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The effect was retained with a purified IgG fraction and almost eliminated with IgG-depleted serum.
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The utilization of abdominal or pelvic radiation has been extended, and the incidence of radiation enteritis appears to be increasing.
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Marked hyperkalemia was observed during and immediately after an infusion of arginine monohydrochloride in two patients with severe hepatic disease and moderate renal insufficiency.
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Being in remission with his UC the patient died 14 months later of staphylococcus aureus sepsis despite intense antibiotic treatment.
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Continuous bladder irrigation of a 1% alum solution is a simple and generally safe method of chemical cautery to treat the bleeding urothelium.
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They suffered from severe (one case) or moderate (two cases) hemopoietic form of acute radiation sickness (ARS).
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Fortunately, no lower back pain has recurred.
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The T315I BCR-ABL mutation mediates resistance to imatinib, nilotinib, and dasatinib.
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The constellation of chronic cough, dyspnea, and hemoptysis can include a broad range of differential diagnoses.
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Crumley).
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After discontinuation of citalopram therapy, serum sodium concentrations normalized.
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Serotyping revealed that the two episodes of bacteraemia were caused by different strains.
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Although it is unclear which of several possible contributing factors was responsible for the ventricular fibrillation, recommendations are appropriate to minimize the risk in infants with WPW.
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For patients who suffer from osteogenic sarcoma and have anaphylactic reactions to MTX, this desensitization protocol will allow these patients to continue with needed therapeutic or palliative chemotherapy.
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As suggested by the three clustered cases, this heretofore undescribed association between sudden unexpected cardiac death and thrombolytic therapy for AMI in patients with seropositive, corticosteroid-dependent RA suggests that further study and observation are needed.
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A proliferation test and an evaluation of TNF-alpha and interleukin (IL)-6 production from PBMC in presence of insulin were studied.
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This patient's wound care regimen began with silver sulfadiazine and wet-to-dry dressings, modified to initial cleansing with a zinc-saline solution, followed with application of a zinc-saline wet dressing, impregnated with an aluminum hydroxide ointment.
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Strongyloidiasis and aseptic meningitis occurred in a renal transplant recipient who was receiving immunosuppressive drugs.
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The patient displayed several characteristics of NMS during therapy with olanzapine, including fever, elevated creatine kinase level, leukocytosis, and mild muscle rigidity.
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Despite several doses of intravenous rasburicase (2 doses of 0.1 mg/kg and 4 doses of 0.2 mg/kg), as well as aggressive supportive therapy, the infant died of complications arising from uncontrolled TLS.
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CONCLUSIONS: LTG overdose may result in a severe but reversible encephalopathy, a previously undescribed phenomenon.
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Aminocaproic acid treatment of recurrent postoperative hyphemas.
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Additional predisposing factors were the patient's age and difficulty in urination due to benign prostatic hypertrophy.
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We report a case of dermal alternariosis occurring in a woman treated with corticosteroids for dermatomyositis.
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Case management of the anemic patient epoetin alfa: focus on aluminum management.
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Successful treatment of florid cutaneous warts with intravenous cidofovir in an 11-year-old girl.
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To our knowledge, this is the first clear report of reactivation of "latent" Histoplasmosis after anti-TNF-alpha therapy.
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First, a review of the literature produced 41 anecdotic cases of neutropenia or agranulocytosis during treatment with olanzapine (Zyprexa) reported in a total of 24 publications.
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The histological findings were a benign colonic ulcer with the infiltration of inflammatory cells, mainly lymphocytes.
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The multifocal electroretinogram returned to normal after the full-field electroretinogram had done so.
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His serum calcium was found to be 18 mg/dl.
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The symptoms occurred with a delay of 3-4 h after the treatment x2 daily.
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Immunoglobulins were not found in the patient's serum and the red cells were coated with C3 only, suggesting an "innocent bystander" reaction.
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Carboplatin is a chemotherapeutic agent approved in the first-line setting of numerous malignancies.
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The aim of this current paper is to address this knowledge gap via four brief case examples and a review of the literature.
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The reported cases of in utero exposure to cyclosposphamide shared the following manifestations with our patient: growth deficiency, developmental delay, craniosynostosis, blepharophimosis, flat nasal bridge, abnormal ears, and distal limb defects including hypoplastic thumbs and oligodactyly.
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Unexpected and prolonged akinesia: a case report.
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Fever and neutrophilic alveolitis caused by a vanadium based catalyst.
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Treatment included drug discontinuation, steroids, fresh frozen plasma, hemodialysis, absorption chromatography, plasmapheresis, and various combinations thereof.
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Paraplegia following prophylactic intrathecal cytosine arabinoside (Ara-C) is described in a patient with acute myelogenous leukemia in remission who received doses of 100 mg/m2/d for 5 consecutive days.
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Recurrent palmar-plantar erythrodysaesthesia following high-dose cytarabine treatment for acute lymphoblastic leukemia.
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Renal artery rupture secondary to pretransplantation Candida contamination of the graft in two different recipients.
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After 6 weeks of oral Sildenafil treatment, her serum albumin and the fecal alpha-1-antitrypsin levels normalized, and her exercise tolerance had increased.
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Treatment included double-volume exchange transfusion, phenobarbital administered prophylactically, and folinic acid rescue 18 mg every 3 hours for 16 doses.
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WE from thiamine deficiency can occur as a result of cessation of MVI in the TPN infusion.
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Caution is therefore recommended in using ACE inhibitors to treat hypertension in patients with ADPKD who are at high risk because of compromised renal function and massive cystic involvement.
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We describe two ELBW infants affected by hyperkalaemia, treated with Kayexalate, who developed serious hypernatraemia, that has never been reported before in preterm infants.
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Woman interrupted gestation, by labour induction.
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We reviewed the findings for healthy volunteers/donors who developed haematological malignancies following PEG-rHuMGDF or G-CSF administration.
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She was admitted to the authors' department with a deep corneal ulcer in the right eye for which she had been treated for 3 weeks with local antibiotics without any improvement.
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There are two types of priapism; ischemic low-flow type or non-ischemic high flow, with differing etiologies.
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Physicians should be aware that PLP can occur after initiation of paclitaxel.
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After rapid correction of severe hyponatremia, a 36-year-old man developed osmotic demyelination syndrome (ODS), manifested neurologically by impaired cognition, extremity weakness, bilateral third cranial nerve palsies, and gaze-evoked upbeat and rotary nystagmus.
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Inefficacy of high-dose transdermal fentanyl in a patient with neuropathic pain, a case report.
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Impairment of salivary secretion as a further effect upon cholinergic autonomic innervation was detectable for months.
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Ventricular tachycardia after ingestion of ayurveda herbal antidiarrheal medication containing aconitum.
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This case illustrates two points concerning preoperative chemotherapy for locally advanced breast cancer: (1) The role of FNA v. tissue biopsy is examined.
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RESULTS: A 50-year-old woman with diabetes and obesity who underwent vertical banded gastroplasty had postoperative complications, including refractory gastrostomy leakage, peritoneal and abdominal wall infections, and multiorganism sepsis despite intensive antibiotic therapy and surgical drainage procedures.
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BACKGROUND: How to best treat psychotic patients who have had past clozapine-induced agranulocytosis or granulocytopenia remains a problem.
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When it occurs, trichosporonosis usually is associated with hematological malignancies and, to the best of our knowledge, has not been previously reported in a liver transplant recipient.
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It also emphasizes how minor changes in electrocardiogram can be overlooked on standard electrocardiograms.
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Disseminated encephalomyelitis (DEM) is an inflammatory demyelinating disease that is common in children, but also appears in adults.
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The potential role of serotonin in the development of this serious complication is discussed.
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After the patient died, enteroviral RNA was also detected in his lungs, liver, and spleen, indicating a generalized infection.
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These data suggest that cidofovir may be useful as adjuvant therapy for BKVN.
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Here we describe a patient with Crohn's disease who developed a severe infliximab infusion reaction (IIR), complicated 1 day later by severe swelling of the forearm and hand ipsilateral to the site of infliximab infusion.
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Because of the immunosuppressive drugs used after organ transplantation, there is an increased rate of certain infections and malignancies.
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This report presents a case of acute lung injury developing within hours after administration of mefloquine for a low-level Plasmodium falciparum malaria, which was persistent despite halofantrine therapy.
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A postmortem liver biopsy revealed adenocarcinoma undergoing necrosis.
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A patient with pemphigus vulgaris and serious side effects of steroid therapy was treated by exchange plasmapheresis.
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This report aims to highlight the fact that single-pulse transcranial magnetic stimulation may provoke a seizure even in the absence of gross neurologic abnormality.
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Although it is chronic, it is commonly associated with exacerbations and short periods of remission.
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To our knowledge, this is the first case involving M. genavense infection in a patient with systemic lupus erythematosus.
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Insulin-dependent diabetes mellitus associated with danazol.
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In the second case, a woman suffering from a cholangiocellular carcinoma, end-stage renal disease was irreversible.
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CONCLUSIONS: SD-OCT and AO detected abnormalities that correlate topographically with visual field loss from hydroxychloroquine toxicity as demonstrated by HVF 10-2 and may be useful in the detection of subclinical abnormalities that precede symptoms or objective visual field loss.
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Abuse of salbutamol inhalers in young people.
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At explant, all four systems had clots adherent to the surface of the tubing and connectors on the pump outflow side of the circuit.
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A second episode of jaundice followed the intravaginal administration of a mixture of furazolidone and nifuroxime.
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This case demonstrates that the rapid effect of intravenous dantrolene can be life saving in fulminant neuroleptic malignant syndrome.
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This resulted in clinical improvement and controlled the progression of hemolysis and methemoglobinemia.
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Based on these data, authors have previously exposure is confirmed despite a lack of any pattern to the defects reported.
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Although HCV-RNA reappeared in the serum at 3 months, the patient had continued ALT normalization and histological improvement with follow-up of over 26 months to date after the initiation of the combination therapy.
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However, marked pruritic infiltration developed within 24 h, progressing to coalescing eczematous lesions over the following 2 days.
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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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A patient is presented with typical hyperthyroidism, who developed a severe proximal muscle weakness and a raised creatine phosphokinase after treatment for hyperthyroidism with propylthiouracil (100 mg orally, three times a day).
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In adverse reactions with shock, tripled tryptase values can support a diagnosis of anaphylaxis.
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The first patient developed mild nitritoid symptoms and pain in a band-like distribution, corresponding to T10-T12 dermatomes, shortly after gold sodium thiomalate (GSTM) injection.
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All but one patient presented with afebrile seizures.
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A TDM consultant discusses the case in the context of toxicokinetic analysis.
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Recalcitrant osteomyelitis following tooth extraction in a case of malignant osteopetrosis.
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BACKGROUND: Three to five per cent acetic acid is commonly used in the field of gynaecology for colposcopic examinations of the cervix.
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Four Chinese female patients who suffered from manic-depressive disorder and underlying autoimmune thyroiditis developed transient episodes of thyrotoxicosis during maintenance lithium therapy.
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A unique patient with adrenal insufficiency is reported who received corticosteroids intravenously and then had multiple lesions develop that were similar to focal lipoatrophy as known to occur secondary to faulty intradermal injections of corticosteroids.
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Amphotericin B (AmB) is effective, but its use is limited by toxicity: renal impairment, anaemia, fever, malaise, and hypokalaemia are common.
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Consequently, inadvertent placement of the needle into the vertebral artery, thyroid, neural tissues, or esophagus can occur with the fluoroscopic or blind approach.
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Based on this principle a 27-year old woman, classified as being in the high-risk group (Goldstein and Berkowitz score: 11), was treated with multiple cytotoxic drugs.
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CONCLUSION: A 37-year-old African- American man with G6PD deficiency developed hemolytic anemia, hepatitis, orthostatic hypotension, and aseptic meningitis simultaneously after using trimethoprim-sulfamethoxazole.
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SETTING: Adult intensive care unit (ICU) at Dartmouth-Hitchcock Medical Center.
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BACKGROUND: Dyskinesias are a transient but severe complication of subthalamotomy in some patients.
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