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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 331:1437-1444 November 24, 1994 Number 21
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Case 42-1994— A 19-Year-Old Man with Rapidly Progressive Lower-Extremity Weakness and Dysesthesias after a Respiratory Tract Infection
Eric L. Logigian, and Megan B. Murray

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Presentation of Case

A 19-year-old man was admitted to the hospital on New Year's Day because of ascending paresthesias, progressive weakness of the legs, and a rash.

He had been well until 10 days earlier, when a sore throat, productive cough, sweats, fever with a rise in the temperature to 39.4 °C, and dizziness developed. A physician found pharyngeal injection with questionable tonsillar exudates, and amoxicillin was prescribed. A rapid test for group A streptococcal antigen was negative. Five days before admission, the patient felt better, discontinued the amoxicillin, and returned to work. Three days later he began to have dysesthesias in the . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Eric L. Logigian's Diagnoses

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Related Letters:

Case 42-1994: Mycoplasma Pneumonia and Transverse Myelitis
Asai K., Ohta S., Carter J. B., Murray M.
Extract | Full Text  
N Engl J Med 1995; 332:1719-1720, Jun 22, 1995. Correspondence

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