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643 articles
November 202624
Severe toxicity following supratherapeutic co‑ingestion of duloxetine and dexzopiclone in a young patient with major depressive disorder: a case report.
A 23-year-old woman with major depressive disorder, non-suicidal self-injury and generalized somatic pain had persistent suicidal ideation despite treatment.
Post-lumbar Puncture Hearing Loss: A Rare Case of Reversible Presumed Secondary Endolymphatic Hydrops.
A 46-year-old man developed sudden left-ear fullness and diplacusis monauralis five days after diagnostic lumbar puncture, together with a post-lumbar puncture headache.
Triple immune impairment in an elderly patient with IgG4-AIP and MGUS complicated by dual severe infections over 3 years: A case report.
An 82-year-old man with IgG4-related autoimmune pancreatitis and IgGλ monoclonal gammopathy of undetermined significance had markedly elevated serum IgG4 and a monoclonal paraprotein at baseline.
Severe Rosuvastatin-Associated Rhabdomyolysis and Dialysis-Requiring Acute Kidney Injury in an Octogenarian Patient: A Case Report.
An 87-year-old woman developed progressive weakness and inability to walk 20 days after starting rosuvastatin, ezetimibe, and evogliptin.
Allan-Herndon-Dudley syndrome associated with SLC16A2 c.1384G>A (p.Gly462Arg): A family case report with retrospective molecular diagnosis in a deceased sibling.
A boy evaluated at 4.3 years had profound developmental delay, abnormal tone, dystonia, muscle atrophy, contractures, and bilateral cryptorchidism.
Synchronous hepatocellular carcinoma and nasopharyngeal carcinoma in a patient with chronic hepatitis B: A case report and literature review.
A 63-year-old Chinese man with chronic hepatitis B was found on routine screening to have a liver mass and reported nasal obstruction.
Bone marrow sarcoidosis in Takayasu arteritis: Case report and literature review.
A 46-year-old woman with confirmed Takayasu arteritis presented with elevated systemic inflammatory markers and diffuse hypermetabolic activity on PET.
Time- and posture-specific management of severe supine hypertension and neurogenic orthostatic hypotension in diabetic autonomic neuropathy: A case report.
A 63-year-old man with insulin-treated type 2 diabetes and hypertension developed worsening orthostatic dizziness and recurrent syncope after antihypertensive intensification, including a rib fracture and loss of…
Adrenal ganglioneuroma in an adolescent presenting as an incidentaloma: Imaging-pathology correlation and diagnostic challenges: A case report.
A previously healthy 16-year-old male had a right adrenal mass discovered incidentally on CT after a bicycle accident. CT and MRI showed a well-circumscribed lesion with progressive enhancement and no washout or…
Occult Compression at the Pectoralis Minor-Second Rib Level After Cervical and First Rib Resection for Thoracic Outlet Syndrome: A Case Report.
A 29-year-old woman with neurogenic thoracic outlet syndrome associated with a cervical rib continued to have symptoms after supraclavicular cervical and first rib resection.
Clinical Reasoning: A 68-Year-Old Woman With Bilateral Optic Disc Edema.
A 68-year-old immunocompetent woman presented with headache, vertigo, and diplopia. Examination revealed bilateral optic disc edema.
Stellate Ganglion Block for Treatment of Refractory Sympathetic Storm in Severe Tetanus: A Case Report.
A 67-year-old man developed severe tetanus after a bamboo-skewer puncture wound to his left middle finger; the foreign body remained embedded for 3 days before he removed it himself, and he received no systematic…
Cutaneous Aspergillosis Among Extremely Preterm Neonates in Neonatal Intensive Care Units - Michigan and New York, 2023-2024.
Cutaneous aspergillosis is a rare, life-threatening fungal infection in neonates, particularly those born extremely preterm (gestational age <28 weeks); outbreaks have been linked to environmental sources of Aspergillus…
Human granulocytic anaplasmosis acquired in Switzerland: a case report.
A man in his early seventies taking methotrexate for ankylosing spondylitis and with tick exposure developed fever, headache and dizziness, followed by somnolence, dysarthria, ataxia and diplopia.
Postoperative Neuromuscular Paresis and Overlap Syndrome Related to Immune Checkpoint Inhibitors: A Case Report.
A patient receiving immune checkpoint inhibitor therapy developed extremity paresis after proximal humerus resection and reconstruction.
Anomalous Triceps Muscle Slip as an Unusual Cause of Ulnar Nerve Entrapment in a Division I Baseball Pitcher: A Case Report.
A 19-year-old right-hand-dominant collegiate pitcher developed medial elbow pain, reduced pitching velocity, and ulnar-sided numbness after a bullpen session.
Spontaneous Colonic Migration of a Ventriculoperitoneal Shunt Catheter.
A 63-year-old man developed fever, somnolence, and elevated inflammatory markers 2.5 years after ventriculoperitoneal shunt placement.
A case report of ultra-rare SMARCD2 deficiency and review of the literature.
The report describes a patient with congenital neutropenia due to specific granule deficiency type 2, a syndromic autosomal recessive disorder associated with loss-of-function variants in SMARCD2.
Dexmedetomidine with transition to oral clonidine for stabilization of refractory agitation: A case report.
A 45-year-old man with metastatic medullary thyroid carcinoma was admitted to a palliative care unit with severe opioid-refractory pain, delirium, and agitation that prevented palliative radiation.
Acupoint-Propagated Sensation During Laser Acupuncture in Bell's Palsy.
Two patients with chronic Bell’s palsy received non-invasive laser acupuncture three times weekly. Assessment included facial nerve grading scales, electromyography, electroneurography, and blink reflex testing.
Pearls & Oy-sters: Trace Visualization of the Central Retinal Artery: A Favorable Sign for Late-Window Endovascular Therapy in Central Retinal Artery Occlusion.
A 69-year-old man presented with 18 hours of acute, severe blurred vision in the right eye. Fundus examination and optical coherence tomography showed central retinal artery occlusion with inner retinal edema.
Sirolimus-induced improvement of immune dysregulation associated hepatosplenomegaly in common variable immunodeficiency: a case-based review.
A 50-year-old woman with common variable immunodeficiency (CVID), treated with regular intravenous immunoglobulin replacement, developed progressive hepatosplenomegaly, cytopenias, abdominal enlargement, dyspnea…
Descending aortic replacement after frozen elephant trunk: graft clamping and true-lumen anastomosis.
Second-stage descending aortic replacement after arch replacement with a frozen elephant trunk requires proximal control at a site that is often hostile to cross-clamping.
De novo SETD5 missense variants in individuals with MRD23 cluster within the protein's SET domain.
SETD5 heterozygous loss-of-function (LoF) variants and 3p25.3 deletions containing the SETD5 gene cause intellectual developmental disorder, autosomal dominant 23 (MRD23).
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