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An 82-year-old woman was admitted to the ambulatory care center because of bilateral adrenal masses and low-grade fever.
The patient had been in good health until five months earlier, when myalgia developed, with a vague headache and a temperature of 37.2°C. A physician prescribed ciprofloxacin because of scheduled cataract surgery. A week later, the patient began to pass three or more loose stools daily, without bleeding. A stool specimen contained Clostridium difficile toxin; another antibiotic was prescribed, and a repeated test for C. difficile toxin was negative. The diarrhea subsided. The cataract extraction was uneventful, and she returned to her
Differential Diagnosis
Clinical Diagnosis
Dr. Robert Udelsman's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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