📄 medicine

Stec-Triggered Deap-Hus in a Toddler: Successful Management with Eculizumab and Mycophenolate Mofetil Without Corticosteroids

This case report describes the successful management of a toddler with DEAP-HUS, initially misdiagnosed as STEC-associated HUS, using eculizumab and mycophenolate mofetil without corticosteroids, which allowed for the safe discontinuation of complement blockade while maintaining clinical stability.

Valentine VILLADA, Benjamin MOUSSLER, Isabelle VRILLON, Arnaud WIEDEMANN2026-06-28
📄 medicine

A Spatio-Temporal Modelling of Climate Variability on Respiratory Disease Morbidity in Kampala City, Uganda

This retrospective ecological study in Kampala (2021–2024) utilized spatio-temporal generalized additive models to reveal significant spatial clustering of respiratory diseases in specific city divisions and distinct seasonal patterns, identifying PM2.5 as a key modifiable risk factor.

Fiona Agweng, Lynn Atuyambe, Charles Natuhamya, Mbona Tumwesigy Nazarius, Phiona Milly Nabirye, Edward Ikoona, Samuel Mu (…)2026-06-28
📄 medicine

Long-term exposure to low concentrations of ambient benzene, genetic susceptibility and the risk of incident chronic obstructive pulmonary disease

This study of 285,338 UK Biobank participants demonstrates that long-term, low-concentration ambient benzene exposure is dose-responsively associated with an increased risk of incident chronic obstructive pulmonary disease (COPD), with this risk significantly amplified by additive interactions involving biological aging, shortened telomeres, smoking, and high genetic susceptibility.

Chao Quan, Jingxuan Hu, Shikai Xiong, Liliang Yu, Wuyou Yang, Xiaowei He, Guangyun Guo, Chengqing Yang, Xuefeng Lai, Che (…)2026-06-28
📄 medicine

The threefold value of surgery in previously irradiated brain metastases

This study demonstrates that surgical resection for progressive brain metastases following prior irradiation offers significant diagnostic, therapeutic, and prognostic value by accurately distinguishing tumor recurrence from radiation necrosis, providing immediate symptomatic relief and steroid withdrawal regardless of pathology, and revealing that radiation necrosis is associated with improved overall survival.

Joshua Marchal, Lucas Ybert, Mathilde Ducloie, Julien Geffrelot, Maxime Faisant, Grégoire Braux, Paul Lesueur, Nicolas G (…)2026-06-28
📄 medicine

Breast cancer risk in female survivors of Hodgkin lymphoma after exposure to non-pegylated liposomal doxorubicin at young adult and adult age: the first real-life series from southern Italy cancer centers

This study of 100 female Hodgkin lymphoma survivors in southern Italy treated with non-pegylated liposomal doxorubicin found no cases of breast cancer after a median 10-year follow-up, suggesting that this specific formulation may not carry the same increased breast cancer risk as conventional doxorubicin in young adult and adult patients.

Marco Picardi, Annamaria Vincenzi, Claudia Giordano, Novella Pugliese, Elena Vigliar, Giancarlo Troncone, Rosaria Cappie (…)2026-06-28
📄 medicine

The physio-affective symptoms of Long COVID are strongly predicted by the severity of the acute infectious phase, and lowered antioxidants, nitric oxide, and alanine transaminase levels

This study demonstrates that Long COVID constitutes a clinically homogeneous physio-affective phenome characterized by intercorrelated affective, fatigue, respiratory, and neurological symptoms, which are strongly predicted by the severity of acute infection markers and specific biomarkers indicating reduced antioxidant capacity, nitric oxide, and alanine transaminase levels.

Michael Maes, Chavit Tunvirachaisakul, Laura de Oliveira Semeão, Ana Paula Michelin, Andressa K. Matsumoto, Francis F. B (…)2026-06-28
📄 medicine

Microsurgical brainstem biopsy through safe entry zones for children with radiologically suspected diffuse intrinsic pontine glioma: a single-center experience from Brazil

This single-center Brazilian study demonstrates that open microsurgical brainstem biopsy through safe entry zones is a safe and effective procedure for children with suspected diffuse intrinsic pontine glioma, achieving 100% tissue yield with no permanent morbidity and providing crucial molecular stratification that guides clinical management.

Carlos Almeida Junior, Lucas Dias Lourenço, Daniel Antunes Moreno, Mirella Baroni, Flavia Escremim Paula, Silvia A. Teix (…)2026-06-28
📄 medicine

Annexin A2 Mediates Bevacizumab Resistance and Infiltrative Escape in Glioblastoma

This study identifies Annexin A2 (ANXA2) as a critical mediator of bevacizumab resistance and tumor infiltration in glioblastoma, demonstrating that high ANXA2 expression predicts poor patient survival and serves as a promising biomarker and therapeutic target to overcome adaptive resistance.

ListTaketo Ezaki, Ryota Tamura, Yohei Yamamoto, Jun Takei, Akihiko Teshigawara, Kyoichi Tomoto, Yasuharu Akasaki, Yuichi (…)2026-06-28
📄 medicine

Urbanization, geographic accessibility, and delayed entry into tuberculosis-designated care in southwestern China: a machine-learning prediction study

This machine-learning study of over 60,000 tuberculosis patients in southwestern China demonstrates that fine-scale geographic accessibility metrics significantly improve the prediction of delayed entry into designated care, suggesting that effective delay-reduction policies must integrate dynamic transport and urban planning with health-service redesign.

Haoran Niu, Yingbei Xiong, Tianqin Xue, Yifan Yao, Kunhe Lin, Li Xiang2026-06-28