Clinical Practice and Cases in Emergency Medicine最新文献_第2页

Stretching the Limits: A Rare Case Report of Perimesencephalic Subarachnoid Hemorrhage During Yoga. 伸展极限：瑜伽时脑髓周围蛛网膜下腔出血的罕见病例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.53231

Andrew Vierra, Mrinal Sinha, Leena Jamal, Nadir Khan, Taylor Liebert, Abdullah Bokhari

{"title":"Stretching the Limits: A Rare Case Report of Perimesencephalic Subarachnoid Hemorrhage During Yoga.","authors":"Andrew Vierra, Mrinal Sinha, Leena Jamal, Nadir Khan, Taylor Liebert, Abdullah Bokhari","doi":"10.5811/cpcem.53231","DOIUrl":"10.5811/cpcem.53231","url":null,"abstract":"Introduction: Nontraumatic subarachnoid hemorrhage (SAH) is a life-threatening neurological emergency, accounting for 5-10% of strokes. While most cases result from aneurysm rupture, perimesencephalic nonaneurysmal SAH is a distinct subtype characterized by blood localized to the midbrain cisterns and a venous pathophysiology. Perimesencephalic nonaneurysmal SAH is often associated with activities increasing intracranial venous pressure. Reports linking it to low-impact exercise such as yoga are rare.Case report: A 45-year-old female with no significant medical history presented with acute onset of severe headache and subjective unilateral hearing loss. Symptoms began immediately after a sudden, startled hyperextension movement during a yoga session. Noncontrast computed tomography of the brain revealed hemorrhage localized to the perimesencephalic and basal cisterns (modified Fisher Grade 4). Magnetic resonance imaging confirmed hemorrhage extension into the fourth ventricle and communicating hydrocephalus. Comprehensive workup, including echocardiography and serial digital subtraction angiography, ruled out aneurysm, arteriovenous malformation, or cardiac source.Conclusion: The patient was diagnosed with perimesencephalic nonaneurysmal subarachnoid hemorrhage, likely precipitated by an abrupt Valsalva-like maneuver during yoga. She was managed conservatively with strict blood pressure control, chemical thromboprophylaxis, and vasospasm prophylaxis, achieving a full recovery. This case highlights that neurovascular events can occur during low-impact activities in susceptible individuals. Recognition of a distinct radiological pattern of perimesencephalic nonaneurysmal-confirmed by negative serial angiography-is vital, as it carries a significantly more favorable prognosis than aneurysmal SAH, allowing for conservative management and reassurance.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 3","pages":"301-305"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13517980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833119","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

Keeping An Eye Out for Stroke-Herpes Zoster Ophthalmicus Leading to Acute Ischemic Stroke. 警惕中风——带状疱疹性眼炎导致急性缺血性中风。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.50693

Summer Burke, Mary Armbruster, Jacqueline Le

{"title":"Keeping An Eye Out for Stroke-Herpes Zoster Ophthalmicus Leading to Acute Ischemic Stroke.","authors":"Summer Burke, Mary Armbruster, Jacqueline Le","doi":"10.5811/cpcem.50693","DOIUrl":"10.5811/cpcem.50693","url":null,"abstract":"Introduction: Herpes zoster ophthalmicus, a reactivation of varicella-zoster virus involving the ophthalmic branch of the trigeminal nerve, is a known but under-recognized risk factor for acute cerebrovascular and cardiovascular events.Case report: We report the case of an 84-year-old female with herpes zoster ophthalmicus who suffered a fatal ischemic stroke and bilateral submassive pulmonary emboli within days of diagnosis. Despite early identification and appropriate antiviral treatment, the patient experienced rapid neurological decline and ultimately succumbed to complications.Conclusion: This case underscores the critical association between herpes zoster ophthalmicus and increased risk of stroke and myocardial infarction, as supported by growing epidemiologic evidence. Physicians should be aware of these severe complications, consider close monitoring and cardiovascular risk stratification in patients with herpes zoster ophthalmicus, and they should provide patients with clear return precautions for symptoms suggestive of stroke or embolic disease. Further research is needed to determine preventative strategies beyond antiviral therapy for high-risk patients.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 3","pages":"306-309"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833121","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

Misplaced Central Venous Catheter Leading to a Chemothorax: Case Report. 中心静脉导管放错位置导致化疗胸1例。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.62200

Hannah E Miller, Skyler Lentz

{"title":"Misplaced Central Venous Catheter Leading to a Chemothorax: Case Report.","authors":"Hannah E Miller, Skyler Lentz","doi":"10.5811/cpcem.62200","DOIUrl":"10.5811/cpcem.62200","url":null,"abstract":"Introduction: The placement of central venous catheters (CVC) is a common procedure for the administration of chemotherapy. Adverse events include malposition or displacement; there are limited reports of misplaced implanted CVCs.Case report: A 59-year-old female with a history of recently diagnosed metastatic small cell lung cancer, hypertension, former tobacco use of over 60 pack-years, and chronic obstructive pulmonary disease without chronic hypoxemic respiratory failure presented to the emergency department following the first outpatient infusion of chemotherapy. She developed acute onset dyspnea, moderate respiratory distress, and hypoxemia. She was found to have a malpositioned subclavian implanted (ie, \"port\") CVC that was placed under fluoroscopy the week prior with placement confirmed by chest radiograph. The evaluation revealed a large right pleural effusion secondary to unintentional intrapleural infusion of chemotherapy. The patient was transferred to a tertiary-care center with successful clinical improvement after drainage of the effusion via tube thoracostomy.Conclusion: We present an uncommon diagnosis of a chemothorax from a malpositioned central venous catheter in the thorax, despite a radiograph suggesting correct placement, and infusion of chemotherapy causing a common complaint of shortness of breath. This case highlights the limitations of radiographic confirmation of CVCs and a resultant complication from malpositioning.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 3","pages":"395-398"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833129","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

Severe Tetanus Following a Rooster-Peck Injury Requiring Nasotracheal Intubation: A Case Report. 严重破伤风后，公鸡啄伤需要鼻气管插管：1例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.53949

Robin White, Hardeep Singh, Kelsey Craver, Rebecca Cranston, Kelsey Hodge, Elizabeth Vandervort

引用次数: 0

It's A Pain in The Neck: Case Report of Bedside Diagnosis of Unilateral Neck Swelling. 这是一种颈部疼痛：单侧颈部肿胀床边诊断1例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.53021

Maxx F Hotton, Kevin R Roth, Kristine L Schultz

{"title":"It's A Pain in The Neck: Case Report of Bedside Diagnosis of Unilateral Neck Swelling.","authors":"Maxx F Hotton, Kevin R Roth, Kristine L Schultz","doi":"10.5811/cpcem.53021","DOIUrl":"10.5811/cpcem.53021","url":null,"abstract":"Introduction: Lemierre syndrome is a rare but potentially severe thrombophlebitis of the internal jugular vein. It most often presents after oropharyngeal infection, likely stemming from anaerobic bacteria, commonly Fusobacterium necrophorum. The potential severity of this condition underscores the importance of early and accurate diagnosis. The gold standard diagnosis relies on computed tomography and blood cultures; however, point-of-care ultrasound offers a rapid and cost-effective tool.Case report: A 58-year-old woman with chronic obstructive pulmonary disease, migraines, and recent dental extractions presented with two days of worsening right-sided neck pain and swelling. She denied fever, chills, or recent upper respiratory symptoms. Examination revealed a tender anterior neck mass without airway compromise. Point-of-care ultrasound demonstrated a 1.22 x 1.80 centimeters hyperechoic intraluminal mass within the right internal jugular vein with surrounding cobblestone edema; the external jugular vein and carotid artery were normal. Computed tomography imaging confirmed the diagnosis. Laboratory studies were unremarkable. Blood cultures were obtained, and empiric intravenous beta lactamase-resistant antibiotics was initiated. Anticoagulation was considered but not started.Conclusion: A delayed diagnosis of Lemierre syndrome is common, as its early presentations are commonly nonspecific. The classic triad is a recent oropharyngeal infection, internal jugular vein thrombosis, and septic emboli. The importance of early diagnosis and treatment cannot be overstated, as it improves outcomes while reducing costs and radiation exposure for the patient. Point-of-care ultrasound is a valuable first-line imaging modality for Lemierre syndrome. Its use in patients with symptoms such as unexplained neck swelling and tenderness can facilitate timely diagnosis and treatment, thereby averting serious adverse outcomes.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 3","pages":"258-261"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833144","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

Electrocardiographic Changes Related to Targeted Temperature Management in Brugada Syndrome: A Case Report. 与Brugada综合征目标温度管理相关的心电图改变：1例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.52845

Yuki Kondo, Atsuhito Tanaka, Tomoya Okazaki

{"title":"Electrocardiographic Changes Related to Targeted Temperature Management in Brugada Syndrome: A Case Report.","authors":"Yuki Kondo, Atsuhito Tanaka, Tomoya Okazaki","doi":"10.5811/cpcem.52845","DOIUrl":"10.5811/cpcem.52845","url":null,"abstract":"Introduction: Brugada syndrome is an important differential diagnosis for unexplained sudden cardiac arrest, particularly in younger patients. The electrocardiographic (ECG) pattern characteristic of Brugada syndrome can be provoked by fever and may vary with changes in body temperature. Therefore, targeted temperature management following cardiac arrest may obscure the distinctive morphology, increasing the risk of misdiagnosis.Case report: We report the case of a 44-year-old man who experienced out-of-hospital cardiac arrest due to ventricular fibrillation following influenza B infection. Initial evaluation revealed transient ST-segment elevation in leads V1-V3, while coronary angiography and echocardiographic findings were normal. Although Brugada syndrome was suspected, the diagnosis was deferred because the ECG findings normalized during targeted temperature management at 36 °Celsius. However, after completion of temperature management, the patient developed a high-grade fever, accompanied by the emergence of a characteristic coved-type Brugada ECG pattern. Subsequent genetic testing identified a sodium channel protein type 5 subunit alpha mutation return, confirming Brugada syndrome.Conclusion: Brugada ECG morphology can be affected by core temperature, and repeat electrocardiography during febrile episodes may be informative.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 3","pages":"262-265"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13517981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148832874","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

Subungual Myiasis Presenting to the Emergency Department: A Case Report. 急诊科的甲下蝇蛆病一例报告

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.53959

Taylor D Marquis, Alexander Y Sheng

{"title":"Subungual Myiasis Presenting to the Emergency Department: A Case Report.","authors":"Taylor D Marquis, Alexander Y Sheng","doi":"10.5811/cpcem.53959","DOIUrl":"10.5811/cpcem.53959","url":null,"abstract":"Introduction: Subungual myiasis is an infection under the fingernail or toenail caused by an infestation of fly larvae. It is rarely reported internationally, with only one previously reported case in the United States.Case report: An 80-year-old female with a history of polyneuropathy, peripheral artery disease, peripheral venous insufficiency, and chronic bilateral lower extremity edema presented to the emergency department (ED) after staff at her skilled nursing facility noted what appeared to be several whitish-colored maggots moving under the nail of the patient's left great toe. Thorough examination was consistent with subungual myiasis with associated onycholysis without evidence of associated cellulitis or soft tissue infection. Manual extraction of six larvae was performed, and the patient's foot was soaked in chlorhexidine. She was discharged back to her facility with a plan for daily chlorhexidine soaks and prompt follow-up with a podiatrist. To date she has not presented to the ED since with the same issue.Conclusion: Due to its extraordinarily rare incidence, there is little consensus regarding the treatment of subungual myiasis beyond the manual extraction of larvae. Oral ivermectin has been reported as an additional treatment option for myiasis, but research is limited. Antibiotics are generally only recommended when there is evidence of associated bacterial infection. This case should raise awareness for emergency physicians regarding the recognition and management of subungual myiasis.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 3","pages":"310-312"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13517991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833130","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

Ultrasound-guided Hernia Reduction-Preventing Surgery for an Incarcerated Ventral Hernia: A Case Report. 超声引导下疝复位预防手术治疗嵌顿性腹疝1例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.47051

Arion Lochner, Elizabeth Stovicek, Nicholas Kman, Sarah Petelinsek, Jennifer Cotton

{"title":"Ultrasound-guided Hernia Reduction-Preventing Surgery for an Incarcerated Ventral Hernia: A Case Report.","authors":"Arion Lochner, Elizabeth Stovicek, Nicholas Kman, Sarah Petelinsek, Jennifer Cotton","doi":"10.5811/cpcem.47051","DOIUrl":"10.5811/cpcem.47051","url":null,"abstract":"Introduction: Hernias are a common presenting complaint in the emergency department. If they are not promptly identified and reduced, patients may need urgent surgery, which entails an increase in morbidity and mortality. The diagnosis and reduction of hernias can be challenging due to a patient's large body habitus. In this case, we demonstrate the utility of using point-of-care ultrasound (POCUS) to detect an abdominal wall defect and provide real-time guidance to reduce a hernia and avoid surgery in a patient who was a poor surgical candidate.Case report: A 48-year-old morbidly obese male with multiple comorbidities presented with abdominal pain at the location of a known ventral hernia. Computed tomography (CT) of the abdomen confirmed a ventral hernia; however, three different physicians attempted reduction and were unsuccessful. We then used POCUS to identify the ventral hernia and the abdominal wall defect and to guide the subsequent reduction efforts. Guidance of the reduction started with locating the abdominal wall defect, which allowed for gentle, steady pressure to be applied at the site of the defect and visualization of the successful reduction in real time. This led to immediate improvement in the patient's symptoms.Conclusion: The success of this reduction highlights how POCUS can be used to improve the success rate for manual ventral hernia reduction without the need for confirmatory CT. It can also help to avoid increased morbidity and mortality from unplanned, unoptimized surgical hernia repair in high-risk patients.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 3","pages":"354-357"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833187","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

Cerebral Kounis Syndrome-A Rare Case Report of Cerebral Vasospasm Following Anaphylaxis. 脑库尼斯综合征-过敏反应后脑血管痉挛的罕见病例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.50776

Mohd Helmie Ismail, Sadesvaran Muniandy, Muhammad Shafiq Azmi

{"title":"Cerebral Kounis Syndrome-A Rare Case Report of Cerebral Vasospasm Following Anaphylaxis.","authors":"Mohd Helmie Ismail, Sadesvaran Muniandy, Muhammad Shafiq Azmi","doi":"10.5811/cpcem.50776","DOIUrl":"10.5811/cpcem.50776","url":null,"abstract":"Introduction: Kounis syndrome describes anaphylaxis-induced coronary vasospasm and is often misdiagnosed as acute coronary syndrome. We report a similar phenomenon of cerebral vasospasm following anaphylaxis, a rare and under-recognized mimic of stroke.Case report: A previously healthy 45-year-old gentleman developed sudden right-sided hemiparesis and dysarthria while working outdoors, accompanied by generalized pruritus, rash, presyncope, dyspnea, palpitation, and abdominal pain. He received prompt intramuscular epinephrine and other anti-inflammatory agents, resulting in rapid symptom resolution and complete recovery in the emergency department. Computed tomography of the brain and other studies were unremarkable. This case underscores a rare neurological manifestation of anaphylaxis.Conclusion: Cerebral vasospasm is an unusual sequela of anaphylaxis that may lead to a diagnostic dilemma. Prompt administration of epinephrine is crucial for recovery. This case highlights the association between hypersensitivity reactions and cerebrovascular events, emphasizing the need for early recognition and timely intervention.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 3","pages":"291-294"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148832632","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

Cutaneous Anthrax. 皮肤炭疽。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.52270

Steve C Christos, Abdelhamid Mazouni

{"title":"Cutaneous Anthrax.","authors":"Steve C Christos, Abdelhamid Mazouni","doi":"10.5811/cpcem.52270","DOIUrl":"10.5811/cpcem.52270","url":null,"abstract":"Case presentation: A 60-year-old male from the country of Jordan presented to the emergency department with swelling, pain, black lesions on his fingertips and thumb, and a red streak up his arm. The patient had been trimming sheep wool and goat skin two weeks prior to onset of symptoms and cut his left thumb with trimming shears.Discussion: Cutaneous anthrax is caused by Bacillus anthracis, a Gram-positive, spore-forming rod found naturally in the soil. Populations at greatest risk include those who consume undercooked meat with contaminated spores or who live and work in rural/agricultural areas. Occupations considered to be at a higher risk include farmers, wool sorters, and veterinarians. Although cutaneous anthrax is rare in the United States (U.S.), there have been cases reported since the bioterrorism attacks in 2001 when mail laced with anthrax was sent via the U.S. Postal Service. Human infection occurs in countries where the disease is endemic in livestock. Because there are no rapidly available diagnostic tests the diagnosis is primarily clinical. It is important to consider the possibility of cutaneous anthrax in the appropriate setting, despite the rarity of cases in the U.S. High clinical suspicion should be maintained in anyone presenting with the appropriate skin findings, especially in those traveling from endemic countries (South and Central Asia, Sub-Saharan Africa, Southern and Eastern Europe, Central America, South America, and the Caribbean).","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 3","pages":"429-431"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148832697","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