Significant Improvement of Fibromyalgia Symptoms With Osteopathic Manipulative Treatment: A Case Report.

Fibromyalgia is a chronic pain syndrome characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive dysfunction. While pharmacologic therapies and lifestyle modifications are commonly used, many patients experience suboptimal relief. We present the case of a 41-year-old African American female with a seven-year history of fibromyalgia, who sought care in a family medicine clinic for persistent pain, fatigue, and functional impairment despite ongoing pharmacologic management.

Atypical Presentation of Bordetella pertussis in a Six-Month-Old with Cleaved Lymphocytes and Mild Respiratory Distress.

, the causative agent of whooping cough, typically presents in infants with paroxysmal coughing, inspiratory whoop, and post-tussive vomiting; however, atypical presentations are increasingly recognized, particularly in partially or recently immunized individuals. We present the case of a six-month-old previously healthy, fully immunized female infant who was evaluated for a three-day history of low-grade fever, feeding difficulties, increased irritability, and mild respiratory symptoms, in the absence of the characteristic pertussis cough or respiratory distress. Physical examination was largely unremarkable, with no signs of cyanosis, retractions, or abnormal lung sounds.