Chester Yixuan Cao,Deloshaan Subhaharan,Peter Mikhail-Gouda et al.
Chester Yixuan Cao et al.
Tirzepatide is a dual gastric inhibitory polypeptide and glucagon-like peptide-1 receptor agonist, used for the treatment of type 2 diabetes mellitus and obesity. While gastrointestinal side effects are well described in the literature, hep...
Case Reports
BMJ case reports. 2026 Apr 3;19(4):e269172. DOI:10.1136/bcr-2025-269172 2026
Anas Al Dabbagh,Mubarak Alanezi,Vartan Jacques Balian
Anas Al Dabbagh
A man in his 60s was found to have a 7 mm incidental anterior communicating artery aneurysm on CT while being investigated for debilitating migraines, and subsequently underwent catheter cerebral angiography for endovascular treatment plann...
Case Reports
BMJ case reports. 2026 Apr 3;19(4):e271533. DOI:10.1136/bcr-2025-271533 2026
Utility of guide catheter extension and intravascular ultrasound to facilitate transcatheter device closure of aortic paravalvular leak [0.03%]
Beth Brailsford,Thomas Andrew Kite,William Howard Thornton Smith
Beth Brailsford
Paravalvular leak (PVL) refers to the retrograde flow of blood through a channel between an implanted valve prosthesis and native cardiac tissue, due to the absence of an appropriate seal. Most PVLs are haemodynamically non-significant; how...
Case Reports
BMJ case reports. 2026 Apr 3;19(4):e269663. DOI:10.1136/bcr-2025-269663 2026
Elevated serum CA-125 levels in a patient with membranous nephropathy and nephrotic syndrome in absence of malignancy [0.03%]
Emily Hewitt,Ravi Varma,Jean Patrick
Emily Hewitt
A woman in her 70s presented with nephrotic syndrome. A renal biopsy confirmed a diagnosis of membranous nephropathy (MN) with negative staining for phospholipase A2 receptor antibody and positive staining for neural epidermal growth factor...
Case Reports
BMJ case reports. 2026 Apr 3;19(4):e271232. DOI:10.1136/bcr-2025-271232 2026
William McClune,Shern Wai Koh,Joussi Ramzi et al.
William McClune et al.
Acute airway obstruction in a paediatric patient with Wolf-Hirschhorn syndrome requiring emergency tracheostomy [0.03%]
Janani Kannan,Harshada Sharma,Shilpa Goyal
Janani Kannan
Wolf-Hirschhorn syndrome (WHS) is an uncommon genetic disorder that often presents with characteristic facial features, developmental delay and potential airway anomalies, which can complicate the anaesthetic management. We present a case o...
Case Reports
BMJ case reports. 2026 Apr 3;19(4):e269586. DOI:10.1136/bcr-2025-269586 2026
Fatal invasive Trichosporon asahii infection with exophytic bronchial lesions in a patient with lymphoma undergoing CAR T-cell therapy [0.03%]
Elisabeth Paramythiotou,Evanthia Pappa,Vasiliki Iliadi et al.
Elisabeth Paramythiotou et al.
Fungal infections are increasingly observed in immunocompromised patients, with non-Candida yeasts such as Trichosporon asahii emerging as significant opportunistic pathogens. T. asahii is a basidiomycetous yeast capable of causing dissemin...
Case Reports
BMJ case reports. 2026 Apr 3;19(4):e269040. DOI:10.1136/bcr-2025-269040 2026
Anjana Anilkumar,Ritwick Singla,Lokesh Kumar Saini et al.
Anjana Anilkumar et al.
A male in his late fifties, a chronic smoker, presented to his primary care physician with multiple painless subcutaneous swellings over the torso, which were misdiagnosed as a cutaneous infection for more than a month. Later, he developed ...
Case Reports
BMJ case reports. 2026 Apr 3;19(4):e272000. DOI:10.1136/bcr-2026-272000 2026
Early use of methylene blue in the management of refractory group A streptococcal toxic shock syndrome with multi-organ failure in the intensive care unit [0.03%]
Eric Steinbrook,Amy S Labar,Hadrian Mendoza et al.
Eric Steinbrook et al.
An independent, community-dwelling man in his seventies with a medical history of type 2 diabetes mellitus and atrial fibrillation presented to the emergency department with acute-onset confusion. He rapidly developed refractory shock compl...
Case Reports
BMJ case reports. 2026 Apr 3;19(4):e271683. DOI:10.1136/bcr-2025-271683 2026
Mahima Dilip Jaisinghani,Sneha Tirpude,Sanjay Deshmukh et al.
Mahima Dilip Jaisinghani et al.
Mucoepidermoid carcinoma originates from the submucosal glands of the tracheobronchial tree. It is structurally homologous with exocrine salivary glands.It is a rare tumour, consisting of 0.1% to 0.2% of primary lung malignancies.Complete s...
Case Reports
BMJ case reports. 2026 Apr 3;19(4):e271594. DOI:10.1136/bcr-2025-271594 2026