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Previous Volume 341:747-750 September 2, 1999 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A 34-year-old man with paraplegia after a snowmobile accident came to the emergency department with a three-day history of fever, malaise, and abnormally colored urine. Moderate abdominal pain and anorexia had developed one day before his visit. The patient did not have headache, neck stiffness, photophobia, shortness of breath, nausea, vomiting, diarrhea, jaundice, or weight loss.

I need to know more about the character of the abdominal pain. This patient's paraplegia might influence the development and localization of his abdominal pain. The fever, malaise, and abnormal urine color immediately raise the possibility of a urinary tract infection. Patients with pyelonephritis . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine, University of Michigan, Ann Arbor (D.T.F., S.S.), and the Ann Arbor Veterans Affairs Health Services and Research Field Program (S.S.) — both in Ann Arbor; and the Department of Medicine, University of California, San Francisco, San Francisco (L.M.T.).

Address reprint requests to Dr. Saint at the University of Michigan Department of Internal Medicine, 3116 Taubman Center, Box 0376, Ann Arbor, MI 48109-0376, or at saint@umich.edu.

References

Related Letters:

Back to the Basics
Sharma O. P., Franklin D. J., Fisk D. T., Saint S., Tierney L. M.
Extract | Full Text  
N Engl J Med 1999; 341:2099-2100, Dec 30, 1999. Correspondence

This article has been cited by other articles:

• Sharma, O. P., Franklin, D. J., Fisk, D. T., Saint, S., Tierney, L. M. (1999). Back to the Basics. NEJM 341: 2099-2100 [Full Text]