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Previous Volume 348:834-843 February 27, 2003 Number 9 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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Presentation of Case

A 43-year-old man was admitted to the hospital because of fever and rapid deterioration of vision in the left eye.

The patient had been well until six weeks earlier, when fevers, sweats, myalgias, and right-sided pleuritic chest pain developed. Three days later, a chest radiograph reportedly showed pneumonia in the right lower and middle lobes. A five-day course of azithromycin was prescribed. He felt better with treatment, but one day after the course of medication ended, he felt worse. Twenty-six days before admission, a repeated chest radiograph revealed a right-sided pleural effusion. He refused to undergo thoracentesis or to be . . . [Full Text of this Article]

Differential Diagnosis

Pneumonia

Complications of Pneumonia

Endocarditis due to Streptococcus pneumoniae

Clinical Diagnosis

Dr. Robert H. Rubin's Diagnoses

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Division of Infectious Disease, Brigham and Women's Hospital, Boston (R.H.R.); the Center for Experimental Pharmacology and Therapeutics, Harvard–MIT Division of Health Sciences and Technology, Cambridge, Mass. (R.H.R.); the Departments of Medicine (R.H.R.), Pediatrics (M.E.K.), and Pathology (E.J.M.), Harvard Medical School, Boston; and the Departments of Pediatrics (M.E.K.) and Pathology (E.J.M.), Massachusetts General Hospital, Boston.

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• Shapira, N., Merin, O., Rosenmann, E., Dzigivker, I., Bitran, D., Yinnon, A. M., Silberman, S. (2004). Latent Infective Endocarditis: Epidemiology and Clinical Characteristics of Patients With Unsuspected Endocarditis Detected After Elective Valve Replacement. Ann. Thorac. Surg. 78: 1623-1629 [Abstract] [Full Text]