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643 articles
November 202622
An Adolescent With Neurosyphilis.
A previously healthy 17-year-old boy developed two weeks of myoclonus affecting his right thumb and middle finger, followed by focal seizures in the right arm that generalized.
Single-Stage Bilateral Microsurgical Treatment of Five Complex Unruptured Anterior Circulation Aneurysms Assisted by Rapid Ventricular Pacing: Case Report and Literature Review.
A 54-year-old woman with untreated hypertension and active smoking presented with a pupil-involving left oculomotor nerve palsy.
Preoperative Temporal Elevation of Cytokeratin 19 Fragment in Thymoma With Extensive Necrosis: A Case Report.
A 73-year-old man presented with chest pain, and CT showed a mediastinal mass with pleural effusion. White blood cell count, C-reactive protein, and cytokeratin 19 fragment (CYFRA) were elevated; CYFRA was 61.3 ng/mL.
Ascites Presenting as a Peritonitis-Like Manifestation and Liver Injury due to Trabectedin Monotherapy in a Patient With Myxoid Liposarcoma.
An 82-year-old woman with recurrent metastatic myxoid liposarcoma developed liver dysfunction and ascites while receiving trabectedin monotherapy, after 12 cycles.
Polyneuropathy, Organomegaly, Endocrinopathy, M-Protein, and Skin Changes (POEMS) Syndrome With Characteristic Muscle Biopsy Findings and Without M-Protein.
A 63-year-old woman referred with presumed CIDP had not responded to IVIG or steroids. Her presentation included marked weight loss, papilledema, skin changes, thrombocytosis, thromboembolisms, hemi-diaphragmatic…
Vogt-Koyanagi-Harada (VKH) Syndrome Mimicking Bilateral Optic Neuritis.
A 36-year-old man developed progressive bilateral visual loss over 5 days, with papillitis on fundus examination. Brain MRI and CSF were normal, and serum NMO and MOG testing was negative.
Mycobacterium abscessus bacteremia: A narrative literature review based on a case report.
The report describes a catheter-associated bloodstream infection caused by Mycobacterium abscessus subsp. massiliense. The authors also reviewed published M.
Preemptive Kidney Transplantation in a Pediatric Patient With Factor XI Deficiency: A Case Report.
A 14-year-old boy with end-stage renal disease from congenital posterior urethral valves underwent preemptive living-donor heterotopic kidney transplantation from his brother.
Cesarean Delivery After Multiple Prior Intraperitoneal Surgeries: A Case Report in a Patient With Crohn Disease.
A 25-year-old woman with Crohn disease in sustained remission had an uncomplicated pregnancy after in vitro fertilization. Her history included five intraperitoneal operations, including bilateral hemicolectomy…
Late Traumatic Avulsion of a Femtosecond LASIK Flap Following a Direct Corneal Injury: A Case Report.
A 34-year-old woman developed pain and reduced vision after a pet bird injured her left cornea, 10 months after uncomplicated femtosecond LASIK.
False-Positive Prenatal Suspicion of Partial Anomalous Pulmonary Venous Connection: A Benign Confluence Variant Clarified by Cardiac CT.
Prenatal ultrasound raised suspicion of partial anomalous pulmonary venous connection (PAPVC). After birth, echocardiography—limited by acoustic windows and influenced by the prenatal interpretation—also suggested…
Clinical Trajectory of Late-Onset Delusional Disorder Toward Evolving Dementia With Lewy Bodies.
The report revisited four clinicopathological cases in which late-onset delusional disorder was the initial manifestation of Lewy body disease.
Recurrent Cardiac Cephalalgia: A Case Report and Pooled Narrative Review.
An elderly man with multiple cardiovascular risk factors and prior coronary artery disease treated with percutaneous coronary intervention had progressive exertional headaches over several years, without typical cardiac…
Paraneoplastic Autoimmune Multiorgan Syndrome: Diagnostic Lessons for Pediatricians.
An 11-year-old boy developed subacute erythroblastopenia, followed by polymorphic mucocutaneous findings, severe myositis with a dermatomyositis-like phenotype, and mild hepatitis.
Dizziness, Scanning Speech, and Transient Hyperreflexia as Atypical Initial Manifestations of Antiganglioside Q1b-Negative Miller Fisher Syndrome: A Case Report and Literature Review.
A 27-year-old Chinese Han man presented with prominent dizziness and scanning speech. Examination initially showed generalized tendon hyperreflexia, intention tremor, and a right Babinski sign.
Domino Liver Transplantation Using the Explanted Native Liver of a Multivisceral Transplant Recipient: A Pediatric Case Report and Systematic Review.
A 4-month-old boy underwent multivisceral transplantation after near-total enterectomy complicated by gastric, duodenal, and bladder fistulas.
Klebsiella pneumoniae Endogenous Endophthalmitis in an Active Duty Service Member.
A healthy, immunocompetent 47-year-old active-duty man developed fever, chills, and fatigue, tested positive for COVID, and then experienced painful right-eye vision loss with a temporal field deficit.
Central Centrifugal Cicatricial Alopecia and the Use of Xtressé Nutrient Supplement: A Case Series.
The report describes two cases of central centrifugal cicatricial alopecia (CCCA), a scarring hair-loss condition that typically begins at the crown and spreads outward.
Pembrolizumab Activity in Tyrosine Kinase Inhibitor-Refractory Metastatic GIST: A Case Report.
A man with epithelioid small-bowel GIST developed liver metastases seven years after diagnosis. The tumor carried a primary KIT exon 11 D579del mutation, a secondary KIT exon 17 D820G mutation, and CDKN2A/CDKN2B…
From Shrapnel to Stability: A Reverse Perforator Flap for Definitive Elbow Coverage Seven Decades Post-Trauma. A Case Report.
A man injured by shrapnel at age four sustained a severe right elbow fracture and complete ulnar nerve transection, leaving ankylosis and chronic dysfunction.
Surgical Treatment of Hepatic Fascioliasis in Two Civilian Employees of the Armed Forces of Ukraine: A Case Report.
Two civilian employees of the Armed Forces of Ukraine presented with hepatic lesions and symptoms including right upper quadrant pain, nausea, vomiting, back pain, or transient jaundice.
Upweighting Proprioceptive Information for Treatment of Mal de Mer: A Case Report.
A 46-year-old woman aboard a U.S. Navy ship developed severe dizziness that prevented unsupported walking and substantially limited computer work.
October 20262
Solitary Neurofibroma in the Submental Region of a 15-Year-Old Adolescent: A Case Report and Review of Literature.
A 15-year-old boy had a painless right submental swelling present for one year, with enlargement over the preceding three months.
Severe ARDS and secondary haemophagocytic lymphohistiocytosis complicating a flare of adult-onset Still's disease: a case-based review.
A 42-year-old woman with adult-onset Still’s disease (AOSD) developed a flare after a five-week interruption of conventional synthetic disease-modifying therapy around surgery for a perianal abscess with fistulous…
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