PraxisPub Date : 2026-07-01DOI: 10.23785/PRAXIS.2026.07.004
Lukas Hänel, Christoph Hauser
{"title":"[Rapid progression of neurological symptoms in an adult].","authors":"Lukas Hänel, Christoph Hauser","doi":"10.23785/PRAXIS.2026.07.004","DOIUrl":"10.23785/PRAXIS.2026.07.004","url":null,"abstract":"<p><strong>Introduction: </strong>Measles is a highly contagious viral disease whose incidence has declined significantly since the introduction of vaccination in the mid-1970s. However, local outbreaks continue to occur due to insufficient vaccination rates. Adults are at higher risk of complications. The present case of a patient with acute post-infectious measles encephalitis despite a history of presumed measles vaccination underscores the critical importance of vaccination as a preventive measure. In everyday general practice, there is an opportunity to identify individuals who have not been vaccinated against measles and to guide them toward achieving full vaccination coverage.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 7","pages":"194-196"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2026-07-01DOI: 10.23785/PRAXIS.2026.07.006
Julia Nungesser, Christoph Hemmeler
{"title":"[An unusual cause for unilateral eye pain with double vision].","authors":"Julia Nungesser, Christoph Hemmeler","doi":"10.23785/PRAXIS.2026.07.006","DOIUrl":"10.23785/PRAXIS.2026.07.006","url":null,"abstract":"<p><strong>Introduction: </strong>A 48-year-old man was diagnosed with IgG4-related disease (IgG4-RD) during an evaluation for exophthalmos and unexplained pain on the left side of his face. The diagnosis was made by ruling out all other possible conditions and was based on histopathological findings. After initiating immunosuppressive therapy with corticosteroids (GC), most of the symptoms resolved. As the GC-dose was gradually reduced, a relapse occurred, leading to two courses of Rituximab. Reflecting the success of the therapy, long-term follow-up revealed a marked radiological reduction in the retrobulbar mass and a significant clinical improvement in pain.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 7","pages":"200-205"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Management of chronic wounds in general practice].","authors":"Severin Läuchli, Martin Berli, Michaela Kaiser, Susanne Bolt-Kobler, Anke Buschor, Merlin Guggenheim, Sonja Haverkampf, Melina Kälin, Claudia Keller, Bettina Matzinger, Michela Tavernini","doi":"10.23785/PRAXIS.2026.07.003","DOIUrl":"10.23785/PRAXIS.2026.07.003","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic wounds remain a major problem despite advances in wound care. Around 1 % of the population is affected and experiences a significant reduction in quality of life as a result. General practices are often the first port of call for impaired wound healing and chronic wounds. They are responsible for the comprehensive assessment and management of wounds and their underlying causes. This article summarises the current state of knowledge and recommendations, taking into account a cost-effective approach.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 7","pages":"185-193"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2026-07-01DOI: 10.23785/PRAXIS.2026.07.007
Manuel Zingg, Ruth Greber, Giacomo Faleschini, Roman Hari
{"title":"[Drug-induced liver injury (DILI)].","authors":"Manuel Zingg, Ruth Greber, Giacomo Faleschini, Roman Hari","doi":"10.23785/PRAXIS.2026.07.007","DOIUrl":"10.23785/PRAXIS.2026.07.007","url":null,"abstract":"<p><strong>Introduction: </strong>We present a case of recurrent international normalised ratio (INR) derailment during treatment with phenprocoumon for sinus vein thrombosis. During the course of the illness, the patient developed signs of bleeding, such as epistaxis, gross haematuria and vaginal bleeding, as well as elevated liver enzyme levels. This ultimately led to hospitalisation, where a diagnosis of acute hepatitis associated with drug-induced liver injury (DILI) was made. Following the discontinuation of phenprocoumon and a switch to apixaban for anticoagulation therapy, as well as repeated administration of vitamin K, the patient's condition stabilised. The laboratory findings, liver biopsy and clinical course are most consistent with toxic hepatitis caused by phenprocoumon.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 7","pages":"206-209"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2026-07-01DOI: 10.23785/PRAXIS.2026.07.001
Anna Saugy, Thomas Rosemann
{"title":"Lipidsenkung nach Koronarstent – wie strikt soll sie sein?","authors":"Anna Saugy, Thomas Rosemann","doi":"10.23785/PRAXIS.2026.07.001","DOIUrl":"10.23785/PRAXIS.2026.07.001","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 7","pages":"183"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2026-07-01DOI: 10.23785/PRAXIS.2026.07.005
Fabienne Adler, Adrian Schmid, Esther Gerrits, Urs Karrer
{"title":"[On the wrong track: Misled by the patient history].","authors":"Fabienne Adler, Adrian Schmid, Esther Gerrits, Urs Karrer","doi":"10.23785/PRAXIS.2026.07.005","DOIUrl":"10.23785/PRAXIS.2026.07.005","url":null,"abstract":"<p><strong>Introduction: </strong>Case report of a young immunocompetent patient presenting with aseptic meningitis due to varicella-zoster virus (VZV) infection. Reactivation of VZV manifesting as meningitis is an uncommon clinical presentation compared to herpes zoster. While a concomitant vesicular rash is frequently observed, it may be absent in some cases. With antiviral therapy initiated promptly, the clinical outcome is generally favorable.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 7","pages":"197-199"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2026-06-01DOI: 10.23785/PRAXIS.2026.06.001
Meenu Bollier, Thomas Rosemann
{"title":"Verbessert die Apple Watch die Früherkennung von Vorhofflimmern? – Die EQUAL-Studie.","authors":"Meenu Bollier, Thomas Rosemann","doi":"10.23785/PRAXIS.2026.06.001","DOIUrl":"10.23785/PRAXIS.2026.06.001","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 6","pages":"154"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2026-06-01DOI: 10.23785/PRAXIS.2026.06.007
Michael Nii Aboe Aboe, Natalia Wege
{"title":"[Postoperative serotonin syndrome in a patient with attention-deficit/hyperactivity disorder and treatment-resistant depression].","authors":"Michael Nii Aboe Aboe, Natalia Wege","doi":"10.23785/PRAXIS.2026.06.007","DOIUrl":"10.23785/PRAXIS.2026.06.007","url":null,"abstract":"<p><strong>Introduction: </strong>A patient diagnosed with attention-deficit/hyperactivity disorder (ADHD) and treatment-resistant depression (TRD) developed postoperative serotonin syndrome after exposure to venlafaxine, opioids, stimulants, and cannabis. The Hunter criteria facilitated the diagnosis; discontinuation of serotonergic agents and supportive measures led to reversal.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 6","pages":"180-182"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2026-06-01DOI: 10.23785/PRAXIS.2026.06.005
Jose Luis Magarzo, Michael Schüpbach, Simon Schneiter
{"title":"[A patient with dizziness and gait instability - a diagnostic challenge].","authors":"Jose Luis Magarzo, Michael Schüpbach, Simon Schneiter","doi":"10.23785/PRAXIS.2026.06.005","DOIUrl":"10.23785/PRAXIS.2026.06.005","url":null,"abstract":"<p><strong>Introduction: </strong>A 58-year-old patient presented with progressive cerebellar ataxia and lymphocytic pleocytosis with normal MRI findings. Detection of Anti-TR(DNER) antibodies led to the diagnosis of paraneoplastic encephalitis. Tumor workup revealed anaplastic large cell lymphoma. Combined immunotherapy and chemotherapy resulted in clinical stabilization.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"115 6","pages":"171-175"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}