Cureus Journal of Medical Science

Cureus Journal of Medical Science The Open Access medical journal for a new generation of doctors, researchers and patients. Cureus currently recognizes the following medical specialties.
(1)

Don’t see your specialty listed? Contact us at support@cureus.com. A
Allergy and Immunology
Anatomy
Anesthesiology
C
Cardiac/Thoracic/Vascular Surgery
Cardiology
Critical Care
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Dentistry
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E
Emergency Medicine
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F
Family Medicine
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G
Gastroenterology
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H
Health Policy
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I
Infectious Disease
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M
Medical Education and Simulation
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Nephrology
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O
Obstetrics and Gynecology
Occupational Health
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P
Pain Management
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Physical Medicine and Rehabilitation
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Podiatry
Preventive Medicine
Psychiatry
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Pulmonology
R
Radiation Oncology
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S
Substance Use and Addiction
Surgery
T
Therapeutics
Trauma
U
Urology

This case says yes.A patient treated for C. difficile developed a progressive ANC drop after switching to oral vancomyci...
02/21/2026

This case says yes.

A patient treated for C. difficile developed a progressive ANC drop after switching to oral vancomycin solution:
Other causes excluded
Colonoscopy showed inflamed mucosa → ↑ systemic absorption
ANC recovered after switching to fidaxomicin

Takeaway: Oral ≠ risk-free, especially with inflamed gut mucosa.

Clinicians: Would you routinely monitor CBCs in patients on oral vancomycin?
Yes / No...why?

Read more here: https://hubs.la/Q0438j-X0

This case shows severe AKI requiring dialysis:Normal CPKNegative urine myoglobinDiagnosis confirmed only on kidney biops...
02/20/2026

This case shows severe AKI requiring dialysis:
Normal CPK
Negative urine myoglobin
Diagnosis confirmed only on kidney biopsy

The clue? Severe myalgias after influenza vaccination, one month earlier.
Takeaway: Rhabdomyolysis-related AKI can present late, after labs normalize.

Clinicians: Would you still consider rhabdo if CPK + urine myoglobin are negative?
Yes / No...why?

Read more here: https://hubs.la/Q0438dHk0

02/19/2026

Not every valuable case is rare. Many are simply well explained.

In this Author Spotlight, Dr. Masaki Shigenori, surgeon and gastroenterologist in Sapporo, Japan, shares why he chose Cureus for fast review, constructive feedback, and the opportunity to publish educational clinical cases with global reach.

Learn more about contributing here:
https://hubs.la/Q043D4Nn0

This review looked at vitamin E, vitamin C, and selenium across clinical trials:Some studies show ↓ oxidative stressSome...
02/18/2026

This review looked at vitamin E, vitamin C, and selenium across clinical trials:
Some studies show ↓ oxidative stress
Some show modest glycemic or neuropathy benefit
Results remain inconsistent across populations

Takeaway: Antioxidants aren’t one-size-fits-all, personalization matters.

Clinicians: Do you recommend targeted antioxidant supplements, or stick to diet-first strategies? Comment “Supplements” or “Diet”...and why?

Read more here: https://hubs.la/Q0438c4n0

02/18/2026

Weight-loss injections are common.
Boerhaave’s syndrome is rare.
This case links the two. 👀

After uncontrolled vomiting from a GLP-1/GIP agonist, imaging showed:
pneumothorax
pneumomediastinum
contained oesophageal perforation

Takeaway: Not all “GI side effects” are minor.

💬 Would this change how you counsel patients starting GLP-1 therapies?

Read the full case here: https://hubs.ly/Q043xvXP0

In this case:PVC burden dropped early after epipharyngeal abrasive therapy (EAT)Brain fog + fatigue improved laterPatien...
02/16/2026

In this case:
PVC burden dropped early after epipharyngeal abrasive therapy (EAT)
Brain fog + fatigue improved later
Patient eventually returned to work, without medication

Takeaway: Peripheral autonomic symptoms may recover before central autonomic dysfunction.

Clinicians: Does this timing support a stepwise autonomic recovery model in Long COVID?
Yes / No...why?

Read more here: https://hubs.la/Q04387CZ0

Musculoskeletal disorders remain one of the leading causes of long-term disability worldwide, despite guideline-based ca...
02/16/2026

Musculoskeletal disorders remain one of the leading causes of long-term disability worldwide, despite guideline-based care.

This review highlights:
Hotel workers as a high-risk group for MSDs
Major research gaps between healthcare, architecture, and hospitality
The emerging role of healthy building design in prevention & recovery

Takeaway: Treating pain isn’t enough if the environment keeps causing it.

Your take: Should MSD prevention start with workplace design, not just therapy?
Yes / No...why?

Read more here: https://hubs.la/Q043837w0

02/15/2026

Can a parasite cause fainting and poor school performance in a child?

A 12-year-old girl presented with:
• fainting episodes
• cognitive decline
• no meat consumption

CT imaging revealed neurocysticercosis, a frontal lobe cyst with a visible scolex.

Takeaway: Neurocysticercosis doesn’t always present with seizures first.
Sometimes, cognition is the clue.

Would you consider parasitic CNS infection in a child with unexplained academic decline?
Yes / No. What would trigger you to test?

Read more here: https://hubs.la/Q042Bs610

A deeply embedded sea urchin spine in the foot was left in place. The patient became asymptomatic within weeks.Eight yea...
02/13/2026

A deeply embedded sea urchin spine in the foot was left in place. The patient became asymptomatic within weeks.

Eight years later:
One fragment disappeared
The main spine fragment was still clearly visible on X-ray
No migration, no inflammation, no symptoms

Takeaway: Not all retained foreign bodies behave the way we assume.
If a patient is asymptomatic, would you still recommend removal, or observe?

Read more here: https://hubs.la/Q041TCQ70

Do SGLT2 inhibitors actually raise LDL… or is that a myth? 🤔💊This systematic review found:• LDL-C: largely neutral• HDL-...
02/12/2026

Do SGLT2 inhibitors actually raise LDL… or is that a myth? 🤔💊

This systematic review found:
• LDL-C: largely neutral
• HDL-C & triglycerides: modestly favorable in some studies
• Advanced lipid changes? Inconsistent + underreported

Takeaway: On standard lipid panels, SGLT2 inhibitors look neutral to mildly beneficial — not harmful.

Do lipid changes ever influence your decision to start an SGLT2 inhibitor?
Yes / No. Why?

Read the full study here: https://hubs.la/Q042Bqgn0

After fixation for a clavicle nonunion, this patient developed upper-limb numbness and weakness 12 days later.Symptoms w...
02/11/2026

After fixation for a clavicle nonunion, this patient developed upper-limb numbness and weakness 12 days later.
Symptoms worsened after a second surgery.

Initially labeled Parsonage-Turner syndrome, but long term follow up suggests nerve traction injury was the true cause.

Takeaway: Timing alone can mislead diagnosis, and change management.
In delayed postoperative deficits, what weighs more for you, timing or mechanism?

Read more here: https://hubs.la/Q041TrjJ0

From Fish to Humans: A Rare UTI PathogenLactococcus garvieae, once known for infecting fish, has now surfaced as a rare ...
02/11/2026

From Fish to Humans: A Rare UTI Pathogen

Lactococcus garvieae, once known for infecting fish, has now surfaced as a rare cause of UTIs in humans. A 75-year-old male with pyohydronephrosis was diagnosed with an L. garvieae infection and successfully treated with IV ampicillin/sulbactam followed by oral linezolid. This case adds to the growing literature on uncommon uropathogens, underlining the importance of accurate diagnosis and tailored antibiotic therapy.

Read more: https://hubs.la/Q042BnSt0

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