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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 342:1430-1438 May 11, 2000 Number 19
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Case 14-2000— A 60-Year-Old Farm Worker with Bilateral Pneumonia
Daniel S. Shapiro, and Eugene J. Mark

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Presentation of Case

A 60-year-old man was admitted to the hospital because of pneumonia.

The patient had been well until 10 days earlier, when exertional dyspnea developed, with chills, fever, and night sweats. Two days later, his temperature rose to 40°C. Four days before being admitted to this hospital, he was admitted to another hospital, where a radiograph of the chest showed one area of consolidation in the left lower lobe, another area in the right upper lobe, and a small left pleural effusion. The white-cell count was 12,700 per cubic millimeter, with 60 percent neutrophils and 26 percent band forms. Specimens were . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Daniel S. Shapiro's Diagnosis

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