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An 80-Year-Old Man With Intractable Cough.
Chest
December 2024
Department of Pulmonary, Critical Care, and Sleep Medicine, ESIC-PGIMSR, New Delhi, India.
An 80-year-old man with no history of substance addiction presented with complaints of cough and breathlessness for 4 months. His cough was nonproductive, waxing and waning in nature with high symptom load during daytime, but not associated with chest pain or wheezing. He gives no history of nasal or sinus symptoms, aspiration, or reflux symptoms.
View Article and Find Full Text PDFAutoimmune encephalitis with coexisting antibodies to GABABR, GAD65, SOX1 and Ma2.
BMC Neurol
November 2024
Neurology Center, General Hospital of Ningxia Medical University, Yinchuan, 750004, China.
Background: Autoimmune encephalitis (AE) is a disease caused by an abnormal reaction between the body's autoimmunity and the central nervous system, in which the abnormal immune response targets antigenic components within or on the surface of neuronal cells. The main manifestations are mental and behavioural changes, cognitive impairment, impaired consciousness, seizures, movement disorders, etc. Most cell surface antibodies respond well to immunotherapy, intracellular antibodies, on the other hand, are usually associated with more tumours and are relatively difficult to treat with a poor prognosis.
View Article and Find Full Text PDFAtypical Presentation and Postoperative Management of Vagal Nerve Tumors.
Ann Otol Rhinol Laryngol
December 2024
Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Article Synopsis
- The study focuses on managing tumors involving the vagus nerve, which often don't show obvious symptoms. It highlights various clinical cases and the unique challenges in treatment.
- Five patients with different presentations of vagal nerve tumors underwent surgery, with four experiencing symptom resolution post-operation.
- The findings suggest that innovative approaches, like ligating blood supply to certain tumors instead of complete removal, can effectively alleviate symptoms while preserving nerve function.
COVID-19 and Intractable Hiccups: An Apparently Harmless Yet Misleading Manifestation.
Cureus
August 2024
Internal Medicine, University of Maryland Midtown Campus, Baltimore, USA.
Article Synopsis
- - COVID-19 usually shows symptoms like fever, cough, and shortness of breath, but can sometimes present with unusual signs like persistent hiccups and dizziness.
- - The case presented involves a patient whose only symptom was severe hiccups, which led to misdiagnosis and eventually septic shock and death.
- - This situation highlights the importance of recognizing rare COVID-19 symptoms, as they can have serious implications for patient outcomes.
Pulmonary abscess secondary to epididymitis caused by extended spectrum β-lactamase-producing hypervirulent Klebsiella pneumoniae: a case report.
BMC Infect Dis
August 2024
Department of Cardiology, The First Hospital of QinHuangDao, Qinhuangdao, Hebei, 066000, China.
Article Synopsis
- A 71-year-old man developed severe pneumonia and pulmonary abscesses after experiencing epididymitis due to an infection with extended spectrum β-lactamase-producing hypervirulent Klebsiella pneumoniae (ESBL-hvKp), a drug-resistant bacteria.
- The patient initially received anti-infection treatment but failed to respond, leading to a need for prolonged therapy, which he ultimately chose to discontinue.
- This case highlights how an infection starting from the epididymis can spread through the bloodstream, causing severe lung complications and posing significant treatment challenges.
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