19.04.2022
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A short time after admission to the Neurological Department the patient
presented: dyspnoea, severe diffuse headache, decreased oxygen
saturation (up to 55% in ambient air), and hypotension (70/40mmHg).
During the episode of decompensation, the patient insisted not to say
anything to his mother about the worsening of his clinical condition and
wanted to draw up the will, but he was not afraid of death. These are
relevant symptoms for the prescription of the homeopathic remedy.
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Hydrocortisone hemisuccinate 100mg iv
Dopamine 5 micrograms/kg/min iv
Oxygen on the simple mask with a flow rate of 10 liters/minute
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Carbo Vegetabilis 30 CH 5 granule every 5 minutes (for 20 minutes)
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20.04.2022
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During hospitalization, the patient often showed signs of
compulsiveness, anger, and a very low tolerance for injustice.
He became angry especially when challenged (for example he refused to
stay in the hospital even if the doctors explained that it was
necessary).
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Methylprednisolone 16 mg/day
Famotidine 20mg/day
Desloratadine 5mg/day
Sodium Valproate 1000mg/day
Carbamazepine 600mg/day
Luteoline 1 tablet/day
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Causticum 30 CH seven granules administered sublingually, for one
month
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05.05.2022
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At the homeopathic re-evaluation after discharge, the patient presented
with extreme irritability that caused major conflicts with his wife,
persistent lack of strength in the left hemibody, red macular skin
lesions spread over approximately 80% of the body surface, positive
Darier sign that became worse with increased temperature, after hot
showers or after rubbing the skin. Ultrasound showed mild hepatomegaly
(right lobe 153 mm).
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Methylprednisolone 16 mg/day
Famotidine 20mg/day
Desloratadine 5mg/day
Sodium Valproate 1000mg/day
Carbamazepine 600mg/day
Luteoline 1 tablet/day
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Nux Vomica 30CH, seven granules administered sublingually, 30
days.
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02.06.2022
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The patient reported improvement of the clinical features both
physically and mentally, without any new symptoms.
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Methylprednisolone is reduced to 8 mg/day
Famotidine 20mg/day
Levocetirizine 5mg/day
Sodium Valproate is reduced to 500mg/day
Carbamazepine 600mg/day
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Continues with Nux Vomica, as recommended above
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22.06.2022
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Remission of the motor deficit in the left hemibody, and significant
improvement of irritability, which led to a better relationship with the
family. The bone marrow biopsy revealed a reduction of the mast cell
infiltrate.
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Methylprednisolone is reduced to 4 mg/day
Famotidine 20mg/day
Levocetirizine 5mg/day
Sodium Valproate is stopped
Carbamazepine 600mg/day
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The homeopathic remedy is not recommended
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21.07.2022
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The patient had a good general condition both mentally and physically.
He reported significant improvement in irritability with much better
control over emotions. The symptoms specific to mastocytosis have
subsided.
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Methylprednisolone is stopped
Carbamazepine is reduced to 300mg/day
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The homeopathic remedy is not recommended
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