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Correspondence
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Volume 352:2248-2249 May 26, 2005 Number 21
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Case 5-2005: A Man with Depression and Shortness of Breath

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by Biddinger, P. D.
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To the Editor: In the discussion of Case 5-2005, that of a patient with invasive endocarditis possibly due to bartonella (Feb. 17 issue),1 Dr. Biddinger noted that the initial examination was normal. I beg to differ.

This patient, fired from his job only nine days before his presentation at the emergency department, had a profound physical and mental deterioration in that short time — a clear case of delirium, not depression. The fact that a patient with no previous psychiatric history was having auditory hallucinations should have pointed to this conclusion. The physical examination was grossly abnormal. A blood pressure . . . [Full Text of this Article]



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