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In one case the growth rate and cortisol response returned to normal 9 months after the fluticasone dose was reduced to 500 micrograms/day.
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Catheterization of the right side of the heart (Swan-Ganz catheter) was a technology that became widely used before any outcome studies became available.
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Ciprofloxacin-induced renal insufficiency in cystic fibrosis.
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Aggressive antibiotic management and attainment of complete remission of his leukemia resulted in a successful outcome.
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Hypercalcemia in a renal transplant recipient suffering with Pneumocystis carinii pneumonia.
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A successful cord blood transplant in a child with second accelerated phase chronic myeloid leukemia following lymphoid blast crisis.
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CONCLUSION: There may be an association between raloxifene and the development of malignant mixed mesodermal tumor.
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After a follow-up of more than 2 1/2 years no significant recovery was seen in these cases.
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Cholestatic liver disease with ductopenia (vanishing bile duct syndrome) after administration of clindamycin and trimethoprim-sulfamethoxazole.
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Renal failure appeared 8 to 17 days after beginning gentamicin therapy and was characterized by creatinine clearances 4 to 10 ml/min, urine to plasma creatinine ratios less than 20, urinary sodium concentrations 16 to 60 mEq/liter, proteinuria, and cylindruria.
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In this report, we demonstrate the fluoroquinolone class of antibiotics can be associated with prolonged electroconvulsive seizure duration.
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The day after clozapine was stopped, while he was still receiving clomipramine 150 mg/d, he began behaving oddly, started sweating profusely, shivering, and became tremulous, agitated, and confused.
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Paradoxical precipitation of tonic seizures by lorazepam in a child with atypical absence seizures.
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The nodules regressed after withdrawal of methotrexate therapy in one patient and were arrested with the addition of hydroxychloroquine in the other.
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Odontogenic cell sensitivity is dependent upon the position on the cell cycle and the mitotic activity at the time of chemoradiation therapy.
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In addition, his overall medical status worsened, as he developed concurrent acute renal failure and became more confused and lethargic.
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Pneumocystis pneumonia should be considered in asthmatic patients taking methotrexate who present with fever, pulmonary infiltrates, and hypoxia.
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Role of a long-acting somatostatin analogue (SMS 201-995) in the treatment of acromegaly.
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Pregnancy and complicated familial Mediterranean fever.
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Griseofulvin may be associated with an increased incidence of adverse cutaneous reactions in patients with systemic lupus erythematosus.
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TREATMENT/OUTCOME: Standard anti-tuberculosis therapy was administered but was complicated by interaction with cyclosporine and drug-induced cholestasis.
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Thioamide therapy has improved the outcome of pregnancies complicated by maternal hyperthyroidism, without long-term effects on cognitive and somatic development.
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Rapid resolution of topiramate-induced angle-closure glaucoma with methylprednisolone and mannitol.
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This report highlights a case of drug-induced dysphagia in a patient receiving haloperidol for obsessive nocturnal thoughts and auditory disturbances.
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Neutropenic enterocolitis (NE) is a severe gastrointestinal complication in patients who undergo aggressive chemotherapy.
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Thirty-six patients with AL received, in a three-month period, 51 cycles of combined chemotherapy which included, in all of them, cytosine arabinoside (ARA-C); among them, along with myelosuppression, five experienced fever, infectious complications, gastrointestinal tract symptoms and severe myalgias.
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Multifocal disseminated lesions of circumscribed lipoatrophy have not been described as an adverse reaction of intravenously applied drugs.
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After the patient discontinued rifampicin, the skin lesions cleared completely within 5 weeks without any systemic medication.
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At operation a subarachnoid and a subdural haematoma were found, extending between the levels of the vertebrae T3 and L2.
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Maternal values were 2.4 and 4%, and infant values 20.0 and 18% in cases 1 and 2, respectively.
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The case of a 46-year-old woman with chronic hepatitis C who was prescribed subcutaneous pegylated interferon once a week and oral ribavirin once a day is presented.
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This form of treatment is easily administered, is repeatable and free from serious complications.
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This series includes a case of bilateral thrombosis of the internal and external jugular veins in the 7th gestational week in a twin pregnancy after OHSS and ICSI, with termination of the pregnancy in the 9th gestational week due to progressive thrombosis during anticoagulation therapy.
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Thrombotic microangiopathy associated with chemotherapy: case report and review of the literature.
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We suspect that nefazodone inhibits metabolism of tacrolimus.
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Several different criteria for diagnosis exist, and each differs from the others slightly.
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Cryptococcal meningitis is a life-threatening complication of this disease.
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It is generally known that excessive blood levels of AZ inhibit not only the gastric juices but also prostaglandin levels and HCO3- excretion in the gastric mucosal barrier.
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This undesirable side effect of Tolazoline may be prevented by the concomitant use of antacids to maintain gastric pH greater than 5.
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Terbutaline is a beta2-adrenergic agonist that may mediate its effects via direct beta2-receptor stimulation, baroreceptor-mediated increases in sympathetic tone, or via presynaptic beta2-stimulation.
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Seizure control was not reestablished.
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Sixth day after TAC chemotherapy, she had abdominal pain and vomiting.
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Transient left homonymous hemianopsia and encephalopathy following treatment of testicular carcinoma with cisplatinum, vinblastine, and bleomycin.
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Examination by MRI during the clinical course clarified the presence and disappearance of an epidural abscess and diskitis.
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Examination revealed a combined restrictive and obstructive defect in pulmonary mechanics and severe compromise of gas transfer across the pulmonary alveolar-capillary membrane.
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They should be recognized as a possible side effect of GBP treatment in adults.
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The eye eventually became blind and painful and was enucleated.
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We report a case of a patient with mild chronic renal insufficiency who had been taking simvastatin for over a year and developed acute weakness within 3 weeks after the start of treatment with colchicine for acute gouty bursitis.
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The detection rates were fluoxetine, 48.8% (20/41); tricyclics, 5.8% (3/52); RBD, 4.3% (3/70); objectively normal sleepers, 3.3% (1/30); PLM, ST/SW, 0% (0/82).
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Carotid angioplasty and carotid artery stenting were performed using the distal protection system with the PercuSurge GuardWire.
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He died 1 month later in spite of methylprednisolone pulse therapy, large spectrum antimicrobial therapy, and full support of respiratory, hemodynamic and renal systems.
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Further biopsy revealed a more severe glomerular lesion.
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However, nerve block by this procedure may in very rare instances give rise to serious complications.
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Engraftment occurred on day +35.
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Limited data are available regarding use of direct thrombin inhibitors in patients who have severe hepatic impairment with concurrent renal failure requiring CVVHD.
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He developed a low grade fever, cough and nasal discharge, and was given a compound "cold" remedy with anticholenergic properties.
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CASE REPORT: A 76-year-old man came to us in October 1998 with symptoms of foreign body sensation, epiphora, and difficulty removing his contact lenses.
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The donor was asymptomatic and had a negative review of systems, a normal physical exam, normal laboratory values, and negative blood and urine cultures.
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The clinical syndrome was a self-limiting proteinuria with normal renal function.
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Reversible leukopenia was documented in an 81-year-old woman treated with adjunctive ibopamine 100 mg t.i.d. for chronic congestive heart failure.
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We describe our initial experience of HCQ slow oral desensitization.
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There may be an interval of one or more months after discontinuation of cyclophosphamide therapy before clinical or radiological improvement occurs.
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Diagnosis and management of such infections in the immunosuppressed host are difficult.
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A 44-year-old Caucasian male who had been on long-term steroid treatment for an unspecified collagen disease was referred to our Unit because of fever, severe hypopharyngeal dysphagia, night sweats and evidence of marked superior vena cava compression.
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The stenosis developed in the area of previously noted tracheal ulceration and responded satisfactorily to carbon dioxide laser therapy.
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Haemolytic-uraemic syndrome complicating long-term mitomycin C and 5-fluorouracil therapy for gastric carcinoma.
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Oral hairy leukoplakia in nonimmunosuppressed patients.
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When SASP was changed to 5-aminosalicylic acid (5-ASA), his skin eruptions were resolved, however, he developed weakness and atrophy in his right arm as well as progressive worsening of the dysesthesia in his legs and gait disturbance.
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At further evaluation, HBsAg was positive but serological work up was compatible with a healthy-carrier status.
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Magnesium toxicosis in two horses.
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Thrombocytopenia with or without microangiopathy following quinine is often referred to as quinine "hypersensitivity." When schistocytes are present it is frequently termed "quinine-associated TTP/HUS." A severe deficiency of the vWF-cleaving protease, ADAMTS13, is associated with idiopathic TTP.
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This experience supports the hypothesis that heparin can be readministered early to patients with heparin-associated thrombocytopenia and thrombosis, provided antiplatelet therapy is given.
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In a single practice during the 21 years 1971-1991, the incidence of gestational diabetes in pregnancies in which norethisterone was prescribed was 32.4% (22 of 69) in comparison with 7.1% in pregnancies in which the women did not take norethisterone (137 of 1,684) (p < 0.001).
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Symptomatology resolved with diphenhydramine.
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MR appears to be valuable in the detection of abnormalities induced by treatment with high-dose methotrexate.
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Magnesium sulfate and digitalis-toxic arrhythmias.
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Near fatal acute colchicine intoxication in a child.
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Of 165 consecutive patients undergoing computerized tomography- or magnetic resonance imaging-guided stereotactic brain biopsies at the Cleveland Clinic between June, 1987, and November, 1989, four patients (2.4%) developed arterial hemorrhage refractory to conventional efforts to secure hemostasis.
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Numerous studies suggest that ganciclovir has clinical efficacy against cytomegalovirus disease, as well as an in vivo antiviral effect, and that this agent reduces morbidity of serious cytomegalovirus infections in immunocompromised patients.
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AIM: Report of a case of a woman patient who developed celiac disease after pegylated interferon alpha-2a and ribavirin use for chronic hepatitis C.
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His home medications at the time of presentation included propanolol 10 mg tid, haloperidol 10 mg bid, sodium valproate 500 mg bid, benztropine 1 mg bid, and haloperidol decanoate 100 mg i.m. every 3 weeks, from another psychiatric facility.
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Severe neutropenia and thrombocytopenia were encountered but they were reversible and no life-threatening complications were experienced.
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Epsilon-aminocaproic acid (EACA) is a potent anti-fibrinolytic agent that is used in the treatment of excessive bleeding resulting from a systemic fibrinolytic state.
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This report documents that duct paucity may occur within 10 days of onset of jaundice and appears to be confined to ducts less than 0.03 mm in diameter.
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Seven patients only smoked at night-time (median dose eight puffs, range two to eight puffs), and eight patients used cannabis mainly during the day (median dose three puffs, range two to eight puffs); the median frequency of use was four times per day (range one to 16 times per day).
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CONCLUSIONS: Nocardiosis should be considered a potential pathogen in this immunocompromised setting.
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Cerebrospinal fluid smear showed the ie, Streptococcus agalactiae that grew on blood wound culture, sent at the time of admission.
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The situation is less clear regarding other anti-malarial quinine analogues.
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A 59-year-old woman with myasthenia gravis who received a large dose of pyridostigmine bromide developed postoperative psychosis and was diagnosed as having bromide intoxication.
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Elevated serum triglycerides with clozapine resolved with risperidone in four patients.
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Aspergillus sp. infection was the most common of all CNS infections followed by viral, bacterial and protozoal.
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PURPOSE: The case of a patient who developed aseptic meningitis, hemolytic anemia, hepatitis, and orthostatic hypotension simultaneously during treatment with trimethoprim-sulfamethoxazole is described.
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Asthma and urticaria during disodium cromoglycate treatment.
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After prostate irradiation, many patients experience a transient rise in serum PSA levels and a subsequent decline without any treatment.
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The sixth woman, with an empty sella turcica after radiation therapy of a pituitary adenoma, had an endometrial mullerian adenosarcoma at the age of 40 years after 16 years of estrogen therapy.
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Metronidazole was initiated at a dose of 500 mg orally three times daily and continued for 10 days.
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Hydroxyurea-induced acute interstitial pneumonitis in a patient with essential thrombocythemia.
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BACKGROUND: Cloxacillin is a semisynthetic penicillin widely used in nonmethicillin resistant Staphylococcus aureus infections.
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OBJECTIVE: To report a case of reversible nonthrombocytopenic palpable purpura associated with metoclopramide.
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Central nervous system effects secondary to ciprofloxacin treatment are uncommon and usually consist only of minor dizziness or mild headache, although rare occurrences of seizures and hallucinations have been reported.
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