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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 330:1439-1447 May 19, 1994 Number 20
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Case 20-1994— A Five-Year-Old Girl with Recurrent Cough and Fever and an Enlarging Pulmonary Mass
Kenan E. Haver, and Eugene J. Mark

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Presentation of Case

A girl five years and eight months old was admitted to the hospital because of a nodular lesion in the upper lobe of the left lung, recent bouts of fever, and a cough associated with pulmonary infiltrates.

The child had been born after a full-term, uncomplicated first pregnancy and spontaneous vaginal delivery to a mother who had Hodgkin's lymphoma in remission; her mother had not received chemotherapy during the pregnancy. At the age of three years a cough and wheezing developed, and a diagnosis of asthma was made. One year later pneumonia was found on radiographic examination and resolved after . . . [Full Text of this Article]

Second Admission (Two Days Later)

Differential Diagnosis

Clinical Diagnosis

Dr. Kenan E. Haver's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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