Oxford Medical Case Reports最新文献_第9页

High output heart failure from an aortocaval fistula. 主动脉腔静脉瘘引起的高输出量心力衰竭。

IF 0.6

Oxford Medical Case Reports Pub Date : 2026-07-08 eCollection Date: 2026-07-01 DOI: 10.1093/omcr/omag113

Laura Wubker Diaz, Shanice Spence-Miller, Rhea Sancassani, Arash Bornak, Rosario Colombo

引用次数: 0

Giant cell myocarditis treated with long-term multi-modal care with multiple mechanical circulatory support: case report. 在多种机械循环支持下长期多模式护理治疗巨细胞心肌炎1例。

IF 0.6

Oxford Medical Case Reports Pub Date : 2026-07-08 eCollection Date: 2026-07-01 DOI: 10.1093/omcr/omag110

Motohiro Shingu, Nishikawa Tatsuya, Yuya Oga, Hibiki Kadohara, Yuto Osumi, Kenta Ishibashi, Mana Hiraishi, Mitsuo Kinugasa, Yasutaka Hirayama, Kinta Hatakeyama, Koichi Tamita

{"title":"Giant cell myocarditis treated with long-term multi-modal care with multiple mechanical circulatory support: case report.","authors":"Motohiro Shingu, Nishikawa Tatsuya, Yuya Oga, Hibiki Kadohara, Yuto Osumi, Kenta Ishibashi, Mana Hiraishi, Mitsuo Kinugasa, Yasutaka Hirayama, Kinta Hatakeyama, Koichi Tamita","doi":"10.1093/omcr/omag110","DOIUrl":"10.1093/omcr/omag110","url":null,"abstract":"We report the case of a 71-year-old woman with giant cell myocarditis presenting as acute heart failure and cardiogenic shock (LVEF 15%). She required mechanical ventilation, IMPELLA CP (Abiomed, Danvers, MA), veno-arterial extracorporeal (VA-ECMO), and continuous renal replacement therapy. Endomyocardial biopsy confirmed giant cell myocarditis, and treatment with corticosteroids, mycophenolate mofetil, and tacrolimus was initiated. Following multi-modal support and immunosuppressive therapy, left ventricular function recovered to 54%, allowing withdrawal of mechanical circulatory support and hemodialysis. However, the patient ultimately died on the 111th day due to the long treatment of cytomegalovirus infection and septic shock from catheter-related blood stream infection. Optimal immunosuppressive regimens remain undefined, so this case highlights successful recovery of cardiac function with intensive multi-modal management.","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2026 7","pages":"omag110"},"PeriodicalIF":0.6,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13343777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413088","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

Detection of occult non-mass enhancement in bloody nipple discharge using US/MRI fusion imaging: a case report. 应用US/MRI融合显像检测乳头血性溢液隐匿性非肿块强化1例。

IF 0.6

Oxford Medical Case Reports Pub Date : 2026-07-08 eCollection Date: 2026-07-01 DOI: 10.1093/omcr/omag119

Yukako Mouri, Masayuki Saito, Kanna Ozaki, Hirona Banno, Manami Goto, Mirai Ido, Takahito Ando, Junko Kousaka, Kimihito Fujii, Tsuneo Imai, Shogo Nakano, Takanori Ito, Emiko Takahashi, Koujiro Suzuki

{"title":"Detection of occult non-mass enhancement in bloody nipple discharge using US/MRI fusion imaging: a case report.","authors":"Yukako Mouri, Masayuki Saito, Kanna Ozaki, Hirona Banno, Manami Goto, Mirai Ido, Takahito Ando, Junko Kousaka, Kimihito Fujii, Tsuneo Imai, Shogo Nakano, Takanori Ito, Emiko Takahashi, Koujiro Suzuki","doi":"10.1093/omcr/omag119","DOIUrl":"10.1093/omcr/omag119","url":null,"abstract":"A 66-year-old woman presented with right bloody nipple discharge (BND). Initial evaluation, including palpation, mammography (MMG), ultrasonography (US), and cytology, revealed no abnormalities. In the second year, persistent BND prompted breast magnetic resonance imaging (MRI), which demonstrated non-mass enhancement in the lower right breast and was classified as Breast Imaging Reporting and Data System (BI-RADS) category 3; therefore, imaging surveillance was performed. In the third year, cytological examination revealed atypical cells. Repeat MRI again demonstrated non-mass enhancement. US/MRI fusion identified two suspicious regions; however, ultrasound-guided needle biopsy showed no evidence of malignancy. Because of persistent BND and cytological atypia, excisional biopsy was performed, and ductal carcinoma in situ (DCIS) was confirmed. US/MRI fusion may assist in localizing target areas for biopsy in patients with MRI-detected lesions without corresponding findings on MMG or US; however, histopathological confirmation remains essential.","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2026 7","pages":"omag119"},"PeriodicalIF":0.6,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13343778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413004","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

An unexpected sequel to happiness: happy heart syndrome. 幸福的一个意想不到的结局：快乐的心综合症。

IF 0.6

Oxford Medical Case Reports Pub Date : 2026-07-08 eCollection Date: 2026-07-01 DOI: 10.1093/omcr/omag108

Laith Rhabneh, Jamil Wafi, Ra'ed Ababneh, Shahd Qaddour, Mohammed Aloqaily, Abdel Rahman Alwardat, Khalid Hazaimeh

引用次数: 0

Nocardia farcinica brain abscess in a patient with Evans syndrome: challenges in management. 埃文斯综合征患者脑脓肿：治疗的挑战。

IF 0.6

Oxford Medical Case Reports Pub Date : 2026-07-08 eCollection Date: 2026-07-01 DOI: 10.1093/omcr/omag114

Anjely Sebastian, Nitin Gupta, Pothumarthy Swathi Kiran, Barnini Banerjee, Muralidhar Varma, Vishwapriya Godkhindi, Tirlangi Praveen Kumar

引用次数: 0

Correction to: Challenges in diagnosing confluent and reticulated papillomatosis: a case of atypical lesions distribution. 更正：诊断融合和网状乳头状瘤病的挑战：一个不典型病变分布的病例。

IF 0.6

Oxford Medical Case Reports Pub Date : 2026-06-27 eCollection Date: 2026-06-01 DOI: 10.1093/omcr/omag123

引用次数: 0

Neuropsychiatric-pharmacologic synergy: interaction between psychiatric polypharmacy and cancer treatment-related neurotoxicity. 神经-精神-药理学协同作用：精神科综合用药与癌症治疗相关神经毒性之间的相互作用。

IF 0.6

Oxford Medical Case Reports Pub Date : 2026-06-21 eCollection Date: 2026-06-01 DOI: 10.1093/omcr/omag107

Sean P Woytowitz, Charles Manchee

{"title":"Neuropsychiatric-pharmacologic synergy: interaction between psychiatric polypharmacy and cancer treatment-related neurotoxicity.","authors":"Sean P Woytowitz, Charles Manchee","doi":"10.1093/omcr/omag107","DOIUrl":"10.1093/omcr/omag107","url":null,"abstract":"Altered mental status (AMS) in oncology populations frequently reflects complex interactions among medical, pharmacologic, and neuropsychiatric factors. Accurate identification of the primary contributors is crucial to minimize morbidity. We report the case of a man in his 60s with a relapsed plasma cell malignancy, status post autologous stem-cell transplant, who experienced recurrent AMS during ongoing combination chemotherapy and psychiatric polypharmacy. Neuroimaging excluded structural or vascular lesions. Laboratory evaluation revealed intermittent mild renal dysfunction without metabolic crisis. His medication regimen included multiple serotonergic, dopaminergic, and sedative agents; clinical improvement followed medication rationalization. This case highlights the multifactorial nature of AMS in cancer survivors, in which post-transplant neuroinflammation, systemic metabolic stress, and overlapping drug effects create a brain vulnerable to toxic-metabolic encephalopathy. A systems-based, interdisciplinary approach is essential for diagnosing and preventing AMS in post-transplant oncology patients. Early recognition and medication simplification can reduce recurrence and enhance cognitive function.","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2026 6","pages":"omag107"},"PeriodicalIF":0.6,"publicationDate":"2026-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13283428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303507","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

Central serous chorioretinopathy following intramuscular testosterone therapy in prolactinoma. 催乳素瘤肌内睾酮治疗后的中枢性浆液性脉络膜视网膜病变。

IF 0.6

Oxford Medical Case Reports Pub Date : 2026-06-21 eCollection Date: 2026-06-01 DOI: 10.1093/omcr/omag105

Vivek Jha, Pinaki Dutta, Ashley B Grossman, Byanjana Bashyal

引用次数: 0

A case of surgically treated recurrent spontaneous pneumothorax during pregnancy. 手术治疗妊娠期复发性自发性气胸1例。

IF 0.6

Oxford Medical Case Reports Pub Date : 2026-06-21 eCollection Date: 2026-06-01 DOI: 10.1093/omcr/omag109

Žymantas Jagelavičius, Jekaterina Strelčenko, Jelena Volochovič, Edvardas Žurauskas, Ričardas Janilionis

{"title":"A case of surgically treated recurrent spontaneous pneumothorax during pregnancy.","authors":"Žymantas Jagelavičius, Jekaterina Strelčenko, Jelena Volochovič, Edvardas Žurauskas, Ričardas Janilionis","doi":"10.1093/omcr/omag109","DOIUrl":"10.1093/omcr/omag109","url":null,"abstract":"Spontaneous pneumothorax in pregnancy is a very uncommon condition, with fewer than 100 cases described in the English literature. This case report describes a pregnant woman who experienced two episodes of primary spontaneous pneumothorax during pregnancy. A 31-year-old, Caucasian pregnant woman (P2 G3 A1, gestational age 17+0 weeks), conceived naturally, body mass index 28, a former smoker, arrived at the hospital with dyspnea and chest pain. Pneumothorax was detected and managed with a chest tube. However, three days after discharge, pneumothorax reoccurred. Due to a persistent air leak, video-assisted thoracoscopic surgery was performed. Histological examination revealed enlarged airspaces without any signs of specific lung pathology. Postoperative recovery was uneventful, and the patient delivered a healthy newborn without complications. This case highlights the importance of multidisciplinary, individualized diagnostic and treatment options in pregnant patients with primary spontaneous pneumothorax to prevent misdiagnosis and ensure optimal outcomes for both mother and fetus.","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2026 6","pages":"omag109"},"PeriodicalIF":0.6,"publicationDate":"2026-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13283434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303457","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

Clostridial necrotizing infection with multiorgan failure in an unhoused patient following a presumed spider bite. 推测为蜘蛛咬伤的无住所病人的梭状芽胞杆菌坏死性感染伴多器官衰竭。

IF 0.6

Oxford Medical Case Reports Pub Date : 2026-06-21 eCollection Date: 2026-06-01 DOI: 10.1093/omcr/omag112

Linh N-D Vo, Lee D Lam, Shotaro Naganawa, Ahmadreza Ghasemiesfe

引用次数: 0