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Myasthenia-like syndrome induced by cardiovascular agents.
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Strongyloides infection and meningitis in an immunocompromised host.
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The patient underwent craniotomy, with resection of two lesions in close proximity within the parenchyma of the temporoparietal lobe.
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Bone marrow aspiration and biopsy were diagnostic of pure red cell aplasia on a background hypocellular marrow.
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Power spectrum analysis of heart rate variability is useful in this instance because it magnifies the trace and detects even minor disturbances.
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The presence of thrombi in this early-stage lesion suggests that thrombosis plays a role in the initial pathogenesis of this condition.
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Cytomegalovirus (CMV) pneumonia in the setting of non-transplantation patients is a rarity.
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The patient had a favorable outcome.
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Estimated daily intake of propranolol in breast milk by the infant was about 3 micrograms.
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Ordinarily occurring as a commensal, Kluyvera have been reported to cause serious infections in immunosuppressed and immunocompetent hosts, causing diarrhea, urinary infections, peritonitis, and cholecystitis.
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Medical management of the head and neck cancer patient (HNCP) most often will include radiation therapy to the head and neck region.
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Before the infusion he was pretreated with ranitidine, cetirizine, hydroxyzine, montelukast, and prednisone.
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The authors describe the clinical and pharmacologic management of a patient who developed an organic affective syndrome during a simulated deep-diving experiment.
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Treatment with oral prednisolone resulted in some improvement in the cutaneous signs, particularly over the face, trunk and proximal limbs.
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Because pain perception involves both serotonergic and noradrenergic mechanisms, venlafaxine also may be useful in neuropathic pain therapy.
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After three cycles of chemotherapy over a 10-week period, the patient's dosage requirements returned to her baseline level (before treatment with 5-fluorouracil and leucovorin had started).
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Oral hypoglycaemics.
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Continuous supplecation of calcium and vitamin D, provoked dehydration and the mechanism of the milk-alkali syndrome also contributed to this extremely high calcium level.
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Immediate postoperative cystogram and pelvic computed tomogram (CT) after the development of seizures demonstrated a fluid collection from the suprapubic catheter site into the anterior abdominal wall.
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Intravitreal bevacizumab was administered and optical coherence tomography revealed worsening of the cystoid macular edema 1 month after the injection.
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Where over-usage occurs a state of diminished airways response seems to result: it is also possible that the convulsions which occurred in one case may be related to such abuse.
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Scans were performed without opioid drugs and 30 minutes after intramuscularly administered meperidine, morphine, hydroxyzine, hydroxyzine plus meperidine, butorphanol, and nalbuphine.
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Methylephedrine is generally harmless and is contained in many cough and cold preparations.
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Reversible pheripheral edema in female patients taking proton pump inhibitors for peptic acid diseases.
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The phenytoin only modified the IgA levels.
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Such a low incidence suggests a hypersensitivity type of reaction.
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The patients immune system and lung function slowly recovered during the same time period.
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After the patient underwent conservative treatment, the new symptoms resolved, and follow-up MR imaging and computed tomography demonstrated resorption of the epidural air in the lumbar region.
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Angiotensin-converting enzyme (ACE) inhibitors are widely used for controlling hypertension.
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The response to clozapine appears to be specific and relapses occurred when maintenance medication was stopped.
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Further study of this potential health risk in needed.
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Met-Hgb should be suspected in patients with cyanosis that does not respond to administration of oxygen and who have a discrepancy in oxygen saturation measured by pulse oximetry compared with the arterial partial pressure of oxygen (PaO2) determined by blood gas analysis.
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An adolescent with stunted growth was treated for 6 months with a synthetic anabolic androgen.
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Three of 38 children given high-dose cytosine arabinoside therapy developed a previously undescribed complication.
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We report one case each of CAPD-related peritonitis caused by Aspergillus terreus and Mucor sp., which have previously been described in the literature once and twice, respectively.
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Asthmatic patients receive multiple drugs as part of their treatment program.
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He was initiated on oral as well as inhaled corticosteroids along with nasal corticosteroid spray for his nasal complaints.
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Obtaining appropriate cultures can be critical in making the diagnosis and directing treatment.
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The patient recovered completely clinically and radiologically after discontinuing cyclosporine.
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Renal biopsy showed acute interstitial nephritis with eosinophilic cells.
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Myocardial infarction (MI), associated with the use of these concentrates, is a well-recognized, but uncommon, complication.
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At postmortem examination the cerebral hemispheres had a conspicuous destruction of white matter, consistent with a necrotizing leukoencephalopathy with focal and diffuse demyelination.
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Seven of 8 evaluable patients remain alive and free of recurrence with a median follow-up of 13 months.
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Since carbamazepine was discontinued and had been prescribed for bipolar disorder, his olanzapine dosage was increased, and trazodone was added at bedtime for insomnia.
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Transfusion-associated graft-versus-host disease (TA-GVHD), has rarely been reported associated with B-chronic lymphocytic leukaemia (B-CLL).
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His recovery was uneventful.
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CYP2C19, which catalyses the metabolism of, for example, citalopram, clomipramine and moclobemide.
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Herein we document the unusual association of focal nodular hyperplasia with use of a synthetic anabolic androgen.
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Our patient experienced dyspnea, worsening hypoxemia, and a progressive obstructive ventilatory defect 12 days after liver transplantation.
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Further study is needed to determine the incidence of subclinical membranous nephropathy in patients with rheumatoid arthritis, and the effect of drugs in triggering clinical manifestations of this condition.
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Reduction in the dose of olanzapine was followed by normalization of the white blood count which allowed continuation of the medication.
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Combined ketoconazole and amphotericin B treatment of acute disseminated histoplasmosis in a renal allograft recipient.
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Use of the Naranjo probability scale showed the relationship of itraconazole therapy and the occurrence of acute hepatitis as probable.
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One year subsequently, he developed a nasal septal perforation.
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Cidofovir is an antiviral agent that has been proposed for treatment of BKVN.
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The pharmacist counseled the patient on the potential hazards of using herbal products with prescription medications.
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The combination of GM-CSF to accelerate hematological recovery and the possibility of administering large doses of a liposomal form of Amphotericin B were the contributing factors to the resolution of the infection.
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Except for the cellular membranes, each eye was without evidence of inflammation or cystoid macular edema.
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Fungal peritonitis in patients on continuous ambulatory peritoneal dialysis (CAPD) has been associated with high mortality and high CAPD-discontinuation rates.
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Topical provocation with ceftriaxone sodium salt (1% in water [aq.], 5% aq., 10% in petrolatum [pet.], 20% pet.) remained negative both at previously affected sites and in the unaffected skin of the back.
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The 5 neonates with antral hyperplasia had received prostaglandin E1 for longer periods (mean [+/- SD] duration, 569 +/- 341 hours) than the 65 normal neonates (54 +/- 58 hours, P less than 0.001) or the 4 neonates with clinical signs of gastric obstruction (119 +/- 60 hours, P less than 0.05).
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CONCLUSIONS: In patients with coronary artery disease, or in situations where cardiovascular stability is desired, glycopyrrolate is an effective means of relieving intraoperative penile erections.
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This case report refers to a patient with PLEDs whose EEGs did not change while on steady levels of phenytoin and phenobarbital, but showed a complete disappearance of these discharges when felbamate was used.
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The observed alterations of the thyroid gland were caused by a long lasting Wolff-Chaikoff effect with a delayed adaptation to high iodide concentrations.
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BOOP is considered as a nonspecific response to many types of lung injury, including drugs, radiation, an underlying hematologic malignant neoplasm, autoimmune diseases, bacterial or virus infection, or an underlying lung disease, or occurs idiopathically.
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In the interim, the patient had been transitioned to warfarin.
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The management of leukaemia presenting in pregnancy is discussed.
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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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We described a patient who developed heart failure and pericarditis after bone marrow transplantation for a hematologic malignancy.
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Tiny black granules were most numerous in the basal laminae of vessels in electron microscopic observation.
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The objective of this presentation is to document the salient clinical findings in a case of aflatoxicosis and to review the literature on the same so as to increase the index of suspicion, enhance early diagnosis and improve management.
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The patient underwent a successive surgical procedure without any adverse event.
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However, none were as severe as the first rash.
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Mycotic aneurysm of the suprarenal abdominal aorta.
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These children aged 2.5-15 years were treated for Burkitt's lymphoma, Ewing's tumour, small cell bone tumour or medulloblastoma.
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Complications of extensive adhesion formation after intraperitoneal chemotherapy.
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Sodium bicarbonate should be given early in the resuscitation, and re-administered as frequently as required, targeting an alkaline pH and improved cardiac output, while accepting hypernatraemia.
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A 57-year-old woman was hospitalized because of gait disturbance and dysuria.
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The patient responded to aluminum chloride applied topically.
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These remained the only agents for the next 50 years.
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Optimizing antidiabetic treatment options for patients with type 2 diabetes mellitus and cardiovascular comorbidities.
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A notable improvement in cancer symptoms and reduction in tumor size were seen in all three patients.
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A nonfatal case of accidental prolonged overdosage of pyrimethamine (10 times the usual dose for 10 days) in a seven-week-old infant treated for congenital toxoplasmosis is presented.
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Histologic examination of biopsies from two regressing tumor nodes showed necrotic tumor cells and infiltration with CD8 positive cells.
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Effects on heart rate and blood pressure as well as tachyarrhythmias have been well described.
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These patients all suffered unnecessary morbidity or investigations.
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The patient received hyperbaric oxygen therapy for 1 week.
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Olanzapine may be considered a potential and safer treatment for a this specific group of patients.
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We report herein the case of a 69-year-old Japanese man with acquired von Willebrand syndrome associated with monoclonal gammopathy of undetermined significance who developed IgG1-kappa antibodies against von Willebrand factor (VWF).
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DISCUSSION: Itraconazole pulse therapy for onychomycosis appears to be at least as effective as and safer than a continuous treatment regimen, particularly from the perspective of potential liver damage.
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Repeat catheter and peripheral culturing occurred 72 hours after the 5-day period.
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Most cases are due to Candida spp. while Aspergillus spp. and zygomycetes have only rarely been implicated.
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We describe a case of delayed onset HIT with resulting massive pulmonary embolism postcardiac surgery that was successfully managed with lepirudin.
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Prompt recognition of a chlorambucil drug reaction is essential in patients receiving chemotherapy.
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Correlated with the lesions evaluated in computed tomography, right hemiplegia and complete aphasia was observed.
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Two years later, his treatment was switched to olanzapine.
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Apomorphine-induced erections in PD are probably more common than previously thought.
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Diagnosis was confirmed by polymerase chain reaction (PCR) detection of donor DNA in the patient, by amplification of Y-chromosome sequence and analysis of minisatellite polymorphisms.
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Final treatment plans for the HNCP should include medical assessment of past dental history, oral hygiene, potential compliance, or lack of, to dental care recommendations, the emotional state of the patient, socio-economic status of the patient (lifestyle, cost of care), future quality of life, the medical and/or life prognosis of the patient.
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Further observations and reports will help clarify this adverse effect.
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