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The patient was enrolled in a weight-loss clinic, and his diabetes medications were adjusted.Subsequently, olanzapine was discontinued because of weight gain and uncontrolled diabetes.
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The patient died of heart failure complicated by pneumonia.
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We describe two patients in whom this conversion occurred in the absence of hypertension or excessive anticoagulation and was substantiated by serial computed tomographic brain scans.
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Antibiotic-induced endotoxemia in a patient with endogenous endophthalmitis.
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The patient deteriorated to Glasgow Motor Scale score (GMS) 2 and a CT scan showed signs of raised ICP.
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The child developed the nephrotic syndrome at the age of 17 months.
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Capecitabine is used to treat advanced breast and gastrointestinal malignancies.
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This method precisely limits the exposure to methotrexate, allowing a therapeutic effect without complication even in those patients who exhibit methotrexate sensitivity.
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Allopurinol hypersensitivity.
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Due to discomfort, diplopia and lagophthalmos, the haematoma necessitated suspension of warfarin therapy and a surgical evacuation.
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Four days after the initial injection of 3.6 mg of goserelin acetate, severe dyspnea developed due to worsening pleuritis carcinomatosa, which was considered as a flare-up.
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Detailed postmortem examination of one patient revealed no anatomical abnormalities of the central nervous system.
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Osteonecrosis of the jaw is an uncommon consequence of biphosphonate therapy.
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Superior sagittal sinus thrombosis in a patient with postdural puncture headache.
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Amiodarone induced torsades de pointe.
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Development of cavernous haemangioma following radical chemo-radiotherapy for nasopharyngeal carcinoma.
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DESIGN: Case report.
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Intravenous pulse corticosteroid therapy was given for three days.
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A second biopsy after clinical improvement showed resolution of cholestasis but persistence of duct paucity.
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Coexistence of hereditary angioedema and Turner's syndrome has not previously been reported and this case highlights the detrimental C1 inhibitor level lowering effect of oestrogen in hereditary angioedema.
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Inhibition of the hepatic metabolism of warfarin by 5-FU and levamisole is the postulated mechanism of this drug interaction.
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We have used the gastrinoma syndrome to examine the effects of SMS.
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A 49-year-old man with Crohn's disease treated with prednisone and mesalamine (5-ASA) developed worsening respiratory distress and fever.
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The two patients were finally released in good condition.
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The factors which may have predisposed to its development are reviewed.
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The patient presented with fulminant microangiopathic hemolytic anemia and thrombocytopenia within 48 hr of initiating therapy with trimethoprim-sulfamethoxazole.
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However, dilated cardiomyopathy has not improved in spite of the cessation of interferon treatment.
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Pure red cell aplasia (PRCA) due to parvovirus B19 (PVB19) infection after solid organ transplantation has been rarely reported and most of the cases were renal transplant recipients.
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After discussion with the patients with regard to the management of this condition and possible complications, five opted for botulinum toxin therapy and five declined further intervention.
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He experienced stiffness, myalgias, and classic rippling, which was confirmed on clinical examination.
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CASE SUMMARY: A 55-year-old man was taking an extract of C. mukul 300 mg 3 times daily to lower his cholesterol level.
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A mechanism of unopposed alpha stimulation as a result of beta-2 receptor blockade is proposed, and a cautious approach to the use of propranolol in these patients is suggested.
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Intravenous cytarabine and methotrexate appear to act synergistically to enhance the potential for central nervous system toxicity.
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This case emphasizes the importance of making interventions based on individual patient response.
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Norethisterone and gestational diabetes.
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PURPOSE: We studied a case of vortex keratopathy that was associated with the use of atovaquone.
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CASE SUMMARY: An 80-year-old white female, followed up at the Memory Clinic for mild cognitive impairment, had been taking propafenone 900 mg/d for >10 years for paroxysmal atrial fibrillation without adverse effects.
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Because steroid-containing regimen may cause reactivation of hepatitis B virus (HBV) and hepatitis may progress to be fulminant after its withdrawal, we administered CHO (CPA, DOX and VCR) therapy and the patient obtained complete response.
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We report here two patients who underwent T cell-depleted mismatched-related stem cell transplantation for hematologic malignancies and required aggressive post-transplant immunosuppression for graft-versus host disease (GVHD).
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The purpose of this article was to provide a detailed review of the role of TNF-alpha in controlling hepatitis B viral infection and the clinical impact blockade might have on viral control.
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Amiodarone was the third drug to induce AVT in this patient; she received 200 mg/day six days per week for six months.
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METHODS: A 55-year-old woman became stuporous after overdose with lamotrigine (LTG) and valproic acid (VPA) tablets.
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The patient had successfully completed both induction and consolidation chemotherapy without steroid administration.
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We retrospectively reviewed 16 patients with recurrent/metastatic head and neck cancer who received S-1 monotherapy.
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Gastric outlet obstruction due to an iatrogenic cause in a neonatal period - report of two cases.
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Though prosthetic infection with Brucella spp. is an extremly rare condition (only 1 case each of femur and hip, and 3 cases of knee had been previously reported in the English literature), brucella infection of prosthetic joints should be considered in brucella endemic areas.
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The patient eventually had full resolution of her symptoms.
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Magnetic resonance imaging findings on day 10 showed periosteal soft tissue changes and mild bone marrow edema of the femora and tibiae.
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Nonspecific changes were observed, with probability of drug-induced injury.
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Chymopapain--past and present, future?
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Umbilical artery catheterization is known to be associated with aortoiliac thrombosis in approximately 1% of newborns in whom catheters are placed.
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An epinephrine injection was administered and the boy immediately felt better.
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These idiosyncratic reactions may be transient and do not always necessitate drug discontinuation.
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Initial cases were associated with anticonvulsants, although other drugs have now been implicated.
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We also showed that the drug was inhibitory to fungi in vitro as a vapor, not requiring contact by diffusion through agar or broth.
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The AKBR also reflects the efficacy of treatment for cyanide poisoning.
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Without any further intervention the patient had 2 separate and prolonged PSA increases and decreases 12-35 months after therapy.
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OBJECTIVE: Somatostatin and its analogs have recently been introduced in the treatment of chylous effusions in infants and children following surgery.
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Serum testosterone, dihydrotestosterone and estradiol fell to castration levels 4-6 weeks after the initiation of treatment and remained low throughout the study period.
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Two patients with extrinsic asthma and coexistent insulin-dependent diabetes mellitus sustained an anaphylactoid reaction after the intravenous administration of 50% solution of dextrose.
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Extrapyramidal side effects induced by some selective serotonin reuptake inhibitors (SSRIs), i.e. fluoxetine and sertraline, have been previously reported in patients with depression and obsessive-compulsive disorder (OCD).
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Clinical recovery required an average of 42 days and was complete in four of five patients.
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Case 2 demonstrated after 40 months on chlorambucil the presence of a balanced translocation, t (1;5) (p36;q31) in 90% of the cells.
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Isoniazid associated, painful, bilateral gynaecomastia.
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Unusual side-effects due to clobazam: a case report with genetic study of CYP2C19.
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New onset of CD may be considered as an immune-mediated injury induced by etanercept.
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This finding differs from other common agents, in which 63% of the radiation recall events are reported to manifest as a dermatitis.
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An anovulatory patient was treated with human menopausal gonadotropin and human chorionic gonadotropin.
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Furthermore, these results also indicated that a low-dosage IV-Ig therapy is effective enough for hemostatic management for programmed surgery.
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This report describes the case of a 53-year-old woman with pacemaker pocket infection due to acremonium species.
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Mannitol treatment alone did not lower the intraocular pressure after 90 minutes, although improvement was noted four hours after methylprednisolone.
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The deposits were bilateral, yellow-white colored, stellate, and mainly peripheral.
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These cases also suggest that the occurrence of RLS can cause noncompliance with antipsychotics in psychiatric patients, and thus aggravate their psychotic symptoms.
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At least some patients with AL amyloidosis achieve complete remission of their plasma cell dyscrasia, improvement in performance status, and clinical remission of organ-specific disease after this form of treatment.
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Although neurotoxicity is a frequent complication of methotrexate therapy, fatal acute neurotoxicity is extremely uncommon, especially in adults.
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In this report, we describe a patient receiving lenalidomide in whom dyspnea, fever, hypoxia, and diffuse pulmonary infiltrates developed.
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Radiation-induced bilateral optic neuropathy in cancer of the nasopharynx.
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Electrolytes must be monitored frequently during foscarnet therapy.
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PURPOSE: The purpose of this report is to emphasise the role of the Acute Pain Service in managing local anaesthetic epidural infusions for postoperative pain management, the importance of vigilant monitoring, and to offer some guidelines to using local anaesthetic epidural infusions.
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CASES: A 37-year-old man with chronic hepatitis C and a 59-year-old man with chronic myeloid leukemia, both of whom had received IFN therapy, were referred to our outpatient clinic.
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Tocolysis was stopped immediately, and the laboratory data improved gradually.
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Correction of serum electrolyte imbalance prevents cardiac arrhythmia during amphotericin B administration.
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The neuroleptic malignant syndrome (NMS) is a potentially fatal complication of antipsychotic drugs.
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After 2 courses of intravenous immunoglobulin (IVIG) therapy, bone marrow erythropoiesis recovered with his hemoglobin level increased to 123 g/L.
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Hepatotoxic effects in a child receiving valproate and carnitine.
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Eyelid depigmentation following corticosteroid injection for infantile ocular adnexal hemangioma.
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MEASUREMENTS: A large intraatrial catheter-tip thrombus (2.5 x 3 cm) was an incidental finding on an echocardiogram done to assess cardiac function.
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Heat stroke in schizophrenia during clozapine treatment: rapid recognition and management.
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In all 4 patients lymphopenia was observed before the initiation of corticosteroid treatment and low CD4 and CD8 cell counts were evident at the time of PCP.
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Peripheral neuropathy and cerebellar syndrome associated with amiodarone therapy.
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A 73-year-old woman presented with fever and cough 2 weeks after completing the third cycle of fludarabine for chronic lymphocytic leukemia (CLL).
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A low dose of cisapride (5 mg b.i.d.) produced rapid relief from nausea elicited by the initiation of treatment with a selective serotonin reuptake inhibitor in eight patients.
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We reviewed medical records to identify preoperative, operative, and postoperative similarities and differences in care.
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In 1984 alanine aminotransferase presented abnormal levels.
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Pharamcokinetic parameters were found to be significantly different from published adult parameters, such as a faster elimination rate, shorter half-life, and increased clearance.
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The mechanisms producing ischaemia following intra-arterial injection of drugs of abuse and possible treatment are discussed.
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This is the first report of acute kidney injury due to zonisamide-induced DRESS/DIHS.
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Understanding this array allows the astute clinician to improve the lives of their patients with PD.
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CONCLUSIONS: Chloroquine-resistant vivax malaria is increasingly widespread, and transmission can occur within large tropical population centers.
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After therapy for diabetic coma with insulin (containing the preservative cresol) and electrolyte solutions was started, the patient complained of increasing myalgia, developed a high fever and respiratory and metabolic acidosis and lost consciousness.
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