Acute acalculous cholecystitis complicated by infectious mononucleosis caused by cytomegalovirus
Key Clinical MessageWhen seeing patients who present with atypical lymphocytes and abdominal pain without accompanying symptoms of pharyngitis or lymphadenopathy, acalculous cholecystitis caused by CMV infection should be considered as a differential diagnosis.AbstractA teenage man presented with a fever and epigastric pain. The patient tested positive for cytomegalovirus IgG and IgM. Abdominal ultrasonography and contrast-enhanced CT revealed hepatosplenomegaly and gallbladder wall thickening. MRI did not identify gallstones or tumorous lesions. He was diagnosed with infectious mononucleosis and acalculous cholecystitis c...
Source: Clinical Case Reports - April 17, 2024 Category: General Medicine Authors: Noriko Ide, Risa Hirata, So Motomura, Masaki Tago Tags: CASE IMAGE Source Type: research

Cholecystocutaneous Fistula Secondary to Cholelithiasis: A Case Report
Acta Med Port. 2024 Apr 1;37(4):292-293. doi: 10.20344/amp.20726. Epub 2024 Apr 1.NO ABSTRACTPMID:38631054 | DOI:10.20344/amp.20726 (Source: Acta Medica Portuguesa)
Source: Acta Medica Portuguesa - April 17, 2024 Category: General Medicine Authors: Carutia Ara újo Soares M árcio Luís Duarte Marcelo de Queiroz Pereira da Silva Source Type: research

Beyond pulmonary embolism: Alternative diagnosis and incidental findings on CT pulmonary angiography in sickle cell disease
ConclusionThis study underscores the limited additional diagnostic yield of CTPA for identifying alternative diagnoses to PE in SCD patients, with the majority of diagnoses, such as pneumonia, already suggested by chest radiographs. The frequent incidental findings, most of which necessitate further evaluation, highlight the need for a cautious and tailored approach to using CTPA in the SCD population. (Source: Emergency Radiology)
Source: Emergency Radiology - April 15, 2024 Category: Emergency Medicine Source Type: research

A Rare Case of Benign Recurrent Intrahepatic Cholestasis Initially Diagnosed in Middle-age
CONCLUSION: The comprehensive diagnosis of a middle-aged male patient with BRIC-2, which involved extensive radiological, hematological, and genetic investigations, informed a tailored tapering prednisone regimen, highlighting the importance of personalized medicine in managing atypical presentations of this rare cholestatic disorder.PMID:38607191 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - April 12, 2024 Category: Complementary Medicine Authors: Fang Liu Wei Li Ming-Gang Zhang Zhen-Mei Song Xiao-di Wang Xiu-Hong Wang Shi-Yu Du Source Type: research

A Rare Case of Benign Recurrent Intrahepatic Cholestasis Initially Diagnosed in Middle-age
CONCLUSION: The comprehensive diagnosis of a middle-aged male patient with BRIC-2, which involved extensive radiological, hematological, and genetic investigations, informed a tailored tapering prednisone regimen, highlighting the importance of personalized medicine in managing atypical presentations of this rare cholestatic disorder.PMID:38607191 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - April 12, 2024 Category: Complementary Medicine Authors: Fang Liu Wei Li Ming-Gang Zhang Zhen-Mei Song Xiao-di Wang Xiu-Hong Wang Shi-Yu Du Source Type: research

A Rare Case of Benign Recurrent Intrahepatic Cholestasis Initially Diagnosed in Middle-age
CONCLUSION: The comprehensive diagnosis of a middle-aged male patient with BRIC-2, which involved extensive radiological, hematological, and genetic investigations, informed a tailored tapering prednisone regimen, highlighting the importance of personalized medicine in managing atypical presentations of this rare cholestatic disorder.PMID:38607191 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - April 12, 2024 Category: Complementary Medicine Authors: Fang Liu Wei Li Ming-Gang Zhang Zhen-Mei Song Xiao-di Wang Xiu-Hong Wang Shi-Yu Du Source Type: research

Long-term safety of lanthanum carbonate in the real word: a 19-year disproportionality analysis from the FDA Adverse Event Reporting System
CONCLUSIONS: This study affirms lanthanum carbonate's long-term safety for reducing elevated blood phosphorus levels. While gastrointestinal disorders were common, attention must focus on emerging AEs, particularly stress, especially in elderly patients.PMID:38602862 | DOI:10.1080/14740338.2024.2343014 (Source: Expert Opinion on Drug Safety)
Source: Expert Opinion on Drug Safety - April 11, 2024 Category: Drugs & Pharmacology Authors: Mengjia Ying Jian Shi Yahao Ling Tao Shi Lele Liao Linhui Cao Source Type: research

Long-term safety of lanthanum carbonate in the real word: a 19-year disproportionality analysis from the FDA Adverse Event Reporting System
CONCLUSIONS: This study affirms lanthanum carbonate's long-term safety for reducing elevated blood phosphorus levels. While gastrointestinal disorders were common, attention must focus on emerging AEs, particularly stress, especially in elderly patients.PMID:38602862 | DOI:10.1080/14740338.2024.2343014 (Source: Expert Opinion on Drug Safety)
Source: Expert Opinion on Drug Safety - April 11, 2024 Category: Drugs & Pharmacology Authors: Mengjia Ying Jian Shi Yahao Ling Tao Shi Lele Liao Linhui Cao Source Type: research

Cohort profile: the PERSIAN Dena Cohort Study (PDCS) of non-communicable diseases in Southwest Iran
This study conducted in Dena County is a population-based cohort study as part of the Prospective Epidemiological Research Studies in Iran (PERSIAN). The specific objectives of this study were to estimate the prevalence of region-specific modifiable risk factors and their associations with the incidence of major non-communicable diseases (NCDs). Participants This PERSIAN Dena Cohort Study (PDCS) was conducted on 1561 men and 2069 women aged 35–70 years from October 2016 in Dena County, Kohgiluyeh and Boyer-Ahmad Province, Southwest Iran. The overall participation rate was 82.7%. Findings to date Out of 3630 partici...
Source: BMJ Open - April 10, 2024 Category: General Medicine Authors: Harooni, J., Joukar, F., Goujani, R., Sikaroudi, M. K., Hatami, A., Zolghadrpour, M.-A., Hejazi, M., Karimi, Z., Rahmanpour, F., Askari Shahid, S., Jowshan, M.-R. Tags: Open access, Epidemiology Source Type: research

The association between trajectory of serum cholesterol, statin dosage, and the risk of recurrent biliary stone diseases
CONCLUSION: This study supports the potential benefits of statin use and the role of cholecystectomy in reducing the risk of recurrent biliary stone diseases.PMID:38589275 | DOI:10.1016/j.jfma.2024.04.003 (Source: J Formos Med Assoc)
Source: J Formos Med Assoc - April 8, 2024 Category: General Medicine Authors: Fai-Meng Sou Chien-Ning Hsu Yi-Chun Chiu Cheng-Kun Wu Lung-Sheng Lu Chung-Mou Kuo Shao-Ming Chiu Seng-Kee Chuah Yao-Hsu Yang Chih-Ming Liang Source Type: research

The association between trajectory of serum cholesterol, statin dosage, and the risk of recurrent biliary stone diseases
CONCLUSION: This study supports the potential benefits of statin use and the role of cholecystectomy in reducing the risk of recurrent biliary stone diseases.PMID:38589275 | DOI:10.1016/j.jfma.2024.04.003 (Source: J Formos Med Assoc)
Source: J Formos Med Assoc - April 8, 2024 Category: General Medicine Authors: Fai-Meng Sou Chien-Ning Hsu Yi-Chun Chiu Cheng-Kun Wu Lung-Sheng Lu Chung-Mou Kuo Shao-Ming Chiu Seng-Kee Chuah Yao-Hsu Yang Chih-Ming Liang Source Type: research

Treatment Outcomes of Incidental Gallbladder Cancer – Results from a High-Volume Tertiary Care Centre in North India
We present the institutional experience of a high-volume tertiary care center in northern India.  Retrospective analysis of a prospectively maintained database was performed and data of all IGBC patients between January 2014 to December 2021 was analyzed. There were 125 patients of IGBC among the 750 patients of GBC seen during the study period. Of these 125 patients, 72 (57.6%) patients were not eligible for surgery. Successful completion radical cholecystectomy (CRC) was possible in 37 (69.8%) of the 53 patients who underwent surgery. On univariate analysis, thickness of gallbladder wall 10 mm or more (p <  0.0...
Source: Indian Journal of Surgical Oncology - April 8, 2024 Category: Cancer & Oncology Source Type: research