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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
Differential Diagnosis
Clinical Diagnosis
Dr. Ellen E. Sheets's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Addendum
References
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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