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A correction has been published: N Engl J Med 1999;340(1):64.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 339:105-112 July 9, 1998 Number 2
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Case 21-1998— A 32-Year-Old Woman with Pharyngeal Spasms and Paresthesias after a Dog Bite
Nesli Basgoz, and Matthew Frosch

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 by Shlim, D. R.
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Presentation of Case

A 32-year-old woman was admitted to the hospital because of paresthesias and pharyngeal spasms.

The patient had been in excellent health until 68 days earlier, when she was bitten by a dog in Nepal. She received only first aid. The wound healed uneventfully. Thereafter, she was well until two days before admission, when she began to have severe "shooting pains" in the left arm, followed by numbness in the bitten area. A physician in an emergency room prescribed acetaminophen–codeine and a nonsteroidal antiinflammatory drug. Mild headache, low-grade fever, malaise, nausea, and vomiting followed, and during the two days before admission, . . . [Full Text of this Article]

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Related Letters:

Case 21-1998: Rabies
Shlim D. R., Panosian C., Sfedu E. P., Wilde H., Stack W. F., Jackson A. C., Bett N., Basgoz N.
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N Engl J Med 1999; 340:64-65, Jan 7, 1999. Correspondence

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