Brucella melitensis bacteraemia with lymphoma-like generalised lymphadenopathy and probable secondary haemophagocytic lymphohistiocytosis under biopsy constraints: a case report

BackgroundBrucellosis can resemble lymphoma when lymphadenopathy accompanies cytopenias and systemic inflammation. Associated secondary haemophagocytic lymphohistiocytosis (HLH) adds to the diagnostic difficulty.Case presentationA 68-year-old man prese…

Case Report: Dupilumab-associated psoriasiform eruption followed by depigmentation in a patient with prurigo nodularis and Vogt-Koyanagi-Harada disease

Dupilumab blocks interleukin (IL)-4 and IL-13 signaling and is effective for type 2 inflammatory diseases, including atopic dermatitis and prurigo nodularis. Paradoxical psoriasiform eruptions and, less commonly, new-onset or worsening vitiligo have be…

Case Report: Temporal dissociation between peripheral B-cell pharmacodynamics and renal remission during sequential rituximab and telitacicept-containing therapy in childhood secondary steroid-resistant nephrotic syndrome

Rituximab (RTX) can improve outcomes in children with frequently relapsing or steroid-dependent nephrotic syndrome, although a marked reduction in circulating B cells does not invariably coincide with renal remission. We report a girl who developed fre…

Case Report: bullous pemphigoid during secukinumab treatment for plaque psoriasis: therapeutic challenges and long-term follow-up

BackgroundBullous pemphigoid (BP) may occur during interleukin-17A inhibitor therapy in patients with psoriasis. Most reported cases have focused on BP onset and short-term management, with limited information on long-term outcomes and subsequent targe…

Metagenomic next-generation sequencing of aqueous humor guides targeted therapy for Staphylococcus epidermidis endophthalmitis in chronic ocular graft-versus-host disease: a case report

PurposeTo report a case of Staphylococcus epidermidis endophthalmitis in chronic ocular graft-versus-host disease, refractory to empirical broad-spectrum antibiotics, rapidly identified by metagenomic next-generation sequencing of aqueous humor, and su…

Case report: When encephalitis is not an infection: two cases of autoimmune GFAP astrocytopathy mimicking infectious encephalitis

BackgroundAutoimmune glial fibrillary acidic protein (GFAP) astrocytopathy is a rare autoimmune inflammatory disease of the central nervous system that frequently mimics infectious meningoencephalitis. Because its clinical presentation, cerebrospinal f…

Case Report: A case of postneurosurgery Klebsiella pneumoniae meningitis with longitudinal CSF cytokine profiling and combined intrathecal therapy

A 47-year-old woman with poorly controlled diabetes developed acute fever, headache, seizures, and progressive confusion during an admission for glycemic management. Neurological examination showed mild meningeal signs, and brain MRI demonstrated diffu…

Crystalline κ-light-chain proximal tubulopathy in Waldenström macroglobulinemia with an IgA nephropathy pattern: a case report and systematic review

Light-chain proximal tubulopathy (LCPT) is a rare renal manifestation of monoclonal gammopathy that is exceptionally uncommon in Waldenström macroglobulinemia (WM). We report a case of crystalline κ-LCPT in WM and conduct a literature review of WM-asso…

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