|
|||
| |||||||||||||||||||||||||||||||||||||
A 44-year-old woman was transferred to this hospital because of severe respiratory distress, bilateral pulmonary infiltrates, and increasing pancytopenia.
The patient had been well until 34 days earlier, when a cough productive of scanty whitish sputum developed. Treatment with erythromycin was unsuccessful. Progressive exertional dyspnea developed, and two weeks before entry she was admitted to another hospital. Examination showed that the temperature was 39.4°C; bilateral basal crackles were present. Radiographs of the chest revealed bilateral dense pulmonary infiltrates. Trimethoprimsulfamethoxazole, doxycycline, and prednisone (40 mg twice daily) were administered.
On the fourth hospital day a bronchoscopic examination was complicated by hypoxemia
Differential Diagnosis
Clinical Diagnosis
Dr. Solomon R. Benatar's Diagnosis
Pathological Discussion
Anatomical Diagnoses
References
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | TERMS OF USE | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved. |