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Olmesartan-Induced Enteropathy: A Rare Case of Chronic Diarrhea.

Case Rep Med

December 2024

Department of Gastroenterology, Gastrocentro Natal, Natal, Rio Grande do Norte, Brazil.

The case involves a 63-year-old hypertensive man, taking antihypertensive medication (olmesartan) for the previous two years, who sought medical attention due to voluminous diarrhea, with several episodes per day and weight loss of 10 kg. He was submitted to a series of diagnostic procedures without elucidation and empirical treatment with unsuccessful outcome. After hospitalization for clinical stabilization and for presenting with duodenal atrophy, obtained by duodenal biopsy associated with negative markers for celiac disease, the patient was diagnosed with suspected olmesartan-induced enteropathy, showing rapid improvement of diarrhea after the drug was withdrawn, with weight regain in 6 months and normalization of the duodenal histological picture after 10 months.

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The initial six months following HIV infection have a high viral load. Nonspecific presentations might lead to the missing primary HIV diagnosis. Multiorgan and multisystem diagnosis is a rare presentation of primary HIV.

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A cough that persists for more than 8 weeks is defined as a chronic cough. In routine practice, asthma, gastroesophageal reflux disease, and postnasal drip are the most common causes of chronic cough. A 58-year-old non-smoking male patient with no known comorbidities presented with a 3-month history of non-productive cough.

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Opsoclonus-myoclonus syndrome (OMS) is a rare neurological disorder characterized by a combination of main symptoms: opsoclonus, myoclonus, ataxia, psychoemotional and behavioral disturbances. OMS can develop in children as a result of immunopathological processes against the background of infectious or oncological pathology and lead to persistent neurological deficit. A case of ten-year observation of paraneoplastic OMS associated with neuroblastoma in a child is presented.

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STUDY OF ORBITAL NEOPLASMS BY MAGNETIC RESONANCE IMAGING PROCEDURE.

Georgian Med News

October 2024

2Tbilisi State Medical University, Clinical Professor, Tbilisi, Georgia.

The neoplasms of the organ of vision are characterized by significant polymorphism, which is due to the histological diversity of the structures in the eye socket. Almost all types of neoplasms described in humans are found in the orbit. The study aimed to determine the diagnostic value of magnetic resonance imaging in patients with tumors in the eyeball and the eye socket, as well as to determine the superiority of the MRI procedure compared to other instrumental methods of research.

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