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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 340:1099-1106 April 8, 1999 Number 14
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Case 10-1999— A 53-Year-Old Man with Acute Renal Failure, Cortical Blindness, and Respiratory Distress
David C. Harmon, Eugene J. Mark, and Jean-Paul Vonsattel

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Presentation of Case

A 53-year-old man was admitted to the hospital because of acute renal failure, with cortical blindness and respiratory distress.

The patient had been well until five months earlier, when progressive epigastric pain developed. A physical examination performed 11 weeks before admission showed only mild, diffuse abdominal tenderness. A rectal examination showed normal findings, and a test for occult blood was negative. Hematologic and blood chemical values were normal, as were the levels of enzymes, carcinoembryonic antigen, and prostate-specific antigen. A test for antibodies to Helicobacter pylori was positive. The patient was unable to tolerate omeprazole or clarithromycin, and his condition . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. David C. Harmon's Diagnoses

Pathological Discussion

Anatomical Diagnoses

References




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