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  • Strictly speaking, motor neuron disease and multiple sclerosis are diseases of the nervous system, rather than the musculoskeletal system.
  • Clozapine can cause agranulocytosis and should only be used if other drugs are not effective.
  • It has severe side effects; in particular bone marrow depression, and precipitation of myasthenia gravis and myositis.

In patients with HIV, toxoplasma can be the cause of serious illness. Toxoplasma encephalitis is a common complication of HIV infection.

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Often bacteria in the large intestine digest the conjugate releasing free drug, which can then be reabsorbed and recycled by the process of enterohepatic shunting. Prolonged use of antibiotics can sterilize the large intestine and interrupt this cycle and increase drug elimination in faeces. Unexpected loss of a drug in this way can reduce its therapeutic action.

In the centre of a granuloma is an area of necrotic tissue, referred to as caseation, which can become fibrotic and calcified. The granulomas contain bacteria lying dormant but capable of becoming reactivated later in the patients life if they become ill from some other cause or become immunosuppressed. Treatment for tuberculosis is lengthy taking up to two years and requiring combinations of at least three different antibiotics. First line drugs used to treat tuberculosis include isoniazid, rifampicin kamagra deals uk pyrazinamide with streptomycin and ethambutol as secondary drugs.

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Authored by Hannah P Leahy, DO


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