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Previous Volume 332:1700-1707 June 22, 1995 Number 25 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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Presentation of Case

A 55-year-old woman was admitted to the hospital because of acute respiratory distress and thrombocytopenia.

The patient had been in stable health until several weeks earlier, when an upper respiratory tract infection developed, with vague, diffuse abdominal pain; ofloxacin and ketorolac were prescribed. One week before admission nausea and vomiting occurred.

Three days before admission the patient was admitted to another hospital, where physical examination was normal except for dehydration. Laboratory studies were performed (Table 1 and Table 2). Ofloxacin was discontinued, and fluids were administered intravenously. During the next two days the platelet count declined to 27,000 . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. David M. Systrom's Diagnoses

Pathological Discussion

Anatomical Diagnosis

References

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• Francis, K. K., Kalyanam, N., Terrell, D. R., Vesely, S. K., George, J. N. (2007). Disseminated Malignancy Misdiagnosed as Thrombotic Thrombocytopenic Purpura: A Report of 10 Patients and a Systematic Review of Published Cases. The Oncologist 12: 11-19 [Abstract] [Full Text]