Two patients had hyperthyroidism secondary to functioning metastatic follicular thyroid carcinoma. Failure to control the thyrotoxic state with antithyroid drugs in one patient prior to treatment with radioactive iodine led to exacerbation of the thyrotoxicosis with thyroid storm and death. A second patient, in whom a euthyroid state was induced before radioactive iodine therapy, had a benign posttreatment course. Radioactive iodine therapy of functioning metastatic thyroid carcinoma should be administered with caution and only after adequate preparation of the elderly patient with cardiovascular disease.

Acute Disease↗

PubMed1975

Disseminated MYycobacterium kansasii infection with pancytopenia and interstitial nephritis.

Disseminated Mycobacterium kansasii infection associated with pancytopenia was diagnosed in a 40-year-old man found to have granulomata in kidney and liver biopsy specimens. The M. kansasii was isolated from the urine and tissue obtained by renal biopsy. Serial renal biopsies and renal tissue obtained at autopsy showed severe interstitial fibrosis which was thought to represent a tissue response to the M. kansasii infection. The periportal and parenchymal fibrosis found in the liver at autopsy were consistent with a similar response in the liver.

Adult↗

PubMed1974

Arsenic is still with us.

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Arsenic Poisoning↗

PubMedDate not supplied

The disruptive-abusive physician message still timely.

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Behavior↗