Case 39-1983

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Abstract
Presentation of CaseA 37-year-old man was admitted to the hospital because of jaundice and anemia.He was well until three months earlier, when weakness developed, accompanied by daily headaches that radiated from the nuchal region over the vertex to the frontal area. He experienced postprandial substernal burning pain that lasted for an hour or two, accompanied by nausea. The symptoms continued until two weeks before admission, when he began to have chills and fever with a cough productive of brown sputum occasionally flecked with blood. A physician diagnosed a viral infection and prescribed a cough syrup. Two days later . . .