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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 339:1228-1236 October 22, 1998 Number 17
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Case 32-1998— An 83-Year-Old Woman with Long-Standing Asthma and Rapidly Progressing Pneumonia
Richard L. Kradin, and Eugene J. Mark

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Presentation of Case

An 83-year-old woman was admitted to the hospital because of asthma complicated by pneumonia that was unresponsive to antibiotic treatment.

The patient had had asthma since childhood, complicated by seven bouts of pneumonia by the age of 12 years and several episodes of pneumonia or bronchitis as an adult. There was a long history of hypertension and a 10-year history of atrial fibrillation for which she received no treatment. For two years she had had type 2 diabetes mellitus and unstable angina pectoris. She had never smoked and had no history of tuberculosis, recent chest pain, chronic cough or production . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Richard L. Kradin's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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