cases
listlengths
1
37
article_id
stringlengths
8
11
[ { "age": 78, "case_id": "PMC3257067_01", "case_text": "A 78-year-old woman was admitted to the emergency department in January 2008 because of fever and vomiting. In the preceding three days, she had noted asthenia and had fallen at home three times. Her past history included Crohn's disease treated by ...
PMC3257067
[ { "age": 11, "case_id": "PMC9261228_01", "case_text": "An 11-year-old female patient presented to the pediatric department with complaints of nausea, vomiting, and right lumbar pain lasting for 1 week, without previous symptoms and no history of trauma.\nOn physical examination, the following was noted:...
PMC9261228
[ { "age": 30, "case_id": "PMC8437380_01", "case_text": "A 30-year-old female presented to our hospital on December 4, 2017 due to a 4-month-old mass on her left breast. She did not complain of pain, dizziness, headache, or any other discomfort, and did not report any relevant family history. Physical exa...
PMC8437380
[ { "age": 2, "case_id": "PMC3687645_01", "case_text": "Allgrove syndrome, also known as triple A syndrome (OMIM #231550), is a rare autosomal recessive disorder characterized by the triad of adrenocorticotropic hormone (ACTH)-resistant adrenal insufficiency, achalasia and alacrima. It is caused by mutati...
PMC3687645
[ { "age": 57, "case_id": "PMC8168796_01", "case_text": "This 57-year-old man was referred for a 2-month history of progressive development of imbalance, dizziness, and vomiting. On examination, he presented with wide-based gait, uncoordinated limb movements, and nystagmus on extreme gaze. Radiological in...
PMC8168796
[ { "age": 14, "case_id": "PMC7262964_01", "case_text": "We identified a Chinese family with HSAN (Figure 1A). The proband (II:1) was admitted to the Department of Orthopedics, Xiangya Hospital of Central South University, for an ulcer near the left ankle and diagnosed with HSAN. The proband was a 14-year...
PMC7262964
[ { "age": 5, "case_id": "PMC6388523_01", "case_text": "A five-year-old Caucasian male was referred to us with a two-year history of blurry vision and headaches; he had previously been evaluated by two ophthalmologists who diagnosed LHON. Our initial exam was on 24 October 2016. On exam, BCVA with Cyclopl...
PMC6388523
[ { "age": 22, "case_id": "PMC7283137_01", "case_text": "A 22 year old, previously healthy female presented with dull pain and swelling of her left ankle for five years. Although initially she had relief with analgesics, subsequently did not respond and associated with swelling over the left ankle which a...
PMC7283137
[ { "age": 16, "case_id": "PMC3938365_01", "case_text": "Case 1: 16-year-old male, with asymptomatic periumbilical lesions since his first years of life, progressing in number and size for the last 3 years. He presented right hypoacusia, tingling in hands and feet and burning plantar pain, which worsened ...
PMC3938365
[ { "age": 15, "case_id": "PMC6005296_01", "case_text": "A 15-year-old Argentinian Warmblood gelding was referred for treatment of a long-standing penile lesion affected by myiasis.\nAt referral the main complaint was a florid, cauliflower-like ulcerated mass, measuring 10 cm in diameter that enclosed the...
PMC6005296
[ { "age": 39, "case_id": "PMC4397223_01", "case_text": "A 39-year-old female patient complained of one-day-lasting episodes of linear-shaped pain in her right hemicranium. In the past few months she had been suffering from paroxysms of severe pain lasting 5-10 seconds, starting in the posterior parietal ...
PMC4397223
[ { "age": 15, "case_id": "PMC4253035_01", "case_text": "A 15-year-old female presented to an outpatient headache clinic with a 10-year history of intractable headache, which had become daily over the past 3 months and also awakened her in the middle of the night. She noted the pain was frontal and radiat...
PMC4253035
[ { "age": 13, "case_id": "PMC6077650_01", "case_text": "Our patient is a 19 yo G1P0 with an unplanned pregnancy, who was seen for the 1st time at 20+4 weeks, with syncope and right sided chest pain. Pulmonary embolism was confirmed on a spiral CT scan.\nPrior to the current pregnancy, she had an extensiv...
PMC6077650
[ { "age": 67, "case_id": "PMC10174457_01", "case_text": "A 67-year-old woman with a history of rhinitis and coblation of the nasal turbinates presented to the emergency department for recurrent epistaxis and pain after a traumatic COVID-19 nasal swab test (see Figure 1 for timeline).\nOn fiberoptic nas...
PMC10174457
[ { "age": 50, "case_id": "PMC3884199_01", "case_text": "A 50-year-old woman was referred to our hospital for treatment of a duodenal tumor. She had a 13-year history of left nephrectomy for RCC. The histologic diagnosis was clear cell carcinoma of grade 2, pT2N0M0, and pStage II (according to the current...
PMC3884199
[ { "age": 29, "case_id": "PMC8282370_01", "case_text": "The neonate was born to a 29-year-old G2P1 + 0 who attended antenatal care 6 times, starting at 3 months. She had been screened for HIV, syphilis, hepatitis B, and urinalysis, and all were negative, with a blood group of A Rhesus D negative. She rec...
PMC8282370
[ { "age": 22, "case_id": "PMC4664549_01", "case_text": "A 22-year-old white female patient reported the diagnosis of RP that she had 7 years before. Having gone through many examinations along this period, 1 year ago, it was diagnosed increased intraocular pressure (IOP) in the right eye (OD). The patien...
PMC4664549
[ { "age": 80, "case_id": "PMC9608240_01", "case_text": "A pleasant 80-year-old female with hypertension, atrial fibrillation, hypothyroidism, chronic low back pain, and chronic hyponatremia presented to our hospital with nausea, fatigue, and generalized weakness for 3 days. She reported taking salt table...
PMC9608240
[ { "age": 52, "case_id": "PMC4322374_01", "case_text": "A 52-year-old male was referred for evaluation of atypical chest discomfort after strenuous exercise and occasional stabbing pain in the left thorax not associated with physical activity. The patient exercised daily and he had competed in 39 maratho...
PMC4322374
[ { "age": null, "case_id": "PMC7102445_01", "case_text": "In our case, a 35-year married female presented to emergency services with the complaint of bleeding per vagina and the feeling of something inside the vagina for 15 months. She used to have per vaginal bleeding with clots in one- to two-week inte...
PMC7102445
[ { "age": 48, "case_id": "PMC4956902_01", "case_text": "A 48 year-old woman presented to an outpatient clinic with a two-week history of non-productive cough and general malaise. She endorsed a unilateral pruritic red palmar rash. She denied hemoptysis, fever, nasal symptoms, acid reflux, arthralgias, or...
PMC4956902
[ { "age": 18, "case_id": "PMC2628935_01", "case_text": "An 18-year-old Caucasian female presented with bilateral lower limb paraesthesias followed by increasing leg weakness and difficulty in walking over a period of 2 days. She reported an episode of an upper respiratory tract infection 3 weeks prior to...
PMC2628935
[ { "age": 74, "case_id": "PMC6381922_01", "case_text": "A 74-year-old woman, generally healthy, presented to the emergency room with abdominal pain. Computed tomography (CT) imaging of the chest and abdomen revealed a right ovarian mass, right adrenal mass, multiple soft tissues and lung metastases. She ...
PMC6381922
[ { "age": 46, "case_id": "PMC9066584_01", "case_text": "A 46-year-old man was diagnosed with advanced poorly cohesive signet ring cell gastric adenocarcinoma (cT3N2M1), human epidermal growth factor receptor 2 (HER2) negative, in November 2017. He was initially treated with modified DCF regimen (Docetaxe...
PMC9066584
[ { "age": 68, "case_id": "PMC3328781_01", "case_text": "A 68-year old man was diagnosed with advanced multilocular HCC on the basis of ethyltoxic liver cirrhosis (Child-Pugh A) in September 2009. At the time of diagnosis, a moderately differentiated metastasis to the thyroid gland and several metastases ...
PMC3328781
[ { "age": 51, "case_id": "PMC8531932_01", "case_text": "A 51-year-old male non-smoker was referred to the emergency room (ER) with the complaint of abdominal pain 3 days earlier,which she rated an \"8\" on a scale of 1 to 10 without any medical history and drug history. He stated that the pain worsened w...
PMC8531932
[ { "age": 62, "case_id": "PMC3363304_01", "case_text": "A healthy 62-year-old Japanese woman complained of a 1-week history of frontal headaches. The headache moved to the left supra-orbital region and she noted blurred vision in the left eye. She visited the neurologic department of Kohnodai Hospital (C...
PMC3363304
[ { "age": 57, "case_id": "PMC3736967_01", "case_text": "A 57-year-old man had noticed a right chest wall mass lesion for 15 years, but had ignored the lesion in the 5 years before presentation. He was admitted to our hospital without significant symptoms and with no history of tuberculosis. Magnetic reso...
PMC3736967
[ { "age": null, "case_id": "PMC6902614_01", "case_text": "Between January 2014 and April 2019, A total of 35,233 pregnant women were referred to our center to perform invasive prenatal diagnosis for abnormalities based on fetal ultrasound anatomy scans or maternal serum screening. Fetal ultrasound anatom...
PMC6902614
[ { "age": 52, "case_id": "PMC6731353_01", "case_text": "A 52-year-old Japanese female presented to our hospital with a chief complaint of fever and swelling with tenderness in the thenar area of her right hand. She reported that three days before her visit, a stray cat had bitten her right thenar area as...
PMC6731353
[ { "age": 57, "case_id": "PMC9795177_01", "case_text": "A 57-year-old Chinese man was admitted to the respiratory department at a regional hospital owing to hemoptysis and cough, no obvious cause was identified, and the patient denied having chest pain, fever, shiver, and other concomitant symptoms. The ...
PMC9795177
[ { "age": 79, "case_id": "PMC5828284_01", "case_text": "A 79-year-old male patient with a long history of Parkinson disease and heart failure due to double aortic dysfunction (severe stenosis and moderate insufficiency) returned to follow-up with signs of clinical deterioration. For the past 4 years, he'...
PMC5828284
[ { "age": 12, "case_id": "PMC6370615_01", "case_text": "The patient was a 12-year-old male who had his first seizure attack at the age of 10, and had four types of epileptic seizures. The first type of seizure was tonic axial seizures characterized by flexion of the neck and body and the extension of fou...
PMC6370615
[ { "age": 22, "case_id": "PMC5864713_01", "case_text": "A 22-year-old patient underwent FNA as a nodule was detected on the outer center of the right lobe of the thyroid, and it was reported to be a Bethesda system category IV, Hurthle cell follicular neoplasia.\nA right total thyroidectomy was performed...
PMC5864713
[ { "age": 11, "case_id": "PMC6222037_01", "case_text": "An eleven-year old boy was evaluated in the Neurology clinic. He was born at 39 weeks via emergency C-section in a pregnancy complicated by preeclampsia. Maternal history was significant for three prior miscarriages. There were no teratogen exposure...
PMC6222037
[ { "age": 7, "case_id": "PMC9513563_01", "case_text": "A female infant was born at 35 5/7 weeks gestation to a 26-year-old gravida 2, para 2 mother. The infant was small for gestational age, born at 1.984 kg (ninth percentile on the Fenton growth chart for preterm girls).\nThe pregnancy was complicated b...
PMC9513563
[ { "age": 93, "case_id": "PMC8437821_01", "case_text": "A 93-year-old Japanese man with moderate aortic stenosis, fever, and disturbed consciousness was transferred to the emergency department. His measured vital signs were: body temperature, 41.4 C; blood pressure, 113/54 mmHg; pulse rate, 124 beats/mi...
PMC8437821
[ { "age": 31, "case_id": "PMC3934774_01", "case_text": "A 31-year-old white male with a known history of colon carcinoma was referred to the Interventional Pulmonary service for right lower lobe infiltrates and mucous plugging on computed tomography (CT) with concern for pneumonia (fig. 1). Bronchoscopy ...
PMC3934774
[ { "age": null, "case_id": "PMC8580735_01", "case_text": "A female patient presents with a perineal finding, which we suspected was a posterior anal duplication ( Fig. 1A, B ). The native anus, located anteriorly, appears to be of normal caliber and surrounded by the sphincter muscle complex. The abnorma...
PMC8580735
[ { "age": 83, "case_id": "PMC3542952_01", "case_text": "Here, we report a case of an 83-year-old Hispanic male with end-stage renal disease (ESRD) on dialysis three times a week who presented to the emergency department with the chief complaint of bilateral lower extremity weakness. The patient noted the...
PMC3542952
[ { "age": 21, "case_id": "PMC9391998_01", "case_text": "Patient information: a healthy 21-year-old Saudi man without relevant medical, family, and psychosocial history was stabbed with a knife by an unknown person on the left side of his lower neck around 7 pm on July 13, 2021, and presented to the neare...
PMC9391998
[ { "age": 54, "case_id": "PMC6514481_01", "case_text": "Individual 1, is a 54-year-old patient with stage IV non-small cell lung cancer and cerebral metastases. He has OI type 1 (classic non-deforming OI with blue sclerae), which was diagnosed early because of a fractured clavicle at birth and confirmed ...
PMC6514481
[ { "age": 23, "case_id": "PMC4735458_01", "case_text": "A 23-year-old African American woman developed an abscess in the right anterior chest wall just lateral to the sternum 1 month after a normal vaginal delivery under epidural anesthesia. She was admitted elsewhere and underwent incision and drainage ...
PMC4735458
[ { "age": 90, "case_id": "PMC8242995_01", "case_text": "A 90 year old man was referred with a 7 cm thoracic aneurysm seen on MRI spine performed for increasing upper back pain over six months. Apart from hypertension and dyslipidaemia, he had no smoking history or any known major coronary or cerebrovascu...
PMC8242995
[ { "age": null, "case_id": "PMC10369008_01", "case_text": "In this section, we summarise what is known of the case. Ramsey was transferred from his home in Cambridge to Guy's Hospital on 10 January 1930 for investigation and management of worsening jaundice. His medical history was essentially unremarkab...
PMC10369008
[ { "age": 9, "case_id": "PMC7712411_01", "case_text": "In June 2016, a 9-year-old girl (elementary school student of Caucasian race, weighing 42 kg) was referred for consultation with an interdisciplinary team in the Vascular Anomalies Center of Guarneri Clinic (Rome, Italy) to address a painful and prog...
PMC7712411
[ { "age": 84, "case_id": "PMC3347879_01", "case_text": "A case study illustrates differences in structural and functional imaging findings with mild neuropsychology findings (please refer to Case 3 inside table 4). For this 84-year-old White woman, the neuropsychology test results, presented in figure 1,...
PMC3347879
[ { "age": 76, "case_id": "PMC5698921_01", "case_text": "A 76 year old man was admitted to our University Hospital \"Ospedale Vittorio Emenuele\" and seen in our surgical department. He presented with a 3 cm tumefaction of the right hypochondrium, surrounded by an erythematous skin area, with small secret...
PMC5698921
[ { "age": 32, "case_id": "PMC10395095_01", "case_text": "A 32-year-old lifelong non-smoker Caucasian woman was referred to the G.B. Morgagni:L. Pierantoni Hospital in April 2023 due to a severe respiratory failure caused by PAP syndrome complicated by a right pneumothorax.\nSince an early age, the patien...
PMC10395095
[ { "age": 38, "case_id": "PMC9560591_01", "case_text": "A 38-year-old woman presented with a slight proptosis. CT scanner and MRI revealed an extra-axial, hyperostotic tumor, suspected to be a spheno-orbital meningioma (Fig. 7 and A; Fig. 7 and B). Observation was initially decided. After 1-year, the tum...
PMC9560591
[ { "age": 46, "case_id": "PMC6886636_01", "case_text": "A right-handed 46-year-old woman with a history of previously treated peripheral venous insufficiency, and not on any daily medication, was admitted to the Emergency Department 12 hours after the sudden onset of focal hypoaesthesia of her upper left...
PMC6886636
[ { "age": 24, "case_id": "PMC8327232_01", "case_text": "It is about a 24-year-old male patient suffering a dental trauma at the level of the anterior upper teeth. The patient presented with fractured upper central teeth and a mobility of the coronal fragment of tooth 12 due to the trauma.\nIn this articl...
PMC8327232
[ { "age": null, "case_id": "PMC5109712_01", "case_text": "We report a case of a man in his 80s who initially noted a lesion on his right back thought to be an infected cyst in 2014. Evaluation noted right axillary adenopathy, which prompted a biopsy of the mass and of the cyst-like lesion. Pathology demo...
PMC5109712
[ { "age": 18, "case_id": "PMC2828432_01", "case_text": "An 18-year-old Caucasian, Italian girl, with a history of occasional use of inhaled drugs, was admitted to the Tor Vergata University Hospital emergency room because of fever, nausea, malaise, and difficult walking. The patient had been healthy unti...
PMC2828432
[ { "age": 50, "case_id": "PMC5484424_01", "case_text": "A 50-year-old female with body mass index (BMI) of 36 kg/m2 and untreated hypertension presented to an outside facility with left arm numbness and weakness and new-onset seizure. She was treated with levetiracetam. Computed tomography (CT) of the he...
PMC5484424
[ { "age": 67, "case_id": "PMC6348503_01", "case_text": "A 67-year-old female visited our hospital after having oliguria for 1 week without other symptoms. She had no history of tobacco use or other toxic exposures. She had hypertension and well-controlled diabetes. No fever or lymphadenopathy was found o...
PMC6348503
[ { "age": 5, "case_id": "PMC3447230_01", "case_text": "When observing the twins' audiograms at 3.5 years old, just after CI, (Figure 3), the pure tone thresholds for most frequencies were very similar. Thus, it would be reasonable to assume their auditory and oral performance scores would also be similar...
PMC3447230
[ { "age": 24, "case_id": "PMC5491809_01", "case_text": "A 24-year-old woman with UC diagnosed 2 years previously was transferred to our hospital due to a 1-week history of a high-grade fever, bloody diarrhea, frequent bowel movements, and severe pain on the left side of the abdomen. Her UC was not well c...
PMC5491809
[ { "age": 59, "case_id": "PMC8329603_01", "case_text": "Our patient is a man aged 59 years, and is currently employed in an office, who suffers from an asymmetric overgrowth of the lower limbs. This pathology is benign and localized. The abnormal growth process of the left leg began at the age of 18 mont...
PMC8329603
[ { "age": 50, "case_id": "PMC6450236_01", "case_text": "A 50-year-old man referred to cardiological examination for exertional dyspnea lasting several months. He was always been fine, so he had never made any medical evaluation. He never smoked, and he never got any drugs. He was asymptomatic at rest. Th...
PMC6450236
[ { "age": 70, "case_id": "PMC4276263_01", "case_text": "A 70 year old man presented to our hospital with a painful left-sided inguinal swelling of one day duration. The patient gave history of asymptomatic left inguinal swelling from past 20 years and absence of the right testis since birth.", "gende...
PMC4276263
[ { "age": 25, "case_id": "PMC9282816_01", "case_text": "A 25-year-old female presented with the left dull mid-back pain for 3 months' duration. The pain was moderate and radiated to the left breast/precordium. The physical examination just revealed focal tenderness over the inferior angle of the left sca...
PMC9282816
[ { "age": 40, "case_id": "PMC10084577_01", "case_text": "The comparative results of clinicopathological characteristics of patients under 40 years old and over 40 years old are exhibited in Table 3. The tumor distribution pattern, interstitial inflammatory infiltration (Degree and Distribution pattern), ...
PMC10084577
[ { "age": 14, "case_id": "PMC6332946_01", "case_text": "A 14-year-old boy, who was initially examined for continuous coughing, was referred to our hospital owing to an anterior mediastinal mass identified on chest X-ray (Figure 1). Systematic examination revealed a 20 x 10 cm sized mass at the right ante...
PMC6332946
[ { "age": 27, "case_id": "PMC4866062_01", "case_text": "A 27-year-old woman presented to a local physician with an intermittent epistaxis and a facial pain around her nose. Her medical history was unremarkable. Computed tomography (CT) scan demonstrated a heterogeneously enhanced mass lesion centered in ...
PMC4866062
[ { "age": 68, "case_id": "PMC8243102_01", "case_text": "A 68-year-old right-hand dominant woman was referred for evaluation of a right brachial plexus mass. Prior to presentation in our hand surgery clinic, the patient had a history of bilateral shoulder pain following a motor vehicle collision status po...
PMC8243102
[ { "age": 56, "case_id": "PMC3716026_01", "case_text": "This patient is a 56-year-old African American female who still works as an elementary school principal with a history of IGG kappa multiple myeloma diagnosed 15 years prior to admission, refractory to chemotherapy treatment. Previously, in 1992, sh...
PMC3716026
[ { "age": 63, "case_id": "PMC6421597_01", "case_text": "We present the case of a 63-year-old male of African origin (Kenya) with an occupational work exposure to boilers, and with a known medical history of uncontrolled hypertension, diabetes mellitus type 2, brain aneurysm that developed after a motorcy...
PMC6421597
[ { "age": 0, "case_id": "PMC2718207_01", "case_text": "A 3-month-old boy presented with a palpable abdominal mass. Radiographs of the abdomen disclosed that in the left upper quadrant, a large lesion causing inferomedial displacement of the bowel loops was present. US revealed a large, mixed-echoic, soli...
PMC2718207
[ { "age": 63, "case_id": "PMC8164024_01", "case_text": "A 63 years old man presented to our emergency department with a right sided headache and vertigo of one week duration along with right sided decreased hearing. There was no ear discharge. Review of systems were unremarkable. The past medical history...
PMC8164024
[ { "age": 45, "case_id": "PMC10421585_01", "case_text": "The patient was a previously healthy 45-year-old male who had never undergone surgery before and sought hospital care for intense epigastric abdominal pains irradiating to the back and weakness. The possibility of acute appendicitis was ventured du...
PMC10421585
[ { "age": 41, "case_id": "PMC4897088_01", "case_text": "A 41-year-old woman presented to the emergency department complaining of a three-day history of left-sided chest pain. The pain was described as pressure-like, pleuritic, made worse with ambulation and when supine. It was constant, increasing in int...
PMC4897088
[ { "age": 2, "case_id": "PMC2719788_01", "case_text": "An eighty-two-year old female presented to the urology outpatient clinic with a short history of fecaluria, pneumaturia, and passage of urine per rectum. She had an indwelling urethral catheter inserted, because of the total urinary incontinence, for...
PMC2719788
[ { "age": 43, "case_id": "PMC2838360_01", "case_text": "A 43-year-old black woman presented with a 3-month history of symmetric, diffuse and yellowish hyperkeratosis of palms and soles. Plantar surfaces were the most affected, with painful fissures (Figures 1 and 2). A progressive worsening was seen in t...
PMC2838360
[ { "age": 13, "case_id": "PMC8710692_01", "case_text": "A 13-years-7-months-old Chinese girl was adopted shortly after birth, who showed normal growth and development. At 3 years and 5 months old, the patient presented with febrile convulsion. The brain magnetic resonance imaging (MRI) and electroencepha...
PMC8710692
[ { "age": 73, "case_id": "PMC9990775_01", "case_text": "A 73-year-old woman presented with subarachnoid hemorrhage (SAH). She was found unconscious at home and transferred to the hospital. She had a history of hypertension and hyperlipidemia. Her consciousness level was Glasgow Coma Scale E3V4M5. The SAH...
PMC9990775
[ { "age": 35, "case_id": "PMC4000300_01", "case_text": "A 35-year-old Japanese male presented to the Emergency Department of Okinawa Chubu Hospital with right hemiparesis. He had awakened from sleep with severe, sharp chest pain that was not accompanied by dyspnea. The chest pain subsided within 1 min wi...
PMC4000300
[ { "age": 49, "case_id": "PMC7256205_01", "case_text": "A 49-years-old woman presented with alteration of her right foot shape, cracking sensation, and progressing difficulty while walking in the last six months. She never consulted any physicians about her right foot before. There was no history of trau...
PMC7256205
[ { "age": 0, "case_id": "PMC8428556_01", "case_text": "In the previous reports with other mydriatics, abdominal adverse effects have been reported. A 2-month-old girl had episodes of apnea, vomiting and distension after a screening for ROP with cyclopentolate 0.5% and phenylephrine 2.5%. Bonthala et al. ...
PMC8428556
[ { "age": null, "case_id": "PMC9432856_01", "case_text": "The animal in this report was a mixed-breed male dog, aged approximately 1 year and 6 months from Belford Roxo, Rio de Janeiro state. The dog was taken for veterinary assistance in a local clinic on May 4, 2021, due to a \"stiff neck,\" open mouth...
PMC9432856
[ { "age": 38, "case_id": "PMC7336214_01", "case_text": "A 38-year old man presented with dysarthria lasting for about one hour, two days after returning from holidays from the island of Corfu, where he had spent several days exposed to strong sunshine. The day after the presentation, the symptoms of dysa...
PMC7336214
[ { "age": 60, "case_id": "PMC6604042_01", "case_text": "In 2008, a 60-year-old Japanese man was first diagnosed with cT2N0M1 stage IV adenocarcinoma of the lung and multiple metastases including the brain and the 12th thoracic vertebra (Th12) (Fig. 1). Irradiation of the Th12 with a total dose of 45 Gy a...
PMC6604042
[ { "age": 24, "case_id": "PMC6949674_01", "case_text": "In July 2015, a 24-year-old woman was referred to our Department of Internal Medicine for a high fever (39 C) lasting 3 days, fatigue, myalgias, chills, and vomiting. She had been followed since 2008 for primary ITP, initially treated with oral pred...
PMC6949674
[ { "age": 40, "case_id": "PMC8639588_01", "case_text": "A 40-year-old woman with a history of asthma presented to the emergency department with severe upper abdominal pain. The patient's blood pressure was 155/115 mmHg, heart rate was 75 beats/min, and body temperature was 36.4 C. The patient had marked ...
PMC8639588
[ { "age": 34, "case_id": "PMC9946755_01", "case_text": "An active 34-year-old male presented with bilateral symptomatic medial OCD lesions. Body-mass index was 30 kg/m2 with genu varum, no muscular atrophy, and mild effusions bilaterally. Range of motion (ROM) was 0 of hyperextension, 0 extension, and ...
PMC9946755
[ { "age": 68, "case_id": "PMC10318351_01", "case_text": "A 68-year-old female patient was referred to our institution for AS. She has a past medical history of hypertension and hypothyroidism as well as a recent diagnosis of urothelial carcinoma. She is a chronic smoker with a 30-pack-year history. Routi...
PMC10318351
[ { "age": 74, "case_id": "PMC4802983_01", "case_text": "Our patient was a 74-year-old woman, without any particular pathological antecedents, presenting intermittent and badly systemized bilateral sciatica, along with weaknesses in both lower limbs, gradually progressing for 2 years. This symptomatology ...
PMC4802983
[ { "age": 83, "case_id": "PMC4007786_01", "case_text": "An 83-year-old male patient had a DDD pacemaker (Medtronic Kappa 733) implanted in 1995, because of complete atrioventricular (AV) block. Due to progressive heart failure, the pacemaker was upgraded in 2004 to an ICD with cardiac resynchronization t...
PMC4007786
[ { "age": 9, "case_id": "PMC8337056_01", "case_text": "A 9-year-old girl was admitted to Dongguan Children's Hospital 6 months ago due to breast development. Since the patient had no other obvious symptoms, we did some laboratory tests to help diagnose. A gonadotropin releasing hormone (GnRH) stimulation...
PMC8337056
[ { "age": 28, "case_id": "PMC7166055_01", "case_text": "Table 1 shows the main results extracted from the case series and case reports. A total of 521 cases of pregnant women with laboratory-confirmed brucellosis were reported in the included 27 publications. The median of sample size of these seven case...
PMC7166055
[ { "age": 59, "case_id": "PMC5818931_01", "case_text": "The patient was a 59-year-old male former smoker with a past medical history of stage 1-2/4 type I left sided renal cell carcinoma status after robotic partial nephrectomy, parathyroid adenoma status after resection, history of probable idiopathic t...
PMC5818931
[ { "age": 0, "case_id": "PMC8081048_01", "case_text": "A 2-month-old male infant was admitted to our hospital with a 1 month history of persistent white stools.\nThe meconium of the child was dark green. Three days later, his stool turned yellow. After that, the stool color gradually became white stool o...
PMC8081048
[ { "age": 31, "case_id": "PMC6743703_01", "case_text": "A 31-year-old male fell from a balcony approximately 40-50 feet height. On admission with a GCS score of 5, he was unable to move his extremities and had no rectal tone. A computed tomography (CT) scan of the cervical spine demonstrated bilateral lo...
PMC6743703
[ { "age": 25, "case_id": "PMC6345152_01", "case_text": "Diana (a pseudonym) is a young woman of 25 years old that reached the Eating Disorders Centre, Division of Endocrine and Metabolic Diseases, San Luca Hospital in Milan, following a dramatic weight loss. Diana reached the Centre with a BMI of 16.06 k...
PMC6345152
[ { "age": 27, "case_id": "PMC6167587_01", "case_text": "A 27-year-old male with underlying congenital hydrocephalus and paraplegia was admitted to the hospital due to infected sacral sore. He had a placement of a ventriculoperitoneal shunt when he was a child. Upon admission, he also complained of progre...
PMC6167587
[ { "age": 46, "case_id": "PMC6111644_01", "case_text": "A 46-year-old male patient presented to the dermatology outpatient department with 1-year history of sensory loss and paresthesia over bilateral lower legs. He was admitted and evaluated for Hansen's disease. On examination, there was no cutaneous l...
PMC6111644
[ { "age": 0, "case_id": "PMC8313121_01", "case_text": "To further investigate possible central nervous system abnormalities, when he was 8 months old, the boy underwent a brain Magnetic Resonance Imaging (MRI), which showed typical signs of hypoxic-ischemic encephalopathy, in association with a diffuse w...
PMC8313121
[ { "age": 11, "case_id": "PMC7527615_01", "case_text": "An 11-year-old male presented with gradual left breast enlargement for one year duration. Frequently he visited pediatricians and provisionally diagnosed as a case of gynecomastia with reassurance and observation. Past medical, surgical, family and ...
PMC7527615
[ { "age": 61, "case_id": "PMC9170507_01", "case_text": "A 61-year-old gentleman with no significant medical history presented with the three weeks history of intermittent epistaxis, nasal block, and loss of weight. Physical examination was unremarkable, and he did not have lymphadenopathy or hepatospleno...
PMC9170507
[ { "age": 54, "case_id": "PMC5320041_01", "case_text": "A 54-year-old Hispanic male presented to the clinic with chronic dyspepsia and uncontrolled reflux symptoms not responding to acid-suppression therapy with a proton pump inhibitor (PPI). His past history was remarkable for sleeve gastrectomy one yea...
PMC5320041