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Clinical Problem-Solving
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Volume 342:1658-1661 June 1, 2000 Number 22
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Letting the Patient off the Hook
Yitzhak Beigel, M.D., Zalman Greenberg, Ph.D., and Iris Ostfeld, M.D.

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A 27-year-old man was hospitalized in late September 1998 with a three-day history of low-grade fever and malaise accompanied by a nonproductive cough, without dyspnea, chills, dysuria, or diarrhea. He also had a pruritic rash covering the gluteal region. The rash and itching had started about two weeks earlier, during the last week of a month-long vacation on the coast of Thailand, and had increased in intensity despite topical treatment with fusidic acid (Fucicort) cream and calamine lotion. Two days before the patient was admitted, a dermatologist in Israel had diagnosed folliculitis and prescribed 2 g of cephalexin daily. One . . . [Full Text of this Article]

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From the Department of Internal Medicine A, Rabin Medical Center, Petah Tiqva, and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv (Y.B., I.O.); and the Central Laboratory of Public Health, Ministry of Health, Jerusalem (Z.G.) — all in Israel.

Address reprint requests to Dr. Beigel at the Department of Internal Medicine A, Rabin Medical Center, Beilinson Campus, Petah Tiqva 49100, Israel, or at beigelr@post.tau.ac.il.

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