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The difficulty in absorbing vitamin B12 when intrinsic factor is not available does not make oral replacement impossible; the dose just needs to be higher.
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Although thrombolysis per se can cause severe and potentially fatal haemorrhage, there is no evidence that severe bleeding events occur more often when thrombolysis is combined with cardiocompressions.
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He did not respond to treatment with oral iron not a proton pump inhibitor and an upper endoscopy was performed.
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Did we learn evidence-based medicine in medical school? Some common medical mythology.
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Phenobarbital treatment in a patient with resistant alcohol withdrawal syndrome.
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Six patients with no previous signs or symptoms suggestive of coronary artery disease developed acute coronary ischemia/infarction shortly after cis-diamine-dichloroplatinum II (cisplatin) -based chemotherapy.
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We present a 60-year-old woman with anal cancer and liver metastasis.
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Linear IgA bullous dermatosis (LABD) is an immunobullous disorder in which IgA antibodies are deposited within the basement membrane zone.
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Pseudomonas aeruginosa was cultured not only from the corneal ulcer but also from the contact lens solutions, suggesting that the patient had been noncompliant with care procedures.
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As a consequence, the use of a broader initial antibiotic coverage, including extended-spectrum cephalosporins and combinations, seems to be more common in North America than in Europe.
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The vomiting occurred on switching to different pancreatic enzymes preparations, ie, Creon 10, Viokase, and Pancrease MT 16.
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The main side-effects of Lp-TAE combined with HT were low-grade fever, localized pain, myelo-suppression and liver dysfunction, but these were transient and eventually disappeared.
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Postoperatively, the patient developed bilateral lower extremity weakness, which was at first attributed to epidural administration of local anaesthetics.
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Progressive outer retinal necrosis after bone marrow transplantation.
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We present a report of B. henselae infection transmitted by the same kitten to 4 different individuals, each with different clinical characteristics, treatment, and evolution.
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A rapidly progressive, fatal recrudescence of pulmonary Kaposi sarcoma developed in an HIV-infected man who was receiving corticosteroids for treatment of an immune reconstitution syndrome secondary to Mycobacterium avium complex pulmonary infection.
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Her medical history was remarkable for long-term opiold dependence associated with the treatment of multi-Joint degenerative osteoarthritis.
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CONCLUSION: Celiac disease must be ruled out in patients with malabsorption complaints in or after interferon (or pegylated interferon) therapy.
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Diethyl carbamazine citrate, an inhibitor of release of SRS-A, seemed to shorten the duration of the LAR, although it has no effect on the immediate response and/or on the severity of the LAR.
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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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We report here such a case with bilateral Mooren's ulcer that failed to respond to local therapy with topical corticosteroids, silver nitrate, and conjunctival resection, as well as systemic immunosuppression with corticosteroids, cyclophosphamide, and azathioprine.
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Pregnancy complicated by endodermal sinus tumor of the ovary is extremely rare.
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This case supports the assessment that MH and diabetes are associated diseases and that cresol could possibly trigger MH.
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It is increasingly recognized that dose adjustment of oral valacyclovir in renal failure is necessary to avoid neurotoxicity.
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This review provides an evidence and experience-based approach to the preventive treatment of migraine.
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Successful treatment of bronchiolitis obliterans in a bone marrow transplant patient with tumor necrosis factor-alpha blockade.
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There are reports of accelerated SSc syndromes associated in particular with breast cancer.
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This case report highlights a need for awareness of increased bleeding as a potentially serious complication associated with the use of all currently licensed PIs in individuals with hemophilia.
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The second was a 36-year-old male who developed mental status changes, ataxia and dysarthria following treatment for lymphoma.
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The patient developed severe and suicidal depression which responded solely to testosterone.
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She developed a generalized rash and itching, sore throat, and dizziness approximately 4 hours after the first dose of capecitabine.
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Minimally invasive repair of a left ventricular pseudoaneurysm after surgical patch reconstruction of an infarct-related free posterior wall rupture: CT-guided intervention.
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The four other North American cases are reviewed, and the epidemiology of the infection in animals is discussed.
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The initial manifestations of the disease on admission included cough, dyspnea, hemoptysis, pulmonary infiltrate, and renal failure.
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Acute respiratory depression as a complication of nebulised morphine.
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Without other causes for the hyponatremia, she was diagnosed with the syndrome of inappropriate antidiuretic hormone, presumably caused by desmopressin.
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Thirty patients with hepatic reactions to cyclofenil, a non-steroidal drug with a stimulating effect on ovulation, are reviewed.
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In uncontrolled digestive haemorrhage, a short course of somatostatin therapy can be of great help in controlling the acute bleeding and to avoid emergency laparotomy.
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Dermatomyositis is associated with malignancy in approximately 20-25% of cases.
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Permanent complete relief or pronounced improvement of the dyskinesias was observed at a dosage of 5 mg prednisolone/day.
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The Ommaya reservoir provides an easy and practical method for fungicidal medication administration.
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Care must be taken in the management of lumbosacral intradural tumors because tumors resembling neurilemmoma may in fact represent meningioma, some subtypes of which possess a high rate of recurrence.
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The authors treated two children with Gilles de la Tourette's disease and one child with a probable combination of Gilles de la Tourette's disease and minimal brain dysfunction with methylphenidate, which resulted in exacerbation of symptoms.
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Clinically apparent reactivation of hepatitis B virus typically occurred 1 month after the 3rd dose of infliximab.
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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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Veno-occlusive disease-like hepatotoxicity in two children receiving chemotherapy for Wilms' tumor and clear cell sarcoma of kidney.
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The rash was treated with moisturizing cream along with intravenous and topical corticosteroids and antibiotics.
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We describe a 50-year-old woman with rheumatoid arthritis in whom a severe postinjection vasomotor reaction was associated with a cerebral vascular accident.
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The most common symptoms were mental status disorder and involuntary movements.
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A detailed description of the cardiac event is provided for one patient who was on a cardiac monitor during the adverse reaction.
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Rifampin-impregnated silicone catheters: a potential tool for prevention and treatment of CSF shunt infections.
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Approximately 5-6% of intravaginal clindamycin is absorbed in the bloodstream, making systemic effects possible.
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The present study retrospectively investigated the utility of a novel combination chemotherapy regimen for treating multifocal HCC resistant to TAE.
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CONCLUSIONS: JHR should be an anticipated reaction to early doses of antibiotic treatment for treponemal diseases, such as syphilis.
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Therefore patients with bronchial asthma should receive special prophylactic attention.
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The previous amphotericin B, granulocyte colony-stimulating factor, hyperbaric oxygen and nasal and left maxillary sinus surgical debridement therapy was ineffective in stopping the progression of the infection to the brain.
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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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Postmortem examination revealed only minimal neoplastic infiltration of the meninges.
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We believe this is the first report of myocardial infarction due to coronary spasm, demonstrated by angiography associated with L-thyroxine therapy.
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BACKGROUND/OBJECTIVE: Intrathecal baclofen is considered standard treatment for severe spasticity of spinal cord and cerebral origin.
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These evolutional changes in both proteinuria and glomerular histology suggest a close linkage between the M-CSF treatment and macrophage-related glomerular injury.
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Pantoprazole therapy was promptly discontinued, and prednisone 40 mg/d was initiated.
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Bilateral loss of vision in bright light.
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We present a patient with documented pacemaker related left-sided endocarditis associated with an acute embolic stroke who was treated with antibiotics with complete recovery and its two-year follow up.
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Peculiar nail-changes in a 70-year-old woman with rheumatoid arthritis occurring after approximately 1 year of penicillamine treatment are described.
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Characteristic muscarinic, nicotinic and central manifestations of OP poisoning appeared: atropine and 250 mg obidoxime i.v., resulted in marked improvement.
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Erosion of psoriatic plaques after chronic methotrexate administration.
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These patients would then not experience EPS and would be more likely to continue with their medication in the long term and thus avoid relapse.
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The patient herein reported had chronic obstructive pulmonary disease and had had a nephrectomy.
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Milk-alkali syndrome can present serious and occasionally life-threatening illness unless diagnosed and treated appropriately.
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The authors postulate that two types of combined lithium-neuroleptic toxicity occur: a neuroleptic malignant extrapyramidal syndrome and a lithium toxicity that occurs in combination with phenothiazines, primarily thioridazine.
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Physical examination revealed hypotension (84/47 mmHg) and heme-positive stool on rectal examination.
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Their positive, negative, and general symptoms as rated by the BPRS also decreased significantly.
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Toxic manifestation includes myoclonus, ataxia, confusion and sudden death.
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Severe rash, including the Stevens-Johnson syndrome (SJS), is the major toxicity of nevirapine and is described in the package labeling with a prominent, boxed warning.
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Two patients are alive at 16.4 and 22.5 months after initial treatment.
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This is the third patient with severe FUra toxicity secondary to an alteration in pyrimidine catabolism and the second from our clinic population suggesting that the frequency of this genetic defect may be greater than previously thought.
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The patients whose glucose control is dependent on counter-regulatory hormones should be monitored for the possibility of hypoglycemia.
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Methemoglobinemia: an occupational hazard of phenylpropanolamine production.
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After aprotinin infusion (loading dose of 2 x 10(6) kIU followed by a continuous infusion of 5 x 10(5) kIU/h) combined with heparin, bleeding vanished until the end of bypass.
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These experiments have confirmed clinical observations that alcohol in modest doses has the potential of producing atrial or ventricular arrhythmias.
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Symptoms of CIPS were not observed.
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She had been treated for pulmonary tuberculosis seven years prior to admission.
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Approximately 80% of akinetic-rigid syndromes are due to Parkinson's disease.
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The patient died of recurrent myocardial ischemia 3 days postoperatively.
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The half-life of survival of those who ultimately died was 2 months.
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Extrapyramidal side effects: a historical perspective.
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The disease started to heal after treatment with topical clobetasol propionate 0.05% and sun exposure during the following summer.
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Because lupus patients are susceptible to infections associated with disease exacerbation or immunosuppressive treatment, recurrent infections might be expected during the disease course without need for further evaluation of the immunodeficiency.
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The authors describe valproate-induced hyperammonemia and mental status changes in an 88-year-old man, the first known reported case in an elderly patient.
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Cutaneous eruptions occur in 3% of individuals administered carbamazepine.
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They discuss related literature reports of mania or rapid cycling after adjunctive estrogen administration for refractory depression.
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Rat islets of Langerhans exposed to mefloquine in vitro (10(-8) mol/l to 10(-3) mol/l) secreted significantly more insulin than control islets (up to 980 +/- 180 microU/ml/5 islets incubated with mefloquine 10(-3) mol/l, vs 20 +/- 4 microU/ml/5 untreated islets).
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Forty patients with HCM were treated with calcium-channel blockers such as nifedipine, diltiazem, and verapamil.
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Sputum cultures were positive for methicillin-resistant Staphylococcus aureus, and intravenous vancomycin 1 g every 8 hours was added to the treatment regimen on hospital day 7.
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Two other cases of shunt infection during the same time period were treated for only 2 days with intraventricular vancomycin and did not manifest CSFE.
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One patient was found to possess *5/*10; the other had a *1/*5 genotype.
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We report a 56-year-old woman who was found to have bilateral pulmonary nodules four months after cardiac transplantation.
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She had a stormy course despite adequate antimicrobial therapy.
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Physicians utilizing rituximab should be aware of this association given the difficulty of differentiating between presentations of BOOP and neoplastic pulmonary processes.
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