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Previous Volume 356:1980-1988 May 10, 2007 Number 19 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.

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Presentation of Case

Dr. David T. Ting (Medicine): A 59-year-old man was admitted to this hospital because of fever as well as pain and swelling of both eyes, which was worse in the left, and the right ear. The patient had been well until 6 weeks before admission, when headache and fever developed; he saw his physician, who sent him to the emergency department of another hospital, where a diagnosis of a viral syndrome and sinusitis was made. A 5-day course of azithromycin was prescribed. Symptoms persisted, and neck pain and sinus congestion developed; the patient returned to the other hospital and was . . . [Full Text of this Article]

Differential Diagnosis

Acute Sinusitis

Orbital Cellulitis and Dural Sinus Thrombosis

Episcleritis or Scleritis

External Otitis

Dr. Deborah S. Collier's Diagnosis

Dr. Joan R. Butterton's Diagnosis

Pathological Discussion

Discussion of Management

Final Diagnosis

Source Information

From the Infectious Disease Division (J.R.B.), the Rheumatology, Allergy, and Immunology Division (D.S.C.), and the Departments of Radiology (J.M.R.) and Pathology (A.Z.), Massachusetts General Hospital; and the Departments of Medicine (J.R.B., D.S.C.), Radiology (J.M.R.), and Pathology (A.Z.), Harvard Medical School.

Related Letters:

Case 14-2007: A Man with Pain and Swelling of Both Eyes and the Right Ear
Chauhan S., Agarwal V., D'Cruz S., Collier D. S., Butterton J. R.
Extract | Full Text | PDF  
N Engl J Med 2007; 357:621-622, Aug 9, 2007. Correspondence

This article has been cited by other articles:

• Chauhan, S., Agarwal, V., D'Cruz, S., Collier, D. S., Butterton, J. R. (2007). Case 14-2007: A Man with Pain and Swelling of Both Eyes and the Right Ear. NEJM 357: 621-622 [Full Text]