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Subsequent to diagnosis the patient was heparinised with unfractionated heparin (UFH 300-450 IU/kg/d i.v.).
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We report the case of a 77 year old with Staphylococcus lugdunensis endocarditis following cardiac catheterisation via a femoral approach.
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A positive dechallenge was reported in 29 cases.
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We present in this article the clinical features and autopsy findings of a steroid-dependent subject with asthma who died of acute, disseminated varicella.
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CONCLUSIONS: The piloerection observed after the replacement of fluvoxamine with milnacipran in this patient appears to have been due to an increase in the alpha(1)-adrenoceptor occupancy by endogenous norepinephrine induced by milnacipran.
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The patient was treated by chemotherapy only, without surgery, which seems to be most appropriate for the early stages of this disease.
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Remissions following total body surface treatment varied from two weeks to at least four months.
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Two patients with extrapyramidal side effects after the use of fluphenazine decanoate were evaluated by means of IBZM-SPECT.
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Acute myopathy with selective degeneration of myosin filaments following status asthmaticus treated with methylprednisolone and vecuronium.
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Treatment is unsatisfactory, although steroids and plasmapheresis may prolong survival.
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Options for avoiding allegations of abandonment are proposed.
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DISCUSSION: No published clinical studies in patients receiving clindamycin vaginal cream for bacterial vaginosis have documented C. difficile toxin in stool samples of patients with diarrhea.
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Before the treatment of co-trixomazole, their serum levels of creatinine showed upper limits of normal ranges.
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A 61-year-old man developed clinical lupus syndrome with positive antinuclear antibody, positive lupus erythematosus (LE) cell preparation, and diffuse proliferative glomerulonephritis following 26 months of procainamide therapy.
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One of these patients relapsed after he stopped taking the preparation at his own initiative after 10 weeks.
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Fatal interstitial lung disease after erlotinib administration in a patient with radiation fibrosis.
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The possible mechanisms of photo-onycholysis development by modern atypical antipsychotics, modulating dopamine receptors, are discussed.
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Persistent light reactivity from systemic quinine.
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In case 1, a total daily dose of 25 mg sertraline, with nondetectable sertraline and desmethylsertraline blood levels, resulted in a doubling of the lamotrigine blood level with symptoms of toxicity.
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The two children who had severe myelotoxicity achieved the largest AUC values per milligram per square meter of 6MP.
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Patients should be informed of the risk of septic arthritis.
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PURPOSE: To describe the use of topical thiotepa in the treatment of recurrent haze after photorefractive keratectomy (PRK).
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Fatal chickenpox in a patient with nephrotic syndrome.
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We report an unusual case of thrombocytopenia associated with neuroleptic malignant syndrome (NMS).
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The methimazole was stopped and treatment with subcutaneous granulocyte colony-stimulating factor (G-CSF) was initiated.
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Patient 1 is a 59-year-old woman who underwent delayed breast reconstruction with a free TRAM flap and presented with arterial thrombosis 12 days postoperatively.
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Two patients did not receive corticosteroids or parenteral nutrition.
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Six month follow up showed maintained antiparkinsonian benefit, without need for levodopa treatment and complete absence of dyskinesia.
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Coagulation and complete blood count values were within the normal range.
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One patient was an 80-year-old woman who was admitted for Staphylococcus aureus knee arthritis after several intraarticular injections of sodium hyaluronate and corticosteroids.
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Implantation of a sustained-release ganciclovir device was performed in both eyes when retinitis progressed in spite of aggressive antiviral intravenous treatment.
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CONCLUSIONS: Complications concerning a primary perforation of the bladder and instillation of chemotherapeutic drugs can be easily avoided by recognising the perforation intraoperatively.
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A review of the medical literature indicates that the optimal treatment for acute beta-blocker toxicity is intravenous glucagon.
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It can also be used to treat hematuria through its action on decreasing urinary fibrinolysis.
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A patient with ulcerative colitis developed skin pigmentation and diffuse pulmonary shadowing without respiratory symptomatology, while taking sulfasalazine.
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Case study: This middle aged Malaysian man presented complaining of painful gums for a few months.
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Symptomatic cluster headache related to ocular pathologies have been rarely described.
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A 44-year-old man presented to the emergency room with sudden onset of fevers and rigors 7 weeks after renal transplantation.
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Serotonin syndrome caused by selective serotonin reuptake-inhibitors-metoclopramide interaction.
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Ectropion secondary to bolus injection of 5-fluorouracil.
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The diagnosis can be made after the exclusion of other causes of rheumatoid lung when the patient's poor respiratory status precludes invasive exploration.
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Polymyoclonus seizure resulting from accidental injection of tranexamic acid in spinal anesthesia.
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No severe adverse event occurred during clinical trials.
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High-dose steroid therapy offers improvement in spinal cord injuries.
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Aminoglycosides have been reported to cause tetany by inducing renal wasting of magnesium and secondary hypocalcemia.
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Three case reports.
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BACKGROUND: Diffuse lamellar keratitis (DLK) is a relatively uncommon complication of the refractive procedure, laser-assisted in situ keratomileusis (LASIK).
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CASE REPORT: An East-European prostitute in Amsterdam robbed several victims, after having sedated them with clonidine solution (available as plastic ampoules of eyedrops) added to her victims' drinks.
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Osteonecrosis appears to render the hip more susceptible to hematogenously derived bacterial infection.
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We report 4 patients, 2 on methylphenidate and 2 on dextroamphetamine who presented with acral cyanosis, livedo reticularis, or Raynaud phenomenon.
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We describe two women who developed HUS after MMC therapy and presented massive pulmonary bleeding.
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We report 5 cases of acute reversible renal failure coinciding with the onset of treatment with captopril in patients with severe drug-resistant hypertension.
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There was no evidence of another cause of colonic ischaemia.
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This study describes the inheritance of a defect in pyrimidine catabolism and its association with drug-induced toxicity in a patient receiving 5-fluorouracil (FUra) as adjuvant chemotherapy for breast carcinoma.
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CASE REPORT: A woman of 80 years, on long-term warfarin therapy presented with an acute dissecting thoracic aortic aneurysm; on investigation the only precipitating factor found was an international normalised ratio of 4.8.
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Patients whose lesions originated in the skin were in the majority (14 patients).
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Atomoxetine has been explored as an alternative treatment as one of the few non-stimulants available to treat ADHD.
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Prominent EPS developed soon after initiation of an atypical neuroleptic agent.
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Lithium is known to cause acute renal failure and tubulo-interstitial disease, but the recently described association with proteinuria or nephrotic syndrome is little recognized.
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EGFR-targeted therapy and related skin toxicity.
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Ten days after itraconazole was started, he developed paralytic ileus, neurogenic bladder, mild left ptosis, and absence of deep reflexes, with severe paralysis of the lower extremities and mild weakness of the upper extremities.
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After therapy with parenteral amiodarone (2300 mg in 3 days) and other measures, signs of congestive heart failure disappeared; subsequently the patient developed jaundice, marked increase in serum transaminase levels and fall in prothrombin time, and histologic changes of severe centrilobular necrosis were observed in hepatic biopsy.
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This paper describes a possible side effect previously unreported--papilledema not associated with peripheral neuropathy.
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There are few reports of salvage chemotherapy for HIV-related non-Hodgkin's lymphoma (NHL).
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DISCUSSION: The main adverse effects of leflunomide consist of diarrhea, nausea, liver enzyme elevation, hypertension, alopecia, and allergic skin reactions.
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We review in clinical detail the fifth case reported from North America, involving a child with extensive central nervous system involvement.
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A smear for acid-fast bacilli or a culture was positive in 73% of cases.
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This paper reports on a 6.9-year-old autistic male who developed repeated episodes of acute dystonic reactions associated with pimozide administration at the doses of 0.096 mg/kg/day and 0.032 mg/kg/day and 32 hours following pimozide withdrawal, as well as during subsequent thioridazine administration.
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Reye syndrome associated with subclinical varicella zoster virus and influenza A infection.
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Because the patient remained bradycardic on postoperative day 11 (HR 64 beats/min; mean 75), terbutaline was titrated to a dosage of 5 mg every 8 hours.
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There are isolated case reports of stroke secondary to the use of triptans, however, this is the first case of spinal cord infarction reported following the use of this group of drugs.
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We report a patient who developed adult respiratory distress syndrome (ARDS) secondary to Mycobacterium tuberculosis as an immune reconstitution disease.
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The typical fluoxetine-induced symptoms of restlessness, constant pacing, purposeless movements of the feet and legs, and marked anxiety were indistinguishable from those of neuroleptic-induced akathisia.
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He was started on digoxin, 0.25 mg daily, because of echocardiographically demonstrated left ventricular dilatation and functional impairment; he died of ventricular fibrillation 15 days later.
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This report describes two patients who developed acute myelocytic leukemia only after exposure to cyclophosphamide, methotrexate, and 5-fluorouracil adjuvant therapy.
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He had a history of occupational exposure to asbestos as a construction worker.
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Localized panniculitis and subsequent lipoatrophy with subcutaneous glatiramer acetate (Copaxone) injection for the treatment of multiple sclerosis.
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The exogenous origin of the lipid in the BAL fluid was confirmed by gas chromatography/mass spectrometry.
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The bilateral ptosis markedly improved after 7 days of pyridoxine and pyridostigmine treatment and completely resolved after two weeks.
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With the weekly schedule, new types of toxicity have been described and we report four patients who have developed a severe sensory-motor neuropathy with the chemotherapy which appears to be drug-related.
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In both cases the presenting symptoms were indistinguishable from hospital-acquired pre-engraftment diarrhoea, which is commonly caused by Clostridium difficile.
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Pirmenol hydrochloride is a new orally effective, long-acting antiarrhythmic agent currently used in patients with supraventricular and ventricular tachyarrhythmias.
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Intravenous verapamil therapy in babies may cause apnea, hypotension, and bradycardia; continued episodes of atrial flutter in a child may cause sudden death; quinidine may be related to the death; children with "familial seizure disorders" may in fact have the long QT interval syndrome.
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We describe a patient who developed acute cerebellar syndrome after prophylactic intrathecal methotrexate administration and recovered spontaneously.
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Both grafts were successful and remained clear.
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METHODS: We present a case report on the use of an indium (111) diethylenetriaminepentaacetic acid (DTPA) flow study in the evaluation of a lumbar swelling in a 16-year-old girl with spastic cerebral palsy, treated with continuous intrathecal baclofen (CITB).
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A 40-year-old man with relapsing-remitting multiple sclerosis (MS) developed primary central nervous system lymphoma (PCNSL) after having received 21 doses of natalizumab monotherapy.
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We report a patient who developed acute pancreatitis during amiodarone therapy.
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A literature review revealed 83 other reported cases of rifampicin-induced renal insufficiency.
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We report six cases of endometrial sarcomas complicating ovarian thecomas, polycystic ovarian disease, or prolonged estrogen therapy.
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Topiramate may be a treatment option in CPH.
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An increase in tumor volume of 25% was observable 15 days after the beginning of therapy.
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The decrease in p(a)CO(2)induced by halothane may be explained by the diminished dead space that results from the drop in peak airway pressure.
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In three patients who stopped this medication of their own accord, pancreatic stones re-increased or reappeared about 6 months later.
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On the other hand, MTX-induced pneumonitis seems to be very rare in psoriatic arthritis (PsA).
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A case of acute cardiomyopathy and pericarditis associated with methylphenidate.
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CONCLUSIONS: Influenced by a variety of factors, pathophysiological microvascular changes provoke anterior ischemic neuropathy with sudden painless loss of vision, irreversible in most cases.
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She subsequently developed a classic varicella rash, sever back pain, rapidly progressive hepatic failure, pneumonitis, and encephalopathy.
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We report on a patient who developed hypersensitivity pneumonitis during treatment with the beta-blocker, celiprolol.
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This event rendered a family grief-stricken and numerous health care providers forever changed.
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