Southern medical journal
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Endocrine metabolic emergencies are common clinical entities seen by most health care professionals in acute care medicine. Except for cardiopulmonary arrest, few situations require such rapid institution of immediate drug therapy to reverse life-threatening metabolic imbalances. To safely guide patients through these situations, the physician requires a basic knowledge and familiarity with the approaches, indications, and limitations of drug therapy as a component of care.
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Southern medical journal · Feb 1984
Case ReportsSubacute salicylate intoxication in an infant with echovirus type 11 infection.
An antigenic variant of E 11 was the most frequently encountered echovirus in the United States in 1979. Several reports have indicated that infection with this agent was often associated with an overwhelming clinical course in neonates. Our case was in a 5-week-old infant with an E 11 infection complicated by subacute salicylate intoxication. This unfavorable combination resulted in a fulminant and fatal illness simulating Reye's syndrome.
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Southern medical journal · Dec 1983
Case ReportsDisseminated tuberculosis in a renal transplant recipient: presentation as an anterior mediastinal mass.
A 26-year-old man who had had a successful cadaveric renal transplant six months previously was admitted for evaluation of fever and dysuria. Chest x-ray revealed a new left pleural effusion, bilateral nodular parenchymal densities, and an anterior mediastinal mass. A biopsy of the mediastinal mass to exclude concurrent malignancy and positive AFB stains from pleural fluid and urine confirmed a diagnosis of disseminated tuberculosis.
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Southern medical journal · Nov 1983
Letter Case ReportsGlossitis, folic acid and pernicious anemia.