|
|||
| |||||||||||||||||||||||||||||||||||
A 42-year-old asplenic man was admitted to the hospital because of gram-negative sepsis.
The patient had been well until one week earlier, when his left upper teeth began to ache. Four days before admission, he had abdominal cramps and two loose stools. The next morning, he awakened with diffuse aches, especially in the arms, legs, and lower back. After a small breakfast, he vomited several times and then had shaking chills with increasing fever. He was admitted to another hospital. His temperature was 40°C. The results of a physical examination were otherwise normal. The urine was normal. Laboratory tests were
Differential Diagnosis
Clinical Diagnoses
Dr. Jeffrey Parsonnet's Diagnosis
Pathological Discussion
Laboratory Diagnosis
References
This article has been cited by other articles:
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | TERMS OF USE | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved. |