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ARDS is rarely associated with rituximab infusion for lympho-proliferative disorders, but it should be considered by those administering rituximab, especially when a patient develops severe pulmonary symptoms soon after infusion.
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The findings may indicate the spectral nature of the reaction phenomena in leprosy and emphasize the importance of the clinic-pathological correlation for proper classification.
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The histopathologic features of fully developed lesions have been reported; however, early-stage findings have not been previously described, and the histogenesis of this lesion is controversial.
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The bleeding resolved on discontinuation of APV.
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She may have administered doses as high as 8 mg clonidine.
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We report on a patient who developed the clinical findings of pulmonary eosinophilia.
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This clinically asymptomatic case of skeletal fluorosis was discovered, as in the 2 previously reported cases, by the examination of bone X-ray (performed as part of the routine work-up for rheumatoid arthritis) which showed evident osteosclerosis.
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We report a case of ischemic cholangitis that occurred after transcatheter hepatic arterial chemoembolization (TAE).
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Hypertension was not present.
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Evaluation of the literature provides substantial evidence for the use of hydrocortisone in prevention of cardiac arrhythmias.
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Acute pancreatitis and amiodarone: a case report.
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METHODS: We report a case of primary CMV gastritis in a renal transplant recipient.
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Brompheniramine and dextromethorphan were 0.40 mg/L and 0.50 mg/L, respectively, in the blood sample and 0.16 mg/kg and 0.57 mg/kg in the liver sample.
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The patient responded to atovaquone plus proguanil followed by primaquine.
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A primary irritant dermatitis occurred in about one half of the patients and telangiectasia in two.
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Moreover, decreased levels of the C4 and C3 complement fractions were documented.
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METHODS: A 68-year-old man developed intense conjunctival hyperemia and cystoid macula edema after switching from latanoprost to bimatoprost 9 months after cataract surgery in an eye at low-risk for this cystoid macular edema.
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Three years later, multinodular goiter began to develop, and 5 years after that, the patient became hypothyroid.
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Ritonavir is a potent inhibitor of hepatic cytochrome P450, mainly the CYP3A4 isoform.
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A 9.5-year-old girl after Fontan procedure for hypoplastic left heart syndrome had recurrent protein-losing enteropathy (PLE) develop 2 months after partial catheter closure of the Fontan fenestration.
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CONCLUSION: This case provides support for the practice of obtaining routine fungal cultures of donor rims at the time of corneal transplantation and for the implementation of prophylactic antifungal therapy in culture-positive cases.
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Malpractice actions against pediatricians treating patients with arrhythmias have been recurrent in four general areas.
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Clinical, histological, direct immunofluorescence and ultrastructural features were consistent with the diagnosis of lichen planus pemphigoides.
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This selective closure of the ductus arteriosus suggests that the affected twin was predisposed to hypoxia and thus was more susceptible to ductal closure in response to indomethacin exposure.
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Manifestations of ocular blastomycosis can range from keratitis to panophthalmitis, and it is often difficult to diagnose ocular blastomycosis early.
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Report of a case and review of the literature.
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Clinicians should be aware of this entity, as Nocardia Asteroides may need more than 5 days of culture to be isolated.
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The buried bumper syndrome: the usefulness of retrieval PEG tubes in its management.
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Naratriptan 2.5 mg given each morning, with a second tablet allowed for breakthrough headache, at least 4 hours later, demonstrated a remarkable reduction in frequency and intensity of daily headache.
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A total of 161 doses of L-AmpB were administered.
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Serotonin syndrome caused by interaction between citalopram and fentanyl.
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OBJECTIVE: To report a case of colchicine-induced myopathy in a teenager with familial Mediterranean fever (FMF).
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PURPOSE: Topiramate-induced angle-closure glaucoma (TiACG) is believed to be related to its sulfonamide moiety.
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Development of sarcoidosis during interferon alpha 2b and ribavirin combination therapy for chronic hepatitis C--a case report and review of the literature.
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A case of pelvic actinomycosis presenting as cutaneous fistula.
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One patient required a tracheotomy.
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During the terminal stage, a considerable decrease in the size of the liver was observed.
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Clonidine is an antihypertensive agent with central and peripheral alpha-2 adrenergic effects.
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Rapamycin/sirolimus (SR), trade named Rapammune (Wyeth-Ayerst, Sydney, Australia), is a potent immunosuppressive drug associated with myelosuppression, hypertension, hyperlipidemia, and infection.
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Prosthetic valve endocarditis (PVE) caused by Pseudomonas aeruginosa is a rare but life-threatening complication.
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The condition should be suspected in patients who develop unexplained abdominal pain or collapse following vasopressin treatment.
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Mucositis should be added to the list of conditions in which succinylcholine is contraindicated.
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Pemphigus herpetiformis, a rare variant of pemphigus, is characterized by erythematous, vesicular, bullous, or papular lesions in a herpetiform pattern, often associated with pruritus.
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The use of intrauterine Monsel's solution in severe hemorrhage after evacuation of retained products of conception: a case report.
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None of the transfusion-dependent patients benefited.
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The use of acyclovir when necessary in renal failure patients is discussed.
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We present a case of chronic inflammatory demyelinating polyneuropathy occurring subsequent to influenza vaccination in a 74-year-old gentleman with no previous neurological history.
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The medication error was noticed after she had received 2 doses of amphotericin B deoxycholate, and it was then discontinued.
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In the other patient, who was admitted with an inferior infarction and underwent PTCA after i.c. lysis, no infarct extension was observed.
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Quetiapine and obsessive-compulsive symptoms (OCS): case report and review of atypical antipsychotic-induced OCS.
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We report a case of Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) secondary to trimethoprim-sulfamethoxazole (TMP-Sx) therapy for presumed community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infection.
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Finally, irinotecan therapy was initiated and led to dramatic clinical improvement.
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An acute psychotic illness in a young woman was initially thought to be secondary to prolonged and pathological grief.
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Postoperative bacteriological cultures were negative, and microscopic analysis confirmed the diagnosis.
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All three showed improved motor performance in response to the introduction of corticosteroids.
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Hyperuricaemia is commonly encountered in patients with essential hypertension and is considered as a risk factor for morbidity and mortality associated with hypertension.
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The transmethylation reaction is essential to DNA synthesis and to the maintenance of the myelin sheath by the methylation of myelin basic protein.
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A case of liver damage following treatment with Danazol for fibrocystic breast disease is reported.
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This case demonstrates the maxim that the correct dose of hypertonic sodium bicarbonate is 'enough'.
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The patient was treated with glycyrrhizin, and his EP resolved.
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Recurrent erythema multiforme is a rare disorder, clinically characterized by symmetrically distributed, erythematous, and bullous skin and mucous lesions, mainly precipitated by a preceding herpes simplex infection.
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OBJECTIVE: To study therapy with indapamide impairing carbohydrate metabolism in essential hypertension patients and achieve earlier prevention, diagnoses and treatment of diabetes induced by indapamide.
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The mechanism accounting for this observation is unknown but the rapid improvement following abortion suggests that increased bronchomotor tone predominated inflammatory changes in causing flow limitation.
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Thus, tacrolimus-induced HUS is a rare cause of ARF in nephrotic syndrome.
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Glatiramer acetate is administered by subcutaneous injection once daily.
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The clinical course is usually aggressive.
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Failure of blood pressure to increase following erythropoietin therapy in the renoprival status.
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Iatrogenic hypercalcemia due to vitamin D3 ointment (1,24(OH)2D3) combined with thiazide diuretics in a case of psoriasis.
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Daptomycin is a new cyclic lipopeptide antibiotic, useful in gram-positive organisms resistant to standard treatment.
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Heparin-induced thrombocytopenia is a rare and serious complication of anticoagulation therapy.
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Administration of intravenous gammaglobulin (25 g monthly) allowed discontinuation of steroids without further ophthalmic or neurologic disease.
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Worsening of neurologic syndrome in patients with Wilson's disease with initial penicillamine therapy.
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These movements were dose-related and completely abated on reducing the dose.
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Chromosomes were apparently normal.
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In phase I clinical trials, hepatitis weas the dose-limiting toxic effect and a dose of 60-70 mg/m2/day for 5 days was reported as the maximum-tolerated dose.
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At that time, the viral load was of 4.84 Log and the CD4 count was more than 250 cells/mm(3).
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Anaphylactoid shock, disseminated intravascular coagulation, and anuric renal failure requiring dialysis occurred in a patient receiving zomepirac sodium for toothache.
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Her systemic therapy was initiated at a time when her tumor burden was possibly relatively low and a good response to the aggressive combination chemotherapy including Daunomycin was obtained.
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CONCLUSIONS: Hypersensitivity reactions to cyclosporine are due to Cremophor EL.
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In addition, 13 other adults treated for chronic myeloid leukemia with various doses of CCNU were reviewed.
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Well-known signs of methotrexate toxicity include bone marrow suppression and oral and gastrointestinal ulceration.
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Correlated with the lesions evaluated in computed tomography, right hemiplegia and complete aphasia was observed.
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This case emphasizes the importance ot considering neoplastic disease as a potential hazard associated with the use of immunosuppressive drugs.
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The first organism is exceptionally rare following laparoscopic cholecystectomy and is presumed to be a result of inadvertent gallstone spillage.
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We report the occurrence of a cerebral hemorrhage related to cerebral amyloid angiopathy in a patient who underwent thrombolysis and treatment with heparin for acute myocardial infarction.
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BACKGROUND: An infusion of prostaglandin E1 is widely used to maintain patency of the ductus arteriosus in neonates with congenital heart disease.
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Persistent ashen-gray maculae 5-7 mm in diameter and freckles developed after prolonged PUVA therapy of psoriasis.
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Although haloperidol was discontinued, no further hallucinations or delusions occurred.
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In a follow-up of 14 months, acarbose was well tolerated and the frequency of dumping symptoms was remarkably reduced.
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Celecoxib, a cyclooxygenase (COX)-2 inhibitor, was administered for pain management and for potential antineoplastic activity.
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In our view, GM-CSF should be given as early as possible with enough dosage for promoting early hematological reconstruction.
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Medication-induced dystonias in nine patients with dementia.
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Retinal artery embolization during carotid angioplasty and carotid artery stenting: case report.
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We report a new case of mitral valve endocarditis after stent implantation to a saphenous vein graft.
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Its potential usefulness in reversing adverse effects encountered during therapeutic dosing with beta-blockers has not been well characterized.
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DIAGNOSIS: Interferon alpha-2b-induced cardiomyopathy.
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The patient was admitted to the hospital and treated for SIADH.
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Severe hypopharyngeal dysphagia in a patient on chronic steroid treatment.
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CASE SUMMARY: A 30-year-old man with bipolar disorder and HIV initiated treatment with lopinavir/ritonavir, zidovudine, and lamivudine.
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We suggest that the cause of this distressing syndrome, and ways to mitigate or circumvent it, must be discovered.
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