Journal Article10.1056/NEJMCPC020032
Case 7-2003
TL;DR: The patient had been well until six weeks earlier, when fevers, sweats, myalgias, and right-sided pleuritic chest pain developed, when he was admitted to the hospital because of fever and rapid deterioration of vision in the left eye.
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Abstract: Presentation of Case A 43-year-old man was admitted to the hospital because of fever and rapid deterioration of vision in the left eye. The patient had been well until six weeks earlier, when fevers, sweats, myalgias, and right-sided pleuritic chest pain developed. Three days later, a chest radiograph reportedly showed pneumonia in the right lower and middle lobes. A five-day course of azithromycin was prescribed. He felt better with treatment, but one day after the course of medication ended, he felt worse. Twenty-six days before admission, a repeated chest radiograph revealed a right-sided pleural effusion. He refused to undergo thoracentesis . . .
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