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Unusual clinical course

#939680

29 Jul 2023 : Case report  USA

Botulinum Toxin as an Adjunctive Therapy for Immobilization of a Distal Humerus Fracture in Parkinson’s Disease-Associated Psychosis: A Case Report

Justin Lapow, Jacob Hirth, Avinesh Agarwalla, David S. Wellman ORCID logo

DOI: 10.12659/AJCR.939680

Am J Case Rep 2023; 24:e939680

1,383 76 0

#939680

29 Jul 2023 : Case report  USA

Botulinum Toxin as an Adjunctive Therapy for Immobilization of a Distal Humerus Fracture in Parkinson’s Disease-Associated Psychosis: A Case Report

Justin Lapow, Jacob Hirth, Avinesh Agarwalla, David S. Wellman ORCID logo

DOI: 10.12659/AJCR.939680

Am J Case Rep 2023; 24:e939680

1383 76 0

#939824

28 Jul 2023 : Case report  Colombia

Enhancing Body Balance and Performance in Elite Archery Athletes: The Impact of Atlasprofilax Intervention on Suboccipital Myofascia

Lluis Manent ORCID logo, Ricardo Antonio Henrique da Fonseca, Orlando Angulo ORCID logo

DOI: 10.12659/AJCR.939824

Am J Case Rep 2023; 24:e939824

1,809 89 0

#939824

28 Jul 2023 : Case report  Colombia

Enhancing Body Balance and Performance in Elite Archery Athletes: The Impact of Atlasprofilax Intervention on Suboccipital Myofascia

Lluis Manent ORCID logo, Ricardo Antonio Henrique da Fonseca, Orlando Angulo ORCID logo

DOI: 10.12659/AJCR.939824

Am J Case Rep 2023; 24:e939824

1809 89 0

#940391

26 Jul 2023 : Case report  China (mainland)

Recurrent Syncope Episodes during Spinal Anesthesia for Perianal Abscess Drainage: A Case Report Emphasizing Pain as a Trigger

Junyang Ma, Xiaoxia Tian, Liqin Deng ORCID logo

DOI: 10.12659/AJCR.940391

Am J Case Rep 2023; 24:e940391

1,253 68 0

#940391

26 Jul 2023 : Case report  China (mainland)

Recurrent Syncope Episodes during Spinal Anesthesia for Perianal Abscess Drainage: A Case Report Emphasizing Pain as a Trigger

Junyang Ma, Xiaoxia Tian, Liqin Deng ORCID logo

DOI: 10.12659/AJCR.940391

Am J Case Rep 2023; 24:e940391

1253 68 0

#939330

25 Jul 2023 : Case report  Japan

A 41-Year-Old Woman with Spontaneous Hemoperitoneum in Pregnancy at 28 Weeks

Masato Kato, Yumiko Miyazaki, Hiroshi Kawamura, Makoto Orisaka, Tetsuji Kurokawa, Yoshio Yoshida

DOI: 10.12659/AJCR.939330

Am J Case Rep 2023; 24:e939330

1,490 109 0

#939330

25 Jul 2023 : Case report  Japan

A 41-Year-Old Woman with Spontaneous Hemoperitoneum in Pregnancy at 28 Weeks

Masato Kato, Yumiko Miyazaki, Hiroshi Kawamura, Makoto Orisaka, Tetsuji Kurokawa, Yoshio Yoshida

DOI: 10.12659/AJCR.939330

Am J Case Rep 2023; 24:e939330

1490 109 0

#940770

19 Jul 2023 : Case report  USA

Unusual Presentation of Pediatric Scurvy: A Necrotic Gastrostomy Tube Site in a 14-Year-Old Boy

Nicholas R. Zessis ORCID logo, Sarah W. Peters, Jonathan D. Samet, Simon Parzen-Johnson, Laura T. Russo, Waheeda Samady, Rebecca Stephen

DOI: 10.12659/AJCR.940770

Am J Case Rep 2023; 24:e940770

1,841 91 0

#940770

19 Jul 2023 : Case report  USA

Unusual Presentation of Pediatric Scurvy: A Necrotic Gastrostomy Tube Site in a 14-Year-Old Boy

Nicholas R. Zessis ORCID logo, Sarah W. Peters, Jonathan D. Samet, Simon Parzen-Johnson, Laura T. Russo, Waheeda Samady, Rebecca Stephen

DOI: 10.12659/AJCR.940770

Am J Case Rep 2023; 24:e940770

1841 91 0

#940437

16 Jul 2023 : Case report  USA

Using IV-Tubing “Bridge” from Splenic Artery to Superior Mesentery Artery to Create a Single Arterial Cannulation for Normothermic Machine Perfusion When Donor Liver Has Replaced Right Hepatic Artery

Shi-Feng Li, Jeffery B. Nave, Clint Hostetler, Harvey Solomon, Ashley Milam, Ronald A. Squires, Jeffrey P. Orlowski

DOI: 10.12659/AJCR.940437

Am J Case Rep 2023; 24:e940437

3,147 428 0

#940437

16 Jul 2023 : Case report  USA

Using IV-Tubing “Bridge” from Splenic Artery to Superior Mesentery Artery to Create a Single Arterial Cannulation for Normothermic Machine Perfusion When Donor Liver Has Replaced Right Hepatic Artery

Shi-Feng Li, Jeffery B. Nave, Clint Hostetler, Harvey Solomon, Ashley Milam, Ronald A. Squires, Jeffrey P. Orlowski

DOI: 10.12659/AJCR.940437

Am J Case Rep 2023; 24:e940437

3147 428 0

#939793

13 Jul 2023 : Case report  Japan

Navigating Complex Diagnostics During COVID-19: Repeated Testing Unveils Infective Endocarditis in a 61-Year-Old Woman

Yuichiro Mine, Taiju Miyagami, Satoshi Furuya, Yusuke Kondo, Takayuki Furusaka, Toshio Naito ORCID logo

DOI: 10.12659/AJCR.939793

Am J Case Rep 2023; 24:e939793

4,489 61 0

#939793

13 Jul 2023 : Case report  Japan

Navigating Complex Diagnostics During COVID-19: Repeated Testing Unveils Infective Endocarditis in a 61-Year-Old Woman

Yuichiro Mine, Taiju Miyagami, Satoshi Furuya, Yusuke Kondo, Takayuki Furusaka, Toshio Naito ORCID logo

DOI: 10.12659/AJCR.939793

Am J Case Rep 2023; 24:e939793

4489 61 0

#939696

12 Jul 2023 : Case report  Japan

Parvovirus B19 Infection: A Vasculitis Masquerade in an Elderly Patient

Morika Suzuki, Takashi Watari ORCID logo

DOI: 10.12659/AJCR.939696

Am J Case Rep 2023; 24:e939696

2,300 84 0

#939696

12 Jul 2023 : Case report  Japan

Parvovirus B19 Infection: A Vasculitis Masquerade in an Elderly Patient

Morika Suzuki, Takashi Watari ORCID logo

DOI: 10.12659/AJCR.939696

Am J Case Rep 2023; 24:e939696

2300 84 0

#939250

11 Jul 2023 : Case report  Japan

Venous Thoracic Outlet Syndrome with an Upper Extremity Deep Vein Thrombosis Caused by a Dislocated Clavicle Fracture: A Case Report

Yoshihiro Miyake, Tomohiro Abe ORCID logo, Akira Suekane, Atsushi Goan, Tatsunori Ameda, Hidenobu Ochiai

DOI: 10.12659/AJCR.939250

Am J Case Rep 2023; 24:e939250

1,731 82 0

#939250

11 Jul 2023 : Case report  Japan

Venous Thoracic Outlet Syndrome with an Upper Extremity Deep Vein Thrombosis Caused by a Dislocated Clavicle Fracture: A Case Report

Yoshihiro Miyake, Tomohiro Abe ORCID logo, Akira Suekane, Atsushi Goan, Tatsunori Ameda, Hidenobu Ochiai

DOI: 10.12659/AJCR.939250

Am J Case Rep 2023; 24:e939250

1731 82 0

#939098

10 Jul 2023 : Case report  Latvia

Chylothorax: A Tangled Road to Definitive Diagnosis of Non-Hodgkin Lymphoma

Andra Krūmiņa, Daiga Auziņa, Arta Legzdiņa, Sandra Lejniece

DOI: 10.12659/AJCR.939098

Am J Case Rep 2023; 24:e939098

1,617 65 0

#939098

10 Jul 2023 : Case report  Latvia

Chylothorax: A Tangled Road to Definitive Diagnosis of Non-Hodgkin Lymphoma

Andra Krūmiņa, Daiga Auziņa, Arta Legzdiņa, Sandra Lejniece

DOI: 10.12659/AJCR.939098

Am J Case Rep 2023; 24:e939098

1617 65 0

#939292

06 Jul 2023 : Case report  Palestinian Territory, Occupied

Recurrent Bioprosthetic Valve Serratia marcescens Endocarditis in Intravenous Drug Users

Dana Sadaqa, Amro Daoud, Fuad Zeid, Hamza M. Alsaid ORCID logo

DOI: 10.12659/AJCR.939292

Am J Case Rep 2023; 24:e939292

1,818 101 0

#939292

06 Jul 2023 : Case report  Palestinian Territory, Occupied

Recurrent Bioprosthetic Valve Serratia marcescens Endocarditis in Intravenous Drug Users

Dana Sadaqa, Amro Daoud, Fuad Zeid, Hamza M. Alsaid ORCID logo

DOI: 10.12659/AJCR.939292

Am J Case Rep 2023; 24:e939292

1818 101 0

#939156

05 Jul 2023 : Case report  USA

Successful Treatment of Recurrent Colonic Adenocarcinoma with Metastatic Tumor Thrombus in the Superior Mesenteric Vein with Surgical Excision and Venous Reconstruction

Zain El-amir, Eun-Young Karen Choi, John C. Krauss

DOI: 10.12659/AJCR.939156

Am J Case Rep 2023; 24:e939156

1,943 54 0

#939156

05 Jul 2023 : Case report  USA

Successful Treatment of Recurrent Colonic Adenocarcinoma with Metastatic Tumor Thrombus in the Superior Mesenteric Vein with Surgical Excision and Venous Reconstruction

Zain El-amir, Eun-Young Karen Choi, John C. Krauss

DOI: 10.12659/AJCR.939156

Am J Case Rep 2023; 24:e939156

1943 54 0

#939448

29 Jun 2023 : Case report  USA

Endometrial Adenocarcinoma with Discordant Microsatellite Stability Status Treated with First-Line Pembrolizumab: A Case Report and Narrative Review

Christopher R. Grant, Elaine J. Chiao, Zhaohui L. Arter, Cary Johnson, Truc Tran, Farshid Dayyani, Krishnasu Tewari, Valery Vilchez, Joseph Carmichael ORCID logo, May Cho

DOI: 10.12659/AJCR.939448

Am J Case Rep 2023; 24:e939448

3,157 103 0

#939448

29 Jun 2023 : Case report  USA

Endometrial Adenocarcinoma with Discordant Microsatellite Stability Status Treated with First-Line Pembrolizumab: A Case Report and Narrative Review

Christopher R. Grant, Elaine J. Chiao, Zhaohui L. Arter, Cary Johnson, Truc Tran, Farshid Dayyani, Krishnasu Tewari, Valery Vilchez, Joseph Carmichael ORCID logo, May Cho

DOI: 10.12659/AJCR.939448

Am J Case Rep 2023; 24:e939448

3157 103 0

#939520

23 Jun 2023 : Case report  South Africa

An Initially Missed Diagnosis of Venous Thromboembolic Phenomenon in Adult-Onset Still’s Disease: A Case Report and Literature Review

Mahlatse Mankgele ORCID logo, Delisa Hlawe ORCID logo, Zayithwa Fabiano, Ahmed Solomon, Riju Thomas, Mbali Matyeshana, Olwethu Mbakaza, Mpoti Seboka

DOI: 10.12659/AJCR.939520

Am J Case Rep 2023; 24:e939520

2,059 88 0

#939520

23 Jun 2023 : Case report  South Africa

An Initially Missed Diagnosis of Venous Thromboembolic Phenomenon in Adult-Onset Still’s Disease: A Case Report and Literature Review

Mahlatse Mankgele ORCID logo, Delisa Hlawe ORCID logo, Zayithwa Fabiano, Ahmed Solomon, Riju Thomas, Mbali Matyeshana, Olwethu Mbakaza, Mpoti Seboka

DOI: 10.12659/AJCR.939520

Am J Case Rep 2023; 24:e939520

2059 88 0

#938824

20 Jun 2023 : Case report  Lebanon

Management of Twin Pregnancy Complications Amid COVID-19: Posterior Colpotomy Approach for Abdominal Cerclage Removal at 18 Weeks Gestation – A Case Report

Daisy A. Khaled Massoud, Jean Nassar, Joe Khalifeh, Jacqueline C. Saad, Stephanie F. Yacoub, Joseph Ghanem, Rouphael Sfeir, Elie Nicolas Anastasiadis

DOI: 10.12659/AJCR.938824

Am J Case Rep 2023; 24:e938824

2,639 77 0

#938824

20 Jun 2023 : Case report  Lebanon

Management of Twin Pregnancy Complications Amid COVID-19: Posterior Colpotomy Approach for Abdominal Cerclage Removal at 18 Weeks Gestation – A Case Report

Daisy A. Khaled Massoud, Jean Nassar, Joe Khalifeh, Jacqueline C. Saad, Stephanie F. Yacoub, Joseph Ghanem, Rouphael Sfeir, Elie Nicolas Anastasiadis

DOI: 10.12659/AJCR.938824

Am J Case Rep 2023; 24:e938824

2639 77 0

#939788

19 Jun 2023 : Case report  Taiwan

Optical Coherence Tomography in a 9-Year-Old Kawasaki Disease Patient with Giant Coronary Artery Aneurysms and Acute Myocardial Infarction

Chih-Wei Ten ORCID logo, Yu-Fa Chang, Wei-Li Hung ORCID logo, Ming-Ren Chen

DOI: 10.12659/AJCR.939788

Am J Case Rep 2023; 24:e939788

1,883 75 0

#939788

19 Jun 2023 : Case report  Taiwan

Optical Coherence Tomography in a 9-Year-Old Kawasaki Disease Patient with Giant Coronary Artery Aneurysms and Acute Myocardial Infarction

Chih-Wei Ten ORCID logo, Yu-Fa Chang, Wei-Li Hung ORCID logo, Ming-Ren Chen

DOI: 10.12659/AJCR.939788

Am J Case Rep 2023; 24:e939788

1883 75 0

#939376

16 Jun 2023 : Case report  China (mainland)

Two Cases of Laparoscopic Resection of Siewert Type II Adenocarcinoma of the Esophagogastric Junction Using a Transhiatal Approach and Complicated by Hemopericardium

Na Wang, Longyin Ma, Zhenguo Gao, Shunying Liu, Xiangzhi Qin, Mingyang Ren, Dan Bai, Yong Peng, Yunhong Tian

DOI: 10.12659/AJCR.939376

Am J Case Rep 2023; 24:e939376

1,862 52 0

#939376

16 Jun 2023 : Case report  China (mainland)

Two Cases of Laparoscopic Resection of Siewert Type II Adenocarcinoma of the Esophagogastric Junction Using a Transhiatal Approach and Complicated by Hemopericardium

Na Wang, Longyin Ma, Zhenguo Gao, Shunying Liu, Xiangzhi Qin, Mingyang Ren, Dan Bai, Yong Peng, Yunhong Tian

DOI: 10.12659/AJCR.939376

Am J Case Rep 2023; 24:e939376

1862 52 0

#939784

12 Jun 2023 : Case report  USA

A Case of Confounding Back Pain

Cedric A. Green, Lydia Mbatidde, Jehan R. Shah, Mantavya Punj, Ramla N. Kasozi ORCID logo, Jennifer R. Maynard

DOI: 10.12659/AJCR.939784

Am J Case Rep 2023; 24:e939784

2,595 73 0

#939784

12 Jun 2023 : Case report  USA

A Case of Confounding Back Pain

Cedric A. Green, Lydia Mbatidde, Jehan R. Shah, Mantavya Punj, Ramla N. Kasozi ORCID logo, Jennifer R. Maynard

DOI: 10.12659/AJCR.939784

Am J Case Rep 2023; 24:e939784

2595 73 0

#939196

10 Jun 2023 : Case report  USA

Diagnostic Dilemma in a Case of Lyme Borreliosis Presenting as Severe Anion Gap Metabolic Acidosis: A Case Report

Lindsey A. Wallace, Sarah Cullison, Jacob Bowdon, Aditya Shah, Sumera Ahmad

DOI: 10.12659/AJCR.939196

Am J Case Rep 2023; 24:e939196

1,387 97 0

#939196

10 Jun 2023 : Case report  USA

Diagnostic Dilemma in a Case of Lyme Borreliosis Presenting as Severe Anion Gap Metabolic Acidosis: A Case Report

Lindsey A. Wallace, Sarah Cullison, Jacob Bowdon, Aditya Shah, Sumera Ahmad

DOI: 10.12659/AJCR.939196

Am J Case Rep 2023; 24:e939196

1387 97 0

#940114

08 Jun 2023 : Case report  Brazil

Unexpected Ocular Manifestations Due to Exposure to Highly Concentrated Peracetic Acid: A Case Report

Luiz William L.S. Cavalcanti ORCID logo, Antonio Brunno V. Nepomuceno ORCID logo, Juliana de Lucena Martins Ferreira ORCID logo

DOI: 10.12659/AJCR.940114

Am J Case Rep 2023; 24:e940114

1,199 79 0

#940114

08 Jun 2023 : Case report  Brazil

Unexpected Ocular Manifestations Due to Exposure to Highly Concentrated Peracetic Acid: A Case Report

Luiz William L.S. Cavalcanti ORCID logo, Antonio Brunno V. Nepomuceno ORCID logo, Juliana de Lucena Martins Ferreira ORCID logo

DOI: 10.12659/AJCR.940114

Am J Case Rep 2023; 24:e940114

1199 79 0

#938678

05 Jun 2023 : Case report  Sweden

Liver Transplantation for Liver Metastasis of a Pseudopapillary Pancreatic Neoplasm in a Male Patient

Robert Sznajder Granat, Antonio Romano, Christina Villard, Mattias Lissing, Jeanna Joneberg, Olof Danielsson, Carlos Fernández Moro, Carl Jorns

DOI: 10.12659/AJCR.938678

Am J Case Rep 2023; 24:e938678

1,387 68 0

#938678

05 Jun 2023 : Case report  Sweden

Liver Transplantation for Liver Metastasis of a Pseudopapillary Pancreatic Neoplasm in a Male Patient

Robert Sznajder Granat, Antonio Romano, Christina Villard, Mattias Lissing, Jeanna Joneberg, Olof Danielsson, Carlos Fernández Moro, Carl Jorns

DOI: 10.12659/AJCR.938678

Am J Case Rep 2023; 24:e938678

1387 68 0

#939836

03 Jun 2023 : Case report  Japan

Cervical Emphysema and Pneumomediastinum Caused by a Nasogastric Tube: A Case Report

Hisataka Ominato ORCID logo, Yuki Komabayashi ORCID logo, Shiori Suzuki ORCID logo, Isamu Kunibe ORCID logo

DOI: 10.12659/AJCR.939836

Am J Case Rep 2023; 24:e939836

1,198 69 0

#939836

03 Jun 2023 : Case report  Japan

Cervical Emphysema and Pneumomediastinum Caused by a Nasogastric Tube: A Case Report

Hisataka Ominato ORCID logo, Yuki Komabayashi ORCID logo, Shiori Suzuki ORCID logo, Isamu Kunibe ORCID logo

DOI: 10.12659/AJCR.939836

Am J Case Rep 2023; 24:e939836

1198 69 0

#939541

30 May 2023 : Case report  USA

A Case Report of Leukocytoclastic Vasculitis: Diagnostic Approach and Treatment

Kateryna Strubchevska ORCID logo, Marko Kozyk ORCID logo, Dinu V. Balanescu ORCID logo

DOI: 10.12659/AJCR.939541

Am J Case Rep 2023; 24:e939541

3,045 183 0

#939541

30 May 2023 : Case report  USA

A Case Report of Leukocytoclastic Vasculitis: Diagnostic Approach and Treatment

Kateryna Strubchevska ORCID logo, Marko Kozyk ORCID logo, Dinu V. Balanescu ORCID logo

DOI: 10.12659/AJCR.939541

Am J Case Rep 2023; 24:e939541

3045 183 0

#939476

31 May 2023 : Case report  Ecuador

Hymenolepiasis Caused by Hymenolepis nana in Humans and Natural Infection in Rodents in a Marginal Urban Sector of Guayaquil, Ecuador

Roberto Darwin Coello Peralta ORCID logo, María de Lourdes Salazar Mazamba ORCID logo, Betty Judith Pazmiño Gómez ORCID logo, Diego Martín Cushicóndor Collaguazo ORCID logo, Eduardo Alfredo Gómez Landires, Geraldine Ramallo ORCID logo

DOI: 10.12659/AJCR.939476

Am J Case Rep 2023; 24:e939476

2,682 137 0

#939476

31 May 2023 : Case report  Ecuador

Hymenolepiasis Caused by Hymenolepis nana in Humans and Natural Infection in Rodents in a Marginal Urban Sector of Guayaquil, Ecuador

Roberto Darwin Coello Peralta ORCID logo, María de Lourdes Salazar Mazamba ORCID logo, Betty Judith Pazmiño Gómez ORCID logo, Diego Martín Cushicóndor Collaguazo ORCID logo, Eduardo Alfredo Gómez Landires, Geraldine Ramallo ORCID logo

DOI: 10.12659/AJCR.939476

Am J Case Rep 2023; 24:e939476

2682 137 0

#939331

25 May 2023 : Case report  Saudi Arabia

Severe Neutropenia and Hepatotoxicity After Carbimazole Drug Therapy for Hyperthyroidism in a Pediatric Patient: A Case Report

Lina I. Alnajjar ORCID logo, Reem Alkahtani, Malak A. Alasqah, Abdalrhman Alanizi, Nader Bin Sheraim, Basma Alwahhabi, Mohammed AlAboud, Alaa A. Alhubaishi ORCID logo

DOI: 10.12659/AJCR.939331

Am J Case Rep 2023; 24:e939331

2,880 133 0

#939331

25 May 2023 : Case report  Saudi Arabia

Severe Neutropenia and Hepatotoxicity After Carbimazole Drug Therapy for Hyperthyroidism in a Pediatric Patient: A Case Report

Lina I. Alnajjar ORCID logo, Reem Alkahtani, Malak A. Alasqah, Abdalrhman Alanizi, Nader Bin Sheraim, Basma Alwahhabi, Mohammed AlAboud, Alaa A. Alhubaishi ORCID logo

DOI: 10.12659/AJCR.939331

Am J Case Rep 2023; 24:e939331

2880 133 0

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In Press

06 Mar 2024 : Case report  Saudi Arabia

Successful Healing of Periapical Pathology with Partial Pulpotomy in a Mature Permanent Molar: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.942937  

0:00

12 Mar 2024 : Case report  Japan

Successful Treatment of Lithium-Induced Nephrogenic Diabetes Insipidus with Celecoxib: A Promising Therapeu...

Am J Case Rep In Press; DOI: 10.12659/AJCR.943244  

0:00

13 Mar 2024 : Case report  Taiwan

Recurrent Marginal Zone Lymphoma with Bone Marrow Involvement Detected by ¹⁸F-FDG PET/CT and Biopsy: A Diag...

Am J Case Rep In Press; DOI: 10.12659/AJCR.943275  

13 Mar 2024 : Case report  Denmark

Unveiling the Temporal Aspect of MRI Tattoo Reactions: A Prospective Evaluation of a Newly-Acquired Tattoo ...

Am J Case Rep In Press; DOI: 10.12659/AJCR.943411  

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07 Mar 2024 : Case report  USA

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

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10 Jan 2022 : Case report  Germany

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

19 Jul 2022 : Case report  Saudi Arabia

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923