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He experienced a severe skin reaction diagnosed as toxic epidermal necrolysis.
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A 58-year old patient is reported who developed an ischaemic cerebrovascular accident 22 hours after successful thrombolysis with streptokinase for life-threatening pulmonary emboli.
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Diarrhoea, T-CD4+ lymphopenia and bilateral patchy pulmonary infiltrates developed in a male 60 yrs of age, who was treated with oxaliplatinum and 5-fluorouracil for unresectable rectum carcinoma.
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Although they had only a few nodules at diagnosis, the nodules increased in number and size 3 to 4 months after the start of methotrexate therapy in both patients.
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There was no previous history of seizure disorder and he was on no other medications.
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Alopecia, nausea, and vomiting were attributed to the cyclophosphamide component of the therapy.
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A potentially more common pharmacogenetic syndrome.
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Likewise, Chinese herbal drugs are considered to be effective and to have few side effects.
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All were females (age range: 43 to 73, mean = 61.7 years) and had taken quinine for leg cramps.
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This case of linezolid-associated acute interstitial nephritis within the context of a drug rash with eosinophilia and systemic symptoms (DRESS) syndrome in a patient treated with linezolid raises concerns about the presumed renal safety of this drug.
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The authors describe a clinical case of cutaneous candidiasis in a dog with dermatological lesions, characterized by persistent alopecia, crusts, ulcers and scales.
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We describe a case of disseminated muscular cysticercosis followed by myositis (fever, diffuse myalgia, weakness of the lower limbs, and inflammatory reaction around dying cysticerci) induced by praziquantel therapy, an event not described previously.
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Transtentorial herniation caused by an intracranial mass lesion following high-dose methotrexate.
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Cholestatic liver disease with ductopenia (vanishing bile duct syndrome) after administration of clindamycin and trimethoprim-sulfamethoxazole.
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Apomorphine and diphasic dyskinesia.
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We experienced two cases of CE in patients with severe atherosclerosis whose renal function deteriorated within a few months after invasive arterial maneuvers.
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Other associated changes included koilonychia, dystrophy, and friability of nail plates.
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Based on these findings, the patient was diagnosed with diabetes insipidus secondary to lithium therapy and was treated successfully with amiloride.
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Loss of vision and renal function in a patient with miliary tuberculosis.
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Early onset Pneumocystis carinii pneumonia after allogeneic peripheral blood stem cell transplantation.
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We report the case of a 51-year-old man in whom IFN-alpha treatment was followed by recurrence of Graves' disease 10 years after thyroidectomy was performed and the patient was declared cured.
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We recommended debridement as treatment; however, he refused further surgical intervention by reason of symptomatic remission.
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(2) Rehabilitation of a 29-year-old man with a 7-year history of ankylosing spondylitis who lived in an adjustable easy chair for 2 years due to severe pain prior to admission.
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Infliximab-induced lupus in Crohn's disease: a case report.
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Classically used in combination with a multiagent-chemotherapy regimen, it can sometimes give excellent results alone.
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There was neither intrathecal chemotherapy nor brain irradiation.
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In view of the known leukemogenic effect of cytotoxic drugs, we presume that chemotherapy played a role in the pathogenesis of malignant myelosclerosis in these two patients.
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Although this type of hyperpigmentation has been previously seen in patients with cancer who are receiving bleomycin, this is, to our knowledge, the first reported case of bleomycin-induced hyperpigmentation in an AIDS patient and should be added to the growing list of cutaneous eruptions seen in these patients.
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Allopurinol-associated hand and foot deformities in chronic tophaceous gout.
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After diagnosis by transesophageal echocardiography, the patient was treated with recombinant tissue plasminogen activator through a central venous catheter advanced into the right atrium.
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Analysis of a urine sample was 2+ positive for hemoglobin.
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Fixed drug eruption (FDE) is an unusual type of cutaneous adverse drug reaction that is characterized by recurrent site-specific lesions each time the drug responsible is taken.
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Occasionally, traditional analgesic medication regimens cannot be used or are ineffective in relieving the pain.
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Herpes simplex esophagitis is a rare disease occurring mostly in immunocompromised and cancer patients.
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Pathological gambling associated with dopamine agonist use in restless legs syndrome.
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We report a cytomegalovirus (CMV) IgG +ve 56-year-old patient who underwent autologous rescue with CD34(+) selected peripheral blood stem cells as part of consolidation therapy for multiple myeloma and subsequently developed CMV colitis.
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This effect of cisapride is presumably related to its serotonin3 antagonistic property.
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Serum levels of interferon-gamma, soluble interleukin-2 receptor, interleukin-6, tumor necrosis factor-alpha, and macrophage colony-stimulating factor (M-CSF) were elevated.
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Serotonin syndrome induced by transitioning from phenelzine to venlafaxine: four patient reports.
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However, epidural infusion of local anaesthetic caused a delay in recognising a potential neurological complication.
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This case demonstrates that patients with idiopathic ANCA-positive vasculitis may quickly develop a superimposed drug-associated ANCA-positive vasculitis.
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Panuveitis associated with multiple sclerosis complicated by cerebral venous thrombosis.
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Growth dynamics of meningiomas in patients with multiple sclerosis treated with interferon: report of two cases.
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We report two male patients with Parkinson's disease who developed compulsive risk-seeking driving behaviour as a result of self-administering high doses of L-dopa despite an adequate therapeutic response at lower doses.
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We describe the exceptional development of AML and lung cancer in a patient with previously diagnosed CLL in minimal residual disease status after fludarabine treatment followed by autologous peripheral blood stem-cell transplantation.
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A 51-year old physically fit woman experienced angio-oedema and hypotensive shock after irbesartan ingestion requiring noradrenaline infusion.
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It should be recognized that ibuprofen may be associated with salt and water retention in the same fashion as previously described with phenylbutazone and indomethacin.
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We report a 43-year-old woman who developed sore throat, swelling of the lips and oral cavity and dysphagia, 2 weeks after the use of budesonide spray (Budefat) for treatment of bronchial asthma.
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Our findings suggest that chronic GVHD may be complicated with diffuse proliferative glomerulonephritis through unknown cellular immune mechanism.
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Avascular necrosis of bone is a recognised complication of glucocorticoid treatment--the risk of this increasing with higher doses and longer duration of use.
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The patient had no previous history of psychiatric problems.
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So far nine patients on digoxin have received between 550 and 1000 mg/m2 of doxorubicin without ill effect.
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The patient improved clinically, and 5 years later continues to do well.
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It inhibits delayed rectifier potassium channels in the myocardium, causing delayed repolarization and QT-interval prolongation.
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INTERPRETATION: When high doses of fluticasone propionate are used, growth may be retarded and adrenal suppression may occur.
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Coronary angiogram showed a severe stenosis in the proximal segment of the LMCA; we performed stenting with a paclitaxel-eluting stent (PES).
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Histological studies showed scattered perivascular infiltrates without vasculitis.
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We report on a child with fatal valproate-related hepatotoxic effects despite this supplementation.
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Intravenous phenobarbital was administered in escalating doses of 65 mg followed by 130 mg 15 minutes later, resulting in control of severe agitation in the face of benzodiazepine resistance.
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Use of rituximab and irradiated donor-derived lymphocytes to control Epstein-Barr virus-associated lymphoproliferation in patients undergoing related haplo-identical stem cell transplantation.
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However, he developed acute exacerbation of hepatitis due to HBV reactivation.
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Report of three cases and review of literature.
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A 57-year-old woman received 400 mL (62.4 mg) of a cisplatin solution concentrated to deliver cisplatin 100 mg/m2 during her first attempted therapy.
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Capecitabine, a new member of the fluoropyrimidine family, is an orally administered drug that delivers fluorouracil (5-FU) selectively to the tumour.
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L-Carnitine supplementation has been recommended to prevent the fatal hepatotoxic effects associated with valproic acid.
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We describe 5 patients with severe pompholyx who did not respond to conventional therapy or who had debilitating side effects from corticosteroids.
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One patient developed irreversible bilateral blindness and another unilateral blindness secondary to optic neuropathy.
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RESULTS: An 81-year-old man with a history of neoplasies of the colon and prostate and anticoagulant treatment was referred for treatment of an ocular surface neoplasia on his left eye.
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Positive cytology must be conclusive since, as in this case, no viable carcinoma may be present after therapy.
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We describe a patient who developed NEH on three separate occasions provoked by two different chemotherapeutic agents--cytarabine and mitoxantrone.
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The use of sunitinib in dialysis patients is poorly described but is of clinical importance.
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We conclude that there is insufficient evidence either to establish or eliminate a direct causal relationship between ACC and MMI use.
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A CT scan of the brain showed numerous small discrete lesions.
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DISCUSSION: The severity and presentation of central nervous system toxicity due to ifosfamide varies greatly and involves a spectrum ranging from subclinical electroencephalogram changes to coma.
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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 a case of a patient with squamous cell carcinoma of the throat above the larynx (supraglottic), who did not adhere to dental treatment recommendations for both pre- and post radiation dental management.
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When vague symptoms develop during desmopressin therapy, hyponatremia must be considered as part of the differential diagnosis.
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CONCLUSION: Ushaar latex is capable of penetrating the corneal stroma and inducing permanent loss of endothelial cells.
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It occurs in approximately 0.07-2.2% of patients treated with neuroleptics.
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We describe two patients with rheumatoid arthritis who developed chronic inflammatory demyelinating polyneuropathy (CIDP) during their course of therapy with TNF-alpha antagonists.
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Although after 4 weeks of treatment with corticosteroids the chest X-ray and lung function were still abnormal, bronchoalveolar lavage showed a normal cell distribution.
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A painful gum.
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Cardiac evaluation revealed acute congestive heart failure with a cardiac ejection fraction of 19%.
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Carbamazepine-induced systemic lupus erythematosus.
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After nine previous uncomplicated cycles she developed severe anaphylaxis to cisplatin.
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Two case reports.
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Now, malaria should first be presumed if a patient complains of a higher fever after a visit to a tropical country.
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The desaturation of mixed venous blood amplified the effect of these shunts in decreasing arterial oxygen saturation.
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DISCUSSION: Reactions associated with arylamine sulfonamide-containing antibiotics have been commonly reported; however, cross-reactions with non-arylamine sulfonamide-containing medications have been rare.
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ARDS has been associated with the administration of other monoclonal antibodies, such as infliximab, gemtuzumab ozogamicin, and OKT3 and is believed to be directly mediated by release of proinflammatory cytokines.
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We report a case and discuss its presentation and management.
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Repeat studies performed 7 months later indicated some improvements in this indirect assessment of endogenous TRH reserve capacity but a continued exaggerated TSH response to exogenous TRH administration.
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Hematochezia subsided with conservative treatment after a discontinuance of Kalimate administration.
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Aseptic meningitis, hemolytic anemia, hepatitis, and orthostatic hypotension in a patient treated with trimethoprim-sulfamethoxazole.
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Following these basic sinus cycles, alternating rhythm started with the longer P-P interval.
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Inadvertent discogram during epidural steroid injection: a case report.
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The potential for absorption is not well described in patients with impaired gastrointestinal (GI) mucosa.
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Only one death has been recorded in the responding group.
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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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Methotrexate serum concentrations must be monitored because of the possible toxicity of drug elimination delay.
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