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The patient with a decreased level of consciousness in the absence of trauma presents difficult assessment and intervention problems. This is compounded when the history is vague or nonspecific. In this case, the patient's history of embolic CVA alerted providers to the possibility of another
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OBJECTIVE
To study the epidemiology, clinical features, and changing pattern of rickettsial infections on the western slopes of the hilly Central Province of Sri Lanka over 6 years.
METHODS
All patients with rickettsial infections who presented to the Teaching Hospital, Peradeniya were studied
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In the period 1991-2005, 169 patients with the diagnosis of malaria were hospitalized in the Department of Tropical and Parasitic Diseases, Institute of Maritime and Tropical Medicine in Gdynia (from 2003--the Academic Centre of Maritime and Tropical Medicine, Medical University of Gdańsk). All the
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OBJECTIVE
To report the neuropathologic features of a patient with neuro-Behçet disease and to review the literature.
METHODS
Herein, we describe a 35-year-old male who fulfills the International Study Group criteria for Behçet disease.
RESULTS
The patient developed headache and hemiparesis in a
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We report an 84-year-old man with perforation caused by emphysematous cholecystitis who showed flare on the skin of the right dorsal lumbar region and intraperitoneal free gas. The patient was admitted for abdominal pain, abdominal swelling, and consciousness disorder 18 days after the onset.
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OBJECTIVE
To clarify clinical and pathogenetic predictors of outcome in acute period of atherothrombotic stroke (ATS).
METHODS
One hundred and nineteen patients with ATS were examined. Characteristics of the clinical picture, a number of white blood cells in peripheral blood in the stage of
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Pituitary tumor apoplexy is an uncommon event heralded by abrupt onset of severe headache, restriction of visual fields, deterioration of visual acuity, and weakness of ocular motility frequently coupled with clinical indications of decreased endocrine function. Hemorrhage into or necrosis of a
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