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A maintenance dosage of only 100 mg/day has resulted in significant improvement of depression and panic attacks, with discontinuation of psychotropic medication.
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The second case depicts acute CNS toxicity with known fatal potential.
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CONCLUSION: This experience indicates that cetuximab can be continued in patients who experience infusion reactions.
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A 44-year-old woman is described in whom amiodarone, disopyramide, and quinidine, administered alone separately, induced atypical ventricular tachycardia (AVT, torsade de pointes).
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'Bail-out' bivalirudin use in patients with thrombotic complications unresponsive to conventional treatment during percutaneous coronary intervention.
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The lesion was successfully resected using cardiopulmonary bypass, and the diagnosis of metastatic osteogenic sarcoma was confirmed.
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Unrecognized pre-existing renal insufficiency (CKD Stage 2 - 3) and the continuation of spironolactone were identified as predisposing risk factors.
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There are major side effects of anastrozole including decrease in both lumbar spine and total hip bone mineral density, increase in the incidence of all bone fractures (especially fractures of spine, hip and wrist), joint disorders and increase in the cholesterol level.
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We further used immunohistochemistry (IHC) to examine the relative role of platelet-derived growth factor-B (PDGF-B), insulin-like growth factor I (IGF-I), transforming growth factor-beta1 (TGF-beta1) and cyclooxygenase-2 (COX-2) in the pathogenesis of BCNU-related pulmonary fibrosis.
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DHP often reduces the number of platelets, also DHP needs a lot of heparin, therefore, we should have performed HD alone instead of DHP.
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Children with acute lymphoblastic leukemia (ALL), treated with L-asparaginase are at risk for cerebral thrombosis or hemorrhage because of coagulation protein deficiencies.
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Massive pulmonary embolism due to late-onset heparin-induced thrombocytopenia following coronary artery bypass graft surgery: successful treatment with lepirudin.
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CONCLUSIONS: In patients with coronary artery disease, or in situations where cardiovascular stability is desired, glycopyrrolate is an effective means of relieving intraoperative penile erections.
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Computed tomography re-evaluation demonstrated a new liver lesion.
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Five patients required short-term dialysis.
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Clinical measures and outcomes were recorded prospectively.
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CONCLUSIONS: This observation of "on-off" risperidone treatment suggests that risperidone may have worsened both psychiatric and physical manifestations of the mitochondrial disorder in this adolescent.
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Use of portable blood analyser in prehospital care should be considered in case of suspected massive poisoning by ethylene glycol.
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Endotracheal intubation eventually was performed.
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We report a case of intentional self-poisoning with tiagabine.
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Biopsies taken at the time revealed a dense inflammatory infiltrate consistent with an abscess.
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When glucocorticoids are used for longer than brief periods, even in moderate dosages, they can produce a variety of adverse effects, including steroid diabetes.
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In this paper we present the first doxorubicin extravasation through a central catheter in adults and review the only ten cases found in the literature.
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Nonconvulsive status epilepticus: the role of morphine and its antagonist.
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When headache recurred and meningeal signs appeared, SAH was diagnosed by computed tomography in all three cases.
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Early neurovascular and/or neurometabolic imaging identified the location of occlusion and tissue-at-risk (DWI-PWI mismatch) in all 8 patients.
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Two patients had clots in the pump.
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A 54-year-old male presented to our hospital for evaluation of peripheral lymphocytosis.
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In this case report, we describe a child with biliary atresia who underwent a living LDLT and developed severe coagulopathy after reperfusion of the graft.
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Therapy with pyrimethamine, sulfadiazine and folinic acid resulted in total lesion healing although central vision was lost.
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Acromegaly increases the overall risk of neoplasms.
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Mooren's ulcer is a rare disease of presumed autoimmune aetiology.
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DESIGN: Interventional case report.
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CONCLUSIONS: We present 2 patients allergic to cloxacillin with normal tolerance to other betalactam antibiotics, confirming that cross-reactivity among these antibiotics seems to be uncommon.
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It is also available as a therapeutic agent (Xyrem) used for the treatment of daytime sleepiness or cataplexy associated with narcolepsy.
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We describe a case of poisoning with 3,4-methylenedioxymet-amphetamine Ecstasy that presented with all the features suggestive of a fatal outcome, including a creatinine phosphokinase level markedly higher than any previously reported.
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Cholesterol microembolization and stable renal function with continued anticoagulation.
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Although they are rare, they may be life-threatening and should therefore be immediately recognized.
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Tuberculous uveitis after treatment with etanercept.
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Only after early oral and maxillofacial review and taking a thorough family history was C1 esterase-inhibitor deficiency diagnosed.
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The man died from complications related to toxic epidermal necrolysis.
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Ganciclovir resistance was suspected to be caused by both A594V of UL97 and Q578H of UL54, whereas foscarnet resistance was due mainly to Q578H of UL54.
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DISCUSSION: Renal elimination is not a significant pathway of elimination for anastrozole, clearance of anastrozole is unchanged even in severe renal impairment.
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The authors report a case of Balint syndrome with irreversible posterior leukoencephalopathy on MRI following intrathecal methotrexate and cytarabine.
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The increasing prevalence of methamphetamine abuse and the severity of the associated ulcers should alert ophthalmologists to the problem of methamphetamine-related keratitis.
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Apart from direct invasion into nearly every organ in systemic infection, evidence suggests that immunological reaction also plays a role in the pathogenesis of the disease, including both uncomplicated and disseminated infections.
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Liver function tests showed alanine aminotransferase 3330 U/L, aspartate aminotransferase 3250 U/L, and bilirubin 21 mg/dL.
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Hormone replacement therapy and late-life mania.
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Anticoagulant therapy is appropriate for embolic cerebral infarction due to valvular heart disease or cardiac dysrhythmia, as well as for stroke-in-evolution.
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An association of granulocytopenia, eosinophilia, skin reaction and hepatitis during propylthiouracil (PTU) therapy for thyrotoxicosis in a 47 year old black female is reported.
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While an elevated incidence of lung cancer has been observed in patients with RA or psoriasis, there has been no report of psoriatic arthritis associated with lung cancer.
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Two boys were treated with methylprednisolone due to acute exacerbations of Crohn disease.
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Although controlled clinical trial data support use of clozapine in treatment-refractory schizophrenia, some patients cannot tolerate this agent or it may increase the risk of physical problems for some patients.
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We present a 46-year-old African-American man with AIDS who was admitted on two different occasions within three weeks for signs and symptoms of meningitis after using trimethoprim/sulfamethoxazole (TMP/SMX).
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Muscle biopsy revealed variation in muscle fiber size and few vacuolated fibers which were features of colchicine-induced myopathy.
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As far as we know, this is the first case report of acute hemorrhagic gastritis associated with AZ intoxication.
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The patient had recurrence of urticaria and angioedema a year and a half later, at which point the NPH was stopped and she was desensitized to regular insulin.
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Naproxen is a commonly used nonsteroidal anti-inflammatory drug (NSAID) whose side effects include tinnitus and transient hearing loss.
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Herein we report four patients who underwent liver transplantation and developed neutropenia while receiving MMF.
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Two young male patients with severe erythrodermic psoriasis and pustular episodes have both been successfully treated with a combination of methotrexate and etretinate for a period of 21/2 years.
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Acute myopathy with selective degeneration of myosin filaments following status asthmaticus treated with methylprednisolone and vecuronium.
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At follow-up, none of the residual lines were associated with thrombus formation, and none showed any evidence of migration.
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The definitive role of antiviral therapy is yet to be clarified.
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Case report: mannitol nephrotoxicity syndrome: role of hemodialysis and postulate of mechanisms.
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The patient was enrolled in a weight-loss clinic, and his diabetes medications were adjusted.Subsequently, olanzapine was discontinued because of weight gain and uncontrolled diabetes.
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Drug related crisis in myasthenia gravis.
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This case study highlights the different pharmacological agents for treating tachyarrhythmias in a patient with WPW syndrome.
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A typical case of dextran-40 associated acute renal failure is presented.
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After two weeks of drug treatment, the patient exhibited symptoms similar to those seen in the manic phase of bipolar affective disorder.
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2) To perform a review of the published cases of visceral leishmaniasis and anti-TNF-alpha therapy, and cases of coexisting leishmaniasis and macrophagic activation syndrome by search in PubMed (period 1991-2008).
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This case report illustrates how pharmacodynamic properties of drugs can complicate the treatment of neurologic disorders.
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Vital signs, blood chemistries and a head CT scan were normal.
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Prominent positive U waves appearing with high-dose intravenous phenylephrine.
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The cumulative dose of prostaglandin E1 was higher in the neonates with antral hyperplasia (2982 +/- 1392 micrograms per kilogram of body weight) than in the normal neonates (279 +/- 270 micrograms per kilogram, P less than 0.001) or the neonates with signs of gastric obstruction (528 +/- 306 micrograms per kilogram, P less than 0.01).
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METHOD: The authors present a three-case series in which risperidone was used to treat delusions of infestation.
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We describe a 16-year-old girl with metastatic hepatocellular carcinoma who experienced cesium-induced QT-interval prolongation after the start of a cesium chloride-based alternative treatment regimen.
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A review of the literature found 11 children and 2 adults in whom intranasal desmopressin was associated with hyponatremia, all of whom experienced seizures or altered mental status.
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Mycotic aneurysm of the suprarenal abdominal aorta.
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This is the first report of the characteristic phenotypes of the teeth and craniofacial morphology of a patient with leprechaunism treated with IGF-I.
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CASE REPORT: We report a case of acute severe hepatitis resulting from erlotinib monotherapy in a patient with locally advanced pancreatic cancer.
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This report highlights the fact that using amantadine and pramipexole may be fatal in patients with uremia even undergoing hemodialysis.
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Transient trazodone-induced hypomanic symptoms occurred in three depressed patients.
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Two patients required emergent surgical procedures.
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Methylphenidate (Ritalin)-associated cataract and glaucoma.
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Radiological imaging revealed diffuse cortical necrosis.
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Ten-17 days after receiving chemotherapy, five patients (4 males and 1 female) with acute lymphoblastic leukemia developed incapacitating myalgias in neck, thighs and arms.
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This case demonstrates the potential adverse effects of exogenous estrogen therapy, which are strain-specific in the rat.
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Autopsy revealed scarring contraction and dilatation of the trachea and bronchi, acquired bronchiectasis, lobular pneumonia, bleeding, hyperaemia and oedema of the lungs.
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In two patients, adenosine precipitated acceleration of ventricular response, in one case necessitating emergent cardioversion.
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Administration of a large nesiritide bolus dose in a pediatric patient: case report and review of nesiritide use in pediatrics.
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Specifically, the data from our American series are insufficient to evaluate the hypothesis that the M694V/M694V genotype confers a more severe phenotype, or increases the risk of amyloidosis; but both our data and the recent literature (160) indicate that amyloidosis can occur in FMF patients with only 1 copy, or no copies, of the M694V mutation.
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The child did not require dialysis therapy.
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In such situations, clinicians may want to consider prescribing a different antipsychotic or adding another antipsychotic and decreasing the dosage of clozapine.
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All patients received prednisolone and azathioprine during the incubation period.
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As a child, he had suffered a traumatic injury to his liver requiring the surgical repair of a laceration.
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A 40-year-old man who developed acute myelomonoblastic leukemia (M4) after 7 years of treatment for multiple myeloma with the alkylating agent melphalan and steroids is presented.
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METHODS: Case report.
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CONCLUSIONS: Clinicians should be aware of a risk of serotonin syndrome with serious extrapyramidal reactions in patients receiving sertraline or venlafaxine when metoclopramide is coadministered even in a single, conventional dose.
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Rapid heart rates with QRS complexes that are different from the sinus complexes are likely to be ventricular tachycardia.
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However, both the exacerbation of inflammatory bowel disease and de novo inflammatory bowel disease after orthotopic liver transplant (despite sufficient allograft immunosuppressive therapy) have been described.
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