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682 articles
October 202624
When Infection Mimics Vasculitis: Hydralazine-Induced ANCA-Associated Crescentic Glomerulonephritis in the Setting of Active Infective Endocarditis.
A 58-year-old man with a history of bicuspid aortic valve presented with fatigue, anemia, and acute kidney injury. He was diagnosed with subacute infective endocarditis after blood cultures grew Streptococcus mutans.
Ultrasound-Guided Disposition: Submersion Injury.
A 25-year-old male sustained an acute submersion injury due to water aspiration during snorkel training for U.S. Navy Search and Rescue Swimmer training.
Nephrotic range proteinuria and rapid progression to end-stage kidney disease in seronegative pauci-immune necrotizing glomerulonephritis masked by cutaneous lesions: a case-based review.
A 22-year-old woman with a history of recurrent cutaneous lesions was hospitalized due to exacerbation of her skin condition. Laboratory tests revealed nephrotic-range proteinuria and reduced eGFR.
Treatment of External Auditory Canal Hemangioma by Surgical Excision and Flap Reconstruction: 2 Case Reports.
Two cases of external auditory canal (EAC) hemangiomas are reported. The first case involved a 68-year-old man with a sensation of fullness in the left ear, while the second case involved a 62-year-old woman with…
Incidental discovery of a massive primary retroperitoneal serous cystadenoma following trauma.
A woman in her 70s presented with severe abdominal pain after a fall. Imaging revealed a massive cystic lesion in the left retroperitoneum, which was confirmed to be a ruptured cyst.
Coarctation of the aorta as the presenting cardiovascular manifestation of Williams syndrome in an infant.
A male infant presented for pre-operative evaluation of a left inguinal hernia, during which discrete juxtaductal coarctation of the aorta was incidentally found.
Boomerang-shaped extended latissimus dorsi flap for combined breast reconstruction and body contouring following massive weight loss.
A patient with a history of massive weight loss sought correction for her left-sided implant-based breast reconstruction, which had resulted in poor cosmetic outcomes and persistent pain.
Multisystem imaging findings as diagnostic red herrings in Wilson's disease.
A previously healthy man in his 20s presented with fever, cough, jaundice, and a right-sided pleural effusion. Initial tests revealed significant hepatic dysfunction, and imaging showed cirrhotic liver morphology…
Myxoedema coma in a patient with alcohol dependence: a diagnostic pitfall.
A man in his sixties with known hypothyroidism and alcohol dependence presented with profound hypothermia, refractory hypoglycaemia, hypoxia, and reduced consciousness.
Peritoneal loose body: an incidental finding, a challenging diagnosis and multimodal assessment to avoid resections.
A man in his early 40s presented with urinary symptoms and was found to have a right ureteric calculus, hydronephrosis, and a urinary tract infection.
Unexpected parasternal musculature during skin-sparing mastectomy and microvascular breast reconstruction.
A woman in her late 40s underwent bilateral skin-sparing mastectomy and immediate autologous breast reconstruction. During the procedure, bilateral sternalis muscles were unexpectedly identified.
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.
Cutaneous leukocytoclastic vasculitis with concurrent colitis of uncertain aetiology.
A female in her 20s presented with biopsy-confirmed cutaneous leukocytoclastic vasculitis and significant gastrointestinal symptoms, including recurrent rectal bleeding and abdominal pain.
Comprehensive dental management of odontogenic infection and ankyloglossia under general anaesthesia in a medically complex child with intellectual disability.
A middle childhood child with moderate intellectual disability presented with pain and swelling in the right posterior mandibular area.
Fatal drug-induced liver injury in the setting of abemaciclib therapy for metastatic breast cancer.
A Hispanic woman in her mid-60s with metastatic ER+/HER2- breast cancer developed severe mixed hepatocellular-cholestatic injury one month after starting abemaciclib with letrozole.
Adrenal metastasis from papillary thyroid cancer: staged surgical resection.
A man in his 70s with a history of papillary thyroid carcinoma presented with recurrence in the right cervical lymph nodes and a right adrenal mass measuring 5.7×6.5 cm. A CT-guided biopsy confirmed metastatic disease.
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.
Refractory amiodarone-induced thyrotoxicosis causing malignant arrhythmias, treated with therapeutic plasma exchange-bridged thyroidectomy.
A man in his mid-60s with severe cardiomyopathy developed refractory amiodarone-induced thyrotoxicosis, leading to recurrent ventricular tachycardia.
Adult-Onset Henoch-Schönlein Purpura Triggered by Isotretinoin with Persistent Polyarthritis and Isolated Cutaneous-Gastrointestinal Involvement: A Case Report.
A 30-year-old woman developed palpable purpura, abdominal pain, and symmetric polyarthritis three weeks after starting isotretinoin.
Navigating the unexpected: management of incidental severe Factor V deficiency in term pregnancy.
A primigravida was found to have severe Factor V deficiency (<1% activity) during routine preoperative evaluation for an elective caesarean section, despite being asymptomatic and having no bleeding history.
Reduced venesection requirement as a clue to occult colorectal cancer in hereditary haemochromatosis.
A man in his late 70s with hereditary haemochromatosis experienced an unexpected cessation of his usual venesection for iron management, despite no gastrointestinal symptoms or anemia.
Anaphylaxis Following Intravenous Methylprednisolone Sodium Succinate: A Case Report.
A 45-year-old woman with rheumatoid arthritis developed generalized pruritic erythema and raised lesions, dyspnea, hypoxemia, bradycardia, and reduced consciousness within 5 minutes of starting intravenous…
Cutaneous tumbu fly myiasis in a returning child traveller and a novel EMLA-assisted extraction technique in paediatric emergency care.
A toddler presented with cutaneous myiasis and cellulitis after traveling to Gambia, caused by Cordylobia anthropophaga. The case was managed using a novel non-operative technique involving eutectic mixture of local…
Iatrogenic Cushing's syndrome from an adulterated glucocorticoid-containing supplement.
A man in his 40s presented with rapid weight gain, fatigue, and signs of Cushing's syndrome, including abdominal striae and centripetal obesity.
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