Annals of Internal Medicine: Clinical Cases

A new video case study shows a triple flexion reflex caused by a plasma cell tumor infiltrating the spinal canal in an 83-year-old man. Watch the video for free here: bit.ly/4f2Bidz @AHAScience #AHAJournals

A case of rothia-associated meningitis in a patient with HIV underscores the importance of recognizing the pathogenic potential of atypical pathogens and diverse clinical presentations of meningitis in immunocompromised patients. bit.ly/4faFb0b

A 62-year-old man who developed fever, seizures, and encephalopathy was ultimately diagnosed with pott puffy tumor (PPT), making him both the oldest adult documented with this condition and the first adult documented to present with seizures, to the authors' knowledge. Full case…

A case report details the diagnosis of mucocutaneous leishmaniasis, a progressive manifestation of a parasitic infection by Leishmania spp. bit.ly/4m7zv9d @AHAScience #AHAJournals

Case report highlights nonimmune and hypoproliferative hemolysis due to intramedullary phagocytosis as a rare manifestation of vitamin B12 deficiency. Full text is available for free at bit.ly/4eXA96N

A new image case study describes two cases of insulin lipohypertrophies (LH) in both a Hispanic man and an African American man with long-standing type 1 diabetes mellitus. As LH is underdiagnosed in minority groups, the report emphasizes why culturally competent strategies are…

NEW: A case report describes eosinophilic pustular folliculitis in a 60-year-old woman with long-standing, well-controlled #HIV receiving antiretrovirals. This report highlights the unique issues and presentations with immune dysregulation in patients with long-standing,…

A case report details the clinical presentation, laboratory and imaging findings, and the management of Rocky Mountain spotted fever-induced myocarditis in a previously healthy 23-year-old man to raise awareness among practitioners on the importance of its prompt recognition and…

A case report describes a 65-year-old woman with amyopathic dermatomyositis (DM) with the presence of the small ubiquitin-like modifier activation enzyme 1 autoantibody presenting with severe, debilitating periorbital edema. bit.ly/3GMHzND @AHAScience #AHAJournals

Case report highlights the importance of a multimodality and multidisciplinary approach in clinical management of a rare primary cardiac tumor. Read full text for free at bit.ly/4llWKwd @AHAScience #AHAJournals

Researchers present a rare case of active or recent venous prepontine “spot sign” extravasation of a 59-year-old man. Full text is freely available at bit.ly/46x3mn2 @AHAScience #AHAJournals

A case report describes what is believed to be the fifth confirmed instance of Ignatzschineria larvae bacteremia in the United States. This case of a 77-year-old man from western Iowa without any known risk factors for myiatic infection highlights the rarity of I larvae…

Online now: Concurrent Presentation of Posterior Reversible Encephalopathy Syndrome and Spontaneous Coronary Artery Dissection in a Postpartum Patient Without Traditional Risk Factors. Read full text for free at bit.ly/4kvlHnX

A new case report describes the rare occurrence of cerebral venous sinus thrombosis (CVST) in the setting of diabetic ketoacidosis (DKA). This case sheds light on possible pathophysiologic links and mechanisms that can explain the occurrence of CVST in patients with DKA.…

A case report from @UKYneuroscience details an interesting case in which the MRI brain imaging demonstrated a left temporal intracerebral hemorrhage with no underlying mass and no evidence suggestive of amyloid angiopathy. bit.ly/3GsYX9Z @UKYMedicine @UK_HealthCare…

Systemic Sclerosis With Central Nervous System Vasculitis: A Rare and Challenging Diagnosis and Review of the Literature. Read full text for free at bit.ly/4exlq2u

Online now: A 57-year-old man who presented with intermittent abdominal pain was found to have an abdominal mass were consistent with paraganglioma. This case report highlights the application of transcatheter arterial chemoembolization as an approach for the management of…

Findings from a new case report suggest that identifying acute #HIV infection as a trigger for secondary hemophagocytic lymphohistiocytosis is crucial for enabling prompt initiation of therapy, potentially preventing fatal outcomes. Read full text for free at…

A new case series describes 4 female patients with thyroid lymphoma and emphasizes the complementary roles of imaging and pathology in diagnosis. bit.ly/3I4rFP3 @hospitalHCFMUSP

A Case Report of Anti–3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Immune-Mediated Necrotizing Myopathy bit.ly/3TIm3wk @UAZMedTucson @UofUMedicine @AHAScience #AHAJournals