The patient was admitted to the intensive care unit and was treated with intravenous fluids, digoxin and procainamide. The terbinafine was discontinued. He converted to normal sinus rhythm within a few hours. On the second hospital day the patient became confused. His temperature was 39.1°C. On examination he had developed bitateral crepitations. Blood gas showed a pH of 7.45, PCO2 of 30 mmHg, PO2 of 76 mmHg and HCO3 of 20 mEq/L. Chest radiograph showed bilateral diffuse airspace disease con sistent with con gestive heart failure. The electro -cardiogram was unchanged. He was treated with intravenous diuretics. The next day the patient’s mental status returned to normal and his clinical condition began to improve with symptomatic therapy. Renal function and urinalysis normalized within 48 h of admission. The patient was discharged home after 16 days. If your health problem is affecting the quality of your life, you should consider shopping for your medications with cialis professional online that will help you make sure the right treatment is found, not costing too much money.

All cultures of blood, sputum and urine were negative. Serology for legionella, rubella, cytomegalovirus, Epstein-Barr virus, measles, coxsackie, chlamydia, antistreptococcal antibody, hepatitis A and B were negative. Serum antinuclear antibody and rheumatoid factor were negative. Serum im munoelectro pho re sis was nor mal. Se rum C3 was 0.77 g/ L (0.9 to 1.8 g/ L) and C4 was 0.35 g/ L (0.15 to 0.5 g/ L).