Medical principles and practice : international journal of the Kuwait University, Health Science Centre
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The aim of this report is to describe a case of atrial fibrillation and shock precipitated by deliberate self-poisoning with theophylline. ⋯ This case highlights the importance of identifying a comprehensive medication history using all available sources of information as early as possible in an emergency department presentation.
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Rare variants in the TREM2 gene have been reported to significantly increase the risk of Alzheimer's disease in Caucasian populations. Hitherto, this association was not studied in North African populations. In this work, we aimed to study the association between TREM2 exon 2 variants and the risk of late-onset Alzheimer's disease (LOAD) in a Tunisian population. ⋯ These findings do not support a major role for TREM2 in the pathogenesis of LOAD in the Tunisian population.
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Comparative Study
A Retrospective Analysis of Dialysis Events over a 3-Year Period in an Outpatient Dialysis Unit in the State of Kuwait.
To determine the difference in the rates of dialysis events stratified by vascular access type and to describe the microbiological profile and sensitivity patterns of positive blood cultures over a 3-year period. ⋯ Dialysis event rates were higher among patients with tunneled or nontunneled central lines than in patients with fistula or graft. Gram-negative rods were the most commonly isolated microbial group.
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Nonselective β-blockers (NSBB) are used in liver cirrhosis (LC) to prevent variceal bleeding because they decrease portal pressure. A main risk factor for the development of portal vein thrombosis (PVT) in LC is decreased portal vein inflow velocity. The aim of our study was to examine retrospectively the incidence of PVT and its correlation with the use of β-blockers in a cohort of LC patients. ⋯ NSBB seem to play a role in PV thrombogenesis. Further studies are needed, especially in decompensated LC patients.
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Case Reports
Focal Encephalitis, Meningitis, and Acute Respiratory Distress Syndrome Associated with Influenza A Infection.
To present a case of influenza A infection complicated with focal encephalitis, meningitis, and acute respiratory distress syndrome. ⋯ This case report highlights focal encephalitis with concomitant pulmonary complications after influenza A infection.