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Previous Volume 329:710-713 September 2, 1993 Number 10 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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A 19-year-old female college student who had just returned from a vacation at a resort in Mexico was admitted to the hospital with a three-day history of fever, muscle and joint pains, and a generalized rash.

My first concern would be to establish the circumstances surrounding the patient's trip to Mexico. The explanation for her illness may be an exposure unique to the location of her journey or, conversely, a commonplace disorder such as a sexually transmitted disease or an allergic reaction to a medication. The chronology of the illness and its medical treatment, if any, and the health of . . . [Full Text of this Article]

Commentary

Source Information

From the Hematology Section, Department of Internal Medicine, Yale University School of Medicine, WWW403, P.O. Box 3333, New Haven, CT 06510-8056, where reprint requests should be addressed to Dr. Duffy.

References

Related Letters:

Clinical Problem-Solving: Prevention of Meningococcal Infection
Murray A.E., Michaeli D., Simini B., Duffy T. P.
Extract | Full Text  
N Engl J Med 1994; 330:511-512, Feb 17, 1994. Correspondence

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• van Deuren, M., Brandtzaeg, P., van der Meer, J. W. M. (2000). Update on Meningococcal Disease with Emphasis on Pathogenesis and Clinical Management. Clin. Microbiol. Rev. 13: 144-166 [Abstract] [Full Text]  
• Kassirer, J. P. (1995). Teaching Problem-Solving -- How Are We Doing?. NEJM 332: 1507-1509 [Full Text]  
• Murray, A.E., Michaeli, D., Simini, B., Duffy, T. P. (1994). Clinical Problem-Solving: Prevention of Meningococcal Infection. NEJM 330: 511-512 [Full Text]