Deccan College of Medical Sciences

Fatal tumor lysis syndrome presenting with extreme hyperuricemia and dialysis-requiring acute kidney injury in blast-phase chronic myeloid leukemia

Tumor lysis syndrome (TLS) is a life-threatening oncologic emergency characterized by hyperuricemia, hyperphosphatemia, hyperkalemia, hypocalcemia, and acute kidney injury (AKI). Although TLS most commonly occurs following initiation of cytotoxic therapy, it may rarely develop sp...

An Intelligent Deep Reinforcement Learning Framework for Cost-Efficient and Energy-Aware Cloud Resource Management

The rapid growth of cloud computing and Internet of Things (IoT) applications has intensified the need for efficient resource allocation, energy management, and cost optimization in large-scale data centers. Traditional optimization and machine learning approaches, while effectiv...

Massive Aseptic Splenic Abscess as the Presenting Manifestation of Active Lupus Nephritis: A Case Report

Splenic abscesses are uncommon in systemic lupus erythematosus (SLE) and are typically infectious. Aseptic abscesses—sterile purulent collections resulting from immune dysregulation—are exceedingly rare and diagnostically challenging. We report a 25-year-old woman with no prior r...