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Previous Volume 330:1010 April 7, 1994 Number 14 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: On January 8, 1994, a 48-year-old diabetic male teacher from a small town in rural Indiana presented to the hospital with a three-day history of myalgia, weakness, fever, chills, a nonproductive cough, and progressive shortness of breath. He had not traveled to the southwestern United States and had no known exposure to rodent excreta^1,2,3. He had a temperature of 39 °C (102 °F), tachycardia, tachypnea, diaphoresis, and a moderate amount of respiratory distress. Moist rales and decreased breath sounds were noted in all lung fields, but he had no petechiae, ecchymoses, or other signs of coagulopathy.

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