Case 49-1975

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Abstract
Presentation of CaseA 39-year-old man, a resident of Guatemala, was admitted to the hospital because of a question of bacterial endocarditis.He was well until five and a half weeks previously, when symptoms of an upper-respiratory-tract infection developed. A physician prescribed isoprinosine. Four days later a scarlatiniform rash appeared, and the temperature rose to 39.9°C. A throat culture yielded a growth of "hemolytic streptococcus" and Staphylococcus aureus. Erythromycin was begun, with improvement in the rash and fever. Several days later fever recurred, and examination disclosed rales at both lung bases. An x-ray film of the chest showed an . . .

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