William A. Kormos, M.D., Carol C. Wu, M.D., John A. Branda, M.D., and Adriano Piris, M.D. N Engl J Med 2010; 363:2046-2054 November 18, 2010
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, . . .
Weblink here
