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Canadian Journal of Infectious Diseases
Volume 12 (2001), Issue 3, Pages 173-174
http://dx.doi.org/10.1155/2001/689358
Clinical Vignette

Syncope on Steroids

Warren Davidson,1 Nadia Zalunardo,1 Shawn Gill,2 and Robert Wakefield1

1Department of Internal Medicine, University of British Columbia, Vancouver, British Columbia, Canada
2Department of Urology, University of British Columbia, Vancouver, British Columbia, Canada

Copyright © 2001 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

An 83-year-old white woman sought medical attention because of a three-day history of slurred speech and an episode of syncope. Her medical history included long-standing rheumatoid arthritis treated with prednisone for the past five years (60 mg/day at presentation). In addition, cyclosporin (200 mg/day) had been started 16 months earlier for necrotizing scleritis.