Synthetic Drug Use and Limitations of Hospital Drug Screening: A Case of Gamma-Hydroxybutyrate Toxicity.

Gamma-hydroxybutyrate (GHB) is a drug that acts as a central nervous system depressant and is commonly known to be used recreationally. We present the case of a 31-year-old male patient with a past medical history of hypertension (HTN), polysubstance abuse, and previous fentanyl overdose who was brought in an unconscious state to the emergency department (ED) after a suspected GHB overdose. Upon arrival at the ED, the patient was obtunded and therefore medically sedated and intubated for airway protection.

When One Stomach Bug Is Not Enough: A Five-Pathogen Gastroenteritis Case Study.

Foodborne infections are a common cause of gastroenteritis, but cases involving multiple enteric pathogens from a single exposure are rarely reported. We present the case of a healthy 23-year-old male with no significant chronic medical history who developed febrile gastroenteritis after returning from a four-day solo trip to Peru. His symptoms began one day after returning and included fever, fatigue, nausea, vomiting, watery diarrhea, frontal headaches, and severe neck pain.

A Rare Case of an Aggressive Mixed Germ Cell Tumor Following Testicular Torsion.

Testicular cancer is one of the leading malignancies affecting young men, with germ cell tumors (GCTs) being the most prevalent type. These tumors are classified into two main subtypes: seminomas and non-seminomatous germ cell tumors (NSGCTs), with the latter known for their higher likelihood of metastasis. Early detection through imaging and tumor markers like alpha-fetoprotein (AFP) and beta-human chorionic gonadotropin (HCG) is crucial for favorable outcomes.