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The pacing system consists of an implanted receiver-lead system and an external patient-activated transmitter.
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Genitourinary malacoplakia in renal transplant recipients: pathogenic, prognostic and therapeutic considerations.
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Two patients with imminent gangrene of the extremities caused by ergot-induced arteriospasm underwent mechanical dilatation of the arteries when conventional measures such as anticoagulation, vasodilation, and sympathetic blockade produced no improvement.
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Three days later, he presented with evidence of massive deep haemorrhage to the point of airway compromise.
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Since herpesvirus has been shown to survive in the hot tub environment, herpes simplex should be considered as another potential cause of disease in the spa setting.
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We report the case of a 43-year-old man with ITP refractory to steroids and intravenous immunoglobulin who developed acute respiratory distress syndrome (ARDS) after a single infusion of rituximab.
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After a subacromial injection with betamethasone and lidocaine, the patient noted 3 weeks of near complete pain relief, followed by a return of her symptoms.
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The purpose is to report a complication after photodynamic therapy (PDT) and intravitreal triamcinolone for a presumed choroidal neovascularization in age-related macular degeneration.
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Descemet folds and an atypically large amount of stromal edema were present in both cases, and there appeared to be possible endothelial dysfunction as well.
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She had been on Copaxone 20 mg/day treatment for 2 years when she first exhibited gastrointestinal symptoms.
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We believe that ritonavir-mediated induction of VPA glucuronidation resulted in a decrease in VPA concentrations and efficacy.
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Intravesical formalin instillation has been performed in a patient with massive bladder hemorrhage secondary to radiation cystitis.
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Psychosis associated with oral contraceptive-induced chorea.
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In 25 patients in whom ectopy persisted despite drug therapy, there were 17 sudden deaths.
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Naratriptan in the prophylaxis of transformed migraine.
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Specific inhibitors of 5-HT reuptake are reported to have lower proconvulsive activity than other antidepressants.
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Annual tests of serum ferritin showed progressive increase.
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Since imiquimod induces large amounts of type I interferon production from TLR7-expressing plasmacytoid dendritic cell precursors (PDCs), the natural interferon-producing cells of the peripheral blood, we asked whether PDCs are present in psoriatic skin.
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Case study on drug-related adverse effects of hepatitis C therapy.
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CONCLUSIONS: VVR stimulates mucin secretion and MCTV in the LPS-inflamed ferret airway.
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OBJECTIVE: To report a case of Cushing's syndrome in an adult patient caused by prolonged and unsupervised use of glucocorticoid ocular drops.
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Occurrence of IDDM during interferon therapy for chronic viral hepatitis.
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Thrombocytosis under ciprofloxacin and tazobactam/piperacillin.
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The autofluorescence technique was used to predict the risk of CNV in the fellow eye.
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Acne fulminans and 13-cis-retinoic acid.
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BACKGROUND: Severe vulvar edema is an extremely rare complication of pregnancy.
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We describe a renal transplant recipient infected with Pneumocystis carinii pneumonia (PCP) who developed hypercalcemia, elevated 1,25-dihydroxyvitamin D, and suppressed parathyroid hormone levels.
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Thus catheter-related cutaneous aspergillosis could lead to a severe deep-seated infection in HIV-positive patients.
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The authors report on two patients with corneal ulcers refractory to conventional treatment while the patients were undergoing oral colchicine therapy.
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We report the successful treatment of heparin-induced thrombocytopenia and subsequent hemorrhagic complications postoperatively in a 2-year-old child with Danaparoid (orgaran).
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The authors suggest that in the absence of any proven benefit of itraconazole prophylaxis, and given the interaction of this drug with vincristine leading to severe and even potentially fatal toxicities, the combination use of these drugs should be avoided.
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Prosthetic valve endocarditis (PVE) due to Legionella micdadei was diagnosed in a man a year after valve replacement with a bovine xenograft.
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If the infection takes a persistent course, persistent topical and intravitreal antibiotic treatment and possibly vitrectomy are needed to eradicate the infection.
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RESULTS: Prolonged suppression of circulating serum cortisol concentrations and cortisol responses to the Synacthen stimulation test were noted in 3 cases, and marked failure to thrive was noted in all 4 cases.
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Histoplasma capsulatum (HC) is a thermally dimorphic ascomycete that is a significant cause of respiratory infections (>80%) in endemic areas (Midwest and southeast USA), but infections are rare in non-endemic areas.
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In this report two patients presenting with rippling muscles followed by myasthenia gravis are described.
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Histology showed pigment within dendritic cells, and extracellularly throughout the dermis.
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Despite a response of the meningeal tumor the patient developed in the third week of MTX treatment a progressive visual loss and loss of consciousness which worsened during subsequent Ara-C treatment and led to death within 3 weeks.
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INTERVENTIONS: None.
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The phenytoin only modified the IgA levels.
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Results of laboratory studies were normal and the patient was treated with topical therapy.
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A 1-month-old infant suffered cardiac arrest shortly after presentation to the emergency department.
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We describe a 25-year-old, human immunodeficiency virus (HIV)--negative man, who was started on antituberculosis treatment (ATT) with isoniazid (H), rifampicin (R), pyrazinamide (Z) and ethambutol (E) in the combination RHZE for the first two months and RH there on.
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BACKGROUND: We describe the ophthalmic features and clinical course of two cases of acute syphilitic posterior placoid chorioretinitis (ASPPC) that developed after intravitreal triamcinolone acetonide (IVTA) injection.
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He had previously failed induction therapy with cyclophosphamide, vincristine, adriamycin, and dexamethasone, but achieved complete remission after melphalan therapy.
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The WBC count should be determined and the patient's circulatory status evaluated to rule out hypovolemia.
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Porphyria cutanea tarda, a metabolic disorder of heme biosynthesis, is characterized by cutaneous hyperpigmentation, facial hypertrichosis, dark urine, and a distinctive pattern of excess porphyrin production.
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Ferrous sulfate-induced increase in requirement for thyroxine in a patient with primary hypothyroidism.
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Treatment of leukemia relapse after bone marrow transplantation with interferon-alpha and interleukin 2.
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The patient reported immediate and sustained improvement in his post herpetic neuralgia for over two months, without adverse effects from the calcitonin therapy.
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RESULTS: Two patients with ocular inflammation of unknown origin developed severe chorioretinitis after IVTA injection.
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Other potential mechanisms for the drug interaction may also exist.
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Eighty-two patients with various malignancies who received imipenem/cilastatin 143 times for neutropenic fever between March 1994 and October 1999 in Department of Pediatric Oncology, Gazi University, were identified.
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Chest X-ray revealed a solitary pulmonary nodule.
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This circular area corresponded to the 3500 microm diameter of the laser spot used in the PDT treatment.
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Successful treatment of cryptococcal ventriculoatrial shunt infection with systemic therapy alone.
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Organ transplant recipients on immunosuppressant therapy are at risk of developing lymphoproliferative disorders.
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The ATL proved refractory to chemotherapy, and he underwent BMT conditioned with CY/TBI.
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It can occur in association with altered immunological conditions and the administration of various drugs, including corticosteroids.
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However in some patients requiring emergency cardiac or vascular surgery, reexposure to heparin may be unavoidable.
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This may be due to a change in the type of metabolites excreted.
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The response to chemotherapy was not satisfactory.
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Major abnormalities were confined to the heart and brain.
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We present a case of a diabetic patient taking glyburide who was prescribed ciprofloxacin and developed prolonged hypoglycemia, which persisted for over 24 hours.
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After three weeks of carbamazepine therapy, the patient arrived at the emergency department (ED) with severe agitation and aggressive behavior.
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A 43-year-old white man developed a shallow erosion of a psoriatic plaque after chronic administration of methotrexate.
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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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A rebound in levels of intercellular antibodies usually followed their depletion but could be minimized or completely suppressed by administration of cyclophosphamide.
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CONCLUSION: For severe cases of TiACG that are associated with very high intraocular pressures, the combination of mannitol and methylprednisolone can induce a rapid improvement.
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Heparin-associated thrombocytopenia and thrombosis is a severe complication of systemic heparin therapy.
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Pericardial hemorrhage due to acetylsalicylic acid in a patient with essential thrombocythemia.
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Amiodarone hydrochloride, a new antiarrhythmic agent, has been associated with pulmonary toxicity characterized by cough, dyspnea and diffuse pulmonary infiltrates.
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Steroid-induced acute psychosis in a child with asthma: report of one case.
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The pathogenesis and management of this process are reviewed.
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There have been many reports of probable lithium-induced organic brain syndromes occurring when serum lithium levels are within or close to the therapeutic range.
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Interestingly, continuation of the interferon therapy in the presence of a mild-to-moderate exacerbation of sarcoidosis may be safe in a minority of patients with noncritical organ involvement.
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The addition of ADV was efficient to treat LAM-resistant HBV.
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At autopsy, microscopy showed that most of the thyroid follicles were enlarged with dense colloid substance and lined by flattened follicular cells (involuted follicles).
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Jaundice induced by streptokinase.
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The postoperative course was complicated by slight override of the graft associated with an associated epithelial defect, but there was no evidence of microbial keratitis or significant anterior chamber inflammation.
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Diffusion-weighted MRI (DWI) may help to distinguish between ischemic stroke and chemotherapy-related leukoencephalopathy.
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She had previously been treated unsuccessfully with a number of atypical antipsychotic medications, before she was eventually started on clozapine.
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We present a case of interaction between ritonavir and carbamazepine.
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Neurological examination revealed bilateral ptosis, and complete external opthalmoplegia with normal pupillary and corneal reflexes.
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The pathogenesis of the porphyria is not clear; however, cyclophosphamide is a substrate for cytochrome P450, and may produce metabolites that destroy this protein.
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As a result, we identified total 11 patients with nocturia and three of those completed the 12-week study of switching dopamine agonist from bromocriptine to pergolide.
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Visual fields and tiagabine: a quandary.
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Unexpected severe reversible cyclosporine A-induced nephrotoxicity in a patient with systemic lupus erythematosus and tubulointerstitial renal disease.
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A 2-year-old boy with type I diabetes mellitus was admitted due to a coma caused by cerebral oedema and was successfully treated for his neurological condition but presented on the tenth day after admission with fever of 40 degrees C, agitation, restlessness, lack of appetite, somnolence and fatigue.
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There was serological evidence of a recent Group A streptococcal infection.
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Intra-neural ceroid-like pigment following the treatment of lepromatous leprosy with clofazimine (B663; Lamprene).
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These findings suggested vasospasm or dissection, presumably related to hypertension and/or angiitis or vasoconstriction of large cerebral arteries leading to local thrombosis as a result of stasis and sympathomimetic-induced platelet activation.
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Concomitant administration of estradiol resulted in a reduction in serum alanine aminotransferase and ferritin levels and hepatic iron concentration and staining after 2 years of estrogen therapy, although interferon therapy was withdrawn because of adverse effects.
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Physical examination findings were consistent with congestive heart failure.
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The observed serum ceruloplasmin response after parenteral copper administration is suggestive of an impairment in the incorporation of copper into this metalloprotein.
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These novel findings may offer specific therapeutic targets in the treatment of BCNU-associated pulmonary fibrosis.
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CONCLUSION: The chronic use of HCQ for rheumatic diseases, or as an anti-malarial drug, should be balanced against the risk of developing potentially lethal cardiac arrhythmias.
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In four patients, spasm occurred spontaneous and in one patient after 0.05 mg of ergonovine.
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The patient suffered a life-threatening anaphylactoid reaction to amifostine.
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The manner of death was determined to be accidental.
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