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A 64-year-old patient presented to the emergency department with a 2-day history of increased confusion. He had been treated with haemodialysis for years for chronic renal failure, but at the time of admission had not had haemodialysis for more than a month. On physical examination, he had no sign of cardiac failure and he was breathing normally. He …
Contributors All authors wrote the paper and were in charge of the patient and participated to the manuscript.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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