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A 28-year-old woman was admitted to the hospital because of ocular inflammation, fever, and headache.
The patient had been well until three weeks earlier, when a cough developed, initially productive of yellow sputum, with rhinorrhea and a sore throat. The symptoms continued for about two weeks and were not affected by amoxicillin. About one week before admission, fever developed, and the patient's temperature rose as high as 40.6°C; the cough continued but became nonproductive. A rash was noted intermittently in both axillae, and the right axilla became reddened. About five days before admission, a frontal headache developed and persisted. Two
Differential Diagnosis
Illnesses in the Differential Diagnosis
Infections
Endocarditis
Neoplastic Diseases
Vasculitis
Sarcoidosis
Pulmonary-Medicine Consultation
Neurologic Consultation
Clinical Diagnosis
Dr. Stuart B. Mushlin's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Related Letters:
Case 33-2002: A 28-Year-Old Woman with Ocular Inflammation, Fever, and Headache
Haberl R., Wenisch C., Malaviya A. N., Siegel D. M., Pirzada O. M., Mushlin S. B.
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N Engl J Med 2003;
348:474-476, Jan 30, 2003.
Correspondence
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