Insulinoma in a Young Patient With Focal Seizures: A Case Report of a Neurological Diagnostic Challenge. [PDF]
ABSTRACT Insulinomas can mimic refractory epilepsy, leading to diagnostic delays. Hypoglycemia should be ruled out in patients with fasting‐associated focal seizures. Timely diagnosis via Whipple's triad and surgical resection offers a complete cure and reversal of neuropsychiatric symptoms.
Valerio López M +5 more
europepmc +2 more sources
Tracheobronchial Aspergillosis Mimicking Pseudotumoral Lesions in a Rare Presentation of a Known Disease. [PDF]
Bronchoscopic view showing an obstructive tumor‐like lesion arising from the right main bronchus, consistent with tracheobronchial aspergillosis. ABSTRACT Tracheobronchial aspergillosis (TBA) is an uncommon form of invasive Aspergillus infection that can closely mimic endobronchial malignancy, particularly when presenting as an obstructive ...
Castillo Gamboa C +3 more
europepmc +2 more sources
First Case of Primary Breast Melanoma in Central America: Case Report and Literature Review. [PDF]
ABSTRACT Primary breast melanoma is an exceedingly rare neoplasm, accounting for < 0.5% of all malignant breast tumors. Its scarcity and highly variable clinical presentation often delay diagnosis and complicate management. We report the case of a 55‐year‐old woman with a primary non‐cutaneous melanoma of the right breast initially misdiagnosed as high‐
García-Urbina A +3 more
europepmc +2 more sources
Lemierre's Syndrome Caused by <i>Klebsiella pneumoniae</i>: Case Report and Review of the Literature. [PDF]
Axial contrast‐enhanced chest CT demonstrating multiple peripheral cavitary nodules and consolidations, predominantly in the right lower lobe, consistent with septic pulmonary emboli (arrows). ABSTRACT Klebsiella pneumoniae is an uncommon but increasingly recognized cause of Lemierre's syndrome, a condition classically associated with Fusobacterium ...
Guerrero AA, Rosales EP.
europepmc +2 more sources
Pediatric burden and seasonality of human metapneumovirus over 5 years in Managua, Nicaragua
Human metapneumovirus (hMPV) is an important cause of pediatric respiratory infection. We leveraged the Nicaraguan Pediatric Influenza Cohort Study (NPICS) to assess the burden and seasonality of symptomatic hMPV infection in children.
K. Hacker +12 more
semanticscholar +1 more source
Frontal Tuberculoma Presenting With Atypical Foster Kennedy Syndrome in a Pregnant Patient. [PDF]
ABSTRACT Foster Kennedy syndrome (FKS), accounting for 1%–2.5% of intracranial masses, typically arises in the frontal lobe and may result from various etiologies, including rare causes such as tuberculoma. Although the incidence of central nervous system (CNS) tuberculosis is increasing, published reports in this setting remain scarce.
Aviles-Largaespada K +4 more
europepmc +2 more sources
Homotypic protection against influenza in a pediatric cohort in Managua, Nicaragua
The period of protection from repeat infection following symptomatic influenza is not well established due to limited availability of longitudinal data. Using data from a pediatric cohort in Managua, Nicaragua, we examine the effects of natural influenza
Steph Wraith +14 more
semanticscholar +1 more source
Epidemiologic Features of Acute Pediatric Diarrhea in Managua, Nicaragua, from 2011 to 2019
. Diarrhea remains a leading cause of death in children in developing countries, including Nicaragua, but little is known about patterns of diarrhea occurrence in Central America over long periods of time.
J. V. Zambrana +9 more
semanticscholar +1 more source
En este estudio se pretende dar los primeros pasos para cuantificar la contaminación lumínica como consecuencia de la iluminación artificial en el occidente de la ciudad de Managua, Nicaragua.
Humberto A. Garcia Montano +2 more
doaj +1 more source
Paradoxical Insomnia Versus Atypical Obstructive Sleep Apnea or Mixed Disorder? Case Report and Literature Review. [PDF]
ABSTRACT Paradoxical insomnia remains an underdiagnosed condition due to its subjective nature and diagnostic challenges. Clinicians should suspect it in patients with severe sleep complaints but minimal daytime impairment, particularly those resistant to multiple treatments.
Haslam AX +3 more
europepmc +2 more sources

