An 88-year-old man presented to the hospital with a 2-day history of fever and vomiting. He had developed emphysematous cholecystitis…
Cognitive function among elderly survivors prenatally exposed to atomic bombings
A cohort of children prenatally exposed to the 1945 atomic bombings in Japan revealed harmful effects of ionizing radiation in…
A Case of Pyoderma Gangrenosum of Head and Neck Mimicking Purulent Cellulitis
Pyoderma gangrenosum is a rare non-infectious, ulcerative dermatologic disorder often associated with inflammatory bowel disease. Classically, lesions begin as tender…
Recurrent left lower abdominal pain due to spontaneous resolving appendicitis
In August 2018, a 30-year-old Japanese man was referred for recurrent left lower abdominal pain that occurred once every six…
Adverse psychiatric effects of drugs for other disorders
Psychiatric adverse drug reactions (ADRs) have been reported with a diverse range of medicines used to treat physical illness. Whereas…
Syndrome of inappropriate secretion of antidiuretic hormone after endoscopic procedure
Hyponatremia is a possible complication secondary to major surgeries, occurring in approximately 4% of the patients.1 The mechanism of the…
Reappraisal: Premature Graying of Hair
A 53-year-old man without remarkable medical or surgical history was evaluated for acute progressive macrocytic anemia (hemoglobin: 8.7 g/dL decreased…
Catheter-Directed Therapy: Outcomes vs Standard of Care and Evaluation of Current Practice
Small studies have noted benefit with use of catheter-directed therapy (CDT) versus standard of care in treatment of pulmonary embolism,…
Starry Sky In Disseminated Tuberculosis
A 31 years-old male had fever, cough, and lymphadenopathy 11 months ago. He had close contact with his uncle, who…
Multiple gastric ulcers and lymphadenopathy
A 61-year-old man initially presented to the emergency department for neck swelling of 10 days with findings of a firm…