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Serious complications, whether or not related to CMV reactivation, constitute a highly likely cause of death.22 Elderly patients, with comorbidities, in poor health, in which systemic manifestations are more evident, in whom the causative medication has been perpetuated for a longer time, or in whom specific treatment has been delayed tend to have a worse prognosis and slower recovery.82–85 Systemic autoimmune sequelae can appear months and even years after resolution, such as autoimmune thyroiditis, fulminant type I diabetes, autoimmune hemolytic anemia and alopecia
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The countryside of Westphalia is filled with rolling hills, forests, and fields, and is home to many charming small towns and villages
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