|
|||
| |||||||||||||||||||||||||||||||||||
A 29-year-old woman was admitted to the hospital because of necrotizing lymphadenitis followed by the nephrotic syndrome.
The patient had been well until two months earlier, when axillary and inguinal lymphadenopathy developed, soon followed by swelling, pain, and redness in the left axilla. Cephalexin was administered, but the swelling and pain increased, with nausea, vomiting, and weight loss. One month before admission, a lymph-node biopsy showed necrotizing lymphadenitis. Three weeks before admission, amoxicillinclavulanate was prescribed, but fever occurred, with worsening swelling and pain.
Ten days before admission, the patient was admitted elsewhere. Cultures of blood, sputum, and urine were negative.
Differential Diagnosis
Clinical Diagnoses
Dr. Michael P. Madaio's Diagnosis
Pathological Discussion
Anatomical Diagnoses
References
This article has been cited by other articles:
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved. |