Spiraling Out of Control.

Mixter, Sara; Sedighi Manesh, Reza; Keller, Sara C; Platt, Laura; Hollander, Harry · N Engl J Med · 2017

case_report · Level V

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Abstract

A 22-year-old man presented to the emergency department on Christmas Day with a 5-day history of myalgias, cough, dyspnea, nonbilious emesis, and nonbloody diarrhea. Although he had been ill for several days, he ultimately sought treatment because of intractable vomiting. He reported feeling feverish, although he had not measured his temperature, and noted one episode of hemoptysis.

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