Despite the increasing personalization of medicine, surprisingly ~37.0°C (98.6°F) continues as the estimate of normal temperature.
View Article and Find Full Text PDFObjectives: Ascorbic acid (AA) supplementation may increase hemoglobin levels and decrease erythropoiesis-stimulating agent dose requirement in patients with end stage renal disease (ESRD). While plasma AA levels >100μM may be supratherapeutic, levels of at least 30μM may be needed to improve wound healing and levels may need to reach 70μM to optimize erythropoiesis. Of concern, oxalate (Ox), an AA metabolite, can accumulate in ESRD.
View Article and Find Full Text PDFObjective: To determine the prevalence of vitamin C (ascorbic acid [AA]) deficiency in patients with end-stage renal disease, the effect of supplemental AA on plasma AA concentrations, and the extrinsic and intrinsic factors that affect plasma AA concentrations in this patient population.
Design: In study 1, we compared the effect of hemodialysis (HD) on plasma AA concentrations between patients with low and high pre-HD AA concentrations. In study 2, we analyzed kinetic and nonkinetic factors for their association with increased plasma AA concentrations in patients on maintenance HD.
Hydroxocobalamin is a treatment for cyanide toxicity with few side effects. We report a case of a hemodialysis patient whose treatment was compromised by hydroxocobalamin interference with the blood leak detector.
View Article and Find Full Text PDFIntroduction: Celiac disease is associated with a variety of autoimmune diseases such as type 1 diabetes mellitus, autoimmune thyroid disorders, Sjogren's syndrome and IgA nephropathy, however membranous nephropathy is not recognized amongst one of them.
Case Presentation: We report a rare case of nephrotic syndrome due to membranous nephropathy in a patient with celiac disease. A 77-years-old male patient presented with uncontrolled hypertension, anemia and acute renal failure.
Patients with hematological malignancies are susceptible to unusual infections, because of the use of broad-spectrum anti-infective agents, invasive procedures, and other immunocompromising procedures and medications. Gordonia polyisoprenivorans, a ubiquitous environmental aerobic actinomycete belonging to the family of Gordoniaceae in the order Actinomycetales, is a very rare cause of bacteremia in these patients. We report the first case of pneumonia with associated bacteremia due to this organism, which was initially described in 1999 as a rubber-degrading bacterium following isolation from stagnant water inside a deteriorated automobile tire.
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