmonary granulomatosis with polyangiitis: A case report of rare diagnostic clue.
A 31-year-old man with recurrent unilateral necrotizing anterior scleritis that resisted corticosteroids and immunosuppressants had no systemic symptoms.
Opioid-Free versus Opioid-Based Anesthesia for Quality of Recovery After Knee Arthroscopy: A Randomized Non-Inferiority Trial.
We determined whether dexmedetomidine- and esketamine-based opioid-free anesthesia (OFA) was non-inferior to opioid-based anesthesia (OA) for 24-hour Quality of Recovery-15 (QoR-15) after elective knee arthroscopy with…
Delayed diagnosis of MEN1 after kidney transplantation: unrecognized pre-transplant features and implications for clinical practice.
A 68-year-old man with end-stage renal disease underwent living-donor kidney transplantation and had persistent hypercalcemia afterward.
Neuronal intermediate filament neurologic autoimmunity in a patient with Merkel cell carcinoma receiving pembrolizumab.
A 55-year-old woman with recurrent stage IIIA Merkel cell carcinoma developed vertigo, gait instability, dysarthria, and persistent right hemifacial and cervical spasms after her second pembrolizumab dose.
Central retinal artery occlusion preceding hemispheric ischemic stroke treated with mechanical thrombectomy: A case report.
A 52-year-old man with dilated cardiomyopathy developed sudden, painless right-eye vision loss. Ophthalmologic examination and fluorescein angiography supported central retinal artery occlusion (CRAO).
Psychopathological and neuropsychological sequelae in children victimised by intimate partner violence: a clinical case series.
A clinical case series assessed four children aged 5–9 with documented exposure to intimate partner violence, including witnessing violence and, in some cases, direct abuse.
Primary tubal choriocarcinoma with extrauterine implantation masquerading as ectopic pregnancy: A case report and literature review.
A 29-year-old woman with irregular menses had extremely high β-human chorionic gonadotropin levels and ultrasonographic findings suggestive of ectopic pregnancy.
Staged limb salvage after an infected full-thickness shoulder-girdle flame burn with osteoarticular exposure in an elderly patient: A case report with 3.5-year follow-up.
A 73-year-old woman with diabetes, hypertension, and cachexia presented about 3 weeks after a flame burn with an extensive infected wound from the neck base to the distal left arm.
Neonatal nemaline myopathy associated with NEB variants and a favorable 3-year outcome: A case report.
A female neonate developed cyanosis, bradycardia, respiratory distress, and hypotonia shortly after birth, with recurrent respiratory deterioration and bulbar feeding and swallowing difficulties.
Primary renal diffuse large B cell lymphoma misdiagnosed as renal cell carcinoma: A case report.
A 78-year-old man presented with 2 weeks of right flank pain radiating to the abdomen; examination was unremarkable. Tests showed mildly elevated lactate dehydrogenase and occult blood in the urine.
A case report of thyroid sarcomatoid carcinoma.
A 65-year-old man presented with fever and left-sided neck pain; examination found a hard mass in the left thyroid lobe. Ultrasound showed a hypoechoic nodule with an anterior-posterior-to-transverse diameter ratio >1…
Spontaneous regression of post-traumatic syringomyelia: longitudinal mr imaging demonstrating a dynamic disease course.
A 69-year-old patient with post-traumatic cervicothoracic syringomyelia presented with occipital headaches, dizziness, and subjective upper-extremity weakness.
Vulvar infection caused by Histoplasma capsulatum: case report and literature review.
A 38-year-old woman with advanced HIV infection presented with a vulvar lesion suggestive of carcinoma. Histopathology, fungal culture and molecular testing confirmed vulvar infection with Histoplasma capsulatum var.
Intermittent Maple Syrup Urine Disease Presenting With Chronic Demyelinating Polyneuropathy: A Genetically Confirmed DBT-Related Case.
A female patient with intermittent maple syrup urine disease (MSUD), genetically confirmed by compound heterozygous pathogenic DBT variants, had recurrent ataxic episodes from early childhood.
Pulmonary infection caused by Nocardia cyriacigeorgica and influenza A virus coinfection in an immunocompetent patient: A case report.
A 60-year-old immunocompetent man without reported underlying pulmonary disease presented with recurrent cough and sputum production over 5 months, worsening respiratory symptoms, and recent fever.
Fosfomycin-induced liver injury in a 17-year-old patient: A case report.
A previously healthy 17-year-old male developed nausea, vomiting, fever, progressive epigastric pain, fatigue, and malaise.
Perineal Urethrostomy After Urethral Stricture: Step-by-Step Surgical Technique.
A 73-year-old man with complex, recurrent urethral stricture after multiple reconstructive and endoscopic procedures underwent perineal urethrostomy. His history also included Bowen’s disease of the glans penis.
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