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Late-onset disseminated BCG infection with hepatosplenomegaly after intravesical BCG immunotherapy in a non-immunocompromised patient.
Clin J Gastroenterol
December 2024
Department of Gastroenterology and Hepatology, Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital, 3-35 Michishita-cho, Nakamura-ku, Nagoya, 453-8511, Japan.
Intravesical Bacillus Calmette-Guérin (BCG) immunotherapy for bladder cancer rarely leads to disseminated BCG infections, most of which occur early after BCG instillations or in immunocompromised patients. We report late-onset disseminated BCG infection after intravesical BCG immunotherapy in a non-immunocompromised patient. A 78-year-old non-immunocompromised man was admitted with fever and hepatosplenomegaly.
View Article and Find Full Text PDFIntroduction Parenteral heparin is widely used as bridging therapy while optimising oral anticoagulation(OAC). Newer Direct-Acting OACs(DOACs) attain therapeutic effect very quickly. We report the use of dabigatran as bridging therapy during warfarin optimization for cardioembolic stroke in two patients who opted to receive warfarin for long-term anticoagulation for secondary stroke prevention.
View Article and Find Full Text PDFPersonalized Accelerated Physiologic Dual Rate Pacing for Cardiac Amyloidosis.
JACC Case Rep
November 2024
Department of Medicine, Lillehei Heart Institute, University of Minnesota, Minneapolis, Minnesota, USA.
A 78-year-old man with cardiac amyloidosis developed sinus bradycardia with symptomatic hypotension. Three months after receiving an advanced biventricular pacemaker system with continuous accelerated rate pacing (daytime: 70 beats/min; nighttime: 90 beats/min), his health status and symptoms were markedly improved.
View Article and Find Full Text PDFStrongyloides hyperinfection and disseminated infections are usually associated with immunosuppression; these severe manifestations occur in a minority of cases. The use of immunosuppressants such as corticosteroids and Baricitinib for treating COVID-19 pneumonia can be responsible for patients' immunosuppression and cause Strongyloides hyperinfection syndrome. The chance increases when the patient belongs to countries or regions where chronic infection with Strongyloides is more prevalent.
View Article and Find Full Text PDFImproving Golf Swing Kinematics in a 78-Year-Old Golfer with Lower Back Pain: A Case Report.
Am J Case Rep
December 2024
Department of Rehabilitation Sciences, Florida Gulf Coast University, Fort Myers, FL, USA.
BACKGROUND Due to the complexity of the golf swing, poor form affects performance and lead to injuries in the spine and extremities. The Titleist Performance Institute (TPI) has created a movement screen to identify a golfer's physical limitations. The TPI includes 16 movement patterns within a golfer's swing that could lead to poor performance, dysfunction, and pain.
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