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Dr. I. David Todres (Pediatric Intensive Care): An eighteen-year-old man was admitted to the hospital in shock after a five-day illness.
The patient had been in good health until five days before admission, when cough and myalgias developed. The next day, he was seen at a college health service and given a cough suppressant. The day after, he was seen by a physician at the health service. His lungs were clear, and a diagnosis of bronchitis was made. Azithromycin and albuterol by metered-dose inhaler were prescribed, and the patient started taking the antibiotic the following day. His temperature rose to
Differential Diagnosis
Influenza Outbreaks and Pandemics
Influenza Surveillance
Complications of Influenza
Clinical Diagnosis
Dr. Julie L. Gerberding's Diagnosis
Pathological Discussion
Anatomical Diagnoses
Source Information
From the Centers for Disease Control and Prevention, Atlanta (J.L.G.); and the Cardiac Echo Lab and Department of Medicine (J.G.M.), Department of Radiology (J.O.S.), and Department of Pathology (R.L.K.), Massachusetts General Hospital and Harvard Medical School.
Related Letters:
Case 9-2004: An 18-Year-Old Man with Respiratory Symptoms and Shock
Kopterides P., Todres I. D.
Extract |
Full Text |
PDF
N Engl J Med 2004;
351:105-106, Jul 1, 2004.
Correspondence
This article has been cited by other articles:
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