Document Detail

Fever, chills, and weakness in a 61-year-old man.
MedLine Citation:
PMID:  16374968     Owner:  NLM     Status:  MEDLINE    
A 61-year-old man presented to the emergency department of a community hospital with a 2-week history of fever, chills, and sudden extreme weakness of his right arm and lower extremities. He also had a cough, shortness of breath, nausea, abdominal pain, diarrhea, and myalgia. Though initially alert and cooperative, he quickly became unresponsive. In addition, he had hyponatremia, renal insufficiency, and compromised cardiopulmonary function. He was admitted to the intensive care unit for suspected bacterial infection and was started on broad-spectrum antibiotics. Chest radiograph revealed miliary infiltrates consistent with infectious emboli or metastatic carcinoma. Despite intensive resuscitation, the patient died 36 hours after admission. At autopsy multiple nodular lesions were observed on gross examination of the lungs, perihilar and paratracheal lymph nodes, and liver. Microscopic sections of the lung (Figure 1) and brain (Figures 2 and 3) are shown.
Eric Xueying Wei; Yeong-Ju Dancer; Diana M Veillon; Andrea J Linscott; Kevin Dowden; Marjorie Fowler; James D Cotelingam
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society     Volume:  157     ISSN:  0024-6921     ISO Abbreviation:  J La State Med Soc     Publication Date:    2005 Sep-Oct
Date Detail:
Created Date:  2005-12-26     Completed Date:  2006-02-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505618     Medline TA:  J La State Med Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  245-9; quiz 250     Citation Subset:  IM    
Department of Pathology, Louisiana State University Health Sciences Center, Shreveport, USA.
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MeSH Terms
Blastomycosis / complications,  pathology*
Brain / pathology
Chills / microbiology
Fever / microbiology
Lung / pathology
Middle Aged
Muscle Weakness / microbiology
Zygomycosis / complications,  pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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