Fracture of Two Moderately Cross-Linked Polyethylene Tibial Inserts in a TKR Patient by Matthew G. Teeter, James P. McAuley, Douglas D. Naudie

“…The purpose of this report is to describe an unusual case where a patient underwent cruciate retaining TKR using a moderately crosslinked polyethylene tibial insert that went on to fracture twice in the same location across the primary and first revision surgery. …”
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Empedobacter brevis Bacteremia in a Patient Infected with HIV: Case Report and Review of Literature by Syed Bokhari, Naeem Abbas, Manisha Singh, Richard B. Cindrich, Cosmina Zeana

“…Patient improved with intravenous antibiotics. This case is unusual, raising the possibility of gastrointestinal colonization as a source of the patient’s bacteremia. …”
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Dé-finir le langage dans The Names de Don DeLillo by Karim Daanoune

“…Hiding in the hills and gathered around an unusual pseudo-spiritual belief, a terrorist cult tracks and kills anyone “whose initials matched the first letter of each word in a particular place-name » (168). …”
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Patient's Attitudes Towards the Use of Complementary and Alternative Medicine in Finland: an Ethnomedical Insight Based on Cancer Narratives by Piret Paal

“…Unlike many other countries, where the representatives of conventional medicine also consider complementary and alternative medicine as a part of their treatment, the use of non-evidence based medicine is extremely unusual in Finland. However, patients with long-term illnesses are eager to try all available cures in their desire to become well and this leads to a situation in which complementary treatments are used in a somewhat secretive manner. …”
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Intraosseous Cavernous Hemangioma of Inferior Turbinate: A Rare Case Report by M. N. Akiner, M. T. Akturk, M. Demirtas, E. O. Atmis

“…Hemangiomas are a rare cause of intranasal masses. Its unusual site and masked presentation makes the differential diagnosis difficult. …”
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Acute Kidney Injury, Recurrent Seizures, and Thrombocytopenia in a Young Patient with Lupus Nephritis: A Diagnostic Dilemma by Hector Alvarado Verduzco, Anjali Acharya

“…Physicians must have high suspicion for these unusual presentations. We present a case where performing kidney biopsy clinched the diagnosis in our patient with multiple confounding factors.…”
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Surgical Management of Calciphylaxis Associated with Primary Hyperparathyroidism: A Case Report and Review of the Literature by Jennifer Bishop, Eric Brown, Augusto Podesta, Cathrine Troy, Xiang (Eric) Dong

“…Here, we present the unusual case of a 56-year-old woman, with extensive medical problems, who developed calciphylaxis in the presence of primary hyperparathyroidism. …”
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Flux Fractionalization Transition in Anisotropic S=1 Antiferromagnets and Dimer-Loop Models by Souvik Kundu, Kedar Damle

“…The destruction of power-law columnar spin order below w_{c} is driven by an unusual flux fractionalization mechanism, topological in character but quite distinct from the usual Kosterlitz-Thouless mechanism for such transitions: Fractional electric fluxes which are bound into integer values for w>w_{c}, proliferate in the w<w_{c} phase and destroy power-law columnar order.…”
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Sporadic Intra-Abdominal Desmoid: A Rare Presentation as a Hepatic Mass by Shahana Gupta, Udipta Ray, Souvik Chatterjee, Sanjeev Kumar, Ayusman Satapathy, Shamita Chatterjee, Tamal Kanti Choudhury

“…We report an unusual presentation of a sporadic intra-abdominal desmoid tumour, possibly arising from the diaphragm, masquerading as a hepatic mass in a young female without any history of surgery or trauma. …”
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Pernicious Effects of Toe Sucking Habit in Children by Deepika Pai, Saurabh Kumar, Abhay T. Kamath, Vipin Bhaskar

“…Digit sucking is common nonnutritive sucking habit in childhood. However it is unusual to find toe sucking habit in children. We report a case of a seven-year-old child sucking great toe of the left foot. …”
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Insulinoma Presenting with Long-Standing Depression, Primary Hypogonadism, and Sertoli Cell Only Syndrome by Usman H. Malabu, Durgesh Gowda, Yong Mong Tan

“…The aim was to report an unusual case of insulinoma presenting with long-standing depression and primary testicular failure. …”
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COVID-19-Induced Fatal Thrombotic Thrombocytopenic Purpura in a Healthy Young Patient by Mariana Codevila Buere Pereira, Bruna Ruschel, Bruna Schneider, Vitor Salomão Gonçalves Melo de Melgar, Tatiana Helena Rech

“…The antibody-mediated reduced activity of the disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13 (ADAMTS13) induces the accumulation of ultrahigh-molecular-weight multimers of von Willebrand factor, leading to platelet aggregation and thrombosis. TTP can be an unusual presentation of COVID-19 disease mediated by the virus-induced immune response. …”
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Metastatic Prostate Cancer to the Left Temporal Bone: A Case Report and Review of the Literature by Erynne A. Faucett, Hal Richins, Rihan Khan, Abraham Jacob

“…This case (1) demonstrates that a high index of suspicion for unusual etiologies of seemingly benign symptoms must be maintained in elderly patients having prior history of cancer and (2) substantiates the value of temporal bone imaging when diagnosis may be unclear from history and physical exam.…”
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Xeroderma Pigmentosum: Man Deprived of His Right to Light by Subhash Mareddy, Jithendra Reddy, Subhas Babu, Preethi Balan

“…Diagnosis is made clinically by the presence of unusual sunburns or lentiginosis or onset of cancers at an early age. …”
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Left Ventricle Outflow Obstruction by Reverse-Oriented Tricuspid Semilunar Valve-Like Endocardial Duplicatures by Kristína Mikuš-Kuracinová, Pavel Babál, Eliška Kubíková

“…The reported accessory reverse-oriented tricuspid semilunar valve-like structure is an unusual finding of a structure in the left ventricular outflow tract, to which we could not find an analogy in the available literature.…”
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Solitary Plasmacytoma of the Mesentery: A Systematic Clinician’s Diagnosis by Georgia Mitropoulou, Adamantia Zizi-Sermpetzoglou, Hippokrates Moschouris, Athanasios Kountourogiannis, Despoina Myoteri, Dionysios Dellaportas

“…Meticulous adherence to the established diagnostic criteria helps the clinician to set the correct, yet very unusual and unexpected diagnosis.…”
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A Supernumerary Nipple-Like Clinical Presentation of Lymphangioma Circumscriptum by Dustin Taylor, Natalie Kash, Sirunya Silapunt

“…We report a case of lymphangioma circumscriptum on the left inframammary area of an African American female with an unusual supernumerary nipple-like clinical presentation. …”
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Plasmacytoid Urothelial Carcinoma of the Bladder Metastatic to the Stomach: A Case Report by Philippe Nabbout, James Furr, Murugan Paari, Gennady Slobodov

“…Both the urologist and the pathologist need to have a high index of suspicion for PUC whenever they encounter unusual clinical and/or pathological findings.…”
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Scrotal Swelling and Testicular Atrophy due to Schistosomiasis in a 9-Year-Old Boy: A Case Report by Peter F. Rambau, Alphonce Chandika, Philipo L. Chalya, Kahima Jackson

“…Involvement of spinal cord causing paraplegia has been observed in S. haematobium. Other unusual pathology of schistosomiasis has been described, such as involvement of the appendix, ovary, prostate, and cervix. …”
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Landschaftsgedächtnis und Geschlechterdiskurse in ausgewählten Werken von Elsa Bernstein und Maria Waser by Monika Mańczyk-Krygiel

“…For the main character, the most important thing is the desire for self-realization as an artist (painter), which often encounters the reluctance of the environment, especially men jealous of her talent. This rather unusual way of perceiving Jungfrau in the context of building identity is intimate and personal, and at the same time explicitly feminine.…”
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