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464 articles

October 202624

Case ReportInfectious Diseases

Tularemia Takes a Tropical Turn: A Rare Case of Typhoidal Tularemia in Florida.

A 36-year-old man in Florida with no significant medical history or recent travel had six months of fevers, malaise, rigors, fatigue, night sweats, and unintentional 30-pound weight loss.

Am J Case RepOct 8, 2026Read case
Clinical ResearchEndocrinologyOpen access

Values, preferences, and treatment burden for initiation of GLP-1 receptor agonists, SGLT-2 inhibitors, tirzepatide, and finerenone in adults with type 2 diabetes: systematic review.

This systematic review synthesised quantitative and qualitative evidence on treatment values, preferences, and perceived burden among adults with type 2 diabetes considering GLP-1 receptor agonists, SGLT-2 inhibitors…

BMJ MedOct 8, 2026Read summary
Clinical ResearchInfectious Diseases

Association between complement de-escalation and prognosis in sepsis: A systematic review and meta-analysis.

This systematic review and meta-analysis examined whether reduced complement activation after treatment was associated with prognosis in patients with sepsis. Eleven studies were included.

Respir MedOct 8, 2026Read summary
Case ReportEndocrinology

Emerging risks of health optimisation: refractory nausea associated with peptide injections reported to contain retatrutide.

A woman in her mid-20s presented with five days of persistent nausea, repeated vomiting, loose stools and markedly reduced oral intake.

BMJ Case RepOct 7, 2026Read case
Clinical ResearchPulmonology

Manual compared to automated closed-loop oxygen control strategies in hospitalised adults: a systematic review and meta-analysis.

This systematic review and meta-analysis assessed randomised controlled trials comparing closed-loop oxygen control (CLOC) with manual adjustment in hospitalised adults receiving noninvasive oxygen.

Eur Respir RevOct 7, 2026Read summary
Case ReportPulmonologyOpen access

Clinical features of cough syncope: a systematic review.

The article presents five cases of cough syncope and reviews published clinical characteristics, comprising 60 patients with a mean age of 56 ± 15 years; 91% were male.

Neurol SciOct 7, 2026Read case
Clinical ResearchEndocrinologyOpen access

Betaine supplementation modulates mitochondrial and redox-related adaptations in premenopausal women with overweight: a randomized controlled trial.

This randomized controlled trial examined whether eight weeks of betaine supplementation (3 g/d) affected mitochondrial-associated and redox measures in premenopausal women with overweight or obesity.

Eur J NutrOct 7, 2026Read summary
Clinical ResearchAnesthesiology

Daily sedation interruption versus no daily sedation interruption for critically ill adults and children requiring invasive mechanical ventilation.

This updated Cochrane systematic review and meta-analysis assessed daily sedation interruption (DSI) versus sedation strategies without interruption in critically ill adults and children receiving invasive mechanical…

Cochrane Database Syst RevOct 7, 2026Read summary
Case ReportPsychiatryOpen access

Managing 7-Hydroxymitragynine Use Disorder with Buprenorphine-Naloxone.

A patient who had used kratom to stop illicit opioids developed tolerance and transitioned to 7-hydroxymitragynine, believing the plant-derived product was safe.

Hawaii J Health Soc WelfOct 7, 2026Read case
Case ReportInfectious Diseases

Hepatitis A-associated oxidative haemolysis in a patient with glucose-6-phosphate dehydrogenase deficiency with co-inherited sickle cell trait.

A young male presented with pruritus, nausea, and jaundice following travel to West Africa, lacking hepatitis A vaccination.

BMJ Case RepOct 6, 2026Read case
Clinical ResearchNeurology

Standardized Acupuncture Plus Modified Xiaoxuming Decoction for Acute Ischemic Stroke: A Randomized Controlled Trial.

This single-center, assessor-blinded randomized controlled trial enrolled adults with imaging-confirmed acute ischemic stroke within 72 hours and compared standard care with or without standardized acupuncture plus…

J Vis ExpOct 6, 2026Read summary
Case ReportEndocrinologyOpen access

Severe Euglycemic Diabetic Ketoacidosis After Semaglutide-Associated Poor Intake Despite Empagliflozin Discontinuation: A Case Report.

A 68-year-old woman with long-standing type 2 diabetes developed several weeks of nausea, intermittent vomiting and diarrhea, and minimal oral intake after starting semaglutide.

Int Med Case Rep JOct 6, 2026Read case
Case ReportGastroenterology

Gastrointestinal manifestations of IgA vasculitis guiding treatment in an adult patient.

A man in his 20s presented with abdominal pain, post-prandial vomiting, a purpuric rash, arthralgia, and hypertension. Urine studies indicated subnephrotic range proteinuria, and colonoscopy revealed ileal ulceration.

BMJ Case RepOct 5, 2026Read case
Case ReportInfectious Diseases

Fulminant multi-organ failure associated with cereulide-producing Bacillus cereus after consumption of improperly stored rice.

A previously healthy male in his 20s presented with generalized seizures and severe hypoglycemia after eating improperly stored reheated rice.

BMJ Case RepOct 5, 2026Read case
Clinical ResearchInfectious Diseases

Temporal proximity to counseling is associated with longitudinal bedaquiline and antiretroviral therapy adherence in multidrug-resistant tuberculosis and HIV treatment.

This randomized controlled trial examined the relationship between counseling session timing and medication adherence in 76 participants receiving treatment for multidrug-resistant tuberculosis (MDR-TB) and HIV in South…

PLoS OneOct 5, 2026Read summary
Case ReportEmergency Medicine

Exertional Rhabdomyolysis With Moderate Creatine Kinase Elevation and Marked Transaminase Elevation but Preserved Synthetic Function: A Case Report.

A 43-year-old man presented with fatigue, nausea, and myalgia following a 3000-m run. Laboratory tests revealed moderate creatine kinase (CK) elevation at 2828 U/L alongside significantly elevated transaminases: AST at…

Am J Case RepOct 3, 2026Read case
Clinical ResearchInfectious Diseases

Predictive performance of machine learning models for bloodstream infection by validation type: A systematic review and meta-analysis.

This systematic review and meta-analysis assessed the discrimination and methodological quality of machine-learning models predicting bloodstream infection from routine clinical data.

Int J Med InformOct 3, 2026Read summary
Case ReportNeurology

Long-term integrative personalized medicine care in massive brainstem hemorrhage: A CARE-compliant case report.

A 48-year-old female presented with a massive pontine hemorrhage, resulting in significant functional impairment and recurrent infections.

Medicine (Baltimore)Oct 2, 2026Read case
Case ReportNeurology

Diagnostic Approach to Neuropathy.

This article provides an updated overview of polyneuropathy, emphasizing the significance of accurate diagnosis and the evolving understanding of its underlying causes and pathophysiology.

Continuum (Minneap Minn)Oct 2, 2026Read case
Case ReportNeurology

Nutritional and Toxic Neuropathies.

This article reviews the etiologies, clinical presentations, and management of nutritional and toxic neuropathies.

Continuum (Minneap Minn)Oct 2, 2026Read case
Clinical ResearchEndocrinology

Native collagen matrix plus PHMB antimicrobial in hard-to-heal diabetic foot ulcers: results from the PREPARE randomised controlled trial.

The PREPARE prospective, multicentre randomised controlled trial compared purified native type 1 collagen extracellular matrix plus polyhexamethylene biguanide (PCMP) with standard care (SoC) alone in patients with…

J Wound CareOct 2, 2026Read summary
Clinical ResearchGastroenterologyOpen access

Clinical outcomes of early versus standard liver transplantation in patients with alcohol-related liver disease: a meta-analysis.

This meta-analysis compared early and standard liver transplantation in patients with alcohol-related liver disease. It included 12 studies and 2323 patients.

Langenbecks Arch SurgOct 2, 2026Read summary
Clinical ResearchInfectious Diseases

Association of white blood cell count with treatment response to cefepime versus piperacillin-tazobactam.

This randomized controlled trial analyzed the impact of white blood cell (WBC) count on the effectiveness of cefepime versus piperacillin-tazobactam in treating sepsis.

Am J Respir Crit Care MedOct 1, 2026Read summary
Case ReportCardiology

Apheresis-Triggered Torsades De Pointes in Congenital Long QT Syndrome Type 2: Citrate-Related Arrhythmia Risk and Safe Modality Switching During Myasthenic Crisis.

A 44-year-old woman with congenital long QT syndrome Type 2 presented in myasthenic crisis due to anti-MuSK-positive myasthenia gravis.

J Clin ApherOct 1, 2026Read case

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