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This case shows how extensive clinical and radiological work-up may not be enough to reach a definitive etiological diagnosis of cardiac hypertrophy

doi: 10.1016/j.bbrc.2009.03.161 24 BullJ

this is paradoxical as severe and very severe patients are incapable of even the slightest exertion ( Probable predisposition and causes of ME/CFS The diverse symptom presentation and patient heterogeneity indicate that ME/CFS is likely to have a multifactorial origin ( Genetic predisposition Unfortunately, there is little consensus among researchers on the genetic, cellular, and molecular influences that alter the risk of developing ME/CFS ( 2 ) in large cohorts, and two of these studies reported non-zero results, suggesting a heritability risk for ME/CFS

A literature search identified 56 published cases of adult-onset canine neosporosis, most associated with neurological or myopathic signs (66.1%, 37/56) or cutaneous lesions (25.0%, 14/56)

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