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Families and physicians need to have an increased awareness of this possibility and of the appropriate management of myoglobinuria.
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Diagnosis of Churg-Strauss syndrome was confirmed both by characteristic clinical features and by histology.
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An adverse reaction to the acute administration of sublingual nifedipine is reported.
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These 4 cases are the first to be recorded in infancy, and with histopathological proof of fat embolism.
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We sought to evaluate the etiology of the long QT syndrome in these patients without previously identified causes for QT, prolongation, and determine the prevalence among patients with HIV infection.
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A case report.
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A worsening of ritualistic behavior was noted, and the clomipramine dosage was increased to 150 mg/d over 14 days.
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A transverse spinal cord syndrome occurred due to a pathological fracture of C5 and C6 and operative decompression was necessary.
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The three unilateral cases evolved favorably, but the bilateral case, seen late, showed extensive macular scarring.
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Conventional antipsychotics have little efficacy against negative symptoms, and so many patients with schizophrenia are refractory to treatment with these drugs.
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Patients have the right to adequate and safe pain relief in hospitals, but many continue to experience unrelieved pain.
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These symptoms recurred following 2 subsequent administrations of metoclopramide.
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Antibiotic treatment combined with surgical and radiological interventions resulted in full recovery.
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His polymyoclonus was successfully treated with phenytoin, sodium thiopental infusion, sodium valproate and supportive care of the hemodynamic, and respiratory systems.
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Persisent ocular hypertension following intravitreal ranibizumab.
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The incidence, cause, and mechanism of such a side effect are unknown but should be considered in patients receiving high-dose carmustine infusions.
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Shortly after hepatic artery clamping the patient developed a massive intracardiac/intravascular thrombosis that resulted in cardiac arrest.
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The delayed encephalopathy developed 9 and 22 months respectively after the first dose of intrathecal methotrexate.
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CONCLUSIONS: This is the first report of a possible interaction between propafenone and citalopram, which caused propafenone adverse effects (eg, dizziness, falls) and mimicked coronary artery disease.
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The patients who developed neurotoxicity had markedly higher global ratings of psychotic symptomatology and anxiety in the pretoxic period than did patients who never deveoped neurotoxicity.
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However, all three patients eventually died of refractory acidosis.
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Neutropenic enterocolitis or typhlitis (from the Greek typhlon, meaning caecum) is defined as a necrotizing colitis with inflammation of the cecum and surrounding tissues.
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Eighty-two percent of patients had clinical and laboratory improvement on the higher or maintenance dose of corticosteroids.
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Ptosis occurring 24 h after chloroquine therapy, with full recovery 48 h after cessation of chloroquine, has not been described previously.
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In these patients, it might be more adequate to start mirtazapine therapy at a lower dose (<15 mg/d).
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Choroidal hemorrhage associated with systemic tissue plasminogen activator.
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This is the first case in the literature--to the best of our knowledge--describing a minimally invasive strategy using CT fluoroscopic guidance to perform an injection of thrombin into the perfused pseudoaneurysm to seal a leakage.
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Lymphangiomyomatosis: hormonal implications in etiology and therapy.
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Huge prosthetic mitral valve thrombus: use of serial transesophageal echocardiography guidance in resolution.
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Theoretically the link could be in a disturbance of serine and glycine metabolism.
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METHODS: The patient required insulin desensitization for severe urticaria, angioedema, and occasional wheezing resulting from her insulin dose.
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Silent acute myocardial infarction following a wasp sting.
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Coagulation parameters of 3 different time-points were assessed and compared: before administration of any blood product (time-point 1), before administration of the first dose of rFVIIa (time-point 2), and 4 hours after the administration of the last dose of rFVIIa (time-point 3).
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We report a case of cerebral arterial air embolism that was followed by a brain computed tomographic scan and magnetic resonance imaging during the first week after onset.
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In contrast, a partial recovery of the Arden ratio of the EOG to 1.8 in both eyes was seen.
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The increase of tumor volume at the beginning of therapy does not require the suspension of treatment.
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The polycystic changes disappeared from the ovaries in 2 of the women after valproate therapy was discontinued, and the 2 women who had gained weight and developed amenorrhea while being treated with valproate lost weight and resumed menstruating after the change in medication.
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INTRODUCTION: Cetuximab is a chimeric antibody registered for the therapy of advanced colorectal carcinoma after failure of standard chemotherapy.
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Three-months after implantation of the intravenous access device, the indwelling central catheter was fractured and embolized to the pulmonary trunk.
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Although both the spontaneous occurrence of SLE and the psychosis as a sign of CNS involvement of SLE cannot be excluded, SLE could be considered as an adverse effect of carbamazepine.
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Drug induced polymyositis secondary to leuprolide acetate (Lupron) therapy for prostate carcinoma.
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Severe osteomalacia was present in two epileptic patients who were under long-term treatment with congeners of phenytoin, phenobarbital, and acetazolamide.
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Insulin-dependent diabetes mellitus developed in a young woman 8 weeks after the initiation of danazol for treatment of pelvic endometriosis.
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At this psychiatrist visit, sertraline 50 mg/day was added for her depression, and was continued after a geriatrician visit in October.
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This set of findings is similar to the acute inflammatory stimulation observed with exposure to irritants, and may lead to mucus obstruction of small airways and increased nasal resistance.
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Her medical history included vascular dementia accompanied by depression, arterial hypertension, and heart failure, as well as cardiac pacemaker implantation several years earlier for severe bradyarrythmia.
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A woman with a 20-year history of acral pustular psoriasis of Hallopeau and recurrent pustular lesions of the forearms and lower legs, developed a B-cell lymphoma of the lip following 4 1/2 years of treatment with razoxane.
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CONCLUSIONS: Intracerebral hemorrhage must be strongly suspected in any patient with a coagulation disorder presenting with matching clinical symptoms.
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The clinical relevance of HHV-6 infections in cancer patients undergoing conventional cytotoxic therapy is undetermined, however.
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Severe loss of vision after removal of cataract caused by intravitreal triamcinolone in combination with photodynamic therapy for exudative age-related macular degeneration.
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Endoscopy demonstrated dimpling of the gastric mucosa on the anterior wall of the stomach.
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In view of previous reports that SIADH and limbic encephalitis are caused by reactivation of latent herpesviruses after transplantation, both conditions may be secondarily caused by reactivation of latent herpesviruses, which is typically observed in DIHS/DRESS.
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CLINICAL PRESENTATION: Spine pain may precede neurologic deterioration by many hours.
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Although some of these agents can improve cardiovascular disease risk in patients with diabetes, others may increase the risk and may be prohibited from use in certain populations.
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This report may serve to remind EEG'ers and epileptologists that the acute use of this drug may be effective in dealing with PLEDs that are often difficult to eliminate.
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The chromosomal abnormality der(17)t(12;17)(q13;p13) is very rare in hematologic malignancies, and has been reported in only two patients with therapy-related acute myeloid leukemia (t-AML).
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Systemic lupus erythematosus during penicillamine therapy for rheumatoid arthritis.
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It is believed that this is the first reported case of reversible azathioprine-induced cholestasis associated with histological evidence of bile duct injury.
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Throughout approximately 3 years of treatment with these erythropoietin analogs, the patient's total daily dose of insulin was reduced in response to his decreasing A1C values, despite elevated blood glucose levels and the absence of patient-reported hypoglycemic events.
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Early recognition and aggressive treatment are necessary for patient survival.
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Albendazole is an antibiotic that is chemically related to metronidazole.
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Safety of thrombolysis during cardiopulmonary resuscitation.
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He was diagnosed with a viral syndrome, acetaminophen was prescribed, and he was sent home.
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Gemcitabine is a chemotherapy agent that may cause unpredictable side effects.
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Four adolescents who used St.
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Increased vigilance is always advised when administering drugs not commonly given to pediatric patients.
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She was 37 years old at the time of initial diagnosis.
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The diagnosis of DIHS was made based on the patient's history of using an offending drug, clinical manifestations and laboratory data showing peripheral eosinophilia with the presence of atypical lymphocytes.
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Extravasation injury is a common event in pediatric intensive-care units.
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Disseminated intravascular coagulation associated with acute hemoglobinemia or hemoglobinuria following Rh(0)(D) immune globulin intravenous administration for immune thrombocytopenic purpura.
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Combination chemotherapy with VM 26 and CCNU is well tolerated and can be administered on an out-patient basis.
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A 67-year-old man developed diarrhea shortly after a 10-day course of oral ampicillin.
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Our results suggest that topiramate titration should be performed gradually, so as not to neglect cases responsive to low doses.
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He presented with confusion and focal seizures with a rapid progression to coma and decerebrate posturing.
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Microangiopathic hemolytic anemia in a patient with recurrent anal cancer and liver metastasis.
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However, the medical literature now contains at least 125 other detailed reports of ANLL developing after prolonged cytotoxic agent therapy.
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Surprisingly, insulin therapy had to be suspended because of hypoglycemic fits and treatment with metformin was started.
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Treatments can be given on an outpatient basis, without requiring prolonged patient sedation or immobilization.
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Her management consisted of regular blood transfusions aimed at haemoglobin above 8.5 g/dl, antimicrobials, oxymetholone, low dose prednisone and folate.
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Recently, combined chemotherapy and radiation therapy has been introduced for head and neck tumours.
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Fever, lymphadenopathy, eosinophilia, lymphocytosis, hepatitis, and dermatitis: a severe adverse reaction to minocycline.
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The most common presenting findings were somnolence-lethargy (96%), miosis (56%), and respiratory depression (48%), a paradoxical hypertensive response (44%) was more common than expected.
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BACKGROUND: Back pain is a common presentation associated with opioid seeking behaviour.
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However, in 1993, a clinical study involving 400 patients on the Thai-Burmese border revealed cardiac effects of antimalarial treatment with halofantrine, including one sudden death after the treatment.
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Her blood chemistry indicated AST 342 IU/L, ALT 356 IU/L, and hyaluronic acid 255 ng/mL.
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Prolonged dexmedetomidine infusion as an adjunct in treating sedation-induced withdrawal.
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Autopsy evidence of herpesvirus infection was found in visceral organs of four leukemic patients who had received large doses of cytarabine (cytosine arabinoside; Ara-C) shortly before their death.
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A 19-year-old man with untreated systemic lupus erythematosus had an acute myocardial infarction.
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Rapid progression to fatal postnecrotic cirrhosis.
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Possible precipitating factors were damage to the subclavian vein, congestive heart failure, paroxysmal atrial fibrillation, and immobilization.
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Combined pharmacomechanical thrombectomy for acute inferior vena cava filter thrombosis.
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Preinjection visual acuity measured 20/80.
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His chemotherapy consisted of doxorubicin HCL, bleomycin, dacarbazine, and vinblastine, with prophylactic administration of a granulocyte colony stimulating factor.
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The patient experienced over a 10-month period, signs and symptoms suggestive of metabolic toxicity marked by bouts of gastrointestinal distress, low-grade fever, incoordination, and disorientation.
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Coagulopathy associated with the use of cephalosporin or moxalactam antibiotics in acute and chronic renal failure.
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Ideally, the ostium is treated by positioning the stent with a slight degree of overhang in the aorta to ensure coverage of the aorto-ostial junction.
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However, its use has recently been limited because of adverse cutaneous and hepatic effects.
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There have been several reported cases of omeprazole-induced AIN.
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Cutaneous malignant melanoma after immunosuppressive therapy.
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Treatment with topical corticosteroids and avoidance of suspect irritants usually resolves the dermatitis.
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