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Correspondence
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Volume 358:1405-1407 March 27, 2008 Number 13
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Case 36-2007: A Woman with Rash, Fever, and Hypotension

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 by Sabatine, M. S.
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To the Editor: In their discussion of a woman with rash, fever, and hypotension, Sabatine et al. (Nov. 22 issue)1 state that the patient was being treated with doxycycline for possible cellulitis of the face 2 days before admission. One day before admission, increased facial swelling, blurred vision, pelvic pain, and dysuria developed. The history, taken on admission, stated that the patient had a known allergy to doxycycline, which had caused "gastrointestinal distress, blurred vision, and a rash." Given the temporal relationship between doxycycline administration and the fulminant heart failure that developed in the patient, and given that tetracyclines are . . . [Full Text of this Article]




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