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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.
A 79-year-old woman presented with a 1-month history of dyspnea and a cough productive of yellow sputum. She reported no chest pain, hemoptysis, night sweats, or fever.
The patient's symptoms are probably caused by a respiratory tract infection. Cough in acute bronchitis may persist for more than a month even in the absence of a history of smoking. Because of her dyspnea
Commentary
Source Information
From the Department of Medicine, University of WisconsinMadison School of Medicine, Madison (N.S.); the Department of Internal Medicine, University of Michigan Medical School, Ann Arbor (D.R.K., S.S.); and the Veterans Affairs Health Services Research and Development Center of Excellence, Ann Arbor, MI (S.S.).
Address reprint requests to Dr. Safdar at the Division of Infectious Diseases, University of WisconsinMadison, H4/572 Clinical Sciences Center, 600 Highland Ave., Madison, WI 53792, or at ns2@medicine.wisc.edu.
Related Letters:
Into the Woods
Khan B. A., M.D , Gubina I., Safdar N., Kaul D., Saint S.
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N Engl J Med 2007;
356:2429-2430, Jun 7, 2007.
Correspondence
This article has been cited by other articles:
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