Publications by authors named "Rosen Nikolov"

Article Synopsis
  • Probiotics have shown promise in preventing antibiotic-associated diarrhea (AAD), but clear guidelines were lacking, leading to a trial evaluating a specific probiotic mix called Sinquanon in adults on antibiotics.
  • The study involved over 550 participants in a double-blind trial comparing the effects of the probiotic mix versus a placebo, with findings showing a significant reduction in AAD incidence (9.2% for probiotics vs 25.3% for placebo).
  • Results indicated not only fewer cases of AAD but also improved gastrointestinal quality of life, with no major adverse effects noted between the two groups, suggesting that Sinquanon can effectively help those on antibiotics.
View Article and Find Full Text PDF

Introduction: Fever of unknown origin (FUO) remains one of the most challenging clinical conditions. It demands an exhaustive diagnostic approach, considering its varied etiologies spanning infectious, autoimmune, inflammatory, and malignant causes.

Patient Concerns: This report shows the journey of diagnosing a 28-year-old male who presented with persistent fever and lower-extremity weakness over 9 months.

View Article and Find Full Text PDF

Vitamin D plays a role in regulating immune homeostasis, inflammation and has an impact on the pathogenesis of inflammatory bowel diseases (IBD). IBD has a multifactorial pathogenesis primarily associated with immune dysregulation, dysbiosis, structurally altered intestinal mucosa, and genetic factors. The immunomodulatory function of this vitamin is linked to its control over innate and adaptive immunity, facilitated through its nuclear vitamin D receptor, leading to the inhibition of nuclear factor kappa-B.

View Article and Find Full Text PDF

Background: Paraneoplastic syndromes remain poorly understood and manifest as multifaceted clinical symptoms, making their diagnosis difficult. Cholestasis can be observed in various malignancies. In rare cases, it can be a paraneoplastic manifestation, most often associated with renal cell carcinoma and other urogenital tumors, as well as with bronchial carcinoma.

View Article and Find Full Text PDF