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  1. Double adenomas (DA) represents a distinct clinical entity of primary hyperparathyroidism (PHPT). DA may follow various embryologic distribution patterns and could be supernumerary and/or ectopic.

    Authors: Georgios Tzikos, Michael Polyzonis, Konstantinos Milias, Stefanos Milias, Ioannis Passos, Konstantinos Ioannidis, Nektaria-Dimitra Doutsini, Georgios Chatzoulis and Panagiotis Spyridopoulos
    Citation: Journal of Medical Case Reports 2021 15:198
  2. Thalassemia is an inherited autosomal recessive blood disorder causing abnormal formation of hemoglobin, known as a syndrome of anemia with microcytic erythrocytes. It is the most common genetic disorder world...

    Authors: Daniel Oren, Amiel A. Dror, Tania Bramnik, Eyal Sela, Igal Granot and Samer Srouji
    Citation: Journal of Medical Case Reports 2021 15:197
  3. We report a unique case of synchronous sacrococcygeal chordoma in association with rectal invasive adenocarcinoma. Retrorectal tumors are a rare disease caused by a variety of pathologies. To our knowledge, no...

    Authors: Jaffar Alshahri, Mohammed Alshehri, Aminah Alnafesa, Mohammed Widinly, Tariq Alzaid, Saleh Alsulaimani and Alaa Abduljabbar
    Citation: Journal of Medical Case Reports 2021 15:195
  4. Posterior reversible encephalopathy syndrome (PRES) is a clinical-radiologic entity characterized by headaches, altered mental status, seizures, visual loss, and a characteristic imaging pattern in brain magne...

    Authors: Goar Egoryan, Ricardo Murguia-Fuentes, Mohamed Agab, Nagwa Abou-Ghanem, Maria Adriana Yanez-Bello, Bimatshu Pyakuryal, Daniela Patricia Trelles-Garcia, Rami Ibrahim, Dorota Filipiuk, Adi Gidron and Guillermo Rodriguez-Nava
    Citation: Journal of Medical Case Reports 2021 15:161
  5. Adenoid cystic carcinoma (ACC) is a rare malignant tumor involving mostly the head and neck region, and frequently the salivary glands. The development of lung metastasis after treatment of the primary tumor i...

    Authors: Daijiro Kobayashi, Takanori Abe, Jun-ichi Saitoh, Takahiro Oike, Hiro Sato, Atsushi Musha, Tatsuji Mizukami, Tsuneo Shimizu, Takashi Nakano and Tatsuya Ohno
    Citation: Journal of Medical Case Reports 2021 15:156
  6. Malignant tumors, such as acute leukemia and solid cancers, frequently cause disseminated intravascular coagulation. However, cases of disseminated intravascular coagulation as a complication of bursitis were ...

    Authors: Taisuke Hamada, Tasuku Nishihara, Yosuke Mizuno, Teruki Kidani, Hiroki Tokiwa, Naoki Abe, Keisuke Sekiya, Sakiko Kitamura, Yasushi Takasaki, Hiromasa Miura and Toshihiro Yorozuya
    Citation: Journal of Medical Case Reports 2021 15:155
  7. Esophageal involvement and Horner’s syndrome are rare manifestations of breast cancer distant metastases that can pose a significant challenge in diagnosis and treatment. In addition to the more aggressive beh...

    Authors: Sumadi Lukman Anwar, Widya Surya Avanti, Lina Choridah, Ery Kus Dwianingsih, Herjuna Hardiyanto and Teguh Aryandono
    Citation: Journal of Medical Case Reports 2021 15:194
  8. Mayfield skull clamps are widely used and indispensable in current neurosurgery. Complications such as skull fractures or intracranial hematoma from using a Mayfield skull clamp have largely been reported in t...

    Authors: Takeo Furuya, Masashi Yamazaki, Tetsuharu Nemoto, Akihiko Okawa and Seiji Ohtori
    Citation: Journal of Medical Case Reports 2021 15:154
  9. Acute severe asthma is a life-threatening medical emergency. Characteristics of asthma include increased airway resistance and dynamic pulmonary hyperinflation that can manifest in dangerous levels of hypercap...

    Authors: Rossella Esposito, Irene Esposito, Francesco Imperatore, Giovanni Liguori, Fabrizio Gritti, Chiara Cafora, Paolo Francesco Marsilia and Maria De Cristofaro
    Citation: Journal of Medical Case Reports 2021 15:200
  10. Blocking the programmed death 1 pathway by immune checkpoint inhibitors induces dramatic antitumor activity in patients with malignant tumors. However, the clinical response to immune checkpoint inhibitors rem...

    Authors: Rishu Takimoto, Takashi Kamigaki, Takuji Gotoda, Toshimi Takahashi, Sachiko Okada, Hiroshi Ibe, Eri Oguma and Shigenori Goto
    Citation: Journal of Medical Case Reports 2021 15:191
  11. Although drug-induced interstitial pneumonia is a well-known adverse side-effect of cancer chemotherapy, the disease is difficult to detect in the early phase. We report a case of oxaliplatin-induced interstit...

    Authors: Yasuyuki Taooka, Hiroki Yoke and Junya Inata
    Citation: Journal of Medical Case Reports 2021 15:153
  12. Appendicitis following trauma is a well-documented sequela of blunt trauma to the abdomen, while appendiceal transection following trauma is extremely rare. Literature reports have documented appendicitis and ...

    Authors: Kanika Sharma, Shreya Tomar, Shilpa Sharma and Minu Bajpai
    Citation: Journal of Medical Case Reports 2021 15:192
  13. Raoultella Planticola is a facultative anaerobic, gram-negative, water- and soil-dwelling rod bacterium rarely reported as a cause of human disease. However, the number of reported R. planticola infections is gro...

    Authors: David Blihar, Phenyo Phuu, Svetlana Kotelnikova and Edward Johnson
    Citation: Journal of Medical Case Reports 2021 15:152
  14. Pseudo-Wellens syndrome is a rare entity characterized by the presence of electrocardiogram (ECG) changes of Wellens syndrome but without the stenosis of the left anterior descending (LAD) coronary artery. In ...

    Authors: Teressa Reanne Ju, Ilhwan Yeo, Gregory Pontone and Reema Bhatt
    Citation: Journal of Medical Case Reports 2021 15:151
  15. The incidence of ectopic kidneys is 1:12,000 clinically and 1:900 postmortem. Patients with pelvic mal-rotated kidneys are more susceptible to recurrent urinary tract infections, recurrent renal stones, and re...

    Authors: Hussam S. Khougali, Omer Ali Mohamed Ahmed Alawad, Nicholas Farkas, Mohammed Mahgoub Mirghani Ahmed and Alnasri Mohammed Abuagla
    Citation: Journal of Medical Case Reports 2021 15:181
  16. Central hyperthyroidism is a rare form of hyperthyroidism caused by thyrotrope pituitary adenomas. It is characterized by elevated thyroid-stimulating hormone alongside high thyroxine and triiodothyronine. Goi...

    Authors: David George Jackson, John Parker and Thomas Cummings
    Citation: Journal of Medical Case Reports 2021 15:173
  17. Umbilical hernias are a frequent and well-known pathology in children or adults. Congenital umbilical hernias are commonly diagnosed in childhood, and in adulthood such a hernia is usually acquired. Umbilical ...

    Authors: Friday Saidi, Bakari Rajab, Lameck Chinula, Nomsa Kafumba, Maganizo Chagomerana and Jennifer H. Tang
    Citation: Journal of Medical Case Reports 2021 15:187
  18. Immune checkpoint inhibitors and mitogen-activated protein kinase inhibitors have become the standard of care in patients with advanced melanoma bearing V600 mutations. However, little is known about their nep...

    Authors: Periklis Kyriazis, Abhinav Tiwary, Jonathan Freeman, Daniel Landry and Gregory Braden
    Citation: Journal of Medical Case Reports 2021 15:186
  19. Clear-cell carcinoma arising from the surgical cesarean section scar is very infrequent. The present study reports two patients with clear-cell carcinoma arising from an abdominal wall scar 20 and 23 years aft...

    Authors: Seyedeh Razieh Hashemi, Mahdi Morshedi, Houshyar Maghsoudi, Arezoo Esmailzadeh and Ibrahim Alkatout
    Citation: Journal of Medical Case Reports 2021 15:146

    The Correction to this article has been published in Journal of Medical Case Reports 2021 15:430

  20. Mondor’s disease of the breast (MDB) is a rare and benign disorder of the breast. It is characterized by thrombophlebitis of the superficial veins of the chest wall. Clinically, it manifests as a cord-like ind...

    Authors: K. Ben Hamida, M. Ghalleb, A. Triki, I. Jebir, R. Makhlouf and H. Touinsi
    Citation: Journal of Medical Case Reports 2021 15:188
  21. Urinary retention is a condition in which impaired emptying of the bladder results in postvoid residual urine. It can be acute or chronic urinary retention. There have been only scattered case studies that hav...

    Authors: Ayotunde Olumide Ojo, Adesegun Lawrence Ajasa, Rilwan Babatunde Oladipupo and Nicholas Oluwaseyi Aderinto
    Citation: Journal of Medical Case Reports 2021 15:183
  22. Rhopressa (netarsudil) has recently been added to the arsenal of treatment for open-angle glaucoma. It is an effective norepinephrine transporter and Rho-associated protein kinase (ROCK) inhibitor used to decr...

    Authors: Matthew J. Chu, Michael Song, Trisa Palmares, Alice Song and Julia Song
    Citation: Journal of Medical Case Reports 2021 15:182
  23. A central retinal artery occlusion (CRAO) is an ophthalmic emergency due to its strong association with cerebrovascular and cardiovascular morbidity and mortality. A timely diagnosis is necessary but difficult...

    Authors: Timothy M. Janetos, Olga German and Rukhsana Mirza
    Citation: Journal of Medical Case Reports 2021 15:145
  24. Unilateral pulmonary artery discontinuity is a rare malformation that is associated with other intracardiac abnormalities. Cases accompanied by other cardiac abnormalities are often missed on prenatal echocard...

    Authors: Hyun-Hwa Cha, Hae Min Kim and Won Joon Seong
    Citation: Journal of Medical Case Reports 2021 15:190
  25. Despite an otherwise robust national antenatal clinic program, maternal and congenital syphilis remains an important public health issue in Zambia. This case series reports the clinical presentation of seven i...

    Authors: Nsofwa Sukwa, Michelo Simuyandi, Masuzyo Chirwa, Yvonne Mutombo Kumwimba, Obvious N. Chilyabanyama, Natasha Laban, Aybüke Koyuncu and Roma Chilengi
    Citation: Journal of Medical Case Reports 2021 15:149
  26. Heart failure is usually associated with a low-cardiac-output state; however, a minority of these patients are characterized by a high-output cardiac state, described as a cardiac index of > 4 L/minute/m2. Usuall...

    Authors: Laura J. Albak, Ashish H. Shah and James W. Tam
    Citation: Journal of Medical Case Reports 2021 15:177
  27. Diagnosis of intestinal tuberculosis poses a dilemma to physicians due to nonspecific symptoms like abdominal pain, fever, nausea, and a change in bowel habit. In particular, the distinction between inflammato...

    Authors: Daniel Sasse, Christoph D. Spinner, Kathrin Rothe, Jochen Schneider, Jochen Gaa and Silvia Würstle
    Citation: Journal of Medical Case Reports 2021 15:144
  28. Diagnosis of chronic pulmonary aspergillosis (CPA) is based on a combination of clinical symptomatology, compatible chest imaging findings, evidence of Aspergillus infection and exclusion of alternative diagnosis...

    Authors: Richard Kwizera, Andrew Katende, Felix Bongomin, Lydia Nakiyingi and Bruce J. Kirenga
    Citation: Journal of Medical Case Reports 2021 15:140
  29. Pheochromocytomas are a subset of paragangliomas, which are a rare group of neural crest cell-derived tumors. Malignant cases of both pheochromocytomas and paragangliomas are even rarer, and currently there is...

    Authors: Robin Raquel Rodriguez, Saleha Rizwan, Khaled Alhamad and Gene Grant Finley
    Citation: Journal of Medical Case Reports 2021 15:172
  30. Perampanel (PER) is a novel antiepileptic drug (AED) which employs a completely different mechanism of action compared to existing medications. Overall, PER is considered to be safe up to a dose of 12 mg per d...

    Authors: Kanitpong Phabphal and Prut Koonalintip
    Citation: Journal of Medical Case Reports 2021 15:147
  31. Gram-negative bacteria are an uncommon etiology of spontaneous community-acquired adult meningitis and meningoencephalitis. Escherichia coli is a Gram-negative bacterium that is normally present in the intestinal...

    Authors: V. Pota, M. B. Passavanti, F. Coppolino, F. Di Zazzo, L. De Nardis, R. Esposito, M. Fiore, G. S. R. C. Mangoni di Santostefano, C. Aurilio, P. Sansone and M. C. Pace
    Citation: Journal of Medical Case Reports 2021 15:138
  32. Reversible cerebral vasoconstriction syndrome is characterized by severe headache with reversible segmental constriction of the cerebral arteries. We present details on a patient with reversible cerebral vasoc...

    Authors: Rijo Hayashi, Shimmin Hayashi and Shigeki Machida
    Citation: Journal of Medical Case Reports 2021 15:175
  33.  Patients with lymphoproliferative disorders following hematopoietic stem cell transplant (HSCT) most commonly present with fever and lymphadenopathy within the first 5 months of transplant. Pulmonary post-tra...

    Authors: Ritika Dutta, Susanna Y. Miao, Paul Phan, Sebastian Fernandez-Pol, Parveen Shiraz, Dora Ho, Gabriel N. Mannis and Tian Y. Zhang
    Citation: Journal of Medical Case Reports 2021 15:170
  34. Mixed gonadal dysgenesis (MGD) is a subtype of the disorders of sex development (DSD) associated with sex chromosome abnormalities characterized by abnormal external genitalia, short stature, and primary ameno...

    Authors: Yoshiko Kurose, Tomonori Nagai, Kousuke Shigematsu, Takahiro Uotani, Taichi Akahori, Yasushi Takai and Hiroyuki Seki
    Citation: Journal of Medical Case Reports 2021 15:165
  35. Vulvar Paget’s disease (VPD) is a rare malignant disorder originating in the external genitalia. It occasionally invades into urethral or vaginal mucosa of female, making surgical treatment more complicating. ...

    Authors: Masaki Nakamura, Yuji Hakozaki, Shohei Iwata, Yusuke Sato, Katsuhiro Makino, Taketo Kawai, Yuta Yamada, Daisuke Yamada, Motofumi Suzuki, Jun Omatsu, Masanobu Abe, Kazuto Hoshi, Haruki Kume and Yasuhiko Igawa
    Citation: Journal of Medical Case Reports 2021 15:136
  36. Traditional coronary artery disease risk factors are well established and help risk stratify most patients presenting with chest pain syndromes. Young patients (under age 30 years) without other risk factors a...

    Authors: Nafeesah Ali, Kandace Baggan, Shari S. Khan, Paramanand Maharaj and Ronan G. Ali
    Citation: Journal of Medical Case Reports 2021 15:166
  37. The concept of using a gonadotropin-releasing hormone agonist (GnRH-a) instead of human chorionic gonadotropin for triggering ovulation in patients treated with an antagonist protocol for in vitro fertilization (...

    Authors: A. Smirnova, M. Anshina, E. Shalom Paz and A. Ellenbogen
    Citation: Journal of Medical Case Reports 2021 15:134
  38. The pandemic of this century has overwhelmed the healthcare systems of affected countries, and all resources have been diverted to coronavirus disease 2019. At the onset, coronavirus disease 2019 can present a...

    Authors: Abdullah Isneen Hilmy, Rajib Kumar Dey, Hisham Ahmed Imad, Abdul Azeez Yoosuf, Ali Nazeem and Ali Abdulla Latheef
    Citation: Journal of Medical Case Reports 2021 15:171
  39. Patients with Marfan syndrome commonly require spinal deformity surgery. The purpose of this case report is to present a rare thoracotomy complication. We present the management of such a patient.

    Authors: Saeid Safaei, Ahmadreza Mirbolook, Parisa Azimi, Mirbahador Athari, Farhad Hamzehzadeh and Taravat Yazdanian
    Citation: Journal of Medical Case Reports 2021 15:167
  40. Paraneoplastic neurological syndrome is an immune-mediated phenomenon where antibodies from tumor cells are produced against neuronal proteins. Amphiphysin antibody is an onconeural antibody linked to the diag...

    Authors: Vineet Kwatra, Michail Charakidis and Narayan V. Karanth
    Citation: Journal of Medical Case Reports 2021 15:158
  41. Neurolymphomatosis is rare. Neoplastic lymphocytes are seen to invade nerves (cranial or peripheral), nerve roots or other related structures in patients with hematological malignancy. It is a separate entity ...

    Authors: S. Alazawi, H. Elomri, R. Taha, M. Bakr, M. T. Abdelhamid, L. Szabados, M. Yassin, H. El Sabah, K. Aboudi, A. Ellahie, A. Fadul, A. Gameil, A. Al Battah and L. J. Fernyhough
    Citation: Journal of Medical Case Reports 2021 15:133
  42. The outcomes of Philadelphia chromosome-positive (Ph+) acute lymphoblastic leukemia (ALL) can improve with allogeneic hematopoietic stem cell transplantation (HSCT) during the first complete remission after tr...

    Authors: Junichiro Yuda, Nobuhiko Yamauchi, Ayumi Kuzume, Yong-Mei Guo, Nobue Sato and Yosuke Minami
    Citation: Journal of Medical Case Reports 2021 15:164
  43. Spontaneous Pneumomediastinum is a rare disease. It could be a simple and self-limited condition or be a life-threatening complication of underlying diseases. The therapeutic options also differ by the cause. ...

    Authors: Berhanu N. Alemu, Ephraim T. Yeheyis and Abraham G. Tiruneh
    Citation: Journal of Medical Case Reports 2021 15:157
  44. Limbic encephalitis (LE), a variant of autoimmune encephalitis, is inflammation of the limbic system of the brain. The disorder presents with subacute impairment of short-term memory, psychiatric manifestation...

    Authors: Ismail Ibrahim Ismail, Fahad Alnaser and Jasem Y. Al-Hashel
    Citation: Journal of Medical Case Reports 2021 15:130
  45. We present a minimal skin wound abdominal hysterectomy for patients with leiomyomas and describe the characteristics of this technique. The skin wound was made as small as possible, with a maximum length of 6 cm.

    Authors: Wataru Isono and Masanori Maruyama
    Citation: Journal of Medical Case Reports 2021 15:128

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