Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

Rare coexistence of disease or pathology

#916071

28 Dec 2019 : Case report  USA

Legionella Pneumonia in Late Pregnancy

Hany K. Mosaad-Boktor, Stephen A. Lee

DOI: 10.12659/AJCR.916071

Am J Case Rep 2019; 20:1956-1960

3,478 757 0

#916071

28 Dec 2019 : Case report  USA

Legionella Pneumonia in Late Pregnancy

Hany K. Mosaad-Boktor, Stephen A. Lee

DOI: 10.12659/AJCR.916071

Am J Case Rep 2019; 20:1956-1960

3478 757 0

#918606

26 Dec 2019 : Case report  Japan

Long-Term Survival After Multidisciplinary Treatment Including Surgery for Metachronous Metastases of Small Intestinal Gastrointestinal Stromal Tumors after Curative Resection: A Case Report

So Katayanagi, Takayoshi Yokoyama, Yousuke Makuuchi, Hiroaki Osakabe, Hitoshi Iwamoto, Tetsuo Sumi, Hiroshi Hirano, Kenji Katsumata, Akihiko Tsuchida, Seiichi Hirota, Shigeyuki Kawachi

DOI: 10.12659/AJCR.918606

Am J Case Rep 2019; 20:1942-1948

2,485 591 0

#918606

26 Dec 2019 : Case report  Japan

Long-Term Survival After Multidisciplinary Treatment Including Surgery for Metachronous Metastases of Small Intestinal Gastrointestinal Stromal Tumors after Curative Resection: A Case Report

So Katayanagi, Takayoshi Yokoyama, Yousuke Makuuchi, Hiroaki Osakabe, Hitoshi Iwamoto, Tetsuo Sumi, Hiroshi Hirano, Kenji Katsumata, Akihiko Tsuchida, Seiichi Hirota, Shigeyuki Kawachi

DOI: 10.12659/AJCR.918606

Am J Case Rep 2019; 20:1942-1948

2485 591 0

#917696

23 Dec 2019 : Case report  Jordan

Bifocal Tibial Kaposiform Hemangioendothelioma Responsive to Vincristine Therapy: A Case Report

Isam K. Bsisu, Malik M. Alkharabsheh, Belal B. Al-zu’bi, Ghadeer Almuhaisen, Abdullah S. Awidi, Omar Q. Samarah

DOI: 10.12659/AJCR.917696

Am J Case Rep 2019; 20:1923-1929

2,216 550 0

#917696

23 Dec 2019 : Case report  Jordan

Bifocal Tibial Kaposiform Hemangioendothelioma Responsive to Vincristine Therapy: A Case Report

Isam K. Bsisu, Malik M. Alkharabsheh, Belal B. Al-zu’bi, Ghadeer Almuhaisen, Abdullah S. Awidi, Omar Q. Samarah

DOI: 10.12659/AJCR.917696

Am J Case Rep 2019; 20:1923-1929

2216 550 0

#919412

17 Dec 2019 : Case report  USA

Signet Ring Cell Carcinoma with Lymphangitic Carcinomatosis in Pregnancy: A Case Report of an Unexpected Maternal Death and Review of the Literature

Julie R. Whittington, Dayna D. Whitcombe, Lauren E. Eads, Susanne K. Jeffus, Charles M. Quick, Paul J. Wendel, Everett F. Magann

DOI: 10.12659/AJCR.919412

Am J Case Rep 2019; 20:1888-1891

3,854 688 0

#919412

17 Dec 2019 : Case report  USA

Signet Ring Cell Carcinoma with Lymphangitic Carcinomatosis in Pregnancy: A Case Report of an Unexpected Maternal Death and Review of the Literature

Julie R. Whittington, Dayna D. Whitcombe, Lauren E. Eads, Susanne K. Jeffus, Charles M. Quick, Paul J. Wendel, Everett F. Magann

DOI: 10.12659/AJCR.919412

Am J Case Rep 2019; 20:1888-1891

3854 688 0

#918427

12 Dec 2019 : Case report  Japan

Isolated Adrenocorticotropic Hormone Deficiency Presenting with Severe Hyponatremia and Rhabdomyolysis: A Case Report and Literature Review

Takeshi Komatsu, Nobumasa Ohara, Naoko Hirota, Yuichiro Yoneoka, Takashi Tani, Keishi Terajima, Tetsutaro Ozawa, Hirohito Sone

DOI: 10.12659/AJCR.918427

Am J Case Rep 2019; 20:1857-1863

4,139 886 0

#918427

12 Dec 2019 : Case report  Japan

Isolated Adrenocorticotropic Hormone Deficiency Presenting with Severe Hyponatremia and Rhabdomyolysis: A Case Report and Literature Review

Takeshi Komatsu, Nobumasa Ohara, Naoko Hirota, Yuichiro Yoneoka, Takashi Tani, Keishi Terajima, Tetsutaro Ozawa, Hirohito Sone

DOI: 10.12659/AJCR.918427

Am J Case Rep 2019; 20:1857-1863

4139 886 0

#919649

11 Dec 2019 : Case report  Japan

Primary Antiphospholipid Antibody Syndrome Complicated with Cerebellar Hemorrhage and Aortic Dissection: A Case Report

Yoshio Tatsuoka, Yui Mano, Shuichi Ishikawa, Shigeru Shinozaki

DOI: 10.12659/AJCR.919649

Am J Case Rep 2019; 20:1852-1856

2,933 763 0

#919649

11 Dec 2019 : Case report  Japan

Primary Antiphospholipid Antibody Syndrome Complicated with Cerebellar Hemorrhage and Aortic Dissection: A Case Report

Yoshio Tatsuoka, Yui Mano, Shuichi Ishikawa, Shigeru Shinozaki

DOI: 10.12659/AJCR.919649

Am J Case Rep 2019; 20:1852-1856

2933 763 0

#918996

20 Nov 2019 : Case report  Japan

Human Leukocyte Antigen (HLA) Subtype-Dependent Development of Myasthenia Gravis, Type-1 Diabetes Mellitus, and Hashimoto Disease: A Case Report of Autoimmune Polyendocrine Syndrome Type 3

Mizuki Gobaru, Kenji Ashida, Satoko Yoshinobu, Ayako Nagayama, Masaharu Kabashima, Shimpei Iwata, Nao Hasuzawa, Munehisa Tsuruta, Nobuhiko Wada, Hitomi Nakayama, Seiichi Motomura, Yuji Tajiri, Masatoshi Nomura

DOI: 10.12659/AJCR.918996

Am J Case Rep 2019; 20:1709-1714

3,672 828 0

#918996

20 Nov 2019 : Case report  Japan

Human Leukocyte Antigen (HLA) Subtype-Dependent Development of Myasthenia Gravis, Type-1 Diabetes Mellitus, and Hashimoto Disease: A Case Report of Autoimmune Polyendocrine Syndrome Type 3

Mizuki Gobaru, Kenji Ashida, Satoko Yoshinobu, Ayako Nagayama, Masaharu Kabashima, Shimpei Iwata, Nao Hasuzawa, Munehisa Tsuruta, Nobuhiko Wada, Hitomi Nakayama, Seiichi Motomura, Yuji Tajiri, Masatoshi Nomura

DOI: 10.12659/AJCR.918996

Am J Case Rep 2019; 20:1709-1714

3672 828 0

#919141

15 Nov 2019 : Case report  USA

Pulmonary Infarction due to Paget-Schroetter Syndrome and Nephrotic Syndrome

Laura C. Myers, Matthew D. Li, Sanjeeva Kalva, Peggy S. Lai

DOI: 10.12659/AJCR.919141

Am J Case Rep 2019; 20:1679-1683

2,454 638 0

#919141

15 Nov 2019 : Case report  USA

Pulmonary Infarction due to Paget-Schroetter Syndrome and Nephrotic Syndrome

Laura C. Myers, Matthew D. Li, Sanjeeva Kalva, Peggy S. Lai

DOI: 10.12659/AJCR.919141

Am J Case Rep 2019; 20:1679-1683

2454 638 0

#917722

27 Oct 2019 : Case report  USA

Collapsing Focal Segmental Glomerulosclerosis with Acute Interstitial Nephritis Associated with Plasmodium Falciparum: A Case Report and Review of the Literature

Muhammad Azhar, Lutfi Alasadi, Stephen Kemnele, Ira W. Reiser, Samuel Spitalewitz

DOI: 10.12659/AJCR.917722

Am J Case Rep 2019; 20:1576-1580

3,001 571 0

#917722

27 Oct 2019 : Case report  USA

Collapsing Focal Segmental Glomerulosclerosis with Acute Interstitial Nephritis Associated with Plasmodium Falciparum: A Case Report and Review of the Literature

Muhammad Azhar, Lutfi Alasadi, Stephen Kemnele, Ira W. Reiser, Samuel Spitalewitz

DOI: 10.12659/AJCR.917722

Am J Case Rep 2019; 20:1576-1580

3001 571 0

#918191

18 Oct 2019 : Case report  Japan

Cardiopulmonary Impairments Caused by a Large Hiatal Hernia with Organoaxial Gastric Volvulus Showing Upside-Down Stomach: A Case Report

Akira Umemura, Takayuki Suto, Hisataka Fujiwara, Kenichiro Ikeda, Seika Nakamura, Megumi Hayano, Hiroyuki Nitta, Takeshi Takahara, Yasushi Hasegawa, Hirokatsu Katagiri, Shoji Kanno, Akira Sasaki

DOI: 10.12659/AJCR.918191

Am J Case Rep 2019; 20:1530-1535

2,299 1,025 0

#918191

18 Oct 2019 : Case report  Japan

Cardiopulmonary Impairments Caused by a Large Hiatal Hernia with Organoaxial Gastric Volvulus Showing Upside-Down Stomach: A Case Report

Akira Umemura, Takayuki Suto, Hisataka Fujiwara, Kenichiro Ikeda, Seika Nakamura, Megumi Hayano, Hiroyuki Nitta, Takeshi Takahara, Yasushi Hasegawa, Hirokatsu Katagiri, Shoji Kanno, Akira Sasaki

DOI: 10.12659/AJCR.918191

Am J Case Rep 2019; 20:1530-1535

2299 1025 0

#918395

09 Oct 2019 : Case report  USA

A Case of Right Ventricular Dysfunction with Right Ventricular Failure Secondary to Obesity Hypoventilation Syndrome

Vikhyath Terla, Griwan Lal Rajbhandari, Damian Kurian, Gene R. Pesola

DOI: 10.12659/AJCR.918395

Am J Case Rep 2019; 20:1487-1491

3,192 715 0

#918395

09 Oct 2019 : Case report  USA

A Case of Right Ventricular Dysfunction with Right Ventricular Failure Secondary to Obesity Hypoventilation Syndrome

Vikhyath Terla, Griwan Lal Rajbhandari, Damian Kurian, Gene R. Pesola

DOI: 10.12659/AJCR.918395

Am J Case Rep 2019; 20:1487-1491

3192 715 0

#915558

07 Oct 2019 : Case report  Canada

A Case of Acquired Angioedema with Low C1 Inhibitor (C1-INH) Associated with Splenic Marginal Zone Lymphoma

Nizar N. Abdel-Samad, Judit S. Kokai

DOI: 10.12659/AJCR.915558

Am J Case Rep 2019; 20:1476-1481

2,360 567 0

#915558

07 Oct 2019 : Case report  Canada

A Case of Acquired Angioedema with Low C1 Inhibitor (C1-INH) Associated with Splenic Marginal Zone Lymphoma

Nizar N. Abdel-Samad, Judit S. Kokai

DOI: 10.12659/AJCR.915558

Am J Case Rep 2019; 20:1476-1481

2360 567 0

#915154

23 Sep 2019 : Case report  Ecuador

A Case of Cutaneous Larva Migrans in a Child from Vinces, Ecuador

Roberto D. Coello, Betty J. Pazmiño, Enrique O. Reyes, Enrique X. Rodríguez, Edgar I. Rodas, Karen A. Rodas, Alfredo X. Dávila, Jennifer P. Rodas, Pedro P. Cedeño

DOI: 10.12659/AJCR.915154

Am J Case Rep 2019; 20:1402-1406

3,285 732 0

#915154

23 Sep 2019 : Case report  Ecuador

A Case of Cutaneous Larva Migrans in a Child from Vinces, Ecuador

Roberto D. Coello, Betty J. Pazmiño, Enrique O. Reyes, Enrique X. Rodríguez, Edgar I. Rodas, Karen A. Rodas, Alfredo X. Dávila, Jennifer P. Rodas, Pedro P. Cedeño

DOI: 10.12659/AJCR.915154

Am J Case Rep 2019; 20:1402-1406

3285 732 0

#917443

16 Sep 2019 : Case report  USA

Ecthyma Gangrenosum of Scrotum in a Patient with Neutropenic Fever: A Case Report

Jose A. Rodriguez, Paula A. Eckardt, Juan C. Lemos-Ramirez, Jianli Niu

DOI: 10.12659/AJCR.917443

Am J Case Rep 2019; 20:1369-1372

2,597 721 0

#917443

16 Sep 2019 : Case report  USA

Ecthyma Gangrenosum of Scrotum in a Patient with Neutropenic Fever: A Case Report

Jose A. Rodriguez, Paula A. Eckardt, Juan C. Lemos-Ramirez, Jianli Niu

DOI: 10.12659/AJCR.917443

Am J Case Rep 2019; 20:1369-1372

2597 721 0

#918152

11 Sep 2019 : Case report  Netherlands

Serratia Liver Abscess Infection and Cardiomyopathy in a Patient with Diabetes Mellitus: A Case Report and Review of the Literature

Anna Sarah Erem, Anna Krapivina, Timothy S. Braverman, Shyam S. Allamaneni

DOI: 10.12659/AJCR.918152

Am J Case Rep 2019; 20:1343-1349

3,971 616 0

#918152

11 Sep 2019 : Case report  Netherlands

Serratia Liver Abscess Infection and Cardiomyopathy in a Patient with Diabetes Mellitus: A Case Report and Review of the Literature

Anna Sarah Erem, Anna Krapivina, Timothy S. Braverman, Shyam S. Allamaneni

DOI: 10.12659/AJCR.918152

Am J Case Rep 2019; 20:1343-1349

3971 616 0

#916737

04 Sep 2019 : Case report  Saudi Arabia

Asymmetrical Ocular Manifestations of Nephropathic Cystinosis; A Case Report

Hala A. Helmi, Jeylan El Mansoury, Selwa Al Hazzaa, Abdulaziz Al Zoba, Qais S. Dirar

DOI: 10.12659/AJCR.916737

Am J Case Rep 2019; 20:1308-1313

3,276 719 0

#916737

04 Sep 2019 : Case report  Saudi Arabia

Asymmetrical Ocular Manifestations of Nephropathic Cystinosis; A Case Report

Hala A. Helmi, Jeylan El Mansoury, Selwa Al Hazzaa, Abdulaziz Al Zoba, Qais S. Dirar

DOI: 10.12659/AJCR.916737

Am J Case Rep 2019; 20:1308-1313

3276 719 0

#917389

29 Aug 2019 : Case report  USA

A Case of Transformation of Primary Cutaneous Follicle Center Lymphoma to Diffuse Large B-Cell Lymphoma Involving the Parotid Gland and Cervical Lymph Nodes

Maurice L. King, Toms Vengaloor Thomas, Ashley A. Albert, Sanjay Joseph, Lakshmi Ramachandran Nair, John T. Lam, William C. Woods, Mary Nittala, Srinivasan Vijayakumar

DOI: 10.12659/AJCR.917389

Am J Case Rep 2019; 20:1273-1278

2,502 569 0

#917389

29 Aug 2019 : Case report  USA

A Case of Transformation of Primary Cutaneous Follicle Center Lymphoma to Diffuse Large B-Cell Lymphoma Involving the Parotid Gland and Cervical Lymph Nodes

Maurice L. King, Toms Vengaloor Thomas, Ashley A. Albert, Sanjay Joseph, Lakshmi Ramachandran Nair, John T. Lam, William C. Woods, Mary Nittala, Srinivasan Vijayakumar

DOI: 10.12659/AJCR.917389

Am J Case Rep 2019; 20:1273-1278

2502 569 0

#916945

26 Aug 2019 : Case report  Switzerland

Syncope and Twitching at the Emergency Department

Adrian Scutelnic, Ulrike Prange, Simon Jung, Mirjam R. Heldner

DOI: 10.12659/AJCR.916945

Am J Case Rep 2019; 20:1259-1263

3,043 647 0

#916945

26 Aug 2019 : Case report  Switzerland

Syncope and Twitching at the Emergency Department

Adrian Scutelnic, Ulrike Prange, Simon Jung, Mirjam R. Heldner

DOI: 10.12659/AJCR.916945

Am J Case Rep 2019; 20:1259-1263

3043 647 0

#916487

22 Aug 2019 : Case report  USA

Incidental Finding of Gastric Schwannoma in a Renal Failure Patient – Managed by a Minimally Invasive Procedure: Report of a Rare Case

Mohamed A. Mujtaba, Alsadiq Al Hillan, Daniel Shenouda, Mohammad A. Hossain, Eugene Zurkovsky

DOI: 10.12659/AJCR.916487

Am J Case Rep 2019; 20:1241-1244

2,128 547 0

#916487

22 Aug 2019 : Case report  USA

Incidental Finding of Gastric Schwannoma in a Renal Failure Patient – Managed by a Minimally Invasive Procedure: Report of a Rare Case

Mohamed A. Mujtaba, Alsadiq Al Hillan, Daniel Shenouda, Mohammad A. Hossain, Eugene Zurkovsky

DOI: 10.12659/AJCR.916487

Am J Case Rep 2019; 20:1241-1244

2128 547 0

#912828

03 Aug 2019 : Case report  USA

A Rare Transformation of Epidermoid Cyst into Squamous Cell Carcinoma: A Case Report with Literature Review

Adel A. Faltaous, Emilia C. Leigh, Peter Ray, Thao T. Wolbert

DOI: 10.12659/AJCR.912828

Am J Case Rep 2019; 20:1141-1143

4,411 2,830 0

#912828

03 Aug 2019 : Case report  USA

A Rare Transformation of Epidermoid Cyst into Squamous Cell Carcinoma: A Case Report with Literature Review

Adel A. Faltaous, Emilia C. Leigh, Peter Ray, Thao T. Wolbert

DOI: 10.12659/AJCR.912828

Am J Case Rep 2019; 20:1141-1143

4411 2830 0

#916845

02 Aug 2019 : Case report  Japan

A Case of Small Intestinal Ileus Due to Wandering Spleen with a Large Cyst

Takehisa Matsuyama, Toshimasa Nakao, Shumpei Harada, Tsukasa Nakamura, Shuji Nobori, Hidetaka Ushigome

DOI: 10.12659/AJCR.916845

Am J Case Rep 2019; 20:1138-1140

2,258 537 0

#916845

02 Aug 2019 : Case report  Japan

A Case of Small Intestinal Ileus Due to Wandering Spleen with a Large Cyst

Takehisa Matsuyama, Toshimasa Nakao, Shumpei Harada, Tsukasa Nakamura, Shuji Nobori, Hidetaka Ushigome

DOI: 10.12659/AJCR.916845

Am J Case Rep 2019; 20:1138-1140

2258 537 0

#916118

01 Aug 2019 : Case report  USA

Basic Calcium Phosphate Crystal Periarthritis Involving the Distal Interphalangeal Joints in a Patient with Systemic Lupus Erythematosus

Linett Martirossian, Andreea M. Bujor, Eugene Kissin

DOI: 10.12659/AJCR.916118

Am J Case Rep 2019; 20:1132-1137

2,461 967 0

#916118

01 Aug 2019 : Case report  USA

Basic Calcium Phosphate Crystal Periarthritis Involving the Distal Interphalangeal Joints in a Patient with Systemic Lupus Erythematosus

Linett Martirossian, Andreea M. Bujor, Eugene Kissin

DOI: 10.12659/AJCR.916118

Am J Case Rep 2019; 20:1132-1137

2461 967 0

#915576

31 Jul 2019 : Case report  USA

Atypical Presentation of Small Lymphocytic Lymphoma with Pericardial Effusion

Christopher Nnaoma, Ogechukwu Chika-Nwosuh, Ikechukwu Mbonu, Christoph W. Sossou, Christian C. Okonkwo, Anthony Isedeh

DOI: 10.12659/AJCR.915576

Am J Case Rep 2019; 20:1128-1131

2,068 556 0

#915576

31 Jul 2019 : Case report  USA

Atypical Presentation of Small Lymphocytic Lymphoma with Pericardial Effusion

Christopher Nnaoma, Ogechukwu Chika-Nwosuh, Ikechukwu Mbonu, Christoph W. Sossou, Christian C. Okonkwo, Anthony Isedeh

DOI: 10.12659/AJCR.915576

Am J Case Rep 2019; 20:1128-1131

2068 556 0

#917172

27 Jul 2019 : Case report  Saudi Arabia

Laparoscopic Duodenojejunostomy for Superior Mesenteric Vein Syndrome Associated with Nutcracker Phenomenon: The First Case Report

Khaled S. Ahmad, Naif A. Alenazi, Mohamed S. Essa, Mahir S. Alrushdan, Abdulbaset M. Al-Shoaib

DOI: 10.12659/AJCR.917172

Am J Case Rep 2019; 20:1108-1113

2,006 704 0

#917172

27 Jul 2019 : Case report  Saudi Arabia

Laparoscopic Duodenojejunostomy for Superior Mesenteric Vein Syndrome Associated with Nutcracker Phenomenon: The First Case Report

Khaled S. Ahmad, Naif A. Alenazi, Mohamed S. Essa, Mahir S. Alrushdan, Abdulbaset M. Al-Shoaib

DOI: 10.12659/AJCR.917172

Am J Case Rep 2019; 20:1108-1113

2006 704 0

#914416

24 Jul 2019 : Case report  USA

Management of Ornithine Carbamoyltransferase Deficiency with Underlying Hyperammonia Hyperinsulinemia Syndrome

Neer Dhillon, Andrew Stevens

DOI: 10.12659/AJCR.914416

Am J Case Rep 2019; 20:1085-1088

2,776 753 0

#914416

24 Jul 2019 : Case report  USA

Management of Ornithine Carbamoyltransferase Deficiency with Underlying Hyperammonia Hyperinsulinemia Syndrome

Neer Dhillon, Andrew Stevens

DOI: 10.12659/AJCR.914416

Am J Case Rep 2019; 20:1085-1088

2776 753 0

In Press

Case report  China

Thrombolytic Therapy After Return of Spontaneous Circulation in Patients With STEMI From Medically Underdev...

Am J Case Rep In Press; DOI: 10.12659/AJCR.949976  

Case report  Greece

Multilevel Laminectomy for Lumbar Spinal Stenosis With Low Back Pain in Achondroplasia: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.950290  

Case report  Italy

Fractional CO₂ Laser (SCAR3 Scanner) for a Hypertrophic Retracting Cleft Lip Scar: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.950607  

Case report  Saudi Arabia

Postoperative Corneal Dellen Following PreserFlo MicroShunt: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.950985  

Most Viewed Current Articles

07 Dec 2021 : Case report  USA 17,691,734

Edwardsiella tarda: A Classic Presentation of a Rare Fatal Infection, with Possible New Background Risk Fac...

DOI :10.12659/AJCR.934347

Am J Case Rep 2021; 22:e934347

06 Dec 2021 : Case report  Brazil 164,491

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

21 Jun 2024 : Case report  China (mainland) 113,090

Intracranial Parasitic Fetus in a Living Infant: A Case Study with Surgical Intervention and Prognosis Anal...

DOI :10.12659/AJCR.944371

Am J Case Rep 2024; 25:e944371

0:00

07 Mar 2024 : Case report  USA 59,175

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

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