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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 340:1900-1908 June 17, 1999 Number 24
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Case 18-1999— A 54-Year-Old Woman with Acute Renal Failure and Thrombocytopenia
Helmut G. Rennke, and Michael Laposata

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Presentation of Case

A 54-year-old woman was admitted to the hospital because of acute renal failure and thrombocytopenia.

The patient had been in excellent health until five and a half weeks earlier, when she began to have respiratory symptoms with fever that was unresponsive to antibiotics. A physician found murmurs and pedal edema. A cardiac ultrasonographic examination showed a left ventricular ejection fraction of 35 to 40 percent, without evidence of valvular disease. One day later, she was admitted to another hospital because of worsening symptoms and anterior chest pain. An electrocardiogram revealed ST-segment and T-wave abnormalities, and there was enzymatic evidence of . . . [Full Text of this Article]

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Dr. Helmut G. Rennke's Diagnoses

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