Medicine
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Case Reports
Obstructive bronchitis and recurrent pneumonia in esophageal achalasia in a child: A CARE compliant case report.
Esophageal achalasia is characterized by impaired relaxation of the cardia and dilation of the intrathoracic part of the esophagus. We describe the late presentation of achalasia in an 11-year old girl. ⋯ Late presentation of achalasia in children can mimic respiratory and gastrointestinal diseases. Laparoscopic Heller myotomy combined with Dor fundoplication is feasible and advisable in children suffering from achalasia of the cardia.
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Case Reports
Transient ischemic attack characterized by external strabismus of the left eye: A case report.
Patients rarely display eye movement dysfunctions as the primary symptom in transient ischemic attack. ⋯ Atypical symptoms of transient ischemic attack are easy to be overlooked. Early diagnosis and timely treatments are keys to reverse the neurological symptoms and can be highly beneficial for patients with this condition.
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Case Reports
Unusual location of the glomus tumour in the liver: A case report and literature review.
Liver glomus tumor is very rare, and only 6 cases have been reported. Herein, we report another case of liver glomus tumor and the clinicopathological features are summarized. ⋯ Primary liver glomus tumor has no specific clinical manifestations, and imaging examinations have limitations for its diagnosis. Immunostaining for SMA and vimentin is necessary to prove the diagnosis. Complete resection is strongly advised and it has a favorable prognosis.
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Case Reports
Continuous radiofrequency thermocoagulation under CT-guidance for glossopharyngeal neuralgia: Two case reports.
Glosssopharyngeal neuralgia (GPN) is a painful syndrome characterized by paroxysmal neuropathic pain in the pharynx, tonsil, posterior base of tongue, inner ear, and mandibular angle. The traditional therapies of GPN, including medication and surgical operation, are not always effective in pain controlling. Radiofrequency therapy is a minimally interventional technique to provide analgesia in chronic pain. ⋯ The CRF thermocoagulation produced no complications or side effects in the two cases, and was proved effective in the treatment of GPN.
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Comparative Study Observational Study
Detection of common diarrhea-causing pathogens in Northern Taiwan by multiplex polymerase chain reaction.
Conventional methods for identifying gastroenteritis pathogens are time consuming, more likely to result in a false-negative, rely on personnel with diagnostic expertise, and are dependent on the specimen status. Alternatively, molecular diagnostic methods permit the rapid, simultaneous detection of multiple pathogens with high sensitivity and specificity. The present study compared conventional methods with the Luminex xTAG Gastrointestinal Pathogen Panel (xTAG GPP) for the diagnosis of infectious gastroenteritis in northern Taiwan. ⋯ Of which, 82.6% were from pediatric patients. Because the detection rates using multiplex PCR are higher than conventional methods, and some pediatric pathogens could only be detected by multiplex PCR, this approach may be useful in rapidly diagnosing diarrheal disease in children and facilitating treatment initiation. Further studies are necessary to determine if multiplex PCR improves patient outcomes and reduces costs.