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A 46-year-old woman was admitted to the hospital because of extensive pulmonary infiltrates.
The patient had felt well until several weeks before admission, when she began to have abdominal swelling and increasingly severe jaundice. Twenty-six days before admission, she entered another hospital, where evidence of hepatic cirrhosis was detected, along with severe anemia and notable encephalopathy. Tests for occult blood in the stool were positive. The ammonia level was greater than 150 µmol per liter, the ceruloplasmin level was 19 mg per deciliter, and the urinary copper level was normal; serologic tests for hepatitis A, B, and C viruses, antinuclear
Differential Diagnosis
Common Causes of Pneumonia
Causes of Progressive Pneumonia after Long Latency in Association with Immunodeficiency
Mycobacterial Infection
Parasitic Infection
Fungal Infection
Clinical Diagnosis
Dr. Katherine McGowan's Diagnosis
Pathological Discussion
Anatomical Diagnosis
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