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Dr. Robert H. Ackerman: A 77-year-old man was admitted to this hospital because of recent episodes of falling. He had been well until 18 months earlier, when an abscess of the right foot caused by Staphylococcus aureus developed. This was treated with surgical débridement, ciprofloxacin, and rest. Six weeks later, a right popliteal deep venous thrombosis developed that responded to warfarin. After these illnesses he felt chronically fatigued and reduced his physical activity, but returned to work. Eight months before admission he resumed working out at a gym and playing tennis, but his pace had slowed; he tired easily, which
Differential Diagnosis
Pure Motor Syndromes
Combined Upper and Lower Motor Neuron Disease
Amyotrophic Lateral Sclerosis
Clinical Diagnosis
Dr. Gilmore N. O'Neill's Diagnosis
Pathological Discussion
Final Diagnosis
Source Information
From the Departments of Neurology (G.N.O., D.P.C., R.H.A., R.H.B.), Radiology (R.G.G., R.H.A.), and Pathology (A.S.-R.), Massachusetts General Hospital; and the Departments of Neurology (G.N.O., D.P.C., R.H.B.), Radiology (R.G.G., R.H.A.), and Pathology (A.S.-R.), Harvard Medical School.
Related Letters:
A Man with a Gait Disorder
Mast H., Kejda J., Mohr J. P., O'Neill G. N.
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N Engl J Med 2006;
355:1740, Oct 19, 2006.
Correspondence
This article has been cited by other articles:
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