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The laboratory studies suggest severe iron poisoning as evidenced by the drop in bicarbonate and arterial pH (metabolic acidosis as iron becomes hydrated and poisons the mitochondria), the rise in aminotransferases, fall in albumin, rise in prothrombin time and INR, and rise in total and conjugated bilirubin (liver failure) 4

We discuss the complexity of managing APL in the context of HIV infection, including the challenges posed by infections, liver dysfunction, and the impact of chemotherapy on antiretroviral therapy (ART)

Prymula and colleagues compared post-vaccine fever and post-vaccine changes in vaccine-specific antibody titers in children who either did or did not receive scheduled acetaminophen with immunizations

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