Southern medical journal
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Southern medical journal · Aug 2002
Case ReportsCoexisting Gilbert's syndrome and sickle cell disease.
We report the coexistence of Gilbert's syndrome and homozygous sickle cell disease in a child with persistent unconjugated hyperbilirubinemia.
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Southern medical journal · Jul 2002
Clostridium difficile-associated diarrhea and chronic renal insufficiency.
Clostridium difficile-associated diarrhea (CDAD) is a common cause of mortality and morbidity in hospitalized patients. Some case reports have implicated renal failure as a risk factor for CDAD. The aim of this study was to assess whether chronic renal insufficiency is a risk factor for CDAD and whether it increases mortality and morbidity. ⋯ Chronic renal insufficiency is not a risk factor for CDAD, but its presence with CDAD increases mortality and recurrence of CDAD.
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Southern medical journal · Jul 2002
Case ReportsBasosquamous carcinoma of the supraglottic larynx with sudden death from asphyxia.
Excluding laryngeal papillomas, neoplasms of the hypopharynx rarely cause sudden asphyxial death in adults. We describe the first such death from a carcinoma and review the literature for similar cases since 1966. A high clinical index of suspicion and early laryngoscopy in individuals with symptoms suggestive of hypopharyngeal neoplasia are important.