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A 24-year-old man was admitted to the hospital because of the acute respiratory distress syndrome.
The patient had been well until several days earlier, when he began to have nasal congestion with green discharge, myalgia, dry cough, mild dyspnea, and a "sinus headache." A few days before admission, the cough became intermittently productive of rust-colored sputum and was accompanied by right-sided pleuritic pain, fever, chilliness, and diarrhea. On admission to another hospital, the patient's temperature was 38.3°C, and his blood pressure was 145/60 mm Hg. No rash or lymphadenopathy was noted. Consolidation was present over the right upper lobe. While
Differential Diagnosis
Clinical Diagnosis
Dr. Paul E. Sax's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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