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Case 35-2010 — A 56-Year-Old Man with Cough, Hypoxemia, and Rash
Oleh:
Kormos, W.A.
;
Wu, Carol C.
;
Branda, John A.
;
Piris, Adriano
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
The New England Journal of Medicine (keterangan: ada di Proquest) vol. 363 no. 21 (Nov. 2010)
,
page 2046-2054.
Topik:
Influenza
Ketersediaan
Perpustakaan FK
Nomor Panggil:
N08.K.2010.01
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Presentation of Case A 56-year-old man was admitted to the hospital in the autumn because of cough, hypoxemia, and a rash. The patient had been well until 9 days earlier, when light-headedness, diffuse myalgias, chills, sweats, and extreme fatigue developed, which he thought were related to influenza. The next day, a rash, which he described as red and pimply, “like the beginning of poison ivy,” developed over his chest and axillae; it gradually improved but did not resolve. A dry cough developed, which prevented him from finishing sentences. There was no pruritus, rhinorrhea, or sore throat. Five days before admission, the cough worsened and was associated with sharp substernal chest pain on inspiration, dry mouth, anorexia, malaise, and light-headedness that improved with lying down. The next day, he saw his physician. The physical examination was normal. Azithromycin was prescribed. The cough persisted, worsened, and remained nonproductive; it was improved at rest and was worse with exertion and while the patient was lying on his right side. Fatigue increased and night sweats continued; dyspnea while climbing one flight of stairs developed, and he was unable to take a deep breath without discomfort or coughing.
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