Diabetic ketoacidosis following pentamidine therapy in a patient with the acquired immunodeficiency syndrome.
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Biomedical subjects
Publications and source records attributed to P Nagami.
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Bacteriuria is not thought to cause progressive renal damage in the asymptomatic adult. Therefore, in the elderly patient with relapsing asymptomatic bacteriuria, further antibiotic therapy may be withheld, and the patient instructed to return in the event of symptomatic exacerbations. Postherpetic neuralgia is particularly frequent and severe in the elderly, occurring in 25 to 40% of patients over age 60 with herpes zoster. When the patient is seen within the first week, a 3-week regimen of oral corticosteroid therapy may shorten the duration of neuralgia.
In the United States, an increasing proportion of all forms of reactivation tuberculosis occurs in patients over the age of 60 years. Atypical presentations and presence of chronic illness obscure the diagnosis of tuberculosis in the elderly. Prompt diagnosis requires a high index of suspicion and aggressive procedures for diagnostic microbiology. Short-course (9 months) chemotherapy with isoniazid and rifampin is the treatment of choice for elderly patients with uncomplicated pulmonary tuberculosis. Isoniazid chemoprophylaxis is recommended for selected elderly patients.
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