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Previous Volume 360:397 January 22, 2009 Number 4 Next

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View larger version (95K): [in this window] [in a new window]   A 56-year-old woman with a medical history notable for epilepsy, scoliosis, and chronic constipation presented with shortness of breath and cough, which she reported having had for the past 10 days. A chest radiograph was obtained. Her medications consisted of phenytoin, tegaserod, fluticasone–salmeterol, and an albuterol inhaler. What is the diagnosis? Editor's note: We invite our readers to submit their answers at NEJM.org/mystery. We will publish the diagnosis in the Correspondence section of the March 19, 2009, issue and e-mail it to everyone who submits an answer. All answers must be received by February 4, 2009.

 

Ioannis Karakis, M.D.
Boston University School of Medicine
Boston, MA 02118

Christos Kosmas, M.D.
Georgetown University Medical Center
Washington, DC 20057

Related Letters:

Medical Mystery: Constipation — The Answer
Karakis I.
Extract | Full Text | PDF  
N Engl J Med 2009; 360:1259-1260, Mar 19, 2009. Correspondence

This article has been cited by other articles:

• Karakis, I. (2009). Medical Mystery: Constipation -- The Answer. NEJM 360: 1259-1260 [Full Text]