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Strongyloides infection should be ruled out in patients with eosinophilia before immunosuppressants are initiated to prevent the complication of disseminated strongyloidiasis.
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We review the medical literature and discuss the risks of using recombinant factor VIIa to control severe bleeding after cardiac surgery.
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CASE SUMMARY: A 58-year-old white woman developed fulminant liver failure while being treated with the macrolide antibiotic clarithromycin for pneumonia.
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The incidence of this adverse effect in children and young adults who have cystic fibrosis is unknown.
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Charcoal hemoperfusion led to rapid clearing of dapsone from the circulation.
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The report is followed by a brief review of anticonvulsant hypersensitivity syndrome and DRESS.
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However, as illustrated by these and other cases reported to date, the onset of troglitazone-induced liver injury is insidious and temporally variable.
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We present two cases of nitrofurantoin-induced pulmonary toxicity in which the initial HRCT showed a widespread reticular pattern and associated distortion of the lung parenchyma, thought to represent established fibrosis.
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Acute myocardial infarction due to coronary spasm associated with L-thyroxine therapy.
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Spontaneous pulmonary hemorrhage following coronary thrombolysis.
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The median age of patients was 61 years.
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In six cases CT scans did not return to their original state after ACTH therapy.
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Both patients had Campylobacter jejuni enteritis, and one case was complicated by bacteraemia.
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A 42-year-old woman presented to our institution with a 2-week history of bone pain in the lower extremities.
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The present patient was a 66-year-old Japanese woman who developed a cardiac arrhythmia and was given amiodarone as an anti-arrhythmic agent for approximately 3 months, until the day before her death.
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Since November 1996, there has been a shortage of multivitamin infusion (MVI).
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We describe two cases that illustrate the use of lithium in the treatment of veterans with PTSD who complained of serious problems with irritability or angry outbursts.
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Follicular cell carcinoma of the thyroid in a child after bone marrow transplantation for acute lymphoblastic leukemia.
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Serum concentration of cerivastatin at 6 h after taking the last dose (0.15 mg) was 8062.5 ng/L, which was almost 5.7 times higher than that of normal persons.
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A 45-year-old woman with thyrotoxicosis developed agranulocytosis after treatment with propylthiouracil.
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Initial clinical experience with centrifugal pumps coated with the Carmeda process.
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METHODS: A 23-year-old contact lens wearer was treated for bilateral Acanthamoeba keratitis and underwent penetrating keratoplasty in the right eye for descemetocele with impending risk of perforation.
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Bilateral corneal infiltrates after excimer laser photorefractive keratectomy.
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Others as well may see a similar rise based on local trends in TB infection and disease.
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In severe cardiogenic shock, the patient required an extracorporeal membrane-oxygenation system for 8 days until cardiac recovery.
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The patient was discharged on the 8th postoperative week in good conditions.
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A previously unreported complication of the use of prostaglandin analog medications for glaucoma therapy is described.
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Stevens-Johnson syndrome caused by the antiretroviral drug nevirapine.
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Self induced photosensitive epilepsy.
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The theophylline level was 9.89 micrograms/ml at the moment of psychotic reaction.
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Therefore, black cohosh-induced fluid retention and coagulation activation should be considered in differential diagnosis, especially if thrombosis has been excluded.
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Recent efforts have focused on heightened surveillance to detect contamination before transfusion to limit recipient morbidity and mortality.
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We report the case of a child with metastatic osteosarcoma, who experienced an anaphylactic/anaphylactoid reaction to methotrexate.
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Phenol is a neurolytic agent that is widely used by percutaneous retrogasserian injection in the treatment of trigeminal neuralgia.
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[2] Neither LPS nor VVR increased lung water, but LPS decreased MCTV in both normal airways (31%) and VVR-exposed airways (30%; p = 0.03), and VVR increased MCTV by 34% in LPS-inflamed airways (p = 0.002).
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The treatment of amputee residual limb pain can at times be a challenge for the physician.
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We report the impact on the patient management of two liver biopsies, which diagnosed an initial drug induced hepatitis and subsequently an atypical HCV related hepatitis.
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She delivered a healthy child vaginally under epidural anaesthesia.
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After the episode, 1 patient continued to receive d-penicillamine therapy and 2 changed to zinc sulfate treatment.
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A 27-year-old man who had a history of bronchial asthma, eosinophilic enteritis, and eosinophilic pneumonia presented with fever, skin eruptions, cervical lymphadenopathy, hepatosplenomegaly, atypical lymphocytosis, and eosinophilia two weeks after receiving trimethoprim (TMP)-sulfamethoxazole (SMX) treatment.
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By a combination of appropriate selection of medications and an awareness of delirium as a side effect, the patient in the ICU may be treated in a manner to minimize the clouding of consciousness.
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Darifenacin is a muscarinic antagonist which was FDA approved for the treatment of overactive bladder in December 2004.
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As linezolid has been shown to have hematologic side effects, blood count monitoring is recommended in patients receiving this drug for long-term therapy.
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After this period, liposomal amphotericin B (3 mg kg(-1) day(-1)) was given with the diagnosis of probable fungal infection.
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Nonetheless, the results of therapy with many of the treatment programs described are encouraging, as exemplified by the report from Graboys and coworkers.
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Acute lymphoblastic leukemia (ALL) is uncommon in this patient population, and Philadelphia chromosome positive (Ph+) ALL in particular, is rare.
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Here, we report a giant cell lichenoid dermatitis in a 41-year-old male patient who developed, 3 days after intravenous treatment with amoxicillin-clavulanic acid for erysipelas of the left leg, a clinical picture suggesting a baboon syndrome characterized by an erythematous and pruritic eruption on the axillary, inguinal and popliteal areas and the anterior side of elbows.
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CONCLUSIONS: These results suggest that clozapine may cause TD; however, the prevalence is low and the severity is relatively mild, with no or mild self-reported discomfort.
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The most striking and severe symptom was burning of the trunk and proximal extremities, occurring in 11 patients.
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Oxcarbazepine, a carbamazepine analog, was approved for use as an antiepileptic agent in the United States in 2000.
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The authors describe two cases of Fournier's gangrene complicating aggressive therapy for hematologic malignancies.
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The patient recovered completely from his liver injury, but the sicca complex persisted 1 yr after the drug was given.
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The drug was tolerated without evident toxicity, though an unpleasant taste and nausea at high doses were limiting.
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METHODS: A 20-year-old woman developed pain, redness, decreased vision, and corneal infiltrate in the right eye 15 days after bilateral LASIK.
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Herein is reported an unusual case of coexistent warfarin-induced skin necrosis and heparin-induced thrombocytopenia following mitral valve replacement for thromboembolic phenomena associated with marantic endocarditis and bronchial adenocarcinoma.
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This case report describes the diagnostic workup in a child with anaplastic ependymoma and inconclusive MRI (magnetic resonance imaging) and PET (positron emission tomography) findings.
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Spacers have evolved from simple monoblock designs made of acrylic cement alone to articulated, modular, complex and expensive designs with different grades of constriction.
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A patient suffering from heparin-associated thrombocytopenia (HAT), recurrent arteriothromboses, and acute renal failure after treatment with standard heparin is described.
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Leflunomide was started.
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Although preemptive therapy with ganciclovir prevented successfully severe CMV diseases and CMV-related mortality, a patient developed persistent positive CMV antigenemia for more than 1 year after transplantation and CMV disease, despite the use of ganciclovir and foscarnet.
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Intralesional injection of 5-fluorouracil has recently been reported as a possible method of treatment for an assortment of benign and malignant cutaneous neoplasms.
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A case of Lactobacillus casei endocarditis that occurred on a Carpentier-Edwards porcine valve is reported.
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To date, this is the first reported case of what appears to be isolated thrombocytopenia associated with lansoprazole.
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The patients required admission for assessment of the severity of the overdose in addition to advice about appropriate use of analgesics and advice on access to dental care.
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Electron microscopy demonstrated electron-dense granules, free and membrane-bound, within macrophages and fibroblast-like cells.
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A patient bleeding from oesophageal varices in whom injection sclerotherapy failed to control bleeding required peripheral vein vasopressin infusion for a total of five days.
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We describe two patients in whom painful erosions of their psoriasis developed as the presenting sign of methotrexate toxicity and review the literature, emphasizing the risk factors associated with this manifestation.
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Her drug therapy also included nicergoline 30 mg/day, amlodipine 5 mg/day, aspirin 100 mg/day, candesartan 16 mg/day, and atenolol 25 mg/day.
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This paper discusses the importance of critical care and emergency nurses having an understanding of why pre-existing cardiac disorders can influence antiarrhythmic treatment.
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Through a literature search, we were able to identify 4 additional cases of therapy-related AML in AIDS patients following chemotherapy for lymphomas.
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Two pediatric oncology patients with Ewing's sarcoma and one with mixed germ cell tumor were treated with drug regimens that included bleomycin or cyclophosphamide.
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Ibuprofen-induced meningitis: detection of intrathecal IgG synthesis and immune complexes.
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Despite significantly reduced plasma insulin concentrations, glucose tolerance did not deteriorate.
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The parasite may remain in the host for over 25 years before immunosuppression causes either dissemination or hyperinfection.
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This paralleled the rise in the number of children with tuberculous infection and disease seen at our institution, from an average 96 per year to 213 per year during these two time periods.
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The patient presented with loss of consciousness and died after 5 days of antifungal therapy with liposomal amphotericin B.
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A case of SIADH induced by mizoribin administration.
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The association of central diabetes insipidus (CDI) with lithium use is rare.
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Within 8 hours after initiation of therapy the patient died with a clinical picture resembling massive pulmonary obstruction due to choriocarcinomic tissue plugs, probably originating from the uterus.
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The clinical course of a 9-year-old diagnosed with attention-deficit hyperactivity disorder, obsessive-compulsive disorder, and Tourette's disorder and treated with a combination of methylphenidate, clonidine, and fluoxetine is described.
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The microbiologic diagnosis was established after valvectomy, which was necessitated by failure of empiric antibiotics to eradicate the infection.
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OBJECTIVE: To report a case of chronic, nonproductive cough secondary to the angiotensin-converting enzyme (ACE) inhibitor quinapril, with complete resolution after switching to another ACE inhibitor, fosinopril.
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An 11-year-old, 25-kg girl with congenital myelomeningocele was scheduled for posterior spinal fusion because of progressive scoliosis.
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Sustained monomorphic ventricular tachycardia after adenosine infusion.
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Either primary headaches show a higher susceptibility to this idiosyncratic reaction or a drug-induced primary headache evolves in intensity and duration, becoming uncontrolled until the complete discontinuation of the drug in consideration.
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Hospitalized patients with HIV disease (n = 42) during this same period, demonstrated an increased prevalence of QT, prolongation (28.6%, P = 0.002).
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We describe a patient with acute myeloblastic leukemia (AML) who developed nephrotic syndrome after receiving several courses of chemotherapy, including macrophage-colony-stimulating factor (M-CSF).
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These lesions developed within the port site during the radiation treatments (11 cases) or soon after (nine cases) its completion (mean: 16 days; range: 2-35).
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Cytomegalovirus colitis after autologous transplantation for multiple myeloma.
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After intensive treatment with topical corticosteroids, the DLK resolved during the following 2 weeks.
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A 7-year-old with congenital toxoplasmosis who took pyrimethamine and sulfadiazine for reactivated chorioretinitis developed fever, severe cutaneous involvement, swelling, abdominal pain and transaminitis, persisting weeks after withholding medicines.
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Pediatricians rarely use a systematic approach to establish the cause of drug reactions in the clinical setting.
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Infection of central nervous system by motile Enterococcus: first case report.
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Complement factor H (FH) deficiency is one of the causes of atypical hemolytic uremic syndrome (HUS).
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The case of a 86-year-old woman with obstructive ileus due to advanced pancreatic cancer is presented.
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We describe a patient with M4 AML treated with standard chemotherapy followed by G-CSF who developed marked monocytosis on day 8 of G-CSF therapy.
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T. mucoides is a rare cause of systemic infection.
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We experienced a male patient with psoriasis and hypertension whose conditions were treated with tacalcitol ointment and thiazide, respectively, resulting in hypercalciuria and hypercalcemia.
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In addition, patients should be closely monitored for a possible delayed interaction that may occur with each repeated cycle of 5-fluorouracil chemotherapy.
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At the same time, physicians cannot yet rely solely on a genetic diagnosis because we have not yet identified a sufficient spectrum of mutations, and it is not currently feasible to examine every patient's full DNA sequence for the entire gene; screening an ethnically consistent and clinically positive patient for the 8 known mutations frequently identifies a mutation on only 1 chromosome, and genetic analysis of other classic cases will often reveal none of the 8 mutations.
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