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A careful risk-benefit analysis is mandatory in patients with abnormal collateral vessels.
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The ability of clozapine to suppress tardive dyskinesia symptoms raises the possibility that clozapine, at least at the doses used in this report, might also induce the disorder.
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The average time of presentation was 17 days after LASIK (range, 7-34).
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In one instance a systemic hypoglycemic reaction resulting in head trauma and confusion ended in an emegency hospital admission following the substitution of acetohexamide for acetazolamide.
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Cryptococcosis is a disseminated fungal disease typically associated with immunosuppression and characterized by high mortality rates.
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Clinical and radiological improvements were achieved after treatment with corticosteroid and tamoxifen.
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In case no. 2, the pathogenic mechanism seemed to be persistent light reaction preceded by systemic photoallergy, as he had taken mequitazine for 6 months, and there were strong positive photopatch test results with immediate erythema reaction, cross-reaction to promethazine, decreased MED to both UVA and UVB, and persistence of the photosensitivity over a 3-year follow-up period after discontinuation of the mequitazine.
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CONCLUSIONS: This review identifies a specific problem that can occur with central line removal.
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PDT was performed twice, but after the second cycle, patient developed choroidal ischemia and the visual outcomes were poor.
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BACKGROUND: Reproductive endocrine disorders characterized by menstrual disorders, polycystic ovaries, and hyperandrogenism seem to be common among women treated with sodium valproate for epilepsy.
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Fondaparinux and bivalirudin can also be used, but they have a lower level of evidence (evidence level B).
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While a causal relationship with haematological malignancies cannot be demonstrated, long-term follow-up among healthy individuals who receive haematopoietic growth factors is needed.
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He developed pneumonitis, pleural and pericardial effusions, and a predominantly proximal motor neuropathy.
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Secondary hematologic neoplasm after intravesical chemotherapy for superficial bladder carcinoma.
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Chemotherapy followed by peripheral blood cell autotransplantation led to complete disappearance of the pancreatic and mediastinal masses.
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The present report suggests that clarithromycin coadministration induces increased plasma carbamazepine concentrations, which may result in carbamazepine toxicity.
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Modulation of both dopamine and histamine systems together appears to be important in the treatment of AHC and further investigation of such pharmacotherapies is suggested.
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The improvement in initiative and social capacity was striking and appeared to be due to improved awareness of the environment and the acquisition and handling of useful knowledge.
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Psoriasiform eruption induced by anticonvulsants.
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When the patient discontinued taking the drugs by herself because of subsiding of these symptoms, severe panic anxiety appeared.
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We report a case of vitiligo that occurred during the second month of interferon alpha 2a therapy for chronic active hepatitis C.
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Energy dispersive X-ray microanalysis (EDXA) confirmed that many of the granules contained silver.
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Ovarian torsion: a complication of GIFT.
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In the absence of palpable cysticerci, the clinical diagnosis can be missed, although no other disease in its full form presents in this manner.
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Although the immediate postoperative course was uncomplicated, delayed onset of abdominal pain and fever lead to the diagnosis of superior mesenteric and portal vein thrombosis.
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We report a child with yolk sac tumor who developed localized pigmentation after the first course of chemotherapy regimen that included cisplatin, etoposide and bleomycin.
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Severe heparin associated thrombocytopenia is a rare complication of heparin therapy.
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Lethal anuria complicating high dose ifosfamide chemotherapy in a breast cancer patient with an impaired renal function.
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Spinal cord tolerance is currently accepted as about 50 Gy in 1.8-2 Gy fractions.
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Few have been described after liver transplantation.
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Psoriasis, razoxane and a cutaneous B-cell lymphoma.
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We present a report of MRI and proton MR spectroscopy (MRS) findings in an adolescent patient with Down syndrome and Crohn disease treated with metronidazole.
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Maternal immunosuppression and cytomegalovirus infection of the fetus.
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The results of this pilot study demonstrate that fluoxetine safely and effectively suppresses cataplexy and reduces the need for other, less desirable, anticataplectic agents.
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Due to discomfort, diplopia and lagophthalmos, the haematoma necessitated suspension of warfarin therapy and a surgical evacuation.
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OBJECTIVE: The authors described a case of interferon-induced psychosis as a framework to review the literature and discuss the decision to pursue antiviral treatment in psychiatrically ill patients with hepatitis C.
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Diagnostic and interventional percutaneous coronary catheterization is associated with stroke.
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A low initial dosage that is gradually adjusted upward is recommended.
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Infections and immunosuppression as specific problems in a HIV + patient transplanted for end-stage alcoholic cirrhosis.
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Our experience with surgical management is reported (39 mitral and 5 aortic prosthetic thrombosis from 1982 to 1999 among 89 patients with prosthetic malfunction).
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Rhomboidal, dark violet Kayexalate crystals were observed on microscope examination in the submucosa in both the first and second colonic biopsy specimens.
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After gastric-outlet obstruction was recognized in several infants who received prostaglandin E1, we studied the association between the drug and this complication.
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Her daily dose was 600 mg (or 12 mg/kg of body weight/day) of hydroxychloroquine.
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The temporal course of CNV, the presence of a chorio-retinal shunt, and the autofluorescence pattern in the fellow eye let us to speculate that the CNV was related to the vascular occlusive process.
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Although Helicobacter pylori is thought to be a predisposing factor, we found no histological evidence of this infection in our patient.
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At post-mortem there was minimal leukaemic infiltration but there were alterations in the liver architecture sufficient to explain the portal hypertension.
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Although drug-induced allergic nephritis (DIAN) is one of the most common problems seen by nephrologists, its true frequency is probably underestimated.
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BACKGROUND: There are many reports on the complications that occur at the time of insertion and during the life of central venous indwelling catheters.
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This may be related to the dose and duration of therapy with these agents.
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Use of these combinations should be closely monitored.
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The clinical course suggests that caffeine, which is present in oolong tea, was mainly responsible for the rhabdomyolysis as well as the delirium, although severe hyponatremia has been reported to cause rhabdomyolysis on rare occasions.
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His symptoms of brain stem compression were alleviated and the role of phenytoin in the production of his craniocervical abnormality is discussed.
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The use of methotrexate (MTX) has been contraindicated for treatment of severe psoriasis in HIV infection on the basis of six previously reported cases in which MTX appeared to potentiate opportunistic infections and accelerate HIV disease.
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These instances have led to a recent warning letter to physicians and a change in the prescription labeling of tegaserod.
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Successful application of permanent rapid atrial pacing requires (1) prescreening of patients with temporary external rapid atrial pacing to verify susceptibility to conversion of supraventricular tachycardia and absence of anomalous conduction pathways that may permit conduction of rapid pacing rates to the ventricles, and (2) assessment of the patient's ability to use the transmitter properly.
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This prompted the patient to discontinue all herbal supplements with the subsequent resolution of his lightheadedness and orthostasis.
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Aminophylline hypersensitivity apparently due to ethylenediamine.
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In this report, one patient who developed gangrene after bleomycin and vincristine/vinblastine chemotherapy for AIDS-related Kaposi's sarcoma and another HIV-infected patient who exhibited symptoms of severe Raynaud's phenomenon related to the same regimen are presented.
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CASE SUMMARY: A 25-year-old postpartum white woman developed multiple watery stools and abdominal cramping on day 6 of therapy with clindamycin vaginal cream for bacterial vaginosis.
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Repeated exposure and rechallenge of the subject to sulindac was deemed too dangerous, and precludes exact method to establish mechanisms to explain this transient, reproducible, idiosyncratic, adverse drug reaction.
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Treatment with protease inhibitors in some persons infected with HIV-1 is associated with a syndrome of lipodystrophy manifesting as peripheral lipoatrophy, relative central adiposity, insulin resistance, and serum lipid abnormalities.
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Treatment with CPH 82, a mixture of two benzylidated podophyllotoxin glycosides, has been shown to improve inflammatory activity in patients with RA.
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Papilledema without peripheral neuropathy in a patient taking perhexiline maleate.
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Poorly controlled hypertension in a painter with chronic lead toxicity.
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After oral L-thyroxine treatment the goiter disappeared.
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Mechanism of topiramate-induced acute-onset myopia and angle closure glaucoma.
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Despite a response of the meningeal tumor the patient developed in the third week of MTX treatment a progressive visual loss and loss of consciousness which worsened during subsequent Ara-C treatment and led to death within 3 weeks.
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IFN-alpha therapy was suspended and a treatment with l-T4 started.
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In one patient, treatment with DCA was associated with a decrease in blood lactate levels from 11.2 mM before treatment to 0.8 mM 16 h later.
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Lately these episodes were followed by brief spell of unconsciousness.
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DISCUSSION: No published clinical studies in patients receiving clindamycin vaginal cream for bacterial vaginosis have documented C. difficile toxin in stool samples of patients with diarrhea.
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Four cases suggesting that a reduction in the daily dose or withdrawal of an antidepressant may produce symptoms of major depression within hours to days are presented.
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There are several known or suspected predisposing factors.
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Steroid induced avascular necrosis of bones in eighteen sites: a case report.
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A case report.
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A 37-year-old Japanese woman received an anticancer drug for 5 years following resection of mammary cancer and then developed widespread mollusca contagiosa, which we considered to be caused by immunosuppression induced by the chemotherapy.
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Several case reports of aplastic anemia with use of acetazolamide, and two cases with use of methazolamide, have appeared in the literature.
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However, a recent post-marketing survey in Japan revealed that interstitial pneumonia occurred in 4 among approximately 2 000 Japanese patients treated with sorafenib.
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We present a fatal case of subacute methanol toxicity with associated diffuse brain involvement, including bilateral putaminal necrosis and cerebral edema with ventricular compression.
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It is activated by cytochrome P450 to form reactive metabolites that bind covalently to DNA to create adducts.
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Upbeating nystagmus resulting from anticonvulsant intoxication.
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Following several of these courses of therapy, respiratory distress occurred 9 to 12 days after the chlorambucil was given.
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Both had impaired lung function and abnormal computed tomographic scans, and their condition improved when nitrofurantoin was withdrawn and corticosteroid treatment commenced.
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Thrombocytosis under ciprofloxacin and tazobactam/piperacillin.
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In the second patient an early diagnosis was made and treatment promptly instituted.
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CONCLUSIONS: The results of this self-selected case series must be interpreted with caution.
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A patient receiving vancomycin for a serious staphylococcal infection had a lupus-like syndrome characterized by a malar rash, pain and erythema of the cartilage of both ears, and tender erythematous and hemorrhagic lesions of the finger tips.
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Similar cases were previously described associated with captopril treatment, but not with enalapril.
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The observations made in these three patients may give support to the hypothesis that cholinergic activity has pathogenic significance in depressive syndromes.
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Enoxaparin therapy was discontinued, and the patient was maintained on oral warfarin.
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A toxic encephalopathy characterized by depressed level of consciousness, marked irritability, and ataxia developed in seven children, 5 years of age and younger, following administration of an antiemetic combination of pentobarbital and pyrilamine maleate.
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Several plasma and urine samples from the final stage before and during peritoneal dialysis were analyzed by GC/MS.
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Hepatotoxicity associated with 6-thioguanine therapy for Crohn's disease.
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Prompt resolution of her jaundice followed the initiation of methionine therapy.
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Mucin-producing adenocarcinoma has been extensively studied in relation to this phenomenon.
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Despite of the administration of intensive therapies, she died of disseminated intravascular coagulation (DIC) and septic shock due to bone marrow depression 6 days after admission.
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Hyperammonemia secondary to valproic acid as a cause of lethargy in a postictal patient.
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INTERVENTIONS: Treatment with aspirin and prednisone in one patient.
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The experience obtained from the medical management of these patients is valuable for the treatment of such patients in the future.
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The same test were negative in five control patients.
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