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Sterile water for injection contains no preservative once you breach the vial, microbial contamination risk begins immediately, and the reconstituted solution is only reliably safe to use for approximately 24 hours

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The increased free iron pool generates ROS through the Fenton reaction (Dowdle et al., 2014)

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Step 4: Stay consistent

Patients present with fever and anterior neck pain, neck swelling, induration, and erythema as well as dysphonia and dysphagia