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Clinical Problem-Solving
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Volume 342:37-40 January 6, 2000 Number 1
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Impatient Inpatient Care
Mridu Gulati, M.D., Sanjay Saint, M.D., M.P.H., and Lawrence M. Tierney, M.D.

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A 62-year-old, retired painter was hospitalized three weeks before transfer to a referral hospital. He reported a temperature of 38.8°C, chills, myalgias, headache, and dysuria of five days' duration. About three months earlier, he had also been hospitalized with fever and dysuria, which responded to treatment with ciprofloxacin; urine and blood cultures were negative at that time.

In a retired painter, one thinks of lead intoxication or chronic alcoholism. Dysuria may indicate the presence of urethritis. The recurrence of symptoms after three months raises the question of a localized process in the genitourinary system, such as a prostatic abscess or . . . [Full Text of this Article]

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From the Department of Medicine, University of Michigan, Ann Arbor (M.G., S.S.); the Health Services Research and Development Field Program, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Mich. (S.S.); and the Department of Medicine, University of California, San Francisco (L.M.T.).

Address reprint requests to Dr. Saint at the University of Michigan, Department of Internal Medicine, 3116 Taubman Ctr., Box 0376, Ann Arbor, MI 48109-0376, or at saint@umich.edu.

References


Related Letters:

Impatient Inpatient Care
Michel T., Payne C. A., Tierney L. M.
Extract | Full Text  
N Engl J Med 2000; 342:1678-1679, Jun 1, 2000. Correspondence

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