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A 23-year-old man was admitted to the hospital because of fever, bilateral pulmonary infiltrates, and worsening hypoxia.
The patient was apparently in excellent health until about one week earlier, when a dry cough developed, with a rise in the temperature to 38.9 °C and chilliness. A physician prescribed a cough preparation, without improvement. During the next few days diffuse arthralgias and myalgias appeared, with increasing fatigue. Two days before entry the patient became dyspneic, with pleuritic left-sided chest pain, and coughed up scanty amounts of blood.
On the same day the patient was admitted to another hospital, where physical examination
Differential Diagnosis
Clinical Diagnosis
Dr. John J. Reilly, Jr.'s, Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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