Case 14-2003
Case 14-2003
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案例14-2003
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
E. J. Mark
中科院分区：
文献类型：
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作者：
Aaron B. Waxman;Jo;E. J. Mark
病例介绍一位73岁的女性因肺炎恶化、缺氧加重和氮质血症被转到这家医院。她一直很好，直到入院前17天，当非血性腹泻和疲劳开始。腹泻在五天后消退，但疲劳持续存在，嗜睡恶化了几天。入院前7天，腹泻复发，并伴有呕吐、寒战、发热、下腹部绞痛、弥漫性肌痛和前额头痛。无咳嗽、呼吸困难、胸痛或咯血。她被送往另一家医院。当病人到达另一家医院时，体温是……
Presentation of Case A 73-year-old woman was transferred to this hospital because of worsening pneumonia, increasing hypoxia, and azotemia. She had been well until 17 days before admission, when nonbloody diarrhea and fatigue began. The diarrhea resolved five days later, but the fatigue persisted, with lethargy that worsened for several days. Seven days before admission, the diarrhea recurred and was accompanied by vomiting, chills, fever, lower abdominal cramps, diffuse myalgia, and a frontal headache. There was no cough, dyspnea, chest pain, or hemoptysis. She was taken to another hospital. When the patient arrived at the other hospital, the temperature was . . .