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Previous Volume 337:1149-1156 October 16, 1997 Number 16 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 43-year-old woman was admitted to the hospital in early June because of possible adult respiratory distress syndrome.

The patient had been in excellent health until nine days earlier, when she began to have low-grade fever, chilliness, and headache. On the next day, she slept excessively. One week before admission to this hospital, she vomited and lost consciousness for 15 seconds while kneeling. Later that day, an examination at another hospital revealed tender postoccipital lymph nodes; the white-cell count was 7600 per cubic millimeter. Her husband recalled that he had removed a tick from her neck about nine days earlier. . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Martin A. Samuels's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

Related Letters:

First, Do No Harm (Pending Prior Approval)
Brown D. J., Cohn M., Pruchnicki A.
Extract | Full Text  
N Engl J Med 1998; 338:1318-1320, Apr 30, 1998. Correspondence

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• Delmonico, F. L., Luskin, R. S., McNeely, W. F. (1998). Case 32-1997: Rocky Mountain Spotted Fever. NEJM 338: 1318-1318 [Full Text]