Kiss of Death

doi:10.1056/NEJMcps0806935

Volume 360:2564-2568		June 11, 2009		Number 24

Kiss of Death

Brian B. Graham, M.D., Daniel R. Kaul, M.D., Sanjay Saint, M.D., M.P.H., and William J. Janssen, M.D.

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PubMed Citation

In this Journal feature, information about a real patient ispresented in stages (boldface type) to an expert clinician,who responds to the information, sharing his or her reasoningwith the reader (regular type). The authors' commentary follows.

A 23-year-old South African man presented to an emergency departmentwith a 2-day history of fever, mild dyspnea, headache, nausea,and myalgias. His symptoms had begun 5 days after he had traveledto Colorado to ski with friends. He was thought to have a viralillness, was treated with intravenous fluids, and was dischargedwith a prescription for acetaminophen–hydrocodone. After2 days, . . . [Full Text of this Article]

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Source Information

From the Department of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Sciences Center, Denver (B.B.G., W.J.J.); the Division of Infectious Disease (D.R.K.), Department of Internal Medicine (S.S.), and Department of Veterans Affairs Health Services Research and Development Center of Excellence and Department of Medicine (S.S.) — all at the University of Michigan, Ann Arbor; and the Department of Medicine, National Jewish Medical and Research Center, Denver (W.J.J.).

Address reprint requests to Dr. Graham at the University of Colorado Health Sciences Center, 4200 E. 9th Ave., Box C-272, Denver, CO, 80262, or at brian.graham@uchsc.edu.