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Tuesday, 22 September 2026
When Steroids Backfire: Tinea Incognito Following Treatment for Presumed Psoriasis
Steroid-treated plaques that worsen or lose their annular edge should prompt a KOH mount before you escalate immunosuppression.
General Medicine · Cureus · 22 Sept
Rapid Improvement of Persistent Catatonia Temporally Associated With Amantadine After Benzodiazepine Intolerance and Discontinuation of Electroconvulsive Therapy: A Case Report
When lorazepam is poorly tolerated and ECT cannot continue, amantadine may offer a rapid alternative for persistent catatonia, though this is a single case.
Psychiatry · Cureus · 22 Sept
Early Post-transcatheter Aortic Valve Implantation (TAVI) Haemodynamics With SAPIEN Balloon-Expandable and Evolut Self-Expanding Valve Platforms: A Retrospective Single-Centre Cohort Study
Valve choice at TAVI affects early gradients, so knowing how SAPIEN and Evolut differ helps you anticipate haemodynamics and follow-up echo findings.
Cardiology · Cureus · 22 Sept
Late-Onset Prosthetic Valve Dysfunction Associated With Hypoattenuated Leaflet Thickening Detected After a New Heart Murmur: A Case Report
A new murmur after sutureless bioprosthetic AVR may signal HALT; consider CT to detect leaflet thickening before overt valve failure develops.
Cardiology · Cureus · 22 Sept
Missed Early Signs of Tuberculosis in Pregnancy: Insights From a Case Series of Disseminated Life-Threatening Maternal Disease and Adverse Fetal Outcomes
All five had life-threatening disease: three of five had extensive pulmonary TB needing ventilatory support; one had tubercular meningitis with hydrocephalus; one had tubercular peritonitis with pyoperitoneum. Fetal outcomes included growth restriction, prematurity, demise, and congenital TB.
Obstetrics & Gynaecology · Cureus · 22 Sept
Vitamin D Supplementation in Granulomatous Disease: Why Individualized Assessment May Be Safer Than Universal Thresholds
No new data. Low 25(OH)D can occur with preserved or raised 1,25(OH)2D, so supplementing on 25(OH)D alone may cause hypercalcaemia or hypercalciuria.
General Medicine · Cureus · 22 Sept
Monday, 21 September 2026
Treatment-Resistant Psychosis in an Adolescent at Risk of Metabolic Syndrome: A Case Report
When metabolic risk rules out clozapine and other antipsychotics in a psychotic adolescent, you need a documented pathway through the remaining options.
Psychiatry · Cureus · 21 Sept
Pharmacokinetic, Pharmacodynamic, and Clinical Outcomes of Vancomycin and β-Lactam Antibiotics in Adults With Augmented Renal Clearance: A Systematic Review
Vancomycin troughs were below 10 µg/mL in more than 60% of ARC patients; AUC/MIC above 400 mg·h/L was reached in 82.14% with once-every-eight-hours dosing versus 46.42% with once-every-twelve-hours dosing.
General Medicine · Cureus · 21 Sept
Mini-Laparotomy Enterolithotomy for Gallstone Ileus in an Elderly Patient: A Case Report
In elderly patients with recurrent cholecystitis presenting as bowel obstruction, consider gallstone ileus and treat with enterolithotomy rather than a more extensive biliary procedure.
General Surgery · Cureus · 21 Sept
Central Centrifugal Cicatricial Alopecia in Black Women: Diagnostic Challenges and Molecular Insights
No pooled effect estimates reported. Dermoscopy and histopathology remain key to diagnosis, with follicular dropout, perifollicular fibrosis and lymphocytic inflammation; PADI3 and PPAR-gamma pathways are implicated but of uncertain clinical significance.
Medicine · Cureus · 21 Sept
Levamisole-Adulterated Cocaine-Associated Vasculopathy in a 73-Year-Old Woman: Diagnostic Challenges in Primary Care
In cocaine users with retiform purpura and atypical ANCA, suspect levamisole adulterant rather than primary vasculitis — misdiagnosis leads to unnecessary immunosuppression.
General Medicine · Cureus · 21 Sept
Medical groups, city of Columbus sue to challenge final Medicaid work requirements rule
If you see Medicaid patients, work-reporting rules from January could strip coverage unless courts block them, disrupting chronic-disease care.
General Medicine · Fierce Healthcare · 21 Sept
Democratic senators reintroduce bill outlining stiffer cybersecurity standards, $1.3B hospital implementation assistance
If passed, it would fund hospital cybersecurity upgrades and enforce standards, reducing the ransomware risk that can shut down your records and imaging mid-shift.
Medicine · Fierce Healthcare · 21 Sept
Artificial Intelligence and Anatomical Variation: A Narrative Review of Detection, Classification, and Educational Applications
Direct clinical evidence concentrated in dental and cranio-maxillofacial imaging; performance was task-, dataset- and prevalence-dependent, and external validation, calibration and transparent handling of correlated observations were uncommon.
Radiology · Cureus · 21 Sept
Clinical Profile and Outcomes of Children With Congenital Heart Disease Undergoing Surgery at a Tertiary Care Cardiac Center in Central Gujarat and Their Anthropometric Profiles During Follow-Up: A Prospective Longitudinal Observational Study
Baseline growth and surgical outcome data from non-metropolitan India help you counsel families on expected catch-up growth after CHD repair.
Paediatrics · Cureus · 21 Sept
Aetna expands bundled prior auths for cancer care
If your Medicaid cancer patients are Aetna-insured, one bundled auth now covers a whole regimen instead of separate approvals per drug and scan.
Oncology · Fierce Healthcare · 21 Sept
Alzheimer’s cases in India could be up to 5 times higher than reported number: Experts
Dementia is likely far more common than clinic figures suggest, so screen cognitively in older patients rather than waiting for memory complaints.
Neurology · ETHealthworld · 21 Sept
Maternal Bivalent Respiratory Syncytial Virus Prefusion F (RSVpreF) Vaccination in Panama: A Retrospective Follow-Up Study
Any reaction reported by 55.5% (95% CI 48.6%-62.2%), mostly injection-site pain (48.0%); fever 2.5%. Preterm birth 2.0%, low birth weight 2.5%, neonatal jaundice 20.0%.
Obstetrics & Gynaecology · Cureus · 21 Sept
Beyond the Hospital: Spatial Inequality and Structural Divergence in Stroke Mortality Across the United States (2020-2024)
Largest relative increases in medium (+8.4%) and large fringe metros (+7.3%); home deaths surged in 2021 (n=41,423); out-of-hospital Gini=0.5321 versus in-hospital Gini=0.5045.
Neurology · Cureus · 21 Sept
Cell-Type-Specific Transcriptomic Alterations in the Epileptic Prefrontal Cortex and Complementary Neuroimaging Findings in an Independent Cohort
Maps which prefrontal cell types are transcriptionally altered in epilepsy and links them to imaging changes, pointing toward cell-specific targets rather than seizure-focus-only models.
Neurology · Cureus · 21 Sept
FDA Updates Regulations to Advance Innovative Alternatives to Animal Testing
Non-animal safety testing may speed first-in-human entry for new drugs you prescribe or trial, though clinical evidence standards are unchanged.
Medicine · FDA — Press Announcements · 21 Sept
Terminologia Anatomica Compliance in Generative Artificial Intelligence Outputs: A Structured Narrative Review and Terminology-Specific Verification Checklist
Image studies consistently found omissions, invented structures, incorrect relationships and mislabeled anatomy; one citation study found substantial reference hallucination and limited PubMed identifier accuracy
Medicine · Cureus · 21 Sept
Rapid Pain Reduction and Wound Closure Following Treatment With an Amorphous Silica-Based Fiber Wound Matrix in Partial-Thickness Thermal Burns: A Case Report
In this single case, a silica-based fiber matrix relieved refractory 6-10/10 burn pain and achieved closure after standard dressings and analgesia failed.
General Surgery · Cureus · 21 Sept
Thyroid Ectopia in the Euthyroid Patient: A Rare Case Discussion
A midline base-of-tongue mass in a euthyroid patient may be ectopic thyroid, not carcinoma; imaging alone cannot distinguish them, so biopsy before resection.
General Surgery · Cureus · 21 Sept
Evaluation of Pre-analytical Errors in the Histopathology Laboratory at a Tertiary Care Hospital in Kenya
Most histopathology errors happen before the specimen reaches the lab, so tightening collection, labelling and fixation in your own theatre and clinic is where diagnostic quality is won.
Medicine · Cureus · 21 Sept
Chronic Complications Following Dengue Infection: A Scoping Review
Dengue is no longer only an acute illness — ask about persistent fatigue, hepatic and neurological symptoms weeks after recovery, especially in endemic states.
General Medicine · Cureus · 21 Sept
Govt nod for Biovigilance Programme, IPC to monitor adverse events linked to organ transplants
Transplant centres will now report adverse events and reactions to a national IPC programme, so expect new reporting duties and clearer safety signals for your post-transplant patients.
General Surgery · ETHealthworld · 21 Sept
White House plans to put NIH grants under political control: reports
Political review of NIH grants could slow or block funding for trials and studies that shape the evidence behind your clinical decisions.
Medicine · Fierce Healthcare · 21 Sept
Bilateral Staghorn Calculi With Stent Encrustation in a Patient With an Ileal Conduit Requiring Staged Endourological Procedures: A Case Report
Bilateral staghorn calculi, stent encrustation and a conduit calculus were cleared completely using staged percutaneous and transconduit endoscopic techniques, with significant improvement in renal function.
Urology · Cureus · 21 Sept
Bioactivity and Regenerative Potential of Calcium Silicate-Based Endodontic Sealers on Human Periodontal Ligament Stem Cells: A Systematic Review of In Vitro Cellular Mechanisms
Calcium silicate sealers generally maintained or increased metabolic activity while AH Plus showed lower activity; 12 scratch-wound studies showed migration comparable to or greater than controls, and 11 Alizarin Red S studies showed increased mineral deposition.
Medicine · Cureus · 21 Sept
Seroprevalence and Temporal Trends of Syphilis Among Blood Donors at Dhiraj Blood Bank in Waghodia, Gujarat, India: A Retrospective Study
111 (1.49%) samples were VDRL-reactive; 45 (40.5%) of these were confirmed by Syphi Microlisa ELISA, giving an overall seroprevalence of 0.60%. Annual rates were 0.85% in 2023, 0.08% in 2024, and 0.90% in 2025.
General Medicine · Cureus · 21 Sept
Imaging Correlation of Color Doppler Ultrasound, CT Angiography, and MR Angiography Findings in Extracranial Carotid and Vertebral Artery Disease Among Ischemic Stroke Patients: A Prospective Observational Study
Doppler agrees well enough with CTA/MRA for first-line carotid and vertebral stenosis workup, so you can triage stroke patients without immediate advanced angiography.
Neurology · Cureus · 21 Sept
Esophageal Carcinoma Incidence and Survival Analysis: A Population-Based Cancer Registry Study in Central India
Median survival 178.33 days; 1-, 3-, 5-, 10-year OS 31.3%, 19.7%, 17.4%, 14.6%. Median survival 232 days localized vs 68 days distant disease. Chemoradiotherapy HR 0.48, surgery plus chemotherapy HR 0.45.
Oncology · Cureus · 21 Sept
Literature Review of Occult Hepatitis B Infection and Hepatitis B Core Antibody-Positive Blood Donors
Anti-HBc-positive donors with occult HBV can transmit infection where only HBsAg or NAT is used, so know your blood bank's screening algorithm before transfusing.
Gastroenterology · Cureus · 21 Sept
Spontaneous Perigastric Hematoma and Hemoperitoneum Associated With Rivaroxaban Therapy: A Case Report and Review of the Literature
Perigastric hematoma measured 96 mm × 58 mm with hemoperitoneum; hemoglobin fell from 14.8 g/dL to 12.3 g/dL. No active contrast extravasation. Rivaroxaban was stopped and he recovered fully without transfusion or procedure.
Gastroenterology · Cureus · 21 Sept
Prevalence and Pattern of Hemoglobinopathies Among Women of Reproductive Age Attending a Tertiary Care Center in Central Uttar Pradesh: A Prospective Observational Study
Regional prevalence data support offering hemoglobinopathy carrier screening and reproductive counselling to women of reproductive age in Central Uttar Pradesh.
Obstetrics & Gynaecology · Cureus · 21 Sept
Rice-Grain Calcifications: A Classic Sign of Muscular Cysticercosis
Radiographs showed numerous rice-grain calcifications parallel to muscle fibers, consistent with known cysticercosis; myalgia was not attributable to these lesions and resolved within one week with paracetamol alone
General Medicine · Cureus · 21 Sept
Ectopic Ureteral Orifice: An Unusual Cause of Urinary Incontinence in an Adult
CT urography showed a left duplex collecting system with an ectopic ureter draining the upper renal pole into the vagina. Ureterovesical reimplantation (Politano-Leadbetter) gave immediate, complete continence.
Urology · Cureus · 21 Sept
Centre calls for review of Hospital Consumable Prices after Mundhe flags MRP gaps: Sources
If margins on consumables are capped, your hospital's device procurement costs and billing to patients could shift, so watch for pricing changes.
Medicine · ETHealthworld · 21 Sept
Prevalence of Deep Vein Thrombosis in Patients With Cervical Cancer
Baseline and on-treatment DVT screening in cervical cancer patients may catch silent thrombosis before it becomes life-threatening.
Oncology · Cureus · 21 Sept
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