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Anti-hypertensive therapy with propranolol during pregnancy and lactation.
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Calcium antagonists are drugs commonly prescribed for the treatment of hypertension, angina pectoris, cardiac arrhythmias and other disorders because of their efficacy and tolerability.
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Presentation of three palliative care patients who were given ketamine as an analgesic and subsequently developed significant and debilitating urological symptoms.
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Transarterial embolization given for hepatoma in a patient with Budd-Chiari syndrome resulted in hepatic infarction and inferior vena cava thrombosis.
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Contact allergy towards this reagent and 2 of its reaction products was proven by patch tests.
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Subsequently, a diagnosis of anticholinergic poisoning was made, based on tachycardia, delirium, dry mucosa, and reduced bowel sounds.
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Three patients (mean age, 68.6; range, 64-70 years) had mycotic thoracic aneurysms.
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Desensitization to pancreatic enzyme intolerance in a child with cystic fibrosis.
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Osteonecrosis in a patient with Crohn's disease unrelated to corticosteroid use.
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It is frequently seen on the anterior aspect of the legs of women.
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In those patients in whom a reduction in the blood flow to liver tumors was shown angiographically, there was a progressive improvement in hormone secretion and in tumor size in the ensuing year of treatment, suggesting that a major target of SMS is that vascular supply of the tumors.
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Due to the potentially life-threatening complications of this condition and the increasing use of anticonvulsants in the treatment of mood disorders, psychiatrists must be aware of the diagnosis and treatment of this condition.
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Three cases of angel's trumpet tea-induced psychosis in adolescent substance abusers.
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We present a neonate with a seizure disorder who acutely developed pupillary mydriasis secondary to lidocaine overdose.
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On the next day, after a total dose of only 600 mg of danazol, gingival bleeding and purpura occurred.
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A stage Va B-cell multicentric lymphoma was diagnosed on clinical, cytological (lymph node, bone marrow), histological-immunohistochemical (lymph node excision) and imaging grounds.
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Leukopenia due to parvovirus B19 in a Crohn's disease patient using azathioprine.
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We present three patients with paradoxical seizures; their serum phenytoin levels were 43.5 mcg/mL, 46.5 mcg/mL and 38.3 mcg/mL.
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Early diagnosis of leukoencephalopathy of acute lymphocytic leukemia by MRI.
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Chest drainage was required to save his life.
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When SASP was changed to 5-aminosalicylic acid (5-ASA), his skin eruptions were resolved, however, he developed weakness and atrophy in his right arm as well as progressive worsening of the dysesthesia in his legs and gait disturbance.
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Tacrolimus-induced HUS: an unusual cause of acute renal failure in nephrotic syndrome.
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In 3 patients, leukoencephalopathy was diagnosed by T2-weighted magnetic resonance imaging.
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Scleromyxedema is a dermatologic disorder associated with a monoclonal gammopathy and neurologic manifestations.
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After infliximab treatment, additional sleep studies revealed an increase in the number of apneic events and SaO2 dips suggesting that TNFalpha plays an important role in the pathophysiology of sleep apnea.
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CONCLUSION: Identification of bacteria in blood components should trigger a comprehensive donor evaluation, particularly if donor bacteremia is suspected.
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We present the first case of ovarian endometrioid carcinoma and endometriosis in a postmenopausal patient who was treated with tamoxifen for breast cancer.
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Liver biopsy showed chronic aggressive hepatitis with subacute hepatic necrosis.
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CONCLUSION: This report describes a case of a probable interaction between topical econazole lotion 1% and acenocoumarol that resulted in overanticoagulation and a life-threatening laryngeal hematoma in this elderly patient.
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A report of three cases and a review of the literature.
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CASE SUMMARY: A 15-year-old boy of Turkish origin, diagnosed as having FMF at the age of 14 years, was treated with colchicine 1.5 mg/d.
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The safety and efficacy of enfuvirtide therapy for HIV infection in patients with hemophilia: a case series.
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Four years after the beginning of IFN therapy, he acutely developed moderate hyperglycemia and severe ketonuria with positive islet cell antibody, and then 28 units/day of insulin injection was started.
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Fever, lymphadenopathy, eosinophilia, lymphocytosis, hepatitis, and dermatitis: a severe adverse reaction to minocycline.
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RESULTS: The combination of the two systemic medications resulted in the resolution of the attack with a much more rapid time course than is seen typically for extreme cases of TiACG.
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On both occasions the symptoms resolved after treatment.
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This process needed cooperation with other lymphoid cells and was abrogated by dexamethasone.
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A girl with cystic fibrosis and cyclic neutropenia developed an erythematous papular eruption without fever or neutrophilia 7 months after commencing therapy with G-CSF.
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Psoriatic arthritis is an inflammatory arthritis associated with psoriasis.
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Treatment with ceftriaxone was started before the culture results were obtained, and was continued after susceptibility test results were obtained.
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Treatment of cerebrospinal fluid shunt infections commonly involves a combination of intravenous and intraventricular antibiotics.
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Diagnosis is made primarily by examination of the stool or intestinal secretions for ova and parasites.
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The INR remained subtherapeutic for 5 weeks despite weekly warfarin dose increases.
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We report a case of pregnancy in a woman exposed to ATRA during the first trimester.
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Coenurosis is a zoonotic disease of humans caused by the larval stage of Taenia (Multiceps) species.
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Clinical improvement followed and the wound healed well.
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At 12 months there was no evidence of recurrence though new nodular BCCs and SBCCs had developed elsewhere on his upper torso.
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This observation illustrates that a coved ST-segment elevation in the right precordial leads should not be, systematically, regarded as a marker of a specific syndrome, but may also reflect a common electrical manifestation of abnormalities in the right ventricle or pericardium.
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The authors report a case of Balint syndrome with irreversible posterior leukoencephalopathy on MRI following intrathecal methotrexate and cytarabine.
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It is quite possible that vancomycin was the only culprit, but impossible to ensure with the available evidence.
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Clinicians have been aware of lithium toxicity for many years and traditionally have administered thiazide diuretics for lithium-induced polyuria and nephrogenic diabetes insipidus.
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Acute non-lymphocytic leukemia in patients with ovarian carcinoma following long-term treatment with Treosulfan (= dihydroxybusulfan).
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RESULTS: A 34-year-old man acquired visual field defects and severe vision loss in both eyes after intravitreal injection of triamcinolone for diabetic macular edema.
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Eight plasmaphereses were performed over six weeks.
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Volatiles were assayed by gas chromatography-flame-ionization detection.
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The clinical and pharmacological histories of these patients suggest a relation between cholinesterase inhibitors and the pleurothotonus.
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Abdominal examination and laboratory studies were not clinically remarkable.
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The principle treatment for DPD-deficient patients with severe acute 5-FU reactions is supportive care; however, the administration of thymidine potentially may reverse severe 5-FU-induced neurologic symptoms such as encephalopathy and coma.
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Respiratory insufficiency was further worsened by Proteus mirabilis infection and severe bronchoconstriction.
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Previous studies have demonstrated the interaction of MTX and a variety of non-steroidal, anti-inflammatory drugs (NSAIDs) with various clinical manifestations including acute renal failure, pancytopenia, vomiting, diarrhea, elevated liver transaminases, jaundice, mucosal ulcerations, and pyrexia.
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The known side effects of sibutramine, ie, hypertension and tachycardia, depend on its adrenergic and serotoninergic effects.
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Exacerbations of the heart failure were temporally related to the administration of the antitumor antibiotics actinomycin-D (NSC-3053) and mithramycin (NSC-24559).
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Cutaneous side effects caused by interferon are well known.
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Three days after stopping the medication he reverted to normal sinus rhythm.
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Comparing baseline CGI with that obtained on the date of last evaluation for each patient, a significant improvement in clinical assessment of severity of illness was obtained for the total group (Wilcoxon signed rank test, p < 0.0001).
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The purpose of this case report and review is to enhance anesthesiologists' understanding of this phenomenon so that they may better formulate a logical treatment scheme in such an event.
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METHODS: The patient received a stem cell transplant from an unrelated bone marrow donor after which he contracted a serious CMV infection manifested in the lungs and retinae.
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A 17-year-old girl with a history of wearing cosmetic contact lenses presented with keratitis.
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Daptomycin is a lipopeptide antibiotic active against multidrug-resistant gram-positive organisms.
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A neuroprotective and neuroregenerative treatment attempt with pyridoxine and pyridostigmine was initiated.
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Patients who are treated for short-term palliation may be more safely given doses based on ideal body weight.
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Necrotizing fasciitis of the vulva during chemotherapy.
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His seizures were controlled by 150mg/day of phenytoin in combination with primidone.
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High-dose phosphate treatment leads to hypokalemia in hypophosphatemic osteomalacia.
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In addition to its known effect on gallbladder stasis, octreotide alters bile acid composition and may thus hasten intrahepatic sludge and stone formation.
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We suggest that it may be more appropriate and economical to advise patients to report promptly any suspected side effects than to perform regular LFTs, which may be misleading.
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The onset of disease was noted up to 2 months after the last gemcitabine infusion.
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This report deals with a 54-year-old man with loss of memory.
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Intracranial pathological changes can occur as a result of impaired craniocervical venous return.
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Tacrolimus (FK506), an immunosuppressant, has been associated with mutism in adults after liver transplant.
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Possible heart failure exacerbation associated with rosiglitazone: case report and literature review.
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The diagnosis was confirmed following a single-blind, placebo-controlled provocation test with phenylbutazone and a biopsy of the affected skin.
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The immune tolerance in a 12-year-old haemophilia A patient was carried out at the Faculty of Medicine, Ramathibodi Hospital, Bangkok in 1998.
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During intravenous treatment with terlipressin for recurrent gastrointestinal (GI) bleeding, a 50-year-old male with no history of heart disease developed a newly prolonged QT interval and torsade de pointes.
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Hypomagnesaemia in children with cystic fibrosis (CF) is under-recognized.
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Role of ciclosporin in steroid-responsive sudden sensorineural hearing loss.
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An unusual case of Candida tropicalis sepsis in a patient submitted to allogeneic bone marrow transplantation.
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This experience supports the hypothesis that heparin can be readministered early to patients with heparin-associated thrombocytopenia and thrombosis, provided antiplatelet therapy is given.
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A review of possible pathogenetic factors is given.
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Recurrent endophthalmitis after cataract surgery with a scleral-tunnel incision.
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The wide use of phenytoin during the recent tuberculosis epidemic makes it imperative to suspect this drug interaction in patients exhibiting clinical features that might be related to phenytoin toxicity.
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This adverse reaction is reported for the first time in a patient not concomitantly treated with other drugs associated with the appearance of priapism.
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Recurring periods of prolonged erections in patients with sickle cell disease (stutter priapism) are uncommon, yet troubling sequelae of hemoglobinopathies.
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We describe two cases of drug-induced myopathy during long-term treatment of chronic hepatitis B with clevudine.
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Multifocal electroretinographic abnormalities in ethambutol-induced visual loss.
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Such a low incidence suggests a hypersensitivity type of reaction.
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A patient with HIV infection was successfully treated for pulmonary tuberculosis, but pulmonary inflammation and lymphadenitis worsened dramatically after subsequent combination antiretroviral therapy.
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The renal insufficiency of three patients and the timing of the seizures implicate accumulation of ofloxacin as a contributing factor.
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An 83-year-old man receiving glipizide 10 mg bid developed symptomatic hypoglycemia within three days of adding trimethoprim/sulfamethoxazole (TMP/SMX) to his regimen.
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One patient had wrists drop and weakness of the fingers extensors.
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