Severe carbamazepine-induced cardiotoxicity with multisystem involvement: early recognition and advanced therapeutic approach [0.03%]
卡马西平致严重心脏毒性的早期识别与综合治疗策略：一例多系统损伤患者的临床报告
Raluca Ecaterina Haliga,Adorata Elena Coman,Roxana Ioana Mihai et al.
Raluca Ecaterina Haliga et al.
Carbamazepine (CBZ) toxicity is a medical emergency due to severe neurological and cardiovascular risks. Management is challenging due to CBZ's prolonged elimination, enterohepatic recirculation, and active metabolites. We report a severe C...
Ravi Vazirani Ballesteros,Eliomar García-Bello,Pablo Zulet
Ravi Vazirani Ballesteros
A 36-year-old woman with surgically repaired transposition of the great vessels was admitted with psychiatric symptoms. The 12-lead ECG showed ST-segment elevation in the inferior leads, a positive P wave in aVR, and an absent R wave progre...
Abdulrahman Nasiri,Tamam Alshammari,Alanood Alsolaihim et al.
Abdulrahman Nasiri et al.
Guillain-Barré syndrome (GBS) is a rare but serious neuropathy in hematopoietic stem cell transplant recipients. Immunosuppressants, particularly tacrolimus, have been implicated as potential triggers. We present a 27-year-old man with BCR...
Immunohistochemical insights into the pathogenesis of colonic sessile serrated lesions [0.03%]
结肠无柄息肉样病变发病机制的免疫组织化学观察
Maria-Alexandra Florea,Gabriel Becheanu,Andrei Niculae et al.
Maria-Alexandra Florea et al.
Background: Sessile serrated lesions (SSLs) are recognized as precursor lesions in the pathogenesis of colorectal cancer, particularly in the context of microsatellite instability (MSI). This study evaluates the role of i...
Bilateral simultaneous proximal femoral fractures on dissimilar anatomical regions [0.03%]
不同解剖区域的双侧近端股骨骨折
Pamela Zace,Alastair Stephens,Antonios Konstantinidis et al.
Pamela Zace et al.
Simultaneous presentation of bilateral proximal femoral fractures following a traumatic event are considered very rare injuries. A literature search revealed that the fracture pattern in bilateral simultaneous proximal femoral fractures is ...
Sagittal sinus thrombosis - rare complication of nephrotic syndrome in a young child [0.03%]
肾病综合征的罕见并发症-矢状窦血栓形成
Catalin Ionut Lupu,Raluca Maria Vlad
Catalin Ionut Lupu
The nephrotic syndrome (NS) is caused by increased glomerular permeability. We report a case of NS in a 3-year-old girl, complicated with central nervous system venous thrombosis. Physical examination revealed anasarca (edema, pleurisy, and...
Hemobilia due to hepatic artery pseudoaneurysm following biliary pigtail stent placement [0.03%]
胆道pigtail支架置入术后因肝动脉假性动脉瘤引起的血胆红素过高
Serkan Ipek
Serkan Ipek
Hemobilia is a potentially fatal condition if not diagnosed and treated early. One of the rare causes of hemobilia is hepatic artery pseudoaneurysm. Herein, we present a case of hemobilia caused by hepatic artery pseudoaneurysm rupture. A p...
Breaking the stone and beating the bug: managing ureterolithiasis with Enterococcus faecium in a high-risk patient [0.03%]
破石击虫：用粪肠球菌管理高危患者的输尿管结石问题
Flavia Coman,Catrinel-Ana Codău,Bogdan Novac
Flavia Coman
Ureteral lithiasis in high-risk patients demands a personalized approach due to the interplay of multiple comorbidities and procedural risks. This case report examines a 66-year-old female with recurrent lower ureteral stones resistant to m...
Functional dyspepsia assessment - current diagnostic methods and new promising techniques [0.03%]
功能性消化不良评估-现行的诊断方法和有前景的新技术
Vadim Rosca,Liliana Gheorghe,Diana Floria et al.
Vadim Rosca et al.
Functional Dyspepsia (FD) is a disorder of gut-brain interaction (DGBI) characterized by chronic symptoms without an organic cause. Diagnosis follows the Rome IV criteria, requiring symptoms for at least six months. FD affects up to 20% of ...
When cancer reaches the heart: a case series on rare myocardial and endocardial metastases from squamous cell carcinoma [0.03%]
当癌症达到心脏：关于鳞状细胞癌罕见的心肌和心内膜转移的病例系列报告
Ahmed Basuoni,Ikram Burney,Z Al-Hashami et al.
Ahmed Basuoni et al.
Cardiac metastases are rare but devastating complications of malignancies. Squamous cell carcinoma (SCC), particularly from non-pulmonary origins, infrequently metastasizes to the heart, making its cardiac involvement an unusual and underre...