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Symptoms ALN develops slowly over months or years [109, 110]

It has been used safely by mouth for up to 6 months

Dennis son also reported feeling in control of his symptoms

In fact, it's possible that use of a carbapenem would obviate the need for dialysis in some patients or serve as a bridge in patients who meet the ExTRIP criteria but experience delay in starting dialysis because of factors such as need to transfer to another facility

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