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We present a case of mucormycosis primarily affecting the paranasal sinuses in a 51-year-old man with a kidney allograft.
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An early asymptomatic recurrence was observed in three patients 49 to 53 days after the initial diagnosis.
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In young children, however, they can also stimulate alpha2receptors in the cardiovascular and central nervous systems, possibly causing cardiovascular, neurological, and respiratory depression.
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A 42-y old woman swallowed 60 ml of 50% malathion in a suicide attempt.
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Neutropenic enterocolitis, or typhlitis, is an unusual acute complication of chemotherapy-induced neutropenia, characterized by inflammatory process involving colon and/or small bowel that may progress to necrosis, haemorrhage, perforation and septicaemia.
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Clinicians should, therefore, consider AI in patients with spinal cord injury receiving glucocorticoids, a population in whom it may otherwise go undiagnosed and untreated.
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The objective of this report is to describe a case of fixed drug eruption that occurred during omeprazole treatment.
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OBJECTIVE: This case discusses a rare but devastating complication of transforaminal epidural injection.
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In our experience, once established, infections may rapidly progress in patients with RA taking leflunomide, and early cholestyramine washout is strongly recommended.
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She was receiving high dose corticosteroids, azathioprine 200mg daily and high dose intravenous immunoglobulin during relapses.
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These episodes had some atypical features that will be discussed with regard to the pathophysiological mechanisms leading to NMS.
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Severe adenovirus pneumonia (AVP) following infliximab infusion for the treatment of Crohn's disease.
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Treatment consisted of topical application of 0.1% tacrolimus ointment three times a day.
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CONCLUSIONS: X maltophilia is a potential intraocular pathogen in an immunocompetent host.
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A 16-year-old girl with refractory AML received unmanipulated BMT from an unrelated donor.
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To our knowledge, this is the first report of insulin-induced lipohypertrophy with detailed histological examinations.
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Her symptoms soon alleviated and serum lipase level declined.
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Because many glaucoma patients are elderly and vision is frequently impaired, overdosing may be the mechanism of side effects in many patients especially the elderly.
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Chlorambucil (CHL) was used in combination with prednisolone in the treatment of nine children with frequently relapsing nephrotic syndrome.
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In conclusion, a case of prednisone sensitivity in a patient with SLE is presented here.
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However, the treatment can be associated with significant morbidity.
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Cerebrospinal fluid examination prior to the last dosage of cytosine arabinoside revealed a mononuclear pleocytosis and increased protein.
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However, in instances of spontaneous TLS complicated by the normally low glomerular filtration rate in the newborn infant, the use of rasburicase and other supportive care measures may still be inadequate, warranting further study.
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A 77-year-old woman with no history of epilepsy presented a probable nonconvulsive status epilepticus while receiving continuous intravenous morphine for back pain relating to vertebral metastasis of a malignant lymphoma.
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We suspect that extrapyramidal signs in this case could be a result of acute brain injury because of the massive copper release from liver to the circulation just before and during LT.
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Neurophysiological mechanisms which aid in elucidating the role of disulfiram in the etiology of catatonia are discussed.
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The literature of vincristine optic nerve toxicity is reviewed.
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A 56-year-old woman with scleroderma developed rapidly progressive glomerulonephritis with epithelial crescents associated with hemoptysis after 27 months of D-penicillamine therapy and a cumulative dose of 1,200 g.
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Bladder biopsies demonstrated massive eosinophilic infiltration of the bladder, confirming the diagnosis of eosinophilic cystitis.
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In both patients therapy with high dose acyclovir, 10 mg/kg q8h, intravenously, was instituted based on clinical presentation.
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This 4-year-6-month-old girl had a history of moderate developmental delay and had received HOPA administration when first admitted at 2 years 6 months of age with hypoglycemia, hyperammonemia, lactic and pyruvic acidemia, and non-ketotic dicarboxylic aciduria.
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PURPOSE: To report cerebral venous thrombosis as a complication of intravenous corticosteroid treatment in a patient with multiple sclerosis.
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Use of baclofen in the treatment of esophageal stent-related hiccups.
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Continuous subcutaneously administered desferrioxamine may prove to be adaptable for long-term outpatient therapy, allowing patients with ongoing transfusion requirements to go into negative iron balance.
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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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Histopathology of the lesions was compatible with pemphigus foliaceus, although apoptotic cells suggestive of erythema multiforme were seen in two cases.
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Although the precise etiology is unknown, the Epstein-Barr virus and immunosuppressive agents appear to he risk factors.
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This report suggests that the poor prognosis previously given to fetuses exposed to disulfiram in the first trimester may not be warranted.
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This report describes a case of perforated appendicitis and ectopic pregnancy following in-vitro fertilization (IVF) and embryo transfer.
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She only assumed isotretinoin, at dose of 1 mg/kg a day, for a severe and scarring acne for 7 months.
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Most current guidelines for the management of anaphylaxis list only epinephrine as a vasopressor to use in the event of cardiovascular collapse.
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Complete rupture of the posterior tibial tendon occurs infrequently.
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Cerebrospinal fluid examination showed albuminocytologic dissociation (total protein concentration 118 mg/dl and 152 mg/dl, respectively).
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There was a progressive increment in corneal thickness and consequent improvement in corneal transparency, curvature, and regularity.
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In conclusion, TVUS can fail to detect cancers if the endometrial lining is not enlarged.
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Little inflammatory change was noted in either the epithelial or stromal layers of the failed graft.
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The case was a 17-year-old schoolboy presenting with vomiting, features of infection and gastrointestinal tract symptoms.
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Spinal nerve block by intrathecal phenol-glycerine infusion is commonly employed for relief of severe pain in terminal carcinomatosis and, frequently, a dramatic regional anesthetic effect is achieved.
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In addition, we know of no evidence specific to the treatment effect of epoetin alfa and/or darbepoetin alfa on A1C.
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This complication may have been due to shrinking of the tumor as well as thrombocytopenia following chemotherapy.
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Oestrogen cream can be used in an attempt to minimise the adverse reaction and speed the healing process.
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Cytostatic extravasation via central catheter is an uncommon complication in clinical practice.
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In addition, HD alone should be used to remove any excessive amounts of AZ from the blood.
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Based on 2 case presentations - acute renal failure (ARF) due to myeloma kidney and due to angiotensin-converting enzyme inhibitor administration in the presence of transplant artery stenosis - new aspects in the pathogenesis of ARF are presented and discussed.
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SIRT is a palliative treatment for unresectable liver tumours.
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The patient had previously reacted similarly to ampicillin infusion.
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Further genetic testing of autopsy tissue revealed the presence of a gene defect at the cytochrome P450 CYP2D locus, which results in poor metabolism of fluoxetine.
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Long use of cyclosporine improved the proteinuria and hypoalbuminemia within 12 months.
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A case of high-grade endometrial stromal sarcoma, confined into an intrauterine polypoid growth, in a woman with a history of breast cancer who was treated with adjuvant tamoxifen.
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A case is reported of an elderly woman who developed febrile agranulocytosis several weeks after commencing ticlopidine but who had a favorable outcome after cessation of that drug and treatment with filgastrim.
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Prospective randomized combination trials similar to the Intergroup Rhabdomyosarcoma Study in the pediatric population are necessary to better understand and manage these potentially curable sarcomas.
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These are the first reported patients to show mfERG abnormalities that correspond to bitemporal visual field defects and add to the growing evidence that ethambutol damages the retina.
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On December 18, 2007, she was admitted to the cardiology unit to undergo a pacemaker replacement.
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Patients not treated with hemodialysis have increased morbidity and significant prolongation of their hospital course.
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Therapy with IFN-alpha may be associated with a number of neuropsychiatric symptoms, such as Parkinsonism, akathisia, seizure, and depressive disorders.
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Methyldopa was discontinued, but after exhibiting transient clinical improvement, the patient's condition progressively deteriorated until she died of hepatic failure, in spite of therapy with massive doses of corticosteroids and other nonspecific measures.
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Monsel's solution impregnated into a uterine pack was used to secure hemostasis.
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As EGFR inhibitors are now incorporated with chemotherapy in advanced pancreatic cancers, clinicians should be aware of this potential complication.
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Recently, amiloride, a potassium-sparing diuretic, has been reported as a successful treatment for nephrogenic diabetes insipidus.
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The ulcers slowly healed with local therapy, but two patients required dose modification of the pegylated interferon alfa-2b and one patient required treatment withdrawal.
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Neither corticosteroids, osmotic diuretics, hemodilution nor surgical decompression of the optic nerve have proved successful.
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Agranulocytosis and granulocytopenia associated with quetiapine.
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Although major hazards of treatment of hypophosphatemic osteomalacia with phosphate and calcitriol are secondary hyperparathyroidism and vitamin D intoxication, potassium loss also should be kept in mind.
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The lamellar inflammation was refractory to topical steroids and only resolved when pressure was controlled.
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Danaparoid was restarted 3 h post delivery and the patient anticoagulated with warfarin in the post-partum period.
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Three of these patients had convulsions attributed to imipenem/cilastatin; 3.6% of the patients had seizure, or 2% of imipenem/cilastatin administrations was followed by a seizure attack.
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In contrast, eosinophil infiltration was rare in polyps obtained immediately after steroid 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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A 64 year old man with recurrent metastatic squamous cell carcinoma of the head and neck developed severe skin rash and bone marrow aplasia 4 and 7 days, respectively, following a single dose of 40 mg/m2 methotrexate (MTX).
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We report a case of interstitial pulmonary disease that occurred together with lymphocytic colitis during treatment with ticlopidine.
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We report a case of fatal pulmonary toxicity in a patient with advanced non-small cell lung cancer who received erlotinib.
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Anterior lumbosacral radiculopathy after intrathecal methotrexate treatment.
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These findings were consistent with the posterior reversible encephalopathy syndrome.
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She was treated with Pancrease MT 16, but had consistent vomiting 1 to 2 hours after administration of enzymes.
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She was diagnosed with porphyria after the fifth hospitalization.
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Our observation suggests that corticosteroid therapy may be beneficial in some patients with CE.
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The syndrome of "painful legs and moving toes" is characterised by spontaneous causalgic pain in the lower extremities associated with peculiar involuntary movements of the toes and feet.
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Adjuvant chemotherapy is frequently used for the treatment of early stage breast cancer, and to date there has been no increase in the incidence of secondary myelodysplastic syndromes or acute leukemia after cyclophosphamide-based regimens when compared with surgical controls.
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A patient taking excessive amounts of an ergot alkaloid for the treatment of migraine headaches developed cool, painful, swollen lower extremities with intermittent claudication and sensory changes.
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The possible relationship between transplant-induced immune dysfunction and the occurrence of this rare infection is discussed.
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A Flexiflo Inverta percutaneous endoscopic gastrostomy tube was successfully inserted by pull technique.
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Overall, five of the seven patients were rated at least minimally improved in behavioural symptoms.
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Patients with huge tumor mass and multiple liver metastases have increased risk of tumor-induced hypoglycemia.
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All patients having INFVA respiratory infection were treated by oral oseltamivir 60 mg/day, begun more than 48 h after symptom onset.
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Fluorouracil for allergic reactions to capecitabine.
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The mother also falsified the laboratory data to erase from her daughter's file a laboratory result documenting warfarin in the blood.
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Less common adverse events to dapsone include the idiosyncratic reactions of leukopenia and agranulocytosis, cutaneous eruptions, peripheral neuropathy, psychosis, toxic hepatitis, cholestatic jaundice, nephrotic syndrome, renal papillary necrosis, severe hypoalbuminemia without proteinuria, an infectious mononucleosis-like syndrome, and minor neurological and gastrointestinal complaints.
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In one recording a short period of regular sinus rhythm with intermittent 2/1 S-A block was observed.
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In the meantime the patient developed acute respiratory distress, was intubated on clinical grounds and was transferred to the intensive care unit.
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Calcium intake in these infants was far below that achieved by fetuses of comparable age in utero, even though in excess of that provided by usual premature infant oral formulas.
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