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PMC9686418_01
Female
43
In 2018, a 43-year-old Chinese woman complained about a 14-day history of progressing pain and redness in her right eye. She had no ocular disease and medical history. There was no evidence of inflammatory arthritis or other symptoms of connective tissue disease. The best-corrected visual acuity was 20/40 in the right ...
infliximab, nodular episcleritis, peripheral ulcerative keratitis, pulmonary nodules, rheumatoid arthritis, rheumatoid vasculitis
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null
PMC9117916_01
Male
85
An 85-year-old man visited our the department of respiratory medicine with left-sided pleural effusion in August 2018. He reported no dyspnea, cough, sputum, chest pain, or fatigue. He was an extensive smoker (75 pack-years) and used a wheelchair. He had a history of coronary artery disease, chronic kidney disease, sur...
ct, computed tomography, cell block, elemental analysis, pleural effusion, silica, silicosis
CT images acquired at the first visit show small nodules in the right upper lung fields.
PMC7327611_01
Male
52
The proband, a 52-year-old Caucasian male with mild hypertension, presented to the hospital after his wife found him unconscious in his garage. He recalled doing some gardening work when he felt lightheaded before losing consciousness. The patient reported that he did not experience chest pain; however, he had a sense ...
null
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PMC9464452_01
Female
6
A 6-year-old girl developed meningitis 1 week after intracranial injury surgery. She was transferred to the surgical intensive care unit (SICU) of Children's Hospital of Nanjing Medical University (Nanjing, China) due to a persistent high fever. Upon arrival at the hospital, the patient was initially treated empiricall...
klebsiella pneumoniae, ceftazidime–avibactam, central nervous system, co-resistant to carbapenems and polymyxin b, whole-genome sequencing
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null
PMC9751701_01
Male
0
Patient 1 is a 6-month-old boy who was born term with a birth weight of 3.3 kg via urgent C-section due to maternal bleeding. Prenatal course was otherwise unremarkable. Due to severe hypoxemic respiratory failure at birth, he was treated with intubation, high frequency ventilation, supplemental oxygen (FiO2 = 1.00), i...
slc25a26 mutation, tbx4 mutation, pediatric pulmonary arterial hypertension, pulmonary vasodilator, pulmonary vasoreactivity, riociguat, targeted therapy
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null
PMC9453023_01
Male
31
A 31-year-old male, currently working as a long-distance driver, injured his right knee by stepping on an iron pipe, resulting in his knee twisting. The patient had also injured his right knee while playing football 14 years before presentation, for which he received conservative management. Since then, the patient's k...
null
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PMC8278452_01
Male
65
A 65-year-old man was referred to the department of oncology with complaints of right chest and back pain, cough, expectoration, and dyspnea for more than 9 months and had been diagnosed with PPSCC by another hospital. He was also diagnosed with type 2 diabetes for 7 years, with a past history of varicose veins in both...
primary pleural squamous, camrelizumab, case report, therapeutic
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null
PMC8090905_01
Male
4
David was only four years old at the time of the first separation from his father. In his earliest memory, he sits on a bus with his mother and uncle, headed from Alabama to Mexico. David described leaving his father: "It was night and I saw my father standing there at the bus stop," he said, "I was very young." He rec...
null
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PMC3407614_01
Female
18
Miss AH was an 18-year old unmarried school leaver who had a four-week history of progressive abdominal pain and lower abdominal swelling. Pain was insidious, dull in character and was worse over a lower abdominal swelling that was noticed about the same time. There was no cough, nor history of contact with someone wit...
null
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PMC5338052_01
Female
16
A 16-year-old girl presented with gradually progressive vision loss in the right eye of 6 years duration. There was no history of trauma, pain, or redness. Her medical history was noncontributory. Best-corrected visual acuity (VA) was 10/300 in the right and 20/20 in the left eyes. The left eye was essentially normal. ...
epiretinal membrane, pars plana vitrectomy, visual fields, vitreomacular traction, vitreopapillary traction
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null
PMC5086384_01
Male
60
We present a 60-year-old man with a history significant for ulcerative colitis requiring total colectomy, primary sclerosing cholangitis requiring liver transplant, chronic renal insufficiency, hypertension, psoriasis, and spondyloarthritis manifested by nearly fused sacroiliac joints, enthesopathies, bursitis, and sev...
null
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PMC6500608_01
Female
51
A 51-year-old woman with PRS presented with an 8-year history of binocular horizontal diplopia on right lateral gaze exacerbated during exercise. Her diplopia on exertion would resolve shortly after cessation of exercise while cooling off. The patient denied eye pain, floaters, photopsia, decreased vision, paresthesias...
null
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null
PMC10071913_01
Female
37
A 37-year-old female with no significant past medical history presented with hearing loss in her left ear for 5 months, cough, low-grade fever, hemoptysis, and night sweats for 1 month. Initially, she was diagnosed to have pulmonary tuberculosis (PTB) on a radiological basis and was started on anti-tubercular therapy (...
cavitary lung disease, diagnostic dilemma, granulomatosis with polyangiitis, hearing loss, hemoptysis
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null
PMC10071913_02
Female
48
A 48-year-old non-smoker female presented with complaints of pain and reduced hearing in both ears for the last 4 months, cough with expectoration, streaky hemoptysis, and low-grade fever for the last 2 months along with anorexia and weight loss. She was clinically diagnosed to have PTB and was started on Cat-1 ATT (HR...
cavitary lung disease, diagnostic dilemma, granulomatosis with polyangiitis, hearing loss, hemoptysis
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null
PMC10071913_03
Female
27
A 27-year-old, non-diabetic, non-hypertensive, euthyroid, immune-competent female presented with complaints of dry cough for 4 weeks, hemoptysis for 3 weeks, left-sided chest pain for 2 weeks, along with fatigue and loss of weight. She also complained of pain in multiple joints and difficulty hearing. She was clinicall...
cavitary lung disease, diagnostic dilemma, granulomatosis with polyangiitis, hearing loss, hemoptysis
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null
PMC8559654_01
Female
30
A 30-year-old female patient presented to another center in September 2019 with primary manifestations of upper limb muscle spasms and was diagnosed as multiple sclerosis (MS). In November 2019, she was admitted in our center with complaints of headache and lower limbs paresis. The patient's headache was positional agg...
anti- aquaporin antibody, high intra cranial pressure, neuromyelitis optica spectrum disorder
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null
PMC8107285_01
Female
31
The patient was a 31-year-old lactating woman who had delivered her first child 4 months before. Her medical history included infantile asthma, and her family history revealed hyperuricemia and hypertension in her father, and Hashimoto's disease in her mother. Upon developing pruritis on bilateral lower limbs, she visi...
angioedema, case report, chemokine, cytokine, edema, eosinophil
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null
PMC8188048_01
Male
31
The case is about a 31-year-old Hispanic male with Schizophrenia diagnosed at age 29. The patient had been treated with multiple medication regimens without much success to control his psychotic outbreaks. The patient was most recently started on clozapine by his psychiatrist and was subsequently scheduled for regular ...
b-cell acute lymphoblastic leukemia, clozapine toxicity, hyperleukocytosis, schizophrenia
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null
PMC9772434_01
Female
32
A 32-year-old woman with a POI diagnosis presented to our fertility clinic on August 2021 because of the desire to get pregnant but with repeated failures of IVF. The patient denied a family history of POI, infertility, autoimmune disease, or a history of chemotherapy or radiation therapy. The patient had menarche at t...
live birth, ovulation during menstruation, premature ovarian insufficiency, repeated failure of in-vitro fertilization, spontaneous pregnancy
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null
PMC6854985_01
Male
69
A 69-year-old Chinese male presented via the emergency department with a one day history of mild shortness of breath. Upon closer interview, he also complained of a progressively enlarging left neck mass which had more than doubled in size over the period of six weeks. He did not note any stridor, hoarseness or dysphag...
null
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PMC7094044_01
Female
50
A 50-year-old woman was admitted to our clinic for low back pain, muscle spasm, and an inability to walk. She had attended different clinics due to low back pain for approximately one month without improvement in her symptoms. Physical examination revealed splenomegaly of approximately 1 cm and rales in the inferior lo...
null
Diffuse complete-incomplete consolidation areas and increased reticulonodular thickness (yellow arrows) in the lower lobes of the bilateral lungs in axial thoracic computed tomography imaging. Fluid collection consistent with fissuritis visible in the left major fissure (black arrow).
PMC155648_01
Male
53
A 53 years old male presented with epigastric pain, anorexia and nausea for 3 months. He lost 10 kgs of weight in few months. There was no past or family history of tuberculosis. Patient was non-diabetic. Clinical examination was within normal limits. X ray chest, complete hemogram, liver and renal function tests were ...
null
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PMC7791350_01
Female
27
The first patient, a 27-year-old Caucasian woman, presented with extensive psoriasis vulgaris covering her head, trunk, lower limbs over a period of 5 years, with a recent PASI (Psoriasis Area Severity Index) score of 10.5 and 10% BSA (Body Surface Area) score. She, also, suffered from psoriatic arthritis with axial jo...
brodalumab, certolizumab, hidradenitis suppurativa, psoriasis
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null
PMC9201381_01
Male
25
A male infant (G1P1, 39 + 3 weeks; birth weight, 3,430 g) was admitted to our neonatal unit immediately after birth with intestinal obstruction. Two months ago, an ultrasound examination revealed intestinal dilatation. Half a month ago, MRI suggested fetal meconium peritonitis combined with incomplete intestinal obstru...
kasai, biliary atresia, intestinal atresia, meconium peritonitis, short bowel
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null
PMC8635667_01
Male
34
A 34-year-old man injured his right wrist on the tidal flats. One year later, he visited a local clinic with right wrist pain. Stenosing tenosynovitis was diagnosed and conservative treatment was performed. However, his symptoms persisted for approximately two years after the injury. At another hospital, tenosynovitis ...
flexor tenosynovitis, soft tissue defect, temporoparietal fascia flap
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null
PMC5402029_01
Female
35
A 35-year-old female presented to the chest physician with history of fever and breathlessness since 3 months associated with cough and expectoration. Symptoms aggravated since one week. She also gave history of pulmonary tuberculosis and was undergoing the treatment for the same (ATT category 2) since one month. She g...
complications of pulmonary tb, pulmonary venous thrombosis, tuberculosis
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null
PMC9924572_01
Female
10
Ten months into the pandemic, a fifty-year-old female, having received a positive RT-PCR result, continued to follow public health advice and health authority protocols to self-isolate and stay at home. At the time of the infection, the patient experienced mild symptoms such as a sore throat, headache and what felt lik...
electrocardiography, gastritis, long-haul covid, pericarditis
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null
PMC4437287_01
Male
37
A 37-year-old man presented to the emergency department of a level III hospital in the city of Cali (Colombia) complaining of respiratory distress, fever and cough with greenish expectoration of approximately one week duration, with worsening dyspnea in the past 48 hours until being unable of performing any minimal eff...
primary immunodeficiency, bronchiectasis, common variable immunodeficiency, hypogammaglobulinemia, recurring pneumonia
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null
PMC5147401_01
Female
36
A 36-year-old immunocompetent female presented at midnight of 24 August 2016 to the emergency department of MMTH, a tertiary care referral hospital in Kathmandu, the capital of Nepal, with the clinical symptoms of fever, headache, chills, excessive sweating, burning sensation over epigastric region, and shortness of br...
chromobacterium violaceum, nepal, bacteremia, case report
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null
PMC4866054_01
Female
69
This 69-year-old woman suddenly developed nausea and headache followed on the next day by bouts of vomiting and gradual mild consciousness disturbance. At the time of admission to our hospital, she had mild consciousness disturbance (Glasgow Coma Scale [GCS] = 14) and her drowsiness increased (GCS = 13). She also had r...
chronic subdural hematoma, craniectomy, posterior fossa
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null
PMC9289273_01
Female
22
A 22-year-old woman with persistent fever for one month was admitted to our center on November 20, 2020. She was heavily treated with antibiotics before admission. Otherwise, the patient was previously considered healthy. Her routine work-up showed cytopenia in three lineages, hepatic insufficiency, increased levels of...
epstein–barr virus, pd-1 antibody, allogeneic hematopoietic stem cell transplantation, graft-versus-host disease
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null
PMC4821324_01
Male
17
A 17-year old male patient was admitted to our hospital on June 2015. He had smoked tobacco and marijuana cigarettes for three months the previous year, as well as moderate alcohol consumption. The patient was diagnosed with allergic rhinitis and bronchial hyperreactivity at the age of 12 years old without regular trea...
malignant pleural mesothelioma, pneumothorax, seer analysis, tumors in children
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null
PMC4410509_01
Male
52
The patient is a 52-year-old right-handed male with a medical history of vitiligo, obstructive sleep apnea and polymyalgia rheumatica (PMR) for which he was maintained on chronic oral prednisone. Approximately 3 weeks prior to presentation at our institution, he had an insidious onset of a pulsating bitemporal, bioccip...
central nervous system blastomycosis, fungal meningitis, leptomeningeal enhancement, neurosurgical biopsy
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null
PMC5964188_02
Female
28
A 28-year-old woman, pregnant, black, housekeeper, from Sao Francisco do Itabapoana, RJ, was admitted to the hospital on June 29th 2016, presenting weakness in the lower limbs and a consequent inability to ambulate for the previous week. The patient affirmed not having experienced similar episodes previously and claime...
guillain-barré syndrome, zika virus, fetal infection, histopathology, immune response
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null
PMC4827388_01
Male
58
A 58-year-old man presented to us through the emergency department with fever, nausea and vomiting since 15 days along with irritability and confusion in his behaviour since 5 days. On admission, his laboratory workup showed a serum sodium of 130 mEq/l (reference range: 135-145 mEq/l), uric acid of 1.4 mg/dl (reference...
cerebral salt wasting syndrome, hyponatremia, siadh, tuberculosis meningitis
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null
PMC10442564_01
Female
49
A 49-year-old female patient was referred to our clinic, complaining of a bilateral floating black shadow for approximately 4 months. There was no history of fever, backache, weight loss, hearing loss, mouth ulcers, skin lesions, or any other associated systemic illness. The patient's sister-in-law had tuberculosis 10 ...
dexamethasone intravitreal implant, multimodal imaging, preretinal deposits, tubercular infection, uveitis
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null
PMC6378779_01
Male
3
A healthy three-year-old boy became unwell during a holiday to Karachi, Pakistan in June-July 2018. Before his return to Canada, he developed fever, abdominal pain, diarrhea, and vomiting for two days. He attended a local physician, who prescribed cefixime and advised the family to follow up at the Emergency Department...
antimicrobial resistance, canada, extensive drug resistance, pediatric, salmonella typhi, typhoid
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null
PMC3504287_01
Female
41
A 41-year-old woman presented in December 2005 with fatigue, headache, tinnitus, nausea, and early satiety and was found to have abnormal blood counts. A bone marrow (BM) biopsy reportedly revealed undifferentiated acute leukemia (uAL). The patient was induced with a lymphoblastic AL regimen and was reported to be in r...
null
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PMC4458531_01
Male
35
A 35-year-old nonsmoker male patient presented to the outpatient department with symptoms of rapidly progressive dyspnoea, facial puffiness, and voice-hoarseness developing over a span of 15 days prior to presentation. There was no history of any haemoptysis, abnormal swelling, breathing difficulty, headache, dizziness...
null
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null
PMC5345969_01
Female
75
A 75-year-old woman with SAPHO syndrome was started on bi-weekly adalimumab, which improved her joint pain. She had a brother with a history of TB. A chest radiograph showed calcification of mediastinum lymph nodes, suggestive of past TB infection. She started preventative isoniazid therapy, but discontinued after 3 we...
adalimumab, elisa, enzyme-linked immunosorbent assay, hrct, high resolution computer tomography, igra, interferon gamma release assay, iris, immune reconstruction syndrome, immune reconstitution inflammatory syndrome, pr, paradoxical response, paradoxical response, tb, tuberculosis, tnf-α inhibitor, tnfα, tumor necrosi...
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null
PMC9900289_01
Male
44
A 44-year-old man presented with a 3-month history of a rapidly growing left-sided nasal mass. He complained of recurrent epistaxis, blocked nose and generalised headaches, concentrated mostly on the left side of his face; however, there were no visual or olfactory disturbances. His medical history included hypertensio...
sinonasal teratocarcinosarcoma, computerised tomography, diffusion-weighted imaging, histopathology, intracranial, magnetic resonance imaging
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null
PMC3714085_01
Female
50
A 50-year-old Caucasian woman presented with severe throbbing headache, neck stiffness and photophobia for 1 day. She also had a 3 day history of flu-like symptoms as well as progressive difficulty with urination. On examination, she was febrile with neck stiffness. Kernig's and Brudzinski signs of meningismus were pos...
elsberg syndrome, acyclovir, aseptic meningitis, atonic bladder, herpes simplex 2 virus infection, polyradiculitis, radiculomyelitis
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null
PMC8134731_01
Male
64
A 64-year-old man was admitted following a syncopal episode with associated cough and fever of 3-day duration. He was an active smoker and intranasal cocaine user with a remote history of pulmonary tuberculosis, hepatitis C virus (HCV) infection, and intravenous drug use. He had completed antituberculous therapy, and h...
infective endocarditis, streptococcus pneumoniae
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null
PMC7677658_01
Male
81
81-year-old previously healthy man presented with epigastric pain, dyspeptic symptoms, vomiting, loss of appetite and weight loss for six weeks duration. There is no contact history of TB. The examination revealed a doughy mass in the epigastric region and all other systems including general examination to be normal. H...
anti tb treatment, caseous necrosis, granuloma, omental tuberculosis
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null
PMC7771482_01
Female
23
A 23-year-old female presented with a 4-week history of severe neck pain (VAS:10) and torticollis with a classic "Cock Robin" deformity. Laboratory studies demonstrated an increased erythrocyte sedimentation rate (ESR) of 42. The lateral cervical plain radiographs and computed tomography (CT) axial, 2D, and 3D reconstr...
atlantoaxial dislocation, atlantoaxial rotatory fixation, atlas, craniovertebral junction, tuberculosis, upper cervical
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null
PMC5439999_01
Female
22
A 22-year-old woman with a known past medical history of Crohn disease and primary sclerosing cholangitis originally was referred for pulmonary evaluation when she presented to her primary care physician with chest pain and cough. Patient denied having any weight loss, fever, chills, diarrhea, constipation, and abdomin...
cop, crohn disease, lung nodules
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null
PMC5674917_01
Male
64
A 64-year-old right handed male with a university degree in arts presented to the neurology service with the chief medical complaint of behavioral changes slowly progressing over the course of the past seven years. Initially the patient experienced an insidious onset of decline in work productivity and gradually stoppe...
capgras syndrome, limbic encephalitis, lymphoma
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null
PMC7532060_01
Male
41
A 41-year-old male came to the hospital for fatigue, satiety and abdominal distension in March 2018. Palpation revealed that the lower edge of his spleen reached the umbilicus level. His chest computed tomography (CT) scan showed no abnormality. Bone marrow biopsy showed remarkably increased age-adjusted cellularity wi...
infection, myelofibrosis, ruxolitinib, tuberculosis
Imaging appearances in case 1. (A) Enhanced chest computed tomography (CT) showing the pulmonary thromboembolism (arrow) in right inferior pulmonary artery and bilateral pleural effusion.
PMC7532060_02
Male
66
A 66-year-old male was diagnosed with PMF in December 2010 at a local hospital. Bone marrow biopsy showed megakaryocytic proliferation, grade 3 fibrosis and the JAK2V617F mutation. Because rux was not available in China at that time, he received regular interferon therapy for 7.5 years. To mitigate the progression of s...
infection, myelofibrosis, ruxolitinib, tuberculosis
null
PMC8429964_01
Male
70
A 70-year old man with a history of paroxysmal atrial fibrillation, diabetes mellitus, and arterial hypertension presented to the Emergency Department with the symptoms of dyspnoea, cough, and fever lasting for five days. The patient had symptomatic paroxysmal atrial fibrillation and was treated with amiodarone 200 mg ...
acute respiratory failure, amiodarone, pulmonary toxicity
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null
PMC7484683_01
Female
37
A 37-year-old, nulliparous patient was admitted to our Emergency Department complaining about continuous, dull, lower abdominal pain. She had a history of a positive urine pregnancy test a week ago, with her last menstrual period indicating a pregnancy of 5 weeks and 5 days. Her past medical and surgical history was un...
null
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null
PMC9921912_01
Female
22
A 22-year-old female patient was admitted to West China Hospital of Sichuan University on August 16, 2021, for chronic intermittent fever (temperature ranging from 38 to 39 C) and systemic enlargement of the lymph nodes with no obvious cause; these symptoms had occurred for over a 2-year period. In addition, the patien...
combination treatment, extrapulmonary infection, fever, metagenomic next-generation sequencing, nontuberculous mycobacteria
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null
PMC9114790_01
Female
30
Our patient was a 30-year-old homeless, unemployed, single female with a past psychiatric history of bipolar I disorder, paranoid schizophrenia, PTSD, and generalized anxiety disorder; multiple psychiatric hospitalizations in three states; and unclear trauma history who was admitted to our inpatient psychiatric unit on...
aggression, involuntary hospitalization, pandemic, psychosis, treatment, violence
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null
PMC6433840_01
Female
18
An 18-year-old female was diagnosed with CVID at age six. As previously described in Chen et al. she, her mother, and younger brother were found to have a heterozygous pathogenic variant in NFKB2 that results in an autosomal dominant form of CVID. She developed autoimmune manifestations, including acquired central adre...
herpes simplex virus (hsv), nf-kappab2, anticytokine antibodies, common variable immune deficiency (cvid), herpes vegetans, hypogammaglobulinemia, pediatric primary immune deficiency, primary immunodeficiency (pidd)
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null
PMC9877447_02
Female
59
A 59-year-old Japanese woman with treatment history of hypertension for 1 year suddenly developed peripheral edema. Primary care doctor detected hematuria and proteinuria, and she was referred to our hospital. The initial laboratory results are summarized in Table 1. Massive proteinuria and hypoproteinemia were noted. ...
infection-related glomerulonephritis, nephritis-associated plasmin receptor, nephrotic syndrome, plasmin, proliferative glomerulonephritis with monoclonal immunoglobulin g deposits
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null
PMC6383177_02
Male
69
A 69 year old male with arterial hypertension and dyslipidaemia was admitted because due to sudden intense back pain. CTA confirmed TBAD with the primary entry tear located immediately distal to the left subclavian artery (LSA) and extending to the aortic bifurcation. Both the TL and the FL were patent, the TL was seve...
aortic dissection, bare stent, endovascular, stabilise, stent graft
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null
PMC8636328_01
Male
53
A 53-year-old man with a metastatic solitary fibrous tumor (SFT) was admitted because of recent onset dyspnea. Two days before admission and one day after a third Tbt cycle, he presented abrupt shortness of breath with orthopnea and ankle swelling without chest pain, fever or chills. The same symptoms have already been...
acute, cardiac, cardiac biomarkers, drug-induced, toxicity, trabectedin
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null
PMC5214670_01
Female
64
A 64-year-old female presented to her primary care physician with a tender right breast lump that had been present for 4-5 days. Additionally, she had been feeling feverish and fatigued. Further history indicated that she recently moved to the United States from Bangladesh. Her primary care physician proceeded to perfo...
null
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PMC10018021_01
Male
32
A 32 years old nonsmoker male patient had a 2 years history of palpitations occurring in episodes, apparently unrelated to any triggering event. The episodes were sometimes accompanied by presyncope, and he presented repeatedly in emergency department during these events. The electrocardiograms were repeatedly showing ...
cardiac mri, cardiac sarcoidosis, corticosteroids, guidelines, sarcoidosis
(A-D) HRCT of the lungs: multiple bilateral micronodules predominant in the upper lobes, increased infracarinal lymph nodes.
PMC10018021_01
Male
32
A 32 years old nonsmoker male patient had a 2 years history of palpitations occurring in episodes, apparently unrelated to any triggering event. The episodes were sometimes accompanied by presyncope, and he presented repeatedly in emergency department during these events. The electrocardiograms were repeatedly showing ...
cardiac mri, cardiac sarcoidosis, corticosteroids, guidelines, sarcoidosis
(A-D) HRCT of the lungs: multiple bilateral micronodules predominant in the upper lobes, increased infracarinal lymph nodes.
PMC10018021_01
Male
32
A 32 years old nonsmoker male patient had a 2 years history of palpitations occurring in episodes, apparently unrelated to any triggering event. The episodes were sometimes accompanied by presyncope, and he presented repeatedly in emergency department during these events. The electrocardiograms were repeatedly showing ...
cardiac mri, cardiac sarcoidosis, corticosteroids, guidelines, sarcoidosis
(A-D) HRCT of the lungs: multiple bilateral micronodules predominant in the upper lobes, increased infracarinal lymph nodes.
PMC10018021_01
Male
32
A 32 years old nonsmoker male patient had a 2 years history of palpitations occurring in episodes, apparently unrelated to any triggering event. The episodes were sometimes accompanied by presyncope, and he presented repeatedly in emergency department during these events. The electrocardiograms were repeatedly showing ...
cardiac mri, cardiac sarcoidosis, corticosteroids, guidelines, sarcoidosis
(A-D) HRCT of the lungs: multiple bilateral micronodules predominant in the upper lobes, increased infracarinal lymph nodes.
PMC5087261_01
Male
25
A 25-year-old male presented to a community hospital with the chief complaints of productive cough and shortness of breath on exertion for 2 weeks, which was associated with fever and chills. Other review of systems was unremarkable. He was initially evaluated by his primary care physician who started him on a course o...
bacterial endocarditis, native pulmonary valve, staphylococcus aureus
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null
PMC5702932_01
Female
0
A 26-month-old girl was admitted to inpatient clinics with the complaints of recurrent oral Candidiasis, lower respiratory tract infections, and diarrhea. Candidiasis recurred whenever antifungal treatment was interrupted since the newborn period. She had bronchiolitis, pneumonia, and otitis media recurring 4-5 times a...
null
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PMC4972925_01
Male
62
A 62-year-old man was found to have squamous cell carcinoma of the antero-posterior apex of the left lung with invasion to the body of the second thoracic vertebra (Th2), adjacent rib (ribs 1-3) and subclavian artery, as shown by computed tomography (Fig. 1). We performed TBLB and made the diagnosis of squamous cell ca...
lung cancer, transmanubrial approach (tmn), vertebrectomy
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null
PMC6607461_01
Male
15
A 15 year-old male, with no medical history, presented with febrile coma. Cerebral CT scan was normal and cerebrospinal fluid (CSF) analysis showed lymphocytic pleocytosis (160cells/mm3), protein concentration up to 0.97g/l, glucose at 1.6mmol/l (CSF/blood glucose < 0.5) and hyponatremia in serum analysis. The patient ...
tuberculosis, bithalamic, meningoencephalitis, movement disorders, stroke
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null
PMC4436507_01
Male
46
A previously healthy 46-year-old right-handed man was admitted to the psychiatry ward after a one-week history of mild fever, behavioral changes, headaches, and reported facial twitches. His initial CT of the brain was negative. His neurological status continues to deteriorate, with reported episodes of lip smacking an...
anti-nmda encephalitis, refractory se, vns
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null
PMC5926486_01
Male
56
A 56-year-old man with no significant past medical history presented to the hand clinic with a 3-year history of right-hand pain and swelling. He works as an electrician and described a chemical spill on his right hand in 2013. He described the substance as consisting of hydraulic fluid, glycol, and penetrant. He was n...
null
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PMC5832095_01
Female
34
The case is a 34-year-old woman, with the chief complaint of tightness of breath. Dyspnea had begun gradually 3 years before, was progressive in nature, and was not concomitant with cough, sputum, hemoptysis, pleuritic chest pain, wheeze, or weight loss. The patient had no history of smoking and her occupation did not ...
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PMC3917920_01
Female
32
A 32-year-old woman was admitted to hospital complaining of fever, fatigue, as well as chest and abdominal pain of 15 days' duration, and with no personal and family history for tuberculosis and malignant diseases. Vital signs in the emergency department revealed a temperature of 39 C, a blood pressure level of 140/80 ...
kikuchi–fujimoto disease, disseminated intravascular coagulopathy, necrotizing lymphadenitis
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PMC10267874_01
Male
14
A 14-year-old boy presented with a 10-day history of left foot pain and swelling of his left anterior dorsal foot. His medical history included thrombocytopenia (platelet count 110 k/microl), found during a school survey one year before admission. There was no history of prior infection or recent vaccination, and the p...
acute limb ischemia, adolecent, antiphospholipid syndrome, case report, peripheral artery disease, systemic lupus erythematosus
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PMC6346957_01
Male
44
We present the case of a 44-year-old Portuguese man with pulmonary tuberculosis diagnosed two years earlier and treated accordingly for 6 months, and also a history of chronic alcohol-related pancreatitis with pancreatic insufficiency and insulin-dependent diabetes. His medication was Lantus insulin. Family history wa...
klebsiella pneumoniae, invasive syndrome, liver abscess
Thoracic CT: 4th-week follow-up with unequivocal reduction in both number and volume of nodular pulmonary lesions.
PMC9427306_01
Female
76
A 76-year-old woman with stable RA developed malaise and a high-grade fever (>39.0 C) 5 days after receiving a second dose of BNT162b2 mRNA vaccine. Ten days after vaccination, she developed a persistent cough and dyspnea. Seventeen days after vaccination, she was admitted to another hospital because of persistent feve...
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PMC6159262_01
Female
43
A 43-year-old female with dyspnoea was transferred to our emergency department for further treatment. She had dyspnoea and cough about 6 months ago. No sputum or haemoptysis was observed. She worked as a farmer for about 10 years, and such symptoms had never happened. Occupational poison contact was denied. Her parents...
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PMC5338895_01
Female
25
It was April 25, 2016 when a-25-year old woman was brought to emergency room in Shohada Tajrish hospital with sudden onset aphasia and right sided hemiparesis. She was a Persian teacher from Kashan. She has had these symptoms from 2 days ago. She had no significant past medical history or family history of cerebrovascu...
carotid arteries, case report, lupus coagulation inhibitor, stroke, thrombosis
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PMC9896987_01
Female
2
We present the clinical picture of primary hypertrophic osteoarthropathy in five children, including two pairs of siblings, who were examined in the Paediatric Rheumatology Department (National Institute of Geriatrics, Rheumatology and Rehabilitation, NIGRIR, in Warsaw, Poland) due to pain and features of arthritis. In...
arthritis, arthritis in children, digital clubbing, joint pain, juvenile idiopathic arthritis, juvenile idiopathic arthritis differential diagnosis, osteoarthropathy, periostosis, primary hypertrophic osteoarthropathy, secondary hypertrophic osteoarthropathy
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PMC8422412_01
Male
3
A 3-year-old male with a history of autism along with cognitive, language, and behavioral delays presented to the emergency department after falling 4 feet from a window. Head computerized tomography (CT) revealed a 5 x 5 x 4 cm AC of the left frontal convexity with subjacent mass effect. Before the fall, he had delays...
arachnoid cyst, case report, craniotomy, fenestration, neurosurgery, pediatrics
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PMC6688244_02
Male
54
This 54-year-old Caucasian male trained in explosive ordinance disposal and served for 26 years on active military duty, including multiple deployments to Iraq and Afghanistan. He was employed a further 7 years as a contractor to a private defense company that focused on training bomb defusing teams. He reported at lea...
av-1451, cte, pet, pib, tbi, amyloid, neurodegeneration, tau
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null
PMC6688244_03
Male
58
Control #1 is a 58-year-old male and Control #2 is a 64-year-old male. Neither control had a significant history of TBI or neurodegenerative symptoms. Control #1 scored within normal limits on all testing for the neuropsychological battery administered to patients. Control #2 scored 30/30 on the MMSE. Volumetric analys...
av-1451, cte, pet, pib, tbi, amyloid, neurodegeneration, tau
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PMC6462305_01
Male
9
The index patient is a 9-year old male who presented with complaints of progressively slurred speech, progressive weakness of right upper limb and both lower limbs and mouth deviation to the left side, of two weeks and vomiting of one hour - all prior to presentation. Onset of symptoms was insidious. Slurred speech pro...
primary cns vasculitis, aphasia, cerebral infarcts, childhood pacns, progressive limb weakness
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null
PMC3618553_01
Female
53
A 53-year-old female kidney transplant recipient from Southeast Pennsylvania was transferred to our institution after, 2 weeks of care in another hospital with pneumonia. She had received 3 kidney transplants (the last 25 years before this presentation) because of end-stage renal disease secondary to post-streptococcal...
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PMC9521665_01
Unknown
19
Sierra Leone is located in Western Africa. According to the World Bank, the life expectancy in Sierra Leone has increased from 39 to 54 years from 1990 to 2017, being the fourth lowest worldwide. The general government expenditure on health as a percentage of total of government was 10.84% in 2014. The per capita GDP o...
rwanda, sierra leone, cervical cancer, screening, vaccination
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PMC8241445_01
Female
67
A 67-year-old post-menopausal lady was diagnosed to have metastatic hormone positive breast cancer in February 2019. Her imaging showed multiple bony metastases with few bilateral subpleural metastases (<1 cm). She underwent open reduction and internal fixation for a pathological fracture of her right neck of femur. Bi...
cdk 4/6 inhibitors, drug induced pneumonitis, palbociclib
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null
PMC9148226_01
Female
73
A 73-year-old female patient presented to our institution with a two-year history of inability to walk on the left hip. The initial primary total hip was performed for osteoarthritis at another institution 10 years ago, after which she had a good function for multiple years. The last radiograph of the left hip was done...
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PMC6109528_01
Female
9
A 9-year-old girl with respiratory distress, dry cough exacerbated at night and triggered by exercise, and fever for about 48 h before admission was admitted to our department. In her past medical history, she was diagnosed of previous childhood asthma at 3 years of age. Atopy history and skin prick test of aeroallerge...
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PMC6457726_02
Female
26
A 26-year-old woman consults for parotid hypertrophy and painful bilateral cervical lymph nodes that have been evolving for a week in a febrile environment. Otherwise, she did not have a particular personal or family history or tuberculosis contagion. On the other hand, the patient was asymptomatic on the respiratory l...
kikuchi-fujimoto disease, lymphadenopathy, necrotizing histiocytic lymphadenitis
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PMC5018083_01
Male
50
A man aged 50 years was admitted to the rheumatology department with symptoms of right wrist volar pain, swelling, redness, and palmar pain, which had started in 2011. He had no comorbidities. Laboratory tests revealed C-reactive protein (CRP): 18 mg/L, erythrocyte sedimentation rate (ESR): 24 mm/h, and white blood cel...
flexor tendon synovitis, rice bodies, seronegative spondyloarthropathy, tuberculosis case reports, wrist
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PMC3173920_01
Male
4
A 4-year-old male child presented with excessive urine output and increased frequency of micturition. He had complaints of increased thirst and fluid intake for 6 months. There was no history of trauma, autoimmunity and tuberculosis, joint pain and deformity. DI was confirmed with water deprivation test and decreased r...
diabetes insipidus, langerhans cell histiocytosis, osteolytic skull lesions, thickened pituitary stalk
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PMC4712193_01
Male
68
A 68-year-old male was admitted to the orthopedic trauma service for chronic pain and swelling of the tarsal portion of his foot. The appearance of mechanical pain at the right foot tarsus began one year before his hospital admission and was treated by analgesics. The evolution was marked by swelling next to the tarsal...
bone, navicular osteitis, tarso-metatarsal, tuberculosis
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PMC6485059_01
Male
40
A 40-year-old male, weighing 65 kg, suffered from flame burns of 45% total body surface area (TBSA) (40% full thickness) combined with inhalation injury, affecting his face, neck, trunk, upper extremities, and right lower extremity. He was rescued by the firemen from the accidental site and directly sent to the local h...
antibiotic-induced coagulopathy, extensive burns, hypocoagulation, vitamin k deficiency
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PMC7749931_01
Female
34
We present the case of a 34-year-old female who underwent single skin incision and frontotemporal and suboccipital craniotomies for fatal traumatic double acute EDHs. Her neurological examination on admission was poor (GCS 7). Computed tomography (CT) scans [Figure 1] revealed two different EDHs, the first one located ...
epidural hematoma, neurotrauma, traumatic brain injury
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PMC4350228_01
Male
55
A 55-year-old man with no significant past medical history presented to us with 1 month history of aimless wandering movements of his left hand. He said that he felt that his left hand was not under his control. It would act on its own will, in form of levitation of the arm, purposeless groping of objects in the surrou...
alien hand, cruetzfeldt-jakob disease, clinical presentation
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PMC7658491_01
Male
30
A 30-year-old farmer with 20 pack-years of smoking history presented to the emergency department with shortness of breath, reduced effort tolerance, and pleuritic chest pain for three months. There were no other associated symptoms. There was no exposure to pulmonary tuberculosis or other infections. On examination, he...
bullectomy, chronic obstructive airway disease, giant emphysematous bullae, pneumothorax, video-assisted thoracoscopic surgery
CT Thorax in axial view shows the tip of the right chest tube (arrow) is at the anterior wall of the right giant bullae. It is located in between the parietal and visceral wall of the pleura without puncturing the bullae.
PMC7193316_01
Male
65
A 65-year-old Japanese man presented with right pleural effusion during follow-up after percutaneous coronary intervention for angina pectoris. He was asymptomatic. Smoking history was 50 cigarettes/day for 30 years. No allergic history or family history of tuberculosis infection was elicited. The patient was employed ...
adenosine deaminase, igg4-related disease, pet-ct, pleural effusion, thoracoscopy
18F-fluorodeoxyglucose PET-CT showed that mediastinal lymph node, periaortic, and prevertebral maximum standardized uptake value (SUVmax) was 4-6. SUVmax was 2.17 at the pleura.
PMC7773822_01
Male
50
In November 2019, a 50-year-old Chinese male was admitted to the hospital with intermittent cough and expectoration, which had lasted for more than one month. He was diagnosed as having a right renal tumor measuring 3.8 cm in diameter 16 years earlier, and he had undergone right radical nephrectomy. Postoperative patho...
clear cell renal cell carcinoma, posterior mediastinal lymph node, renal cell carcinoma, solitary metastasis, surgical resection
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PMC9806133_01
Female
55
Our patient is a 55-year-old woman of Chinese descent with no known medical history who initially presented to the office with chief complaints of painless swelling in the left side of the neck and a generalized rash persisting for the past 1 month. She is a lifetime non-smoker, has never abused alcohol, and has never ...
covid-19, covid-19 vaccination, moderna vaccine, rosai–dorfman disease, sinus histiocytosis with massive lymphadenopathy
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PMC3594954_01
Male
17
A 17-year-old previously healthy male touched a high voltage wire in Honduras. He sustained burns to 58% of his total body surface area (TBSA), including partial thickness burns to his face, both arms, back, and buttocks, with full thickness injury to his right lower leg and medial left thigh. His initial treatment at ...
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PMC3350228_01
Female
23
A 23-year-old women present to the emergency room with a one day history of coughing up five cups filled with blood. She complained of a chronic cough for 3 months, loss of weight, and night sweats. Clinical examination detected that the patient was diaphoretic and distressed. She was anemic with a hemoglobin of 6 g/dL...
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PMC3335527_01
Male
2
A thirty-two-year-old gravida 1 para 0 was referred to High Risk Obstetrics with a diagnosis of dichorionic diamniotic twin gestation. She had been treated with clomiphene citrate to conceive following a history of unexplained infertility. An early ultrasound at six weeks gestation was reported as a dichorionic diamnio...
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PMC7303748_01
Male
31
A 31-year-old man was evaluated in the emergency room (ER) of our institution for persistent diarrhea of 3 weeks duration. He also reported abdominal pain along with lightheadedness. He described the abdominal pain as vague, diffuse, nonradiating, and mild in intensity without any precipitating or relieving factors. He...
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