Journal of Community Hospital Internal Medicine Perspectives最新文献_第4页

A 'Fluke' Diagnosis: Suspecting Fascioliasis as a Rare Cause of Hepatic Abscess. “侥幸”诊断：怀疑片形吸虫病是肝脓肿的罕见病因。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1477

Tharun Shyam, Rosa Lora, Sharanya Kaushik, Jessica Chung, Monica Ghitan, Christina Coyle

引用次数: 0

Beyond the Bowel: Lung Cancer Presenting as Complicated Diverticulitis. 肠外：肺癌表现为复杂的憩室炎。

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Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1487

Ramya Vasireddy, Mariah M Bilalaga, Greeshma Gaddipati, Terina S Chen, Hashroop Gurm

引用次数: 0

Reversible Cerebral Vasoconstriction Syndrome Induced by Sumatriptan: A Case Report and Review of Literature. 舒马曲坦致可逆性脑血管收缩综合征1例报告及文献复习。

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Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1482

Rafi Aibani, Morgan Koontz, James S Harman, Amir Kamran, Khawaja Omar

{"title":"Reversible Cerebral Vasoconstriction Syndrome Induced by Sumatriptan: A Case Report and Review of Literature.","authors":"Rafi Aibani, Morgan Koontz, James S Harman, Amir Kamran, Khawaja Omar","doi":"10.55729/2000-9666.1482","DOIUrl":"10.55729/2000-9666.1482","url":null,"abstract":"Background: Reversible Cerebral Vasoconstriction Syndrome (RCVS) is characterized by multiple transient cerebral vasoconstrictions that typically resolve within three months, often presenting with sudden thunderclap headaches. Although the cause can be identified in 25 %-60 % of cases, RCVS can also occur spontaneously. Common triggers include vasoactive substances and postpartum states, with the latter accounting for 50 %-60 % of cases. This report discusses a case of RCVS following sumatriptan use.Case report: A 58-year-old woman with controlled hypertension and obstructive sleep apnea presented with recurrent unilateral pulsating headaches, nausea, and photophobia. Initially diagnosed as migraine, she later developed right homonymous hemianopia. Imaging revealed bilateral occipital and parietal strokes with intracranial vasoconstriction. Cerebral angiography confirmed vasospasm, responsive to intra-arterial milrinone. Diagnosed with reversible cerebral vasoconstriction syndrome, she was treated with nimodipine, resulting in complete symptom resolution.Conclusion: RCVS is a rare syndrome with varied triggers and clinical features, requiring careful evaluation and management. Early diagnosis and vasospasm-targeted therapies, such as nimodipine, are essential for preventing complications. This case underscores the importance of considering RCVS in patients with sudden severe headaches and neurological deficits, particularly those using serotonergic medications.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"15 3","pages":"68-72"},"PeriodicalIF":0.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Rare Case of Systemic Lupus Erythematosus in an Elderly Male With an Incidental Lung Mass: A Case Report. 老年男性系统性红斑狼疮伴偶发肺肿块一例报告。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1471

Harshit Gupta, Rahul Singla, Mahyar Toofantabrizi

{"title":"A Rare Case of Systemic Lupus Erythematosus in an Elderly Male With an Incidental Lung Mass: A Case Report.","authors":"Harshit Gupta, Rahul Singla, Mahyar Toofantabrizi","doi":"10.55729/2000-9666.1471","DOIUrl":"10.55729/2000-9666.1471","url":null,"abstract":"Systemic lupus erythematosus (SLE) is an autoimmune disease of unknown etiology that affects multiple organ systems. This disease primarily affects women of childbearing age but can have severe outcomes and a rare incidence in males. The incidence of SLE in males peak at 45-60 years of age. In this case, we present a rare instance of SLE in a 70-year-old male who presented with progressive shortness of breath, generalized weakness, and weight loss. Laboratory tests revealed anemia, thrombocytopenia, increased creatinine levels, and urine proteinuria. Diagnostic imaging showed an incidental lung mass and bilateral pleural effusion, and serological investigations revealed positive results for Antinuclear Antibody (ANA), Anti-ds-DNA, Anti-MPO, Anti-PR3, Anti-CCP, Anti-cardiolipin IgM, and Anti-RNP, along with low C3 and C4 levels. A renal biopsy confirmed the presence of lupus nephritis, and the patient was initiated on hydroxychloroquine 200 mg and a methylprednisolone pulse dose of 1 gm, which was subsequently transitioned to oral prednisolone along with mycophenolate mofetil. The patient responded well to treatment, showing improvements in anemia, thrombocytopenia, and pleural effusion.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"15 3","pages":"73-75"},"PeriodicalIF":0.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resolution of Chronic Urticaria in a Vegan Patient With Vitamin B12 Supplementation: A Case Report. 解决慢性荨麻疹的素食患者补充维生素B12：一个病例报告。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1492

Auda H Auda, Oluwasegun Shoewu, Ingrid Corredor, Ayrton Bangolo, Mohammad Jurri, John Sotiriadis, Iyad Baker

{"title":"Resolution of Chronic Urticaria in a Vegan Patient With Vitamin B12 Supplementation: A Case Report.","authors":"Auda H Auda, Oluwasegun Shoewu, Ingrid Corredor, Ayrton Bangolo, Mohammad Jurri, John Sotiriadis, Iyad Baker","doi":"10.55729/2000-9666.1492","DOIUrl":"10.55729/2000-9666.1492","url":null,"abstract":"Background: Chronic urticaria, characterized by persistent hives and pruritus lasting over six weeks, often presents diagnostic and therapeutic challenges. While its etiology is frequently idiopathic, associations with nutritional deficiencies, such as vitamin B12 deficiency, have been observed.Case presentation: A 24-year-old female with no significant medical history presented with chronic, treatment-resistant hives persisting for several years. Comprehensive evaluations, including allergy testing and autoimmune screenings, were unremarkable. Further investigation revealed a significant vitamin B12 deficiency (serum B12 level of 170 pg/mL), attributed to her long-standing vegan diet without supplementation. Initiation of vitamin B12 supplementation led to the gradual resolution of her chronic urticaria.Conclusion: This case underscores the importance of considering vitamin B12 deficiency in the differential diagnosis of chronic urticaria, especially in patients adhering to restrictive diets. Addressing nutritional deficiencies can be a straightforward and effective approach in resolving chronic urticaria symptoms.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"15 3","pages":"108-110"},"PeriodicalIF":0.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Arcanobacterium haemolyticum Chronic Osteomyelitis and Bacteremia Complicated by Intraosseous Abscess: A Case Report. 慢性骨髓炎及菌血症并发骨内脓肿1例。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1476

Edward Lovering, Michelle Bahrain

引用次数: 0

Chorea Hyperglycemia Basal Ganglia (CHBG) Syndrome: A Case Report. 舞蹈病高血糖基底神经节综合征1例报告。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1491

Ammad Naeem, Mohamad O Beck, Ahsan R Khan, Ribal Sajjad

{"title":"Chorea Hyperglycemia Basal Ganglia (CHBG) Syndrome: A Case Report.","authors":"Ammad Naeem, Mohamad O Beck, Ahsan R Khan, Ribal Sajjad","doi":"10.55729/2000-9666.1491","DOIUrl":"10.55729/2000-9666.1491","url":null,"abstract":"Chorea, characterized by sudden, involuntary movements of the face and limbs, arises from various causes, including neurodegenerative diseases, metabolic disorders, and structural brain changes, notably in the basal ganglia. Acute lesions in the basal ganglia due to ischemia or vascular pathology can also precipitate chorea. Hyperglycemia-induced basal ganglia changes, termed chorea hyperglycemia basal ganglia, predominantly affect elderly females with type 2 diabetes. We report a 62-year-old female with poorly managed diabetes presenting with involuntary jerking movements, initially in the right leg, progressing to the right arm, face, and lips over three days. Her history included hyperlipidemia and hypertension, and lab results showed significant hyperglycemia (601 mg/dL) [fasting <140 mg/dl], hyponatremia, renal impairment, and a high Hemoglobin A1C (HbA1c) (10.4) [<6 %]. Imaging revealed left putamen hypodensity on Computed Tomography (CT) and confirmed microhemorrhage on magnetic resonance imaging (MRI). Diagnosed with Hyperosmolar Hyperglycemic State (HHS) and hemichorea, she was treated with intravenous (IV) insulin and fluids, leading to symptom resolution within two days. This case highlights the link between non-ketotic hyperglycemia and chorea, involving hyperviscosity-induced GABAergic neuron dysfunction in the putamen. Diagnosis relies on choreiform movements, elevated blood glucose, and striatal hyperintensity on T1 MRI. Effective management includes treating underlying HHS with hydration and glycemic control, occasionally supplemented with anti-chorea medications. Recognizing diabetic striatopathy is crucial for prompt treatment and symptom resolution, emphasizing the need for early diagnosis and intervention in patients with uncontrolled diabetes presenting with new-onset chorea.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"15 3","pages":"94-97"},"PeriodicalIF":0.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endocrinology Expert Witness: Bridging Healthcare and Law to Uphold Standards. 内分泌专家证人：连接医疗保健和法律维护标准。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1479

Mihail Zilbermint, Stacey B Lee

{"title":"Endocrinology Expert Witness: Bridging Healthcare and Law to Uphold Standards.","authors":"Mihail Zilbermint, Stacey B Lee","doi":"10.55729/2000-9666.1479","DOIUrl":"10.55729/2000-9666.1479","url":null,"abstract":"The role of a medical expert witness is vital in bridging the gap between the healthcare and legal systems, ensuring that justice is served while maintaining high standards of medical care. This perspective highlights the importance of medical professionals engaging in expert witness work, examining both the challenges and rewards of this role. Initially, community physicians may hesitate to participate due to misconceptions about legal risks or potential professional backlash. However, expert witness work provides a unique opportunity to supplement income, contribute to the integrity of the medical profession, and deepen medical knowledge. The development of legal knowledge, such as understanding tort litigation, medical malpractice, and institutional liability, is essential for effective participation in this field. These skills not only enable physicians to contribute meaningfully to legal proceedings but also foster a more collaborative relationship between medicine and law. Physicians are encouraged to explore this path, as their expertise can significantly impact the justice system and healthcare standards alike.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"15 3","pages":"1-4"},"PeriodicalIF":0.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inferior Wall STEMI in a Young Patient-A Sequela of Phentermine and Smoking. 年轻患者下壁STEMI一例——芬特明和吸烟的后遗症。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1483

Nismat Javed, Vikram Itare, Emamuzo O Otobo, Yordano Montesano, Preeti Jadhav, Nassim Krim

引用次数: 0

A Budding Pancreatic Mass: A Review of Disseminated Blastomycosis. 萌芽胰腺肿块：弥散性芽生菌病的研究进展。

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Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1484

Tina C L Phan, Chloe N Hundman, Neena Thomas-Gosain, Christopher D Jackson

引用次数: 0