AME Case Reports最新文献

{"title":"Is classic papillary thyroid carcinoma definitely an \"indolent cancer\"?-a case of locally advanced classic occult papillary thyroid carcinoma: a case report.","authors":"Qinguo Liu, Deshou Ma, Yufei Wang, Xiaofeng Zhou, Lei Shen, Zhijun Ma","doi":"10.21037/acr-24-81","DOIUrl":"10.21037/acr-24-81","url":null,"abstract":"<p><strong>Background: </strong>Occult papillary thyroid carcinoma (PTC) refers to the PTC accidentally found due to its occult lesions. Classic, as the most common subtype of PTC, is usually considered to have a low degree of malignancy and a favorable prognosis. Currently, the American Thyroid Association Management Guidelines adopted active surveillance (AS) as an alternative to immediate surgery in some low-risk PTC patients with less than 1 cm in diameter.</p><p><strong>Case description: </strong>The patient was admitted to the clinic because of an incidentally detected right neck mass, and neck ultrasonography (US) and computed tomography (CT) showed an enlarged lymph node in right neck, which had an unclear border with the right internal jugular vein and the sternocleidomastoid muscle, whereas no abnormality was detected in thyroid glands; fine-needle aspiration biopsy (FNAB) of the enlarged lymph node showed metastatic carcinoma, and the possibility of follicular epithelial origin from the thyroid was highly considered; then the enlarged lymph node resection + right thyroid lobectomy + freezing + left thyroid lobectomy and isthmus resection + lymph nodes and adipose tissue dissection in II-VI regions in right neck + complete resection of the invaded right sternocleidomastoid muscle and right internal jugular vein were performed; postoperative pathology was classic PTC and lymph node metastasis with blood vessels and striated muscle tissues involved.</p><p><strong>Conclusions: </strong>In this case, lateral cervical lymph node metastasis had already occurred without the preoperative detection of a primary thyroid focus, suggesting that the potential risk of classic PTC <1 cm cannot be ignored. Besides, how to accurately identify the malignant degree of low-risk PTC <1 cm preoperatively is worthy of further study.</p>","PeriodicalId":29752,"journal":{"name":"AME Case Reports","volume":"9 ","pages":"10"},"PeriodicalIF":0.7,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048139","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}

{"title":"Evaluating the risk of mild serotonin syndrome in primary care: a retrospective case series of patients with treatment-resistant depression.","authors":"Waseem Jerjes, Rachel Kopunova","doi":"10.21037/acr-24-123","DOIUrl":"10.21037/acr-24-123","url":null,"abstract":"<p><strong>Background: </strong>Serotonin syndrome is an adverse drug reaction characterised by the excess of serotonin activity in the central nervous system. It is a condition of great concern in primary care where some patients, usually with treatment-resistant depression, get treatment with multiple serotonergic agents.</p><p><strong>Case description: </strong>This retrospective case series looked at 20 primary care patients with treatment-resistant depression who developed mild serotonin syndrome after starting a second antidepressant. The patients were, on average, 40.4 years old, with 55% being female, and had been in treatment for about 5.3 years. The study also considered other health conditions and medications the patients were using. Interventions included stopping or reducing the dose of the second antidepressant, adjusting medications, and educating the patients. Symptoms occurred 1 to 4 weeks after introduction of the second antidepressant, with duration before presentation to the primary care physician ranging from 2 to 11 weeks. Symptoms resolved between 7-21 days after interventions for all patients, and 85% of cases were resolved in under 2 weeks. The most common intervention was stopping or reducing the dose of serotonergic medications in 70% of cases. All patients had improved, with an excellent response to well-targeted interventions in the primary care setting.</p><p><strong>Conclusions: </strong>This study highlights the need for careful monitoring of serotonin syndrome in patients with treatment-resistant depression, especially in the case of polypharmacy. Early recognition of symptoms by primary care providers and close management ensure patient safety through proper medication management and education.</p>","PeriodicalId":29752,"journal":{"name":"AME Case Reports","volume":"9 ","pages":"34"},"PeriodicalIF":0.7,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048014","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}

{"title":"Brucellosis in pregnancy: a case report.","authors":"Alexis M Dunn, Laura E Coats, Tulip A Jhaveri, Kamir Boodoo, Samantha Williams, Elizabeth A Lutz, Sarah Araji","doi":"10.21037/acr-24-110","DOIUrl":"10.21037/acr-24-110","url":null,"abstract":"<p><strong>Background: </strong><i>Brucella</i> spp., a gram-negative bacterium, is one of the most prevalent zoonotic illnesses worldwide and is more commonly seen in animals; however, the disease may be present in humans. Clinical manifestations of brucellosis are variable and can range from asymptomatic to severe disease. In women who are pregnant, potential obstetrics complications are possible. The purpose of this report is to present a case of brucellosis in a pregnant patient and discuss the potential complications and treatment recommendations.</p><p><strong>Case description: </strong>We present a case of a 17-year-old gravida 2, parity 1 (G2P1) at 35 weeks and 2 days (35w2d) with brucellosis after she assisted in the delivery of puppies. All puppies were stillborn and the dog was confirmed positive for <i>B. canis</i> on serological testing. Our patient was also found to have <i>B. canis</i>, which is a particularly rare cause of human brucellosis. She was treated with ceftriaxone, rifampin, and gentamicin before delivery and switched to doxycycline and ceftriaxone postpartum until negative. The patient was instructed not to breastfeed. After treatment, the patient felt well and the baby was healthy.</p><p><strong>Conclusions: </strong>When evaluating patients, it is necessary to obtain a social history including animal exposures to rule in or rule out zoonotic infections such as brucellosis. It is important to establish a suspected brucellosis infection in pregnancy and begin antibiotic treatment as soon as possible to prevent maternal and fetal complications. The treatment regimen we administered was an effective strategy, particularly for pregnancy, when typical treatments are contraindicated.</p>","PeriodicalId":29752,"journal":{"name":"AME Case Reports","volume":"9 ","pages":"9"},"PeriodicalIF":0.7,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048036","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}

{"title":"A case report of unilateral development of painful thyroiditis used as a hallmark of the nervous nature of its pathogenesis.","authors":"Andrey Valerievich Ushakov","doi":"10.21037/acr-24-97","DOIUrl":"10.21037/acr-24-97","url":null,"abstract":"<p><strong>Background: </strong>Painful thyroiditis (PT) combines several variants of pathology. The most common is subacute thyroiditis (ST). Despite the prevailing view that the factors underlying the development of ST have an infectious origin, its viral and bacterial pathogeneses remain unclear. Moreover, the hypothesis of genetic predisposition to ST is non-absolute. In previous studies, approximately 24-40% patients with ST manifested unilateral thyroid disease; however, the assessment of the pathogenesis of ST did not consider this fact.</p><p><strong>Case description: </strong>This case of unilateral PT in a pregnant woman has become an illustrative example for revising the idea of its pathogenesis. Laboratory data did not show obvious signs of inflammation, which is typical for pregnant women and does not exclude ST. At the same time, rare in the literature illustrations of the ultrasound picture of unilateral PT are shown. Pathological parallels with other unilateral thyropathies have been drawn. A possible source of unilateral thyroid changes may be the nerve-conducting mechanism.</p><p><strong>Conclusions: </strong>The involvement of the nervous system in the inflammatory process and the possibility that unilateral nerve conduction affects only one of the thyroid lobes, as demonstrated in the present case, indicate that the autonomic nervous system (ANS) plays a leading role in PT development.</p>","PeriodicalId":29752,"journal":{"name":"AME Case Reports","volume":"9 ","pages":"13"},"PeriodicalIF":0.7,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047909","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}

{"title":"Syncope secondary to arrhythmogenic left ventricular cardiomyopathy: a case report.","authors":"Jing Lin, Qingwei Ji, Ling Liu, Zongyan Huang, Yingxia Yang, Jie Shen","doi":"10.21037/acr-24-131","DOIUrl":"10.21037/acr-24-131","url":null,"abstract":"<p><strong>Background: </strong>Arrhythmogenic cardiomyopathy (ACM) is an inherited cardiac disease characterized by fibrofatty replacement of ventricular myocardium. Ventricular arrhythmia and sudden cardiac death (SCD) are the main clinical manifestations. ACM was previously called arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC/D). However, recent studies have shown that this disease is not limited to the right ventricle; biventricular involvement occurs in 50% of ACM patients. The left-dominant subtype was subsequently identified, which supported the adoption of the broader term \"ACM\". The clinical literature includes more extensive reports on ARVC, but reports on arrhythmogenic left ventricular cardiomyopathy (ALVC), which is likely to be underrecognized, are limited.</p><p><strong>Case description: </strong>In this report, we describe a case of secondary syncope in a patient with ALVC who developed right bundle branch block with ventricular tachycardia (RBBB-VT), with VT originating in the left ventricle (LV). Cardiac magnetic resonance (CMR) revealed significant enlargement of the LV, with LV dysfunction. Late gadolinium enhancement (LGE) and fat sequencing revealed that most of the free wall of the LV was replaced by fibrofatty tissue.</p><p><strong>Conclusions: </strong>This report could help improve the understanding of this rare disease, and its management. CMR plays a key role in the diagnosis of ACM.</p>","PeriodicalId":29752,"journal":{"name":"AME Case Reports","volume":"9 ","pages":"15"},"PeriodicalIF":0.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047528","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}

{"title":"Giant prostatic calculus in patient treated with perineal prostatotomy: case report.","authors":"Gabriel de Azambuja Beigin, Joao Henrique Godoy Rodrigues, Murillo de Souza Tuckumantel, Waldomiro Camargo, Ana Beatriz Souza de Oliveira, Abel Guilherme Rosa, Luis Cesar Fava Spessoto, Fernando Nestor Facio Júnior, Carlos Abib Cury","doi":"10.21037/acr-23-115","DOIUrl":"10.21037/acr-23-115","url":null,"abstract":"<p><strong>Background: </strong>Urolithiasis (kidney stone) is a common condition that often leads patients to urgent or emergency care services. Urinary calculi are generally found in the kidneys, ureters, or bladder. Urethral calculi are uncommon and can result from the migration of a calculus in the upper urinary tract or vesicle or may be primary of the urethra. Prostatic calculi are a rarity.</p><p><strong>Case description: </strong>A 34-year-old male was admitted to the emergency service of a university hospital reporting dysuria and pain in the hypogastrium with a 4-day history. The patient reported that the pain sometimes irradiated to the left flank, accompanied by micturition effort, a weak urinary stream, pollakiuria, and urine output with a crystal appearance. The clinical history revealed urinary difficulty since 10 years of age. The patient was submitted to radiological investigation. Pelvic computed tomography revealed a voluminous calculus with slightly lobulated contours in the intravesical topography in the interior of the prostatic urethra. Urethrocystography revealed a prostatic calculus and the tapered passage of contrast through the prostatic urethra. After the diagnosis, the rectal examination confirmed the presence of a hardened calculous mass in the prostatic topography. Considering the complementary evaluation of the patient, perineal prostatotomy was planned. Prostatotomy was performed longitudinally in the prostatic capsule for the removal of the calculus after its release by dissection.</p><p><strong>Conclusions: </strong>In cases of patients with urinary retention treated at an emergency service, the following diagnostic hypotheses should be investigated: benign hyperplasia of the prostate, urethral stenosis, prostatic urethral calculus, and prostatic calculus. In prostatic calculus, regarding access for definitive surgery, in this case, the perineal route proved to be the best therapeutic option.</p>","PeriodicalId":29752,"journal":{"name":"AME Case Reports","volume":"9 ","pages":"12"},"PeriodicalIF":0.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048082","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}

{"title":"Auditory hallucinations induced by atorvastatin and exacerbated by cefalexin: a rare case report.","authors":"Daniele S C Ramsay, Harvey Stevenson, Waseem Jerjes","doi":"10.21037/acr-24-8","DOIUrl":"10.21037/acr-24-8","url":null,"abstract":"<p><strong>Background: </strong>Auditory hallucinations, commonly associated with psychiatric conditions such as schizophrenia, can arise as side effects to certain medications. Several drug classes are commonly implicated in the causation of hallucinations, such as anticholinergics. Medication associated with disruption of steroid production may lead to neuropsychiatric disruption. One such drug class, statins, may also have psychiatric sequelae. Wide prescribing of common medication such as atorvastatin, allows the unveiling of uncommon medication-related adverse events.</p><p><strong>Case description: </strong>We detail a unique case-report of a 60-year-old man experiencing auditory hallucinations post-initiation of atorvastatin. The content of the hallucinations consisted of voices of deceased family members. These were frequently accompanied by predominantly frontal headaches. Subsequently, during the treatment of a chest infection utilizing cefalexin, the auditory hallucinations intensified in clarity and increased in frequency. Despite initial concerns related to a family history of meningiomas, magnetic resonance imaging ruled out structural abnormalities. Comprehensive viral screening excluded infectious as the causative factor and there were no signs of concurrent delirium. Following termination of the course of cefalexin, the hallucinations reduced in intensity. The cessation of atorvastatin led to the resolution of hallucinations.</p><p><strong>Conclusions: </strong>This case emphasizes the importance of drug history evaluation in neuropsychiatric presentations and prompts further exploration into the neuropsychiatric effects of commonly prescribed drugs.</p>","PeriodicalId":29752,"journal":{"name":"AME Case Reports","volume":"9 ","pages":"11"},"PeriodicalIF":0.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047927","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}

{"title":"Nursing management of a patient with central retinal artery occlusion after percutaneous coronary intervention: a case report.","authors":"Yan Zhang, Yingtong Meng, Tingting Zhang, Siyu Lu, Wenjian Ma","doi":"10.21037/acr-24-66","DOIUrl":"10.21037/acr-24-66","url":null,"abstract":"<p><strong>Background: </strong>Central retinal artery occlusion (CRAO) is a rare but critical complication that might appear after percutaneous coronary intervention (PCI) with a high risk of blindness. The report on the nursing management of CRAO patients after PCI is rare.</p><p><strong>Case description: </strong>This patient is a 50-year-old female patient who was admitted to the Cardiovascular Department with repeated chest tightness. Initial assessment diagnosed as unstable angina and received a PCI. The patient complained of white patches in the left eye and blurred vision ten minutes after returning to the ward. The nurse found patient's symptoms at once and reported to the attending doctor for the first time of diagnosis. Fundus photography results confirmed the diagnosis of CRAO. The patient received high-flow oxygen inhalation and hyperbaric oxygen chamber treatment for days. Nitroglycerin sublingual administration and nitroglycerin intravenous micropump were used to improve retinal microcirculation. Finally, arterial thrombolysis was given to remove the embolism in the central retinal artery. The nurse played an important role in disease observation, risk identification, early detection, cooperation with doctors, post-thrombolytic care, and psychological care. The patient's left eye vision showed significant recovery, and she was discharged successfully. The patient reported gradual improvement in left-eye vision during the follow-up assessment.</p><p><strong>Conclusions: </strong>This case report presents the interventions taken by nurses in early detection and care for a CRAO patient after PCI and expands the literature describing nursing management for patients with postoperative complications of PCI.</p>","PeriodicalId":29752,"journal":{"name":"AME Case Reports","volume":"9 ","pages":"7"},"PeriodicalIF":0.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048129","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}

{"title":"Transesophageal-echocardiography-guided one-stage TAVR + M-TEER credibly treated patients with severe double valve regurgitation: a case report.","authors":"Chunping Sun, Lai Wei, Lili Dong, Peng Zhu, Jun Lu, Zezhou Xiao, Shaoyi Zheng","doi":"10.21037/acr-24-71","DOIUrl":"10.21037/acr-24-71","url":null,"abstract":"<p><strong>Background: </strong>There are few reports about the one-stage surgery of transcatheter aortic valve replacement (TAVR) + mitral valve transcatheter edge-to-edge repair (M-TEER) around the world. TAVR + M-TEER surgery is usually performed under the simultaneous guidance of digital subtraction angiography (DSA) and echocardiography. There is no report of TAVR surgery assisted only by echocardiography all over the world. This case shows a novel one-stage transesophageal echocardiography-guided TAVR + M-TEER surgery, which provides a new idea for minimally invasive therapy.</p><p><strong>Case description: </strong>A 75-year-old man with recurrent chest tightness was diagnosed with bicuspid aortic valve malformation and severe regurgitation of aortic and mitral valves. The symptom was not relieved by medications. After evaluation with transthoracic echocardiography and computerized tomography angiography (CTA) of the aorta, transapical TAVR and M-TEER were performed simultaneously with satisfied clinical results. The patient's activity tolerance and cardiac function were improved.</p><p><strong>Conclusions: </strong>In the past, this surgery needs to be performed in a specific operating room equipped with an X-ray machine, and there are many steps in the whole procedure that requires more medical staff. Transesophageal echocardiography-guided minimally invasive valvular surgery reduces the reliance on the hybrid operating room, mitigates the impact of radiation on physicians and patients, and also provides a treatment chance for gravidas with valvular disease.</p>","PeriodicalId":29752,"journal":{"name":"AME Case Reports","volume":"9 ","pages":"16"},"PeriodicalIF":0.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047928","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}

{"title":"Importance of the multidisciplinary approach in the surgical treatment of giant mediastinal neoplasms: a case series.","authors":"Giovanni Tacchi, Luca Frasca, Filippo Longo, Pierfilippo Crucitti","doi":"10.21037/acr-24-23","DOIUrl":"10.21037/acr-24-23","url":null,"abstract":"<p><strong>Background: </strong>Many reports described the importance of multidisciplinary meetings in providing oncologic patients with the best treatment strategies. This item improved overall survival, accuracy of staging and adherence to guidelines. For mediastinal neoplasms, collaboration between different surgical skills allows to deal with challenging/impossible surgical procedures. We report a series of four patients with a mediastinal-localized tumor with extensive infiltration of adjacent major structures. All cases were discussed at our multidisciplinary meeting where surgical indication was assessed. The presence of several surgical specialists, the role of anesthesiologists and sub-intensive clinicians was essential for proper operative and postoperative planning.</p><p><strong>Case description: </strong>A 70-year-old patient with type-A thymoma underwent a via sternotomy thymectomy with an end-to-end caval anastomosis and an end-to-side anastomosis with the left brachiocephalic trunk by prosthesis. A 52-year-old patient with malignant peripheral nerve sheath tumor of left sternocleidomastoid muscle underwent surgical excision and chest wall reconstruction by Teflon prosthesis and pedicled flap from the rectus abdominis. A 41-year-old woman diagnosed with monophasic synovial sarcoma of the anterior mediastinum. After chemotherapy without benefit, she underwent debulking surgery with excision of this huge mass and right phrenic nerve reconstruction by neural graft from the contralateral phrenic nerve. A 23-year-old woman affected by myasthenia gravis (MG) with a type-B3 thymoma diagnosis. After chemotherapy without benefit, she underwent a thymectomy and left pneumectomy with reconstruction of the superior vena cava (SVC).</p><p><strong>Conclusions: </strong>Multidisciplinary evaluation and surgical team are crucial in such complex cases to customize the most appropriate surgical planning and treatment.</p>","PeriodicalId":29752,"journal":{"name":"AME Case Reports","volume":"9 ","pages":"33"},"PeriodicalIF":0.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048136","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}