Early onset life-threatening myelosuppression after low dose of intravesical thiotepa

Early onset life-threatening myelosuppression after low dose of intravesical thiotepa.

Intravesical instillation of thiotepa is a popular treatment for localized bladder carcinoma. The drug can enter the systemic circulation, and such absorption may be enhanced by extensive tumour infiltration or by a recent tumour resection. A case is reported of early onset life-threatening pancytopenia following an unusually low dose of the drug in a patient who had undergone a recent tumour r...

Mechanisms of late-onset cognitive decline after early-life stress.

Progressive cognitive deficits that emerge with aging are a result of complex interactions of genetic and environmental factors. Whereas much has been learned about the genetic underpinnings of these disorders, the nature of "acquired" contributing factors, and the mechanisms by which they promote progressive learning and memory dysfunction, remain largely unknown. Here, we demonstrate that a p...

New onset of myasthenia gravis after intravesical Bacillus Calmette-Guerin

RATIONALE Recently, drug-related myasthenia gravis (MG) has received attention, because the number of reported cases involving MG associated with immune checkpoint inhibitors, a new immunotherapy, is increasing. We present a case involving the new onset of MG, in which the symptoms started shortly after intravesical Bacillus Calmette-Guerin (BCG) for bladder cancer. PATIENT CONCERNS A 69-year...

Delayed onset of life-threatening immune hemolysis after perioperative antimicrobial prophylaxis with cefotetan.

Low-Dose Exposure to Bisphenol A in Early Life

Bisphenol A (BPA) has lower estrogenic potency than 17b-estadiol. The reference dose of BPA is defined as 50 ug/kg bw/day by the Environmental Protection Agency. The lower doses of BPA than no observable effect level are considered safe. However, early life exposure to low-dose BPA may increase the risk of developing adult onset disease. The harmful effects caused by low-dose BPA in fetus and n...