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1.
Clin Case Rep ; 11(2): e6940, 2023 Feb.
Article in English | MEDLINE | ID: mdl-36789304

ABSTRACT

Leishmaniasis is a common cause of pancytopenia and hepatosplenomegaly in tropical and subtropical regions. A high index of suspicion is required to diagnose and manage patients with leishmaniasis. Travel history should always be elicited in a patient with suggestive clinical presentation.

2.
Cardiovasc J Afr ; 23(1): e7-e10, 2012 Feb 12.
Article in English | MEDLINE | ID: mdl-22331273

ABSTRACT

CK-MB activity levels can be falsely elevated by the presence of macro CK, especially if immune-inhibition assays are used in the measurement. In patients with macro CK and cardiac pathology that could result in an elevated CK-MB activity, the diagnostic challenge lies in determining the true cause of the elevated CK-MB activity. We present two case reports of patients with elevated CK-MB activity and troponin I levels, but who subsequently had CK-MB activity higher than total CK activity, raising the suspicion of the presence of macro CK.


Subject(s)
Myocardial Infarction , Troponin I , Biomarkers , Creatine Kinase , Humans , Isoenzymes , Myocardial Infarction/diagnosis
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