FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 346:1892-1899 June 13, 2002 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Presentation of Case

A 48-year-old man was admitted to the hospital because of bilateral pulmonary infiltrates, bloody sputum, and microhematuria.

The patient was a physician who had been well until about eight years earlier, when paranasal sinusitis developed and became chronic. Seventeen months before admission, sinus surgery was performed at another hospital. Pathological examination of the excised material showed acute and chronic rhinosinusitis with stromal eosinophils.

Two months before admission, fever and epistaxis developed. The patient suspected that he had acute sinusitis and treated himself with azithromycin. Two days later, bilateral ear "pressure" developed, and exudates were observed over the tonsils, which were . . . [Full Text of this Article]

Differential Diagnosis

Infection

Neoplasia

Vasculitis

Clinical Diagnoses

Dr. Richard L. Kradin's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.