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a significant risk of transmission of hepatitis and possibly AIDS.

3. An increased risk of bacterial or fungal endocarditis, most frequently due to Staphylococcus aureus, but sometimes to pseudomonas. Arterial emboli, sometimes septic, can result.

4. Pulmonary infection, infarction and atelectasis are common. Pulmonary hypertension or oedema can occur.

5. Tetanus may be seen, in part due to additives such as quinine which allow the growth of anaerobes (McGoldrick 1980).

6. Adrenocortical function is suppressed.

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