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After a latent period of 4 months, he developed a progressive, severe and ultimately fatal radiation myelopathy, which we suggest was due to a synergistic interaction between the high-dose chemotherapy and the radiotherapy.
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Multibacillary, lepromatous or borderline leprosy patients may present two types of vasculonecrotic reactions: Lucio phenomenon and that associated with erythema nodosum leprosum.
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However, id injection with monomeric Lex had no effect.
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Naproxen, the most common offender, has been associated with a dimorphic clinical pattern: a PCT-like presentation and one simulating erythropoietic protoporphyria in the pediatric population.
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METHODS: Retrospective review of a clinical case.
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In patients with a known access to INH, seizures should be considered to be caused by INH toxicity unless proved otherwise.
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METHODS AND RESULTS: At 6 weeks after renal transplantation, a 57-year-old woman presented with TMA.
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After 82 days' treatment her arm appeared normal and has remained so over seven months.
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De novo hepatitis B virus (HBV) infection after orthotopic liver transplantation (OLT) always progresses to chronic hepatitis because of the patients' immunocompromised status, and only a few then acquire hepatitis B surface antigen (HBsAg) seroconversion even with efficient antiviral therapy.
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The other author believes tympanoplasty should be performed prior to reconstruction (Dr.
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Vancomycin is widely used against methicillin-resistant Staphylococcus aureus infections, but it is associated with many adverse effects such as nephrotoxicity, ototoxicity, gastrointestinal disturbances, blood disorders, and two types of hypersensitivity reactions - an anaphylactoid reaction known as "red man syndrome" and anaphylaxis.
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Knowledge of the clinical picture is important for correct diagnosis and treatment.
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Nineteen cases of allergic contact dermatitis to compound tincture of benzoin are described.
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The principal types of renal disorders associated with chronic HCV infection are cryoglobulinemia or noncryoglobulinemic membranoproliferative glomerulonephritis (MPGN).
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DISCUSSION: This preliminary clinical experience suggests that the addition of caspofungin to trimethoprim-sulfamethoxazole, which is active against trophic forms, may provide a synergistic activity against P. jiroveci by fully inhibiting the organism life cycle.
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Ovarian endometrioid carcinoma and endometriosis developing in a postmenopausal breast cancer patient during tamoxifen therapy: a case report and review of the literature.
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Since the depressive symptoms returned sertraline medication was initiated.
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The absence of an obvious pelvic infection or nongynecologic etiology of the abscess made the case particularly unusual.
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Six patients developed peripheral neuropathy and five patients bone marrow depression, blood transfusions were given to three patients and in all five patients bone marrow function normalized after cessation of linezolid.
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Acute lymphoblastic leukemia as a second malignancy following the treatment of medulloblastoma is a very rare condition.
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In this report, we present a case of hypoglycaemic coma associated with SP, an adverse reaction that is likely to be underreported and expected to occur with greater frequency as the use of SP increases.
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Candida-induced denture stomatitis usually does not reflect any deep-seated, systemic abnormality, the dentures being the primary predisposing condition.
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Magnetic resonance imaging (MRI) showed bilateral ischemic lesions of the globus pallidus, suggesting a generalized cerebral hypoxia during the comatose state as pathogenic mechanism.
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Renal biopsy examination showed typical features of MN in all patients.
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The infection did not recur.
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He underwent the desensitization without incident on repeated infusions.
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Thus, azithromycin was more effective but equally safe than ceftibuten in the initial therapy of pediatric CARTI.
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The median interval from initiation of therapy to the development of leukemia is shortened from 54.2 to 41.1 months if radiation therapy is used in addition to chemotherapy.
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EEG abnormalities were observed in two of the nine children during chlorambucil therapy.
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On rare occasions, severe complications such as respiratory failure, metabolic acidosis, renal failure, coma, and death have been reported in both adults and children.
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The potential arrhythmogenic effects of alcohol have recently been studied electrophysiologically.
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Myoclonus and seizures in a patient with parkinsonism: induction by levodopa and its confirmation on SEPs.
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This is probably the first report of drug-induced ego-dystonic, mood incongruent suicidal ideas appearing in a fully conscious, healthy individual.
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Evaluation of hypothermia with psychiatric patients should include primary accidental hypothermia, central nervous system disorders, metabolic disorders, infections, and medications.
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The taxonomical, pharmacological, and clinical aspects of angel's trumpet-induced disorders are discussed.
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It has been reported that these atrophic areas remain unchanged and localized lipoatrophy may be preceded by a subcutaneous panniculitis.
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Priapism is a rare disorder defined as a persistent penile erection that continues hours beyond, or is unrelated to, sexual stimulation.
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Corneal edema resolves if sufficient endothelial cell viability is still present after resolution of ushaar keratitis.
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The authors report the first case involving trapped epidural air in the spine that mimicked a mass lesion and caused neurological symptoms after epidural corticosteroid injection in the lumbar region.
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Venous access devices (VAD) have become an important tool in the management of patients with cancer.
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Two patients became culture-negative for S. oslo on treatment with this combination.
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A response to rhEPO was defined as an increase in hematocrit of 4 percentage points or more over baseline, or the elimination of all transfusions with the hematocrit stable at the baseline level.
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Diagnosis had been delayed secondary to sampling of the other uterine horn.
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Oseltamivir appears to play an important role in the outcome of INFVA infection as well in URTI as in severe LRTI in patients receiving BMT.
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Results at 3 months an open-prospectus study of 30 cases and review of the literature.
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BACKGROUND: The safety of topical epinephrine (1:1000 concentration) has recently been called into question.
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On day 23 of varenicline therapy, he received and filled a new prescription for amphetamine-dextroamphetamine and resumed his prescribed dosage (30 mg twice/day).
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Secondary leukemia in a child with neuroblastoma while on oral etoposide: what is the cause?
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Skin rash involved regions of the face, lower abdomen, back, buttocks and both upper thighs.
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Seven years after the transplantation, cholelithiasis, cholecystitis, cholangitis and subsequently secondary chronic biliary sclerosis were detected.
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The overall symptomatology of these patients as rated on the Brief Psychiatric Rating Scale (BPRS) decreased significantly from a mean of 57.0 +/- 10.4 to a mean of 37.8 +/- 7.7 (t = 7.03, df = 14, P = .001).
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Teicoplanin-induced agranulocytosis that followed vancomycin-induced agranulocytosis suggests a possible cross-reactivity between the 2 drugs.
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Intracameral injection of tPA seems to be a safe and effective method for the treatment of unresolved total hyphema.
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L-asparaginase, an enzyme with established antileukemic activity, increases the induction rate and duration of remission of acute lymphoblastic leukemia when added to vincristine and prednisone for induction therapy.
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In India, traditional therapy with herbal preparation (Ayurvedic medicine) is not uncommon.
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Poison oak and related hypersensitivity dermatitides are age-old problems that have historically been treated with herbal medicines before the availability of corticosteroids.
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The vitreous body of an eviscerated eye was occupied by the non-specific granulomatous tissue, composed of fibroblast, plasma cells, and Sudan black staining positive foamy cells, including melaniferous phagocytes, identified as CD 68 positive macrophage.
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An antinociceptive effect of sumatriptan can be observed in SAH patients in good clinical condition, which suggests a specific craniovascular antinociceptive action.
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Failure to recognize it and discontinue the offending agents may result in unnecessary morbidity and occasionally, irreversible renal failure.
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Investigations revealed AT deficiency, thrombocytopenia and renal infarction.
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Amebic abscess of the spleen complicated by metronidazole-induced neurotoxicity: case report.
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In situ hybridization identified Epstein-Barr virus latency-associated RNA expression in these cells.
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There was no enhancement of the cyst wall and no pericystic oedema.
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The anesthetic area conformed to the distribution of a specific nerve, the transverse cervical cutaneous nerve.
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Cardiac transplantation is a well defined therapy for end stage heart failure.
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Clinically, this condition presents with the classic triad of fever, rash, and lymphadenopathy.
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She was found at delivery to have developed oligohydramnion, esophagitis, and a bleeding peptic ulcer.
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Skin-prick tests were performed for the antibiotics he received earlier in the day and the cyclosporine.
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BACKGROUND: Bone marrow transplantation (BMT) is a common treatment used for deficiencies of host marrow or in the control of blood malignancies.
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Dural sinus thrombosis developed in two children with acute lymphoblastic leukemia during induction treatment with vincristine sulfate, prednisone, and asparaginase.
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Seventeen days earlier, she had received a prescription for topical econazole lotion 1% to be applied 3 times daily for 1 month to treat a dermatitis affecting 12% of the body surface.
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We have seen a case of terminal malignant melanoma in which clinical manifestations, indicative of anterior spinal artery syndrome, developed following the injection of 0.3 ml of 10% phenol-glycerine into the cervical subarachnoid space at the C4--C5 level for the control of severe right arm pain.
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On the other hand, 13 patients had no histologically verified liver cirrhosis in their latest biopsy, and PIIINP was within the normal range in all 11 patients investigated, this in spite of total cumulative MTX doses from 1,120 to 18,645 mg (mean 7,171 mg).
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After a total of 11 applications the patient developed a port thrombosis resistant to lysis with urokinase.
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However, the child vomited when a cumulative dose of 315 mg was reached.
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All patients had abnormal counts.
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Circulatory arrest ensued.
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It was concluded that mitoxantrone-cyclophosphamide is an effective chemotherapeutic combination with minimal toxicity and should be further studied in larger controlled trials.
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Successful challenge with clozapine in a history of eosinophilia.
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The mutations on the phenylalanine hydroxylase gene indicated that she might be responsive to tetrahydrobiopterin therapy.
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SETTING: A university-affiliated teaching hospital.
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METHODS: All admission records and operative reports, as well as available office notes, on patients with blebitis or bleb-associated endophthalmitis admitted to a large referral eye center from 1985 to 1995 were reviewed retrospectively.
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P. carinii pneumonia (PCP) is usually a late complication in patients receiving TMP/SMX prophylaxis, with most cases occurring later than 2 months post-transplant.
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The development of systemic lupus erythematosus (SLE) after 38 months of therapy with recombinant human interferon gamma (rIFN-gamma) was observed in a patient with rheumatoid arthritis.
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In the 1st patient, clinical improvement occurred despite continuation of therapy, and in the 2nd the treatment was stopped with remission and rechallenge resulting in recurrence.
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UL97 genotyping was carried out on peripheral blood samples, using a nested in-house PCR, which amplified the full-length UL97 gene.
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Bone marrow transplant nephropathy (BMTN) classically presents more than 100 days after transplantation as an acute nephritis with hypertension, azotaemia and anemia that usually results in end stage renal failure (ESRF).
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We report the resolution of all the features of PHS with systemic corticosteroids and recurrence on withdrawal, and further remission on reinstitution of systemic corticosteroids.
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Three patients, in whom tumour overkill by cytotoxic treatment, including high dose methotrexate with folinic acid rescue, resulted in the 'phosphate shower syndrome' (hyper-uricaemia, hyperkalaemia and hyperphosphataemia with hypocalcaemia and tetany, with metabolic acidosis and acute renal impairment) are described.
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We report the first case of a 54-year-old Turkish woman who presented with ceftriaxone-induced FDE.
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We review the published data as well as the current treatment recommendations.
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With itraconazole, hepatotoxic reactions have only very rarely been reported, and histologic data are lacking.
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CONCLUSION: Significant ocular complications such as an irreversible decrease of visual acuity may develop in patients treated with pegylated interferon.
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An angiogram was performed, which demonstrated that the mass was fed by the branches from the right external carotid artery.
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This case report of fulminant ADEM treated successfully with early high-dose intravenous methylprednisolone, although uncontrolled, suggests that this agent should be studied in other cases.
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Intravitreal sustained-release ganciclovir implants for severe bilateral cytomegalovirus retinitis after stem cell transplantation.
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Histological changes were consistent with IgA-nephropathy and focal segmental glomerulosclerosis.
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There was no clinical or laboratory evidence for an immunologic or toxic insult, although in 1 patient we found a transient leukocyturia and mild proteinuria.
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Pyridoxine for neonatal seizures: an unexpected danger.
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The two final patients suffered from typical forms of primary NH, one associated with migraine without aura, the other with chronic tension-type headache.
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