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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.
A 36-year-old Pakistani woman presented to the emergency room with a 10-day history of a nonproductive cough, dyspnea, and fever. She reported having no night sweats and no contact with anyone who was ill, including anyone with known tuberculosis. She had been seen 1 week earlier at a walk-in clinic, where she received a prescription for moxifloxacin for presumed bronchitis, but her
Commentary
Source Information
From the Department of Internal Medicine, Yale University School of Medicine, New Haven (M.P., G.K.B., C.I.M., A.N.S.); and the Department of Internal Medicine, St. Mary's Hospital, Waterbury (G.K.B.) both in Connecticut.
Address reprint requests to Dr. Prasad at 1500 Locust St., Apt. 2518, Philadelphia, PA 19102, or at meeta@alumni.princeton.edu.
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