Mark S. Klempner, M.D., Elizabeth A. Talbot, M.D., Susanna I. Lee, M.D., Ph.D., Sherif Zaki, M.D. and Mary Jane Ferraro, Ph.D., M.P.H. N Engl J Med 2010; 363:766-777, August 19, 2010
Dr. Franklin W. Huang (Medicine): A 24-year-old woman was transferred to this hospital because of abdominal pain, vomiting, ascites, and shock.
The patient had been well until 9 days before admission, when fatigue, fevers, headache, and diffuse body aches developed, followed by a productive cough and vague pain in the abdomen and lower back.
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