Case Studies

Forceful Sneeze Leads to Rare, but Serious Injury

By January 17, 2018

The man explained how he suppressed a sneeze by pinching his nostrils and keeping his mouth closed, and then felt a popping sensation in his neck.

Treating a Common Extraintestinal Manifestation of Inflammatory Bowel Disease

January 05, 2018

Mr. C, a 30-year-old male with Crohn's disease, presented to his clinician with symptoms of fatigue, lethargy, headaches, pallor, hair loss, irritability, and weakness.

Iron Deficiency Treatment in a Heart Failure Patient

December 11, 2017

A women with a 30-year history of hypertension, hyperlipidemia and an 8-year history of systolic dysfunction is hospitalized for congestion following a 5-day river cruise.

Daily Consumption of 'Cancer Preventative' Leads to Cyanide Poisoning

By September 13, 2017

The patient admitted to taking 2 teaspoons of self-prepared apricot kernel extract along with 3 tablets of Novodalin, an herbal fruit kernel supplement, every day for the past 5 years.

Withdrawal Syndrome Following Online Purchase of 'Cognitive Enhancer'

By August 14, 2017

He was able to find an online health store that sold tianeptine and over three months continued to use the drug, increasing the dose on stressful days. During this time, he also began to experience withdrawal symptoms.

Demystifying Conversion Disorder: A Guide for Primary Care Clinicians

By July 26, 2017

Assessing conversion disorder and distinguishing it from other conditions can be challenging.

Severe, Monthly Hypertensive Episodes in a Female Patient

By June 26, 2017

The patient was a 32-year-old nulliparous white female who reported a 5-year history of severe hypertension, hypokalemia, and resultant systolic dysfunction.

Patient Experiences Severe Paralysis After Trigger-Point Injection Therapy

By June 22, 2017

Initially, the patient experienced no complications. But approximately 12 hours following therapy, he awoke with shortness of breath and functional quadriplegia.

Insulin Autoimmune Syndrome Treated with Rituximab

May 05, 2017

Following treatment with rituximab, decreases seen in total insulin, anti-insulin antibody concentration

Propofol Use Linked to Rare Case of Fatal Pancreatitis

April 26, 2017

57-year-old woman developed severe abdominal pain with nausea, vomiting after thyroidectomy

Clindamycin Linked to Rare Dermatologic Side Effect

April 21, 2017

The patient presented with a swollen tongue and dysphagia.

Refractory Ulcerative Colitis in a Patient with NSAID Hypersensitivity

By March 22, 2017

The patient, a 33-year old woman with a history of drug hypersensitivity to NSAIDs and aspirin, presented for management of her chronic UC with mesalamine.

Genetic Testing Abused by Patient with Factitious Disorder

By March 08, 2017

The patient presented with complaints of increased muscle tone in her back muscles and the right side of her body starting in adolescence.

Pain Drug Linked to Rebound Hypoglycemia in a Patient with Type 1 Diabetes

By December 07, 2016

The patient became severely hypoglycemic within 10 to 12 hours after taking the pain drug.

UTI Treatment Leads to Fatal Drug Interaction in a Schizophrenia Patient

By November 23, 2016

This case is the first to describe a fatal outcome with such an interaction.

Clinician's Hypertensive Crises May Have an Occupational Link

By November 09, 2016

Over a period of three weeks, the patient was hospitalized seven times with BP values reaching over 230/130 mmHg.

Nonadherence Leads to Drug-Induced Myopathy in an MI Patient

By November 02, 2016

Studies show that while statin-induced rhabdomyolysis is considered rare, certain factors may increase the chances for its occurrence.

Chronic Lyme Diagnosis Leads to Potentially Fatal Drug Reaction

By October 26, 2016

Perhaps the most important factor is the inadequate recognition of the functional somatic syndromes often mislabeled, and mistreated, as chronic Lyme.

Treatment of UTI Leads to Fatal Hepatotoxicity

By October 19, 2016

This antibiotic class is rarely linked to liver injury.

Spicy Situation: Ghost Pepper Ingestion Leads to Potentially Life-Threatening Condition

By October 05, 2016

Fueled by social media, food challenges have become a trendy new fad, that in some cases, can go from fun to fatal very quickly.

20-Year HCV Infection Cured After Multiple Treatment Failures

By September 28, 2016

Genotypic resistance testing was conducted after the patient failed her fourth regimen.

Treatment Insight After a Great White Bite

By September 14, 2016

One potentially lethal pathogen to consider when making a treatment decision is Vibrio vulnificus.

Drug-Induced Acute Pancreatitis in a Patient with Low Back Pain

By September 08, 2016

Drug-induced acute pancreatitis has been reported as a possible side effect of more than 160 drugs.

Patient's Allergy Medicine Linked to "Perplexing" Side Effect

By September 07, 2016

While rare, physicians should be aware of the potentially life-threatening side effect.

Rare, Drug-Induced Hypersexuality, Galactorrhea Prompt Therapy Switch in Depressed Patient

By August 31, 2016

The patient, a 32-year-old woman, had a history of depression and panic attacks which began after the birth of her first child.

Intractable Generalized Pain Following Vaccination

By August 24, 2016

Physical examination showed significant allodynia of patient's right scapula and reduced pinprick sensation in her feet.

Synthetic Drug Causes Prolonged Psychosis in Patient

By August 17, 2016

While most will respond to treatment, there are those that may never return back to baseline.

Patient's Med Goes from Therapeutic to Toxic After Bariatric Surgery

By August 10, 2016

Careful monitoring and perhaps dose reductions may be necessary for patients during the pre- and postoperative period.

Patient's Prescription Medication Becomes the Focus of Intense Airport Scrutiny

By August 05, 2016

A cancer patient underwent intense scrutiny at the airport for carrying a prescribed bottle of ammonium lactate 12% cream.

Loop Diuretic Linked to Angle-Closure Glaucoma in Pregnant Patient

By August 03, 2016

This case is the first to reveal an association between this loop diuretic and bilateral angle-closure glaucoma.