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643 articles
October 202624
Density Spectral Array Patterns During Total Intravenous Anesthesia with Intravenous Lidocaine for Craniotomy: An Illustrative Two-Case Series.
Two adults undergoing craniotomy for tumor resection received propofol-remifentanil total intravenous anesthesia, bilateral scalp block, and intravenous lidocaine.
Fibrolipomatous Hamartoma of the Median Nerve Misdiagnosed as a Palmar Space Abscess: A Case Report.
A 17-year-old girl had progressive left-hand swelling and paraesthesia over 5 years, followed by pain and reduced grip strength.
Rouleaux mimicking anti-H in molecularly confirmed para-Bombay siblings: a diagnostic pitfall.
Two siblings from India were found to have a para-Bombay phenotype during evaluation of blood-group serology. In the index case, red cells did not react with anti-H lectin, while weak reactivity with pooled group O red…
Acromegaly as the Initial Presentation of Multiple Endocrine Neoplasia Type 1: A Case Report.
A 34-year-old woman presented with acromegalic features and hypercalcemia. Testing and MRI showed a recurrent growth hormone–secreting pituitary macroadenoma, while neck imaging identified a parathyroid adenoma.
Food-Associated Kounis Syndrome: Clinical Spectrum and Diagnostic Considerations from a Case Report and Systematic Qualitative Synthesis of Published Cases.
The supplied abstract does not describe an individual patient’s presentation, diagnostic findings, or outcome. It reports a qualitative synthesis of published food-associated Kounis syndrome cases: 53 patients across 50…
Diagnosis and Management of Nitazene Dependence in Sydney, Australia: A Case Series.
Six young adult men presented to a metropolitan Sydney public hospital in severe opioid withdrawal after nitazene use. Five had regularly vaped products they believed contained cannabinoids or nicotine; toxicology…
Tirzepatide-induced pneumatosis intestinalis: a rare but clinically significant gastrointestinal adverse effect.
A 55-year-old man with obesity, type 2 diabetes, hypertension, and obstructive sleep apnea presented with abdominal pain, constipation, and anal fissures while receiving tirzepatide for approximately 1 year; he had lost…
I saw the "molar tooth" sign: A bite into Joubert syndrome.
The report describes recognition of the molar tooth sign on MRI in a patient with Joubert syndrome, a congenital hindbrain malformation.
Assessing sexual exposure to oxaliplatin in vaginal secretions during FOLFOX chemotherapy: a case report.
A 54-year-old woman with stage IIIA rectal cancer collected vaginal swabs and urine for five consecutive days during two FOLFOX chemotherapy cycles.
Bionic sleep therapy combined with multimodal management for chronic insomnia with alcohol withdrawal-related symptoms: A case report.
A 71-year-old man with more than 15 years of insomnia used 100 to 200 mL of Chinese baijiu nightly to sleep. Attempts to stop drinking brought worsening insomnia, restlessness, palpitations, sweating, and intense…
Outcomes of sequential keratoplasty for bilateral gelatinous drop-like corneal dystrophy: A case report.
A 21-year-old woman of Yemeni ancestry with long-standing bilateral visual impairment, progressive left-eye decline, foreign-body sensation, and a positive family history had previously undergone right penetrating…
Relapsed/refractory PBML complicated with failed platelet implantation and mixed infection after allo-HSCT: A case report.
A 48-year-old woman had refractory non-germinal-center diffuse large B-cell lymphoma arising in the bone marrow, with p53 overexpression, a complex karyotype, and hemophagocytic lymphohistiocytosis.
Emergency treatment of acute massive hemorrhage during transbronchial lung biopsy outside operating room: Case report.
A patient with pneumonia, emphysema, a pulmonary nodule, prior breast-cancer radiotherapy, coronary disease after PCI, severe hypertension, and atrial fibrillation developed massive bleeding during fiberoptic…
ST elevation in lead aVR - a marker of critical left main coronary artery stenosis: A series of case reports and literature review.
Five consecutive patients presenting with acute chest pain or cardiac arrest had ST-segment elevation of at least 1 mm in lead aVR with diffuse ST depression of at least 1 mm in six or more leads.
Increased mean corpuscular hemoglobin concentration: A case report as an early clue of chronic severe hyponatremia.
An 81-year-old woman was admitted after three days of altered mental status. Her complete blood count showed a markedly elevated mean corpuscular hemoglobin concentration (MCHC) of 369 g/L; the blood smear showed…
Peritoneal dialysis-associated peritonitis caused by Ureaplasma urealyticum: A case report.
A 41-year-old woman on continuous ambulatory peritoneal dialysis for more than 10 years developed acute abdominal pain, fever, cloudy dialysate, and neutrophilic dialysate leukocytosis.
Two siblings presented with spastic paraplegia and psychomotor retardation with or without seizures with HACE1 variants: A case report and literature review.
Two siblings from a nonconsanguineous Chinese family had infantile-onset hypotonia, global developmental and motor delay, gait impairment, language delay, and dysarthria; the older sister also had recurrent febrile…
SF3B1-mutated MDS coexisting with β-thalassemia trait: A case report and literature review focused on diagnostic distinction from acquired β-thalassemia.
An 81-year-old man presented with fatigue and fever, and testing showed microcytic anemia. Bone marrow morphology and molecular studies identified SF3B1-mutated myelodysplastic syndrome (MDS) alongside β-thalassemia…
Kartagener syndrome with pulmonary mycetoma and recurrent thromboembolism: A case report.
A 27-year-old man with Kartagener syndrome and situs inversus totalis presented with worsening dyspnea, chest pain, fever, hemoptysis, and ankle swelling, against a history of deep vein thrombosis, recurrent pulmonary…
Unintended consequences of vaginal misoprostol use in a patient with hydatidiform mole: A case report.
A 49-year-old woman presented with vaginal bleeding, imaging suspicious for hydatidiform mole, and serum β-hCG of 589,830 mIU/mL. Partial hydatidiform mole was confirmed histologically.
Secondary pulmonary alveolar proteinosis mimicking progression of interstitial lung disease during treatment for adult-onset still's disease: An autopsy case report.
A 68-year-old woman with adult-onset Still’s disease-associated interstitial lung disease developed worsening respiratory failure while receiving immunosuppressive therapy, despite apparent control of systemic…
Ultrasound-based multimodal diagnosis and endovascular therapy for phlegmasia cerulea dolens secondary to May-Thurner syndrome in a middle-aged male patient: A case report.
A 54-year-old man presented with phlegmasia cerulea dolens associated with extensive left lower-limb deep vein thrombosis and iliac vein compression syndrome.
Giant cystic lymphangioma in the pancreatic tail-splenic hilum region managed by en bloc resection: A case report.
A 43-year-old woman presented with two days of persistent dull left upper abdominal pain and nonspecific inflammatory and mild hepatobiliary laboratory abnormalities.
Long-term survival with immune checkpoint inhibitors combined with bevacizumab in advanced clear cell renal cell carcinoma: A case report.
A 49-year-old man with stage IV clear cell renal cell carcinoma and lung metastases underwent palliative nephrectomy and received several targeted and immunotherapeutic regimens, but developed progressive pulmonary…
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