South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
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Total external ophthalmoplegia was observed in a patient following oral administration of phenytoin, although the state of consciousness was relatively unimpaired and the plasma phenytoin level was within the recommended therapeutic range. This report demonstrates the potency of phenytoin to act selectively on the vestibulo-ocular system. Recognition of such association may be important as regards further investigations aimed at excluding structural brainstem lesions.
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Case Reports
Adult respiratory distress syndrome associated with miliary tuberculosis. A case report.
In this report we describe a patient with miliary tuberculosis who presented with the adult respiratory distress syndrome. The diagnostic problems are discussed and the value of transbronchial lung biopsy is emphasized. Our experience with this patient stresses the need for maintaining a high index of suspicion for treatable causes of adult respiratory distress syndrome.