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 351:1667-1675 October 14, 2004 Number 16 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 Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Presentation of Case

A four-year-old boy was transferred to this hospital because of hypoxemia of unknown origin. Five days before admission, he had been taken to the emergency room of another hospital with a fever of eight hours' duration (peak temperature, 40.6°C), associated with a cough and one episode of vomiting. On examination in the emergency room, the temperature was 39.9°C, the pulse 130 beats per minute, and the respiratory rate 32 breaths per minute, with an oxygen saturation of 87 to 90 percent while breathing room air. He weighed 18.6 kg and was 1.1 m tall. Auscultation of the chest revealed wheezing . . . [Full Text of this Article]

Differential Diagnosis

Dr. T. Bernard Kinane's Diagnosis

Anatomical Discussion

Anatomical Diagnosis

Source Information

From the Pediatric Service (T.B.K.) and the Department of Radiology (S.J.W.), Massachusetts General Hospital; and the Department of Pediatrics (T.B.K.) and the Department of Radiology (S.J.W.), Harvard Medical School.

Related Letters:

Case 31-2004: A Four-Year-Old Boy with Hypoxemia
Hoftman N., Kinane T. B., Shannon D. C.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:631, Feb 10, 2005. Correspondence

This article has been cited by other articles:

• Rodriguez-Roisin, R., Krowka, M. J. (2008). Hepatopulmonary Syndrome -- A Liver-Induced Lung Vascular Disorder. NEJM 358: 2378-2387 [Full Text]  
• Elias, N., Scirica, C. V., Hertl, M. (2008). Liver Transplantation for the Abernathy Malformation. NEJM 358: 858-858 [Full Text]  
• Bogaard, H. J., Grotjohan, H. P., Tjwa, E., van den Berg, F. G., Postmus, P. E., van Nieuwkerk, C. M. J., Vonk-Noordegraaf, A. (2007). A 31-Year-Old Man With Hemoptysis at High Altitude and Abnormal Hepatic Biochemistry Tests. Chest 132: 1088-1092 [Full Text]  
• Hoftman, N., Kinane, T. B., Shannon, D. C. (2005). Case 31-2004: A Four-Year-Old Boy with Hypoxemia. NEJM 352: 631-631 [Full Text]