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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 338:248-254 January 22, 1998 Number 4
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Case 3-1998— A 31-Year-Old Woman with a Pleural Effusion, Ascites, and Persistent Fever Spikes
Ellen E. Sheets, and R. Neal Smith

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Presentation of Case

A 31-year-old woman was admitted to the hospital because of fever, cough, questionable pneumonia of the left lower lobe with a left pleural effusion, and ascites.

The patient had been well until one month earlier, when she began to have a cough with fever, sweats, and chills. Twelve days before admission to this hospital, she entered another hospital because of pneumonia of the left lower lobe that did not improve after a three-day course of azithromycin.

The temperature was 38.4°C, the pulse was 118, and the blood pressure was 100/70 mm Hg.

On physical examination, the patient was pale, with . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Ellen E. Sheets's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

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Related Letters:

Case 3-1998: Tuberculous Peritonitis
Conde A., Marchena J., Jain R., Sheets E. E.
Extract | Full Text  
N Engl J Med 1998; 338:1701-1702, Jun 4, 1998. Correspondence

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