“…The management of the lacrimal alteration depends of the clinical findings. Clinical suspicion remains the principal tool to diagnose the syndrome. …”
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“…Our findings demonstrate that approximately half of imported cases had distinctive clinical features (defined as fever and >1 of the following: pharyngitis, sore throat, tonsillitis, conjunctivitis, oropharyngeal ulcers, or proteinuria). Delays in clinical suspicion of this diagnosis were common. In addition, no secondary transmission of Lassa fever to contacts of patients with low-risk exposures occurred, and infection of high-risk contacts was rare. …”
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“…Unexplained abdominal manifestations and/or persistent biological inflammatory syndrome, especially in high-risk groups, should raise the suspicion of tuberculosis. LEARNING POINTS: Abdominal tuberculosis (TB) is a challenging diagnosis especially in low-incidence countries where the disease is rarely suspected. …”
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“…Without adequate knowledge and clinical suspicion, OAS can be easily missed or misdiagnosed, resulting in delayed treatment and devastating loss of function or even death.…”
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“…This case highlights the importance of clinical suspicion of eosinophilic gastroenteritis in patients in the third to fifth decades of life with gastrointestinal symptoms, ascites and eosinophilia. …”
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“…Hence, there is a need for a high level of suspicion in this diagnosis. Although renal involvement is the most classic presentation, LCDD should be suspected when there is multiple organ involvement, as in this case, even when renal manifestations do not dominate the clinical picture. …”
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“…Because of the high mortality, a high index of suspicion and low threshold for investigation is essential in at-risk groups.…”
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“…LEARNING POINTS: Neurocysticercosis (NCC) is the main cause of epilepsy in someone coming from an endemic area; therefore, it is imperative to have a high index of suspicion. Ocular cysticercosis can present at the time of diagnosis or can be triggered by the cysticidal treatment. …”
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“…The presence of Horner's syndrome in brachial plexopathy of indeterminate etiology, even in the absence of bulky adenopathy, should raise clinical suspicion of NL, possibly prompting such interventions as fascicular nerve biopsy.…”
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“…CONCLUSION: It is necessary to have a high index of suspicion to make a timely diagnosis and initiate an early treatment. …”
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“…The findings from combined contrast CT and FDG-PET may raise the suspicion of colloid adenocarcinoma and prompt the consideration of surgical resection.…”
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“…Furthermore, a high level of suspicion is needed when tenderness over Lister’s tubercle after any type of trauma is encountered.…”
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“…Physicians should have a high index of clinical suspicion for HZAE in any patient presenting with a vesicular rash and concomitant neurologic impairments while systemically immunosuppressed.…”
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“…Due to the potential for progression to more severe disease and the risk of N. meningitidis transmission and development of secondary cases, a high degree of clinical suspicion is required to ensure prompt recognition and adequate treatment. …”
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“…CONCLUSIONS: The correct diagnosis of our patient was based on clinical suspicion, appropriate lab tests, and deliberation of the differential diagnosis. …”
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“…Three previously published cases supported our suspicion. Within this context, we discuss the case details with a focus on potential explanations for insufficient clinical response to meropenem (e.g. limited intracellular penetration, phenomena of tolerance and persistence). …”
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“…This case series stresses the importance of having a high index of suspicion and preoperative biopsy in cases where imaging features are equivocal.…”
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“…POS is a rare cause of hypoxemia that requires a high level of suspicion, and exclusion of more common causes of hypoxemia.…”
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“…Lead poisoning often goes unrecognized due to a low index of suspicion, but it may turn out to be fatal. Therefore, it should be considered in the differential diagnosis of any neurobehavioral deficits in substance abusers.…”
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“…While most of the anticoagulation complications are obvious and can be promptly identified, heparin-induced thrombocytopenia (HIT) requires a high index of suspicion for early diagnosis to prevent a potentially fatal outcome. …”
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