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682 articles
September 202624
Diagnostic Challenges in mNGS for Pulmonary Mucormycosis Presenting with Imaging Features Resembling Those of Lung Cancer.
A 67-year-old woman with diabetes presented with cough and sputum production. Imaging suggested lung cancer due to a right hilar mass, bronchial obstruction, and mediastinal lymphadenopathy.
Extracorporeal cardiopulmonary resuscitation for cardiogenic shock in a Jehovah's witness.
A Jehovah's Witness patient in cardiogenic shock underwent successful resuscitation using veno-arterial extracorporeal membrane oxygenation (ECMO) without the need for blood transfusions.
Acrodynia and CASPR2 Autoimmunity in Elemental Mercury Toxicity.
A 2-year-old girl presented with cough, congestion, and later developed sweating, fussiness, and a pruritic rash after exposure to elemental mercury from a household spill.
Jejunal transection caused by postoperative adhesive small bowel obstruction: managed simultaneously with abdominal aortic aneurysm.
A man in his 90s presented with abdominal pain, diagnosed with postoperative adhesive small bowel obstruction and an abdominal aortic aneurysm (AAA).
Coexisting Postural Orthostatic Tachycardia Syndrome on Autonomic Reflex Testing in Functional Neurologic Disorder.
An 18-year-old woman with a prior diagnosis of functional neurological disorder (FND) presented with fluctuating lower-extremity weakness, gait disturbance, and recurrent drop attacks, alongside persistent orthostatic…
Primary renal glomus tumours of uncertain malignant potential: diagnostic challenges and insights from two instances.
Two elderly patients presented with abdominal pain and were found to have large renal masses on imaging. Both underwent nephrectomy, and histopathological analysis revealed glomus tumors with atypical features but not…
Reversible bilateral cerebellar ataxia resulting from hypercapnic encephalopathy in an undiagnosed patient with obstructive sleep apnoea.
A man in his 40s with morbid obesity and type 2 diabetes presented with early-morning drowsiness and respiratory distress after nocturnal dyspnoea and diuretic use.
The "Spiked Helmet Sign" on Electrocardiogram Following Left Ventricular Assist Device Implantation: A Case Report.
A 68-year-old male with end-stage ischemic cardiomyopathy underwent left ventricular assist device (LVAD) implantation. Shortly after the procedure, his ECG displayed the 'Spiked Helmet Sign' alongside QTc prolongation.
Phenotypic spectrum of 19p13.3 microdeletion: a fatal infant case with severe cardiomegaly and gastrointestinal manifestations.
An 8-month-old female infant presented with multisystemic complications, including congenital heart defects, limb anomalies, macrocephaly, and recurrent pulmonary infections.
Pulmonary Actinomycosis Diagnosed via BALF mNGS in a 53-Year-Old Nonsmoking Man With Pneumoconiosis and Penicillin-Induced Thrombocytopenia: A Case Report.
A 53-year-old nonsmoking man with pneumoconiosis presented with a month-long history of cough and hemoptysis. Imaging revealed bilateral upper-lung masses and lymphadenopathy, leading to a right upper lobectomy under…
Phlegmonous Gastritis Refractory to Antibiotics with Subsequent Improvement on Empiric Quadruple Therapy.
A 59-year-old woman presented with two days of severe nausea, vomiting, and inability to tolerate oral intake while on chronic proton-pump inhibitor therapy.
Recognition and Treatment of Concurrent Amyotrophic Lateral Sclerosis and Multiple Sclerosis.
A patient with a long-standing history of multiple sclerosis presented with overlapping progressive symptoms. Upon further evaluation, the diagnosis of amyotrophic lateral sclerosis was established, highlighting the…
Mucinous Adenocarcinoma Arising in a Mature Ovarian Teratoma.
A woman in her 30s presented with a 19 cm right ovarian mass. She underwent extensive surgical intervention, including right salpingo-oophorectomy and lymphadenectomy.
Functional Improvement with Red-Tinted Contact Lens in Pediatric Achromatopsia: A Case Report.
A child with achromatopsia presented with reduced visual acuity, photophobia, and impaired color discrimination. Following the fitting of red-tinted contact lenses, the patient reported significant improvements in glare…
Resolution of Phlegmasia Cerulea Dolens in a Patient with Metastatic Cancer and an Inferior Vena Cava Filter.
A 69-year-old man with metastatic non-small cell lung cancer developed rapidly progressive phlegmasia cerulea dolens despite recent negative imaging and an inferior vena cava filter.
When A Fall Isn't Just a Fall: Delayed Diagnosis of Acquired Hemophilia A in a Nonagenarian Patient.
A 92-year-old woman presented with severe right lower extremity pain after recurrent ground-level falls. Imaging revealed bilateral lower extremity intramuscular hematomas.
Primary ALK-positive anaplastic large cell lymphoma of the urinary bladder in a pediatric patient: a case report and review of literature.
A 14-year-old male presented with several months of gross hematuria that became painful. Imaging revealed a mass-like thickening of the anterior bladder wall, and cystoscopy identified a 3.5-cm pedunculated lesion.
Factor V Deficiency and Mechanical Valve Replacement: Challenges in Perioperative Hemostasis and Anticoagulation.
A 30-year-old woman with congenital factor V deficiency (baseline activity 18%) underwent mechanical aortic valve replacement and mitral valve repair due to infective endocarditis.
Concurrent follicular lymphoma and follicular dendritic cell sarcoma: composite neoplasm or transdifferentiation?
A 52-year-old woman presented with night sweats, weight loss, and an obstructing colonic mass with mesenteric disease. Biopsy revealed two distinct tumor populations: one consistent with follicular large B cell lymphoma…
Beyond β-amyloid: transthyretin cerebral amyloid angiopathy.
A 44-year-old man presented with recurrent upper-limb and perioral sensory symptoms, later identified as transient focal neurological episodes.
Left Bundle Branch Area Pacing as a Rescue Strategy After Failed Cardiac Resynchronization Therapy in a Patient With Persistent Left Superior Vena Cava, Absent Coronary Sinus Branches, After Bilateral Maze Procedure: A Case Report.
A 78-year-old man with chronic heart failure and a history of complex cardiac procedures presented for cardiac resynchronization therapy (CRT) due to sick sinus syndrome and left bundle branch block.
Atypical Bullous Sweet Syndrome.
A 71-year-old male with acute myeloid leukemia presented with bullous Sweet syndrome after receiving pegfilgrastim and quizartinib.
A Rare Case of a Molar Pregnancy Coexisting with a Live Foetus in a Patient with Prior Exposure to M-2 Tone in First Trimester in Eastern Uganda: A Case Report.
A 30-year-old Ugandan woman, gravida 3 para 1+1, presented at 19 weeks of amenorrhea with excessive weight gain and an exaggerated symphysio-fundal height.
Analgesic Efficacy and Motor-Sparing Properties of Superior Trunk Block versus Interscalene Brachial Plexus Block with Liposomal Bupivacaine for Shoulder Arthroscopy: A Randomized Controlled Trial.
The interscalene brachial plexus block (ISB) is widely regarded as the most commonly used regional anesthesia technique for perioperative analgesia in arthroscopic shoulder surgery; however, it is associated with a high…
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