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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
Differential Diagnosis
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Dr. Eric L. Logigian's Diagnoses
Pathological Discussion
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Addendum
References
Related Letters:
Case 42-1994: Mycoplasma Pneumonia and Transverse Myelitis
Asai K., Ohta S., Carter J. B., Murray M.
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N Engl J Med 1995;
332:1719-1720, Jun 22, 1995.
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